Elastic introducer sheath
An elastic percutaneous elastic introducer sheath is disclosed which can locally expand and reduce to accommodate a transcatheter medical device. The elastic introducer sheath includes a non-circumferentially continuous elastic frame, a liner, and a jacket.
1. A surgical access system comprising:
an introducer having an elastic frame, a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal end and the distal end, the interior lumen being configured to expand from a first diameter to a second diameter; and
a dilator at least partially slidably disposed within the interior lumen of the introducer, the dilator including:
a distal tip having an outer diameter greater than the first diameter, and
a diameter retention element positioned at a proximal end of the distal tip, wherein the diameter retention element extends around at least a portion of the distal end of the introducer to retain the distal end of the introducer at the first diameter and wherein the diameter retention element includes a first elastic member and a second elastic member.
2. The surgical access system of claim 1 , wherein the diameter retention element surrounds the entire distal end of the introducer.
3. The surgical access system of claim 1 , wherein the diameter retention element further includes a biocompatible material extending between the first elastic member and the second elastic member to extend around the at least a portion of the distal end of the introducer.
4. A surgical access system comprising:
an introducer having an elastic frame, a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal end and the distal end, the interior lumen being configured to expand from a first diameter to a second diameter, and
a dilator at least partially slidably disposed within the interior lumen of the introducer, the dilator including:
a distal tip having an outer diameter greater than the first diameter, wherein the distal tip of the dilator includes a device delivery capsule, and
a diameter retention element positioned at a proximal end of the distal tip, wherein the diameter retention element extends around at least a portion of the distal end of the introducer to retain the distal end of the introducer at the first diameter.
5. The surgical access system of claim 4 , wherein a diameter of the proximal end of the distal tip is reduced to accommodate the diameter retention element.
6. The surgical access system of claim 4 , wherein the diameter retention element extends from a proximal end of the device delivery capsule and extends around the at least a portion of the distal end of the introducer.
7. The surgical access system of claim 6 , wherein the diameter retention element is elastic.
8. The surgical access system of claim 6 , further comprising an inclined element on a portion of the dilator proximal to the diameter retention element.
9. The surgical access system of claim 6 , wherein the diameter retention element is movable from a first radial position to a second radial position.
10. The surgical access system of claim 4 , wherein the diameter retention element is a proximal edge of the device delivery capsule.
11. A surgical access system comprising:
an introducer having an elastic frame, a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal end and the distal end, the interior lumen being configured to expand from a first diameter to a second diameter; and
a dilator at least partially slidably disposed within the interior lumen of the introducer, the dilator including a diameter retention element that is configured to retain the distal end of the introducer at the first diameter, wherein the diameter retention element is an integral rigid section of the dilator that is disposed between a proximal bending section of the dilator and a distal bending section of the dilator, the distal end of the introducer being disposed within the integral rigid section in a delivery configuration.
12. The surgical access system of claim 11 , wherein the introducer includes a circumferentially continuous layer of a biocompatible material including a fold at the first diameter, a non-circumferentially continuous elastic frame disposed over the circumferentially continuous layer, and a non-circumferentially continuous layer of a biocompatible material disposed over the non-circumferentially continuous elastic frame, and the non-circumferentially continuous layer includes a first edge and a second edge such that an overlap region extends between the first edge and the second edge at the first diameter with a segment of the circumferentially continuous layer that comprises the fold extending within the overlap region, and a longitudinal gap extends between the first edge and the second edge at the second diameter,
wherein at the first diameter the diameter retention element extends across one of the first and second edges of the non-circumferentially continuous layer and the fold of the circumferentially continuous layer at the distal end of the introducer.
13. The surgical access system of claim 11 , wherein the integral rigid section has a first axial stiffness and each of the proximal bending section and the distal bending section have at least a second axial stiffness which is less than the first axial stiffness, each of the proximal bending section and the distal bending section being configured to bend.
14. The surgical access system of claim 11 , wherein at least one of the proximal bending section and the distal bending section includes a cut formed in a sidewall of the dilator.
15. A surgical access system comprising:
an introducer having a proximal end configured to be externally disposed for providing surgical access to vasculature, a distal end configured to be positioned within vasculature, and an interior lumen that extends between the proximal end and the distal end, the introducer including,
a delivery configuration in which the interior lumen has a first diameter, and
an expanded configuration in which the interior lumen has a second diameter that is greater than the first diameter; and
a dilator at least partially slidably disposed within the interior lumen of the introducer, a distal tip of the dilator including a diameter retention element movable from a first radial position to a second radial position, wherein the diameter retention element in the first radial position extends around at least a portion of the introducer at the distal end thereof to retain the introducer in the delivery configuration and wherein the diameter retention element in the second radial position does not extend around the introducer to permit the introducer to expand to the expanded configuration and wherein the diameter retention element in the second radial position is disposed against an outer surface of the dilator such that the dilator and the diameter retention element in the second radial position are collectively configured to be pulled through the interior lumen of the introducer.
16. The surgical access system of claim 15 , wherein the diameter retention element surrounds the entire distal end of the introducer.
17. The surgical access system of claim 15 , wherein the diameter retention element is elastic.
18. The surgical access system of claim 15 , wherein a diameter of the proximal end of the distal tip is reduced to accommodate the diameter retention element.
19. The surgical access system of claim 15 , wherein the diameter retention element includes a first elastic member and a second elastic member.
20. The surgical access system of claim 19 , wherein the diameter retention element further includes a biocompatible material extending between the first elastic member and the second elastic member to extend around the at least a portion of the distal end of the introducer.