Expandable introducer sheath and method
One embodiment is directed to a system for deploying a device to a distal location across a vessel, comprising an elongate introducer sheath tubing member comprising open-cell fibrous wall material defining a lumen therethrough, wherein in a collapsed configuration the sheath has a first cross-sectional outer diameter and a first lumen inner diameter, and in an expanded configuration, the sheath has a second cross-sectional outer diameter and a second lumen inner diameter; and a substantially non-porous expandable layer coupled to a proximal portion of sheath and configured to prevent fluids present in the lumen from crossing the fibrous wall material. Also disclosed is a delivery assembly comprising an obturator which releasably captures the distal portion of an introducer sheath which obturator can be removed after the sheath is deployed to a desired location.
1. A method comprising:
providing an introducer sheath comprising:
a proximal rigid section;
a distal flex section; and
a hub;
inserting a dilator assembly through a lumen of the introducer sheath;
gripping a distal region of the distal flex section between a distal tip of the dilator assembly and a dilator sheath of the dilator assembly;
placing the introducer sheath under tension to collapse the distal flex section; and
attaching a clip to the hub to maintain an axial relationship of the introducer sheath, the distal tip, and the dilator sheath.
2. The method of claim 1 wherein the distal flex section is attached to the proximal rigid section at a fixation region.
3. The method of claim 1 wherein prior to the gripping, the distal region of the distal flex section is in a free state.
4. The method of claim 3 wherein subsequent the gripping, the distal region of the distal flex section is in a captured state.
5. The method of claim 4 wherein subsequent to the placing, the distal flex section is in a tensioned state.
6. The method of claim 5 wherein the distal flex section has a smaller diameter in the tensioned state than in the free state.
7. The method of claim 1 wherein the proximal rigid section is more rigid than the distal flex section.
8. The method of claim 1 wherein the gripping comprises advancing the distal region of the distal flex section into a beveled internal wall of the distal tip.
9. The method of claim 8 wherein the gripping further comprises advancing a beveled external wall of the dilator sheath into the beveled internal wall of the distal tip such that the distal region of the distal flex section is gripped in an entrapment region.
10. The method of claim 1 further comprising:
advancing the introducer sheath over a guidewire;
removing the clip to free the distal region of the distal flex section from between the distal tip and the dilator sheath; and
withdrawing the dilator assembly from the introducer sheath.
11. The method of claim 10 further comprising:
passing a device through the introducer sheath to a distal location in a blood vessel.
12. A method comprising:
deploying an introducer sheath in a blood vessel;
passing a device through a proximal rigid section of the introducer sheath into a distal flex section of the introducer sheath;
passing the device through the distal flex section to a delivery location within the blood vessel, wherein the device causes the distal flex section to locally expand solely at a location where the device is positioned within the distal flex section; and
preventing the distal flex section from inverting during the passing the device through the distal flex section.
13. The method of claim 12 wherein the proximal rigid section does not expand during the passing of the device through the proximal rigid section.
14. The method of claim 12 wherein the proximal rigid section expands during passing of the device through the proximal rigid section.
15. The method of claim 14 wherein the preventing the distal flex section from inverting comprises providing the distal flex section with an anti-inversion element.
16. An assembly comprising:
an introducer sheath comprising:
a proximal rigid section;
a distal flex section; and
a hub;
a dilator assembly within a lumen of the introducer sheath, the dilator assembly comprising:
a dilator sheath; and
a distal tip;
a clip attached to the hub to maintain an axial relationship of the introducer sheath, the distal tip, and the dilator sheath, the clip placing the distal flex section under tension to assume a collapsed configuration.
17. The assembly of claim 16 wherein the proximal rigid section comprises a fold that provides a limited expansion capability for the proximal rigid section.
18. The assembly of claim 16 wherein the proximal rigid section comprises a helical wound coil that provides a limited expansion capability for the proximal rigid section.
19. The assembly of claim 16 wherein the proximal rigid section comprises expandable reinforcing rings that provides a limited expansion capability for the proximal rigid section.
20. The assembly of claim 16 wherein the distal flex section comprises an anti-inversion element.