Sheath for sealed access to a vessel
A sheath for producing a fully sealed access to the interior of a vessel of an animal or human body comprises a base sheath having a tubular body defining a pass-through channel. The base sheath is adapted to be inserted into the vessel through a vessel aperture. A wall of the tubular body of the base sheath has a through channel. This channel extends in the wall from the distal end towards the proximal end. The channel can be present separately from the pass-through channel of the base sheath or can form a sideways extension of the pass-through channel, at least at the distal end. Such through channel is adapted to conduct blood from the vessel to the proximal end of the sheath when the sheath has been inserted into a vessel.
1 . A system comprising:
a heart pump connected to a supply catheter; and
a sheath assembly for producing a fully sealed access to an interior of a vessel of an animal or human body, comprising:
a base sheath having a tubular body with a distal end and a proximal end, the base sheath adapted to be inserted into the vessel through a vessel aperture and the tubular body defining a pass-through channel extending from the proximal end to the distal end for insertion of the supply catheter therethrough into the interior of the vessel,
wherein a wall of the tubular body of the base sheath has a through channel extending in the wall in parallel to the pass-through channel,
wherein the through channel is open at the distal end and adapted to conduct blood from the vessel towards the proximal end of the base sheath,
wherein the through channel is separate from the pass-through channel at the proximal end and not separate from the pass-through channel at the distal end, and
wherein the base sheath is adapted to be arranged displaceably on the supply catheter.
2 . The system according to claim 1 , wherein the through channel is a sideways extension of the pass-through channel at least at the distal end.
3 . The system according to claim 1 , further comprising a blood pressure measuring device which is connected to the through channel.
4 . The system according to claim 1 , further comprising a temperature measuring element connected to or inserted through the through channel.
5 . The system according to claim 1 , wherein the through channel is configured such that blood from a patient can be taken through the through channel.
6 . The system according to claim 1 , further comprising a guidewire which is introducible into the vessel from the proximal end of the base sheath through the through channel.
7 . The system according to claim 1 , further comprising an expansion device which is adapted to cooperate with the base sheath such that an outer diameter of the sheath assembly increases in a region of the vessel aperture with the base sheath in a stationary position in the vessel and upon actuation of the expansion device.
8 . The system according to claim 7 , wherein the expansion device is configured as an expansion sheath that is displaceable on the base sheath in a direction of the vessel aperture.
9 . The system according to claim 8 , further comprising a sleeve which encases the base sheath and the expansion sheath such that the sleeve is in contact with the vessel aperture in the stationary position of the base sheath in the vessel, and that the expansion sheath is displaceable on the base sheath between the base sheath and the sleeve.
10 . The system according to claim 7 , further comprising a sleeve which encases the base sheath and the expansion device such that the sleeve is in contact with the vessel aperture in the stationary position of the base sheath in the vessel.
11 . The system according to claim 7 , wherein the expansion device is adapted to increase the outer diameter of the sheath assembly in the region of the vessel aperture by 0.33 mm to at least 1.0 mm.
12 . The system according to claim 1 , wherein the sheath assembly includes an externally readable marked region in an area of the sheath assembly, which, in operation, is intended to be located in the area of the vessel aperture.
13 . The system according to claim 1 , further comprising a fixation element for fixing the sheath assembly to a patient, wherein the fixation element has a surface with an area spanning the base sheath for applying a sterile cover, wherein the area slopes down in a ramp shape on opposite sides of the base sheath transversely to a principal direction of the base sheath, the principal direction extending from the proximal end to the distal end of the base sheath.
14 . The system according to claim 13 , wherein the fixation element comprises a stop for applying the sterile cover, the stop extending at a proximal end of the area transversely to the principal direction of the base sheath.
15 . A sheath assembly for producing a fully sealed access to an interior of a vessel of an animal or human body, comprising:
a base sheath having a tubular body with a distal end and a proximal end, the base sheath adapted to be inserted into the vessel through a vessel aperture and the tubular body defining a pass-through channel extending from the proximal end to the distal end for insertion of a catheter therethrough into the interior of the vessel; and
an expansion sheath, wherein, with the base sheath disposed through the vessel aperture and in a stationary position in the vessel, the expansion sheath is displaceable on the base sheath in a direction of the vessel aperture to increase an outer diameter of the sheath assembly in a region of the vessel aperture,
wherein a wall of the tubular body of the base sheath has a through channel extending in the wall in parallel to the pass-through channel,
wherein the through channel is open at the distal end and adapted to conduct blood from the vessel towards the proximal end of the base sheath, and
wherein the through channel is separate from the pass-through channel at the proximal end and not separate from the pass-through channel at the distal end.
16 . The sheath assembly according to claim 15 , further comprising a sleeve which encases the base sheath and the expansion sheath such that the sleeve is in contact with the vessel aperture in the stationary position of the base sheath in the vessel, and that the expansion sheath is displaceable on the base sheath between the base sheath and the sleeve.
17 . A sheath assembly for producing a fully sealed access to an interior of a vessel of an animal or human body, comprising:
a base sheath having a tubular body with a distal end and a proximal end, the base sheath adapted to be inserted into the vessel through a vessel aperture and the tubular body defining a pass-through channel extending from the proximal end to the distal end for insertion of a catheter therethrough into the interior of the vessel;
an expansion device configured to cooperate with the base sheath such that an outer diameter of the sheath assembly increases in a region of the vessel aperture with the base sheath in a stationary position in the vessel and upon actuation of the expansion device; and
a sleeve which encases the base sheath and the expansion device such that the sleeve is in contact with the vessel aperture in the stationary position of the base sheath in the vessel,
wherein a wall of the tubular body of the base sheath has a through channel extending in the wall in parallel to the pass-through channel,
wherein the through channel is open at the distal end and adapted to conduct blood from the vessel towards the proximal end of the base sheath, and
wherein the through channel is separate from the pass-through channel at the proximal end and not separate from the pass-through channel at the distal end.
18 . A sheath assembly for producing a fully sealed access to an interior of a vessel of an animal or human body, comprising:
a base sheath having a tubular body with a distal end and a proximal end, the base sheath adapted to be inserted into the vessel through a vessel aperture and the tubular body defining a pass-through channel extending from the proximal end to the distal end for insertion of a catheter therethrough into the interior of the vessel; and
fixation element for fixing the sheath assembly to a patient, wherein the fixation element has a surface with an area spanning the base sheath for applying a sterile cover, wherein the area slopes down in a ramp shape on opposite sides of the base sheath transversely to a principal direction of the base sheath, the principal direction extending from the proximal end to the distal end of the base sheath,
wherein a wall of the tubular body of the base sheath has a through channel extending in the wall in parallel to the pass-through channel,
wherein the through channel is open at the distal end and adapted to conduct blood from the vessel towards the proximal end of the base sheath, and
wherein the through channel is separate from the pass-through channel at the proximal end and not separate from the pass-through channel at the distal end.
19 . The sheath assembly according to claim 18 , wherein the fixation element comprises a stop for applying the sterile cover, the stop extending at a proximal end of the area transversely to the principal direction of the base sheath.