Endovascular device with distal electrode
Consistent with disclosed embodiments, systems, devices, methods, and computer readable media for delivery of an endovascular instrument to a treatment site within a body may be provided. Embodiments may include a flexible, elongated sheath having a proximal end and a distal end. An embodiment may further include an inner wall of the sheath delimiting an inner lumen which may extend between the proximal end and the distal end of the sheath. The inner lumen may be sized to enable axial advancement of the endovascular instrument therethrough. The embodiments may also include at least one electrode within the distal section of the sheath. The electrode may be configured to selectively deliver an electric current through a segment of the endovascular instrument within the inner lumen.
1. A medical device configured for delivery of an endovascular instrument to a treatment site within a body, the medical device comprising:
a flexible, elongated sheath having a proximal end and a distal end, wherein a distal section of the sheath terminates at the distal end;
an inner wall of the sheath delimiting an inner lumen extending between the proximal end and the distal end of the sheath, wherein the inner lumen is sized to enable axial advancement of the endovascular instrument therethrough;
an outer tube covering and fixedly connected to at least the distal section of the sheath; and
at least one electrode within the distal section of the sheath,
wherein the at least one electrode is configured to selectively deliver an electric current through a segment of the endovascular instrument within the inner lumen,
wherein the at least one electrode is configured to selectively deliver the electric current through the segment of the endovascular instrument while the distal section of the sheath is positioned within the body,
wherein the at least one electrode is a first electrode in a pair of spaced-apart electrodes, and wherein the pair of electrodes is configured to cause electric current to flow along a path from the first electrode to a second electrode of the pair of electrodes and to sever the endovascular instrument along the path, and
wherein the outer tube includes the second electrode.
2. The medical device of claim 1 , wherein the at least one electrode is configured to sever a portion of the endovascular instrument in contact with the at least one electrode, such that a first region of the endovascular instrument distal to the severed portion is detached from a second region of the endovascular instrument.
3. The medical device of claim 1 , wherein the at least one electrode includes at least one conductive filament connected to the inner wall of the distal section of the sheath.
4. The medical device of claim 1 , wherein the path from the first electrode to the second electrode passes through the inner lumen of the sheath.
5. The medical device of claim 1 , wherein the first electrode and the second electrode are situated at different longitudinal positions along the medical device.
6. The medical device of claim 1 , wherein the at least one electrode is positioned on the inner wall of the sheath and is configured to contact the segment of the endovascular instrument to cause the electric current to flow through the endovascular instrument.
7. The medical device of claim 1 , further comprising an electrode position element configured for selectively moving the at least one electrode relative to the segment of the endovascular instrument.
8. The medical device of claim 7 , wherein at least a portion of the electrode position element is adjacent to a side wall of the sheath and has a flexibility greater than a flexibility of the side wall of the sheath, and wherein the electrode position element is configured to reduce a distance between the at least one electrode and the endovascular instrument through flexing of the electrode position element.
9. The medical device of claim 7 , wherein the electrode position element includes a shape-memory component associated with the distal section of the sheath, and wherein the shape-memory component is selectively deformable for pressing the at least one electrode against the endovascular instrument.
10. The medical device of claim 1 , wherein the distal section of the sheath has an axial length of one inch or less.
11. The medical device of claim 1 , further comprising at least one controller configured to:
obtain an input; and
control the flow of the electric current from the at least one electrode through the segment of the endovascular instrument based on the input.
12. The medical device of claim 1 , wherein the endovascular instrument includes an endovascular coil, and wherein the at least one electrode is configured to sever a portion of the endovascular coil in contact with the at least one electrode.
13. The medical device of claim 12 , wherein the medical device is configured to enable selective cutting of the endovascular coil at a plurality of locations along the endovascular coil via the at least one electrode.