Access sheath with valve assembly
An access sheath and method of assembling the access sheath. The access sheath includes a hub, a cartridge carried by the hub, the cartridge having a first valve, a second valve spaced from the first valve along a central axis, and a spacer disposed between the first valve and the second valve, wherein the first valve and the second valve each have at least two slits that extend along, and twist about, the central axis, and a shaft assembly having a shaft hub and a shaft that extends from the shaft hub in the distal direction. The access sheath provides a liquid-tight seal when receiving the introducer and other devices to prevent leakage and blood loss and to decrease device insertion forces.
1. An access sheath configured to be disposed along a guidewire into a puncture of a vessel, the access sheath comprising:
a hub having a proximal end and a distal end spaced from the proximal end;
a cartridge carried by the hub, the cartridge including:
a first valve,
a second valve spaced from the first valve along a central axis, and
a cartridge body defining an internal surface and defining a spacer extending inwardly from the internal surface, the spacer disposed between the first valve and the second valve,
wherein:
the first valve includes a valve body having a first slit and a second slit that intersect each other and twist about the central axis,
the second valve includes a valve body having a first slit and a second slit that intersect each other and twist about the central axis,
the first slit of the valve body of the first valve and the first slit of the valve body of the second valve are oriented in substantially the same direction diametrically across the respective valve body,
the second slit of the valve body of the first valve and the second slit of the valve body of the second valve are oriented in substantially the same direction diametrically across the respective valve body, and
the cartridge body is open at longitudinal ends so that the first valve is inserted into a first longitudinal end of the cartridge body distal to the spacer, and the second valve is inserted into a second longitudinal end of the cartridge body proximal to the spacer; and
a shaft assembly having a shaft hub coupled to the hub, and a shaft that extends from the shaft hub in a distal direction;
wherein the first valve and the second valve include at least one set of tabs disposed on a distal surface of each valve body and configured to couple the first valve to the shaft hub and the second valve to the hub, respectively.
2. The access sheath of claim 1 , wherein the first valve and the second valve are hemostasis valves.
3. The access sheath of claim 1 , wherein the valve body of each of the first and second valves includes a third slit, such that the three slits of each valve body spiral about the central axis.
4. The access sheath of claim 1 , wherein:
the valve body of the first valve has a proximal surface spaced from the respective distal surface along the central axis, wherein the first and second slits of the valve body of the first valve extend from the proximal surface to the distal surface of the valve body of the first valve, and
the valve body of the second valve has a proximal surface spaced from the respective distal surface of the valve body of the second valve along the central axis, wherein the first and second slits of the valve body of the second valve extend from the proximal surface to the distal surface of the valve body of the second valve.
5. The access sheath of claim 4 , wherein the first valve is seated against the shaft hub while the proximal surface of the valve body of the first valve abuts the spacer.
6. The access sheath of claim 4 , wherein the second valve is firmly seated against the hub while the distal surface of the valve body of the second valve abuts the spacer.
7. The access sheath of claim 4 , wherein the valve body of each of the first and second valves includes a third slit, wherein the three slits of each valve body bisect each other at the central axis.
8. The access sheath of claim 7 , wherein the three slits of the valve body of the first valve extend in a spiral about the central axis from the proximal surface of the valve body of the first valve to the distal surface of the valve body of the first valve.
9. The access sheath of claim 7 , wherein the three slits of the valve body of the second valve extend in a spiral about the central axis from the proximal surface of the valve body of the second valve to the distal surface of the valve body of the second valve.
10. An access sheath configured to be disposed along a guidewire into a puncture of a vessel, the access sheath comprising:
a hub having a proximal end and a distal end spaced from the proximal end;
a cartridge carried by the hub, the cartridge including:
a first valve that includes a distal surface and at least one tab extending distally from the distal surface,
a second valve that includes a distal surface, and
a cartridge body defining an internal surface and defining a spacer extending inwardly from the internal surface, the spacer positioned between the first valve and the second vale so that the first valve and the second valve are spaced apart with respect to each other along a central axis,
wherein;
each of the first valve and the second valve has a valve body and at least two slits that extend partially across the respective valve and twist about the central axis as they extend through the valve body such that the at least two slits of the first valve and the at least two slits of the second valve are oriented in substantially the same directions diametrically across a portion of the respective valve body, and
the cartridge body is open at longitudinal ends so that the first valve is inserted into a first longitudinal end of the cartridge body distal to the spacer, and the second valve is inserted into a second longitudinal end of the cartridge body proximal to the spacer; and
a shaft assembly having a shaft hub coupled to the hub and the at least one tab of the first valve, and a shaft that extends from the shaft hub in a distal direction.
11. The access sheath of claim 10 , wherein the first valve and the second valve are hemostasis valves.
12. The access sheath of claim 10 , wherein the at least two slits of each of the first and second valves are three slits that twist about the central axis.
13. The access sheath of claim 10 , wherein the valve bodies of the first valve and the second valve each have a proximal surface spaced from the respective distal surface along the central axis, and wherein the at least two slits extend from the respective proximal surface to the respective distal surface.
14. The access sheath of claim 13 , wherein the distal surface of the valve body of the first valve is seated against the shaft hub while the proximal surface of the valve body of the first valve abuts the spacer.
15. The access sheath of claim 13 , wherein the second valve is firmly seated against the hub while the distal surface of the valve body of the second valve abuts the spacer.
16. The access sheath of claim 13 , wherein the at least two slits of each of the first and second valves are three slits, and wherein the three slits of each of the first and second valves bisect each other at the central axis.
17. The access sheath of claim 16 , wherein the three slits of the first valve extend in a spiral about the central axis from the proximal surface of the valve body of the first valve to the distal surface of the valve body of the first valve.
