Expandable introducer assembly
Expandable introducer systems are provided. An expandable introducer system can include an expandable introducer, an expander, a support member, and/or an exchange dilator. The expandable introducer may be configured to transition from an unexpanded configuration to an expanded configuration. For example, the expander may be displaced through the expandable introducer and transition the expandable introducer from the unexpanded configuration to the expanded configuration. The support member may be disposed within the expandable introducer that is in the expanded configuration to maintain the expandable introducer in the expanded configuration.
1. A method of expanding an expandable introducer from an unexpanded configuration to an expanded configuration, the method comprising:
simultaneously disposing an expander and a support member within a lumen of the expandable introducer;
distally displacing the expander and the support member through the lumen such that an expander member of the expander exerts an outward radial force on an interior surface of the expandable introducer and such that a portion of the expandable introducer expands from the unexpanded configuration to the expanded configuration; and
retrieving the expander from the lumen of the expandable introducer without withdrawing the support member, such that the support member remains in an expanded state within the lumen of the expandable introducer to maintain the expandable introducer in the expanded configuration while the expandable introducer is in use.
2. The method of claim 1 , wherein the portion of the expandable introducer that expands is an expandable member disposed along a portion of the expandable introducer, wherein the expandable member comprises an outer panel, an inner panel, and a medial panel disposed between the outer panel and the inner panel, and wherein the inner panel, the medial panel, and the outer panel are each layered against each other in the unexpanded configuration.
3. The method of claim 2 , further comprising:
displacing the inner panel, the medial panel, and the outer panel away from each other to expand the expandable introducer from the unexpanded configuration to the expanded configuration.
4. The method of claim 3 , wherein the outer panel, the inner panel, and the medial panel of the expandable member are integral and folded relative to each other.
5. The method of claim 4 , wherein in displacing the inner panel, the medial panel, and the outer panel unfold relative to each other to expand the expandable introducer to the unexpanded configuration.
6. The method of claim 2 , wherein a thickness of the outer and inner panels is greater than a thickness of the medial panel.
7. The method of claim 6 , wherein the expandable introducer further comprises an elongate member, the elongate member comprises a first wall that extends circumferentially from a first end to a second end, and wherein the expander member is disposed between the first end and the second end.
8. The method of claim 7 , wherein the inner panel of the expandable member extends from the first end of the first wall and the outer panel of the expandable member extends from the second end of the first wall.
9. The method of claim 7 , wherein a thickness of the expandable member in the unexpanded configuration is equivalent to a thickness of the first wall.
10. The method of claim 1 , further comprising:
positioning a portion of the expandable introducer within a vessel of a subject;
allowing the portion of the expandable introducer positioned within the vessel to come to a body temperature of the subject prior to distally displacing the expander through the lumen of the expandable introducer.
11. The method of claim 1 , wherein the expander member is disposed around at least a portion of an outer surface of the expander.
12. The method of claim 1 , wherein the expander member is disposed at a distal end of the expander.
13. The method of claim 1 , wherein the expander member comprises a balloon.
14. The method of claim 1 , further comprising expanding the expander member to an expanded configuration to expand the expandable introducer from the unexpanded configuration to the expanded configuration.
15. The method of claim 14 , further comprising relaxing the expander member to a relax configuration.
16. The method of claim 15 , wherein the expander is retrieved from the lumen of the expandable introducer after the expander member is in the relaxed configuration.
17. The method of claim 1 , wherein the expandable introducer transitions from a 5 French configuration to a 7 French configuration.
18. The method of claim 1 , wherein the support member comprises an elongate member including a distal end and a proximal end and a reinforcement member that is disposed within a portion of the elongate member of the support member.
19. The method of claim 18 , wherein the reinforcement member comprises at least one of a braid and a wire.