Catheter introducer system
View Patent ↗A catheter introducer system is provided with a catheter sheath having a valve providing for a friction fit around a catheter. The friction fit is selectively adjustable to vary between a first configuration for longitudinal movement of the catheter through the valve and a second configuration for holding the catheter longitudinally in place. The valve may include a chuck to grip the catheter radially. The chuck may include an annular base and an opposed annular clamp, and a washer disposed between the base and the clamp. At least one of the base and the clamp may include a beveled surface that forces the washer radially inwardly as the base and the clamp are drawn together. The system also includes one or more dilators layered within the sheath. One or more of the dilators may include a preformed arcuate portion configured to access a targeted branched vessel. The layered dilators and sheaths are typically softer and more hydrophilic proceeding from the innermost dilator out to the sheath. The dilator may be reinforced by a wire embedded in the body of the dilator. The distal tip of the sheath may be stiffened by a ring affixed adjacent the distal end. The sheath may include in the innermost dilator a trocar formed of a flexible, hollow outer wire and an inner stiff needle, which can extend beyond the wire for piercing and be withdrawn to relax the wire for advancement of the dilator.
1. A catheter introducer system comprising:
a sheath defining a generally elongate body having a lumen, and a distal opening and a proximal opening communicating with the lumen; and
a first preformed dilator defining a generally non-linear body having a distal end tapering inwardly to a narrower diameter at the tip, a proximal end, and at least one preformed arcuate portion;
wherein the first dilator is disposed substantially within the lumen of the sheath such that the distal end of the first dilator extends through the distal opening of the sheath and the stiffness of the first dilator is greater than the stiffness of the sheath; and
wherein the sheath includes a valve provided with an opening configured to receive a catheter therethrough, and a shutter adjacent the opening to provide for a friction fit around the catheter, the friction fit being selectively adjustable to vary between a first configuration for longitudinal movement of the catheter through the valve and a second configuration for holding the catheter longitudinally in place.
2. The catheter introducer system of claim 1 , wherein the body of the first dilator includes a substantially straight proximal portion and an arcuate portion extending distally from the proximal portion.
3. The catheter introducer system of claim 2 , wherein the body of the first dilator includes a divergent portion extending distally from the arcuate portion.
4. The catheter introducer system of claim 1 , further comprising a second preformed dilator defining a generally non-linear body having a distal end tapering inwardly to a narrower diameter at the tip, a proximal end, and at least one preformed arcuate portion;
wherein the first dilator further includes an opening adjacent each end, and an open lumen communicating with the openings, and wherein the second dilator is disposed substantially within the lumen of the first dilator with the distal end of the second dilator extending through the distal opening of the first dilator.
5. The catheter introducer system of claim 4 , wherein the body of the second dilator includes a substantially straight proximal portion and an arcuate portion extending distally from the proximal portion.
6. The catheter introducer system of claim 5 , wherein the body of the second dilator includes a divergent portion extending distally from the arcuate portion.
7. The catheter introducer system of claim 4 , wherein the degree of curvature in the at least one arcuate portion of the body of the first dilator is different than the degree of curvature in the at least one arcuate portion of the body of the second dilator.
8. The catheter introducer system of claim 4 , wherein the stiffness of the sheath is less than the stiffness of the second preformed dilator.
9. The catheter introducer system of claim 1 , wherein the shutter includes a plurality of shutter vanes manipulable to provide for the friction fit.
10. A catheter introducer system for introduction of a catheter into a blood vessel comprising:
a sheath defining a generally elongate body having a lumen, and distal and proximal openings communicating with the lumen and configured for insertion and longitudinal movement of the catheter there through;
a dilator assembly including at least a first dilator and a second dilator, each having a distal end and a proximal end, an opening adjacent each end, and an open lumen communicating with the openings, the first dilator disposed substantially within the lumen of the sheath such that the distal end of the first dilator extends through the distal opening of the sheath, and the second dilator having a distal end tapering inwardly to a narrower diameter at the tip, the second dilator disposed substantially within the lumen of the first dilator with the distal end of the second dilator extending through the distal opening of the first dilator;
wherein at least one of the first dilator and the second dilator is preformed to define a generally non-liner body including an arcuate portion; and
wherein the sheath further includes a housing coupled to the sheath body, the body and housing including a lumen configured for insertion and longitudinal movement of a catheter there through, the housing of the sheath defining a proximal end opposite the body of the sheath, the sheath including a valve coupled to the housing adjacent the proximal end of the housing, the valve further provided with an opening configured to receive the catheter there through and a shutter adjacent the opening, the shutter providing for a friction fit around the catheter, the friction fit being selectively adjustable to vary between a first configuration for longitudinal movement of the catheter through the valve and a second configuration for holding the catheter longitudinally in place.
11. The catheter introducer system of claim 10 , wherein the dilator assembly has a greater stiffness than the sheath stiffness.
12. The catheter introducer system for introduction of a catheter into a blood vessel of claim 10 , wherein the shutter includes a plurality of shutter vanes manipulable to provide for the friction fit.
13. The catheter introducer system for introduction of a catheter into a blood vessel of claim 12 , wherein the plurality of shutter vanes are mounted on hinges.
14. The catheter introducer system for introduction of a catheter into a blood vessel of claim 10 , further comprising a trocar inserted through a lumen of the second dilator, the trocar including a flexible, hollow outer wire, wherein the wire is provided with sufficient flexibility and length for insertion into and safe passage along the blood vessel for guidance of the catheter in the longitudinal movement of the catheter through the blood vessel, and a stiff, inner needle with a distal end extending beyond a distal end of the wire, the needle configured for piercing through a patient's derma and entering the blood vessel.