18. The access sheath of claim 16 , wherein the three slits of the second valve extend in a spiral about the central axis from the proximal surface of the valve body of the second valve to the distal surface of the valve body of the second valve.
19. A vascular closure system configured to seal a puncture in a vessel, the vascular closure system comprising:
an access sheath configured to be inserted into the vessel, the access sheath having a proximal end and a distal end spaced from the proximal end along a central axis, the access sheath further including
a hub;
a cartridge carried by the hub, the cartridge having a first valve, a second valve spaced from the first valve along the central axis, and
a spacer defined by and extending from an internal surface of the cartridge between the first valve and the second valve,
wherein:
the first valve and the second valve each having at least two slits that extend partially across the first valve and the second valve, respectively, and spiral about the central axis such that the at least two slits of the first valve and the at least two slits of the second valve are oriented in substantially the same directions diametrically across a portion of the respective valve,
the first valve and the second valve each further comprises a proximal surface and a distal surface, the respective distal surfaces each including one or more distally extending tabs, and
the cartridge is open at longitudinal ends so that the first valve is inserted into a first longitudinal end of the cartridge distal to the spacer, and the second valve is inserted into a second longitudinal end of the cartridge proximal to the spacer;
a shaft assembly having a shaft hub coupled to the hub, and a shaft that extends from the shaft hub in a distal direction to define the distal end of the access sheath; and
an access channel that extends from the proximal end at the hub to the distal end along the central axis; and
a deployment assembly having a sealing element configured to seal the puncture in the vessel, wherein the deployment assembly is insertable into the access channel and into engagement with the first valve and the second valve such that the first valve and the second valve stretch around the deployment assembly.
20. The vascular closure system of claim 19 , wherein the first valve and the second valve are hemostasis valves.
21. The vascular closure system of claim 19 , wherein the at least two slits of each of the first and second valves are three slits that spiral about the central axis.
22. The vascular closure system of claim 19 , wherein the at least two slits extend from the respective proximal surface to the respective distal surface of each of the first valve and the second valve.
23. The vascular closure system of claim 22 , wherein the first valve is seated against the shaft hub while the proximal surface of the first valve abuts the spacer.
24. The vascular closure system of claim 22 , wherein the second valve is firmly seated against the hub while the distal surface of the second valve abuts the spacer.
25. The vascular closure system of claim 22 , wherein the at least two slits of each of the first and second valves are three slits, wherein the three slits of each of the first and second valves bisect each other at the central axis.
26. The vascular closure system of claim 25 , wherein the three slits of the first valve extend in a spiral about the central axis from the proximal surface of the first valve to the distal surface of the first valve.
27. The vascular closure system of claim 25 , wherein the three slits of the second valve extend in a spiral about the central axis from the proximal surface of the second valve to the distal surface of the second valve.
28. The vascular closure system of claim 19 , wherein the first valve and the second valve are configured to inhibit blood flow along an outer surface of the deployment assembly when 1) the deployment assembly is engaged with the first valve and the second valve and 2) a distal end of the deployment assembly is placed inside the vessel.
29. The vascular closure system of claim 19 , wherein the first valve and the second valve are configured to transition from an unstretched state into a stretched state when the deployment assembly is inserted therein.
30. A method, comprising: providing a first valve and a shaft assembly having a shaft hub and an elongated shaft that extends from the shaft hub in a distal direction;
coupling the shaft hub to a cartridge with a tool, the cartridge including:
a cartridge body defining an internal surface and defining a spacer extending inwardly from the internal surface, the cartridge body is open at longitudinal ends so that the first valve is inserted into a first longitudinal end of the cartridge body distal to the spacer:
placing a second valve in the cartridge by inserting into a second longitudinal end of the cartridge body proximal to and adjacent the spacer such that the second valve is spaced apart from and aligned with the first valve along a central axis and the spacer is disposed between the first valve and the second valve, wherein:
the first valve includes a valve body having a first slit and a second slit that intersect each other and twist about the central axis,
the second valve includes a valve body having a first slit and a second slit that intersect each other and twist about the central axis,
the first slit of the valve body of the first valve and the first slit of the valve body of the second valve are oriented in substantially the same direction diametrically across the respective valve body;
the second slit of the valve body of the first valve and the second slit of the valve body of the second valve are oriented in substantially the same direction diametrically across the respective valve body, and
the first valve and the second valve include at least one set of tabs disposed on a distal surface of each valve body and configured to couple the first valve to the shaft hub and the second valve to a hub; and
inserting an assembly of the cartridge and the shaft hub to the hub to a hub to form an access sheath.
31. The method of claim 30 , wherein the twist of the first slit and the second slit of the first valve, and the first slit and second slit of the second valve, each are spirals about the central axis.
32. The method of claim 31 , wherein;
the first valve includes a third slit,
the second valve includes a third slit,
the first slit, the second slit, and the third slit of the first valve bisect each other at the central axis, and
the first slit, the second slit, and the third slit of the second valve bisect each other at the central axis.
33. The method of claim 32 , wherein;
the first valve and the second valve have a proximal surface, and the distal surface is spaced from the proximal surface along the central axis,
the first slit and the second slit of the first valve extend from the proximal surface to the distal surface, and
the first slit and second slit of the second valve extend from the proximal surface to the distal surface.
34. The method of claim 33 , wherein the first slit, the second slit, and the third slit of the first valve extend in a spiral about the central axis from the proximal surface of the first valve to the distal surface of the first valve.
35. The method of claim 33 , wherein the first slit, the second slit, and the third slit of the of the second valve extend in a spiral about the central axis from the proximal surface of the second valve to the distal surface of the second valve.