Sheath device for inserting a catheter

• US 10,709,828 B2
• Filed: 12/21/2012
• Issued: 07/14/2020
• Est. Priority Date: 12/22/2011
• Status: Active Grant

• Current Assignee: ECP Entwicklungsgesellschaft mbH (Johnson & Johnson)
• Original Assignee: ECP Entwicklungsgesellschaft mbH (Johnson & Johnson)
• Inventors: Toellner, Thomas, Decke, Robert
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): Bays, Pamela M.
• Application Number:
  US13/261,918
• Publication Number:
  US 20150141738A1
• Time in Patent Office: 2,762 Days
• Field of Search: 600 16
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 2025/0687 having means for atraumatic insertion in the body or protection of the tip of the sheath during insertion, e.g. special designs of dilators, needles or sheaths
• CPC Class Codes: A61M 2039/062 used with a catheter
• CPC Class Codes: A61M 2039/0633 the seal being a passive seal made of a resilient material with or without an opening
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
• CPC Class Codes: A61M 39/0613 with means for adjusting the seal opening or pressure A61M39/0693 takes precedence
• CPC Class Codes: A61M 60/13 by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
• CPC Class Codes: A61M 60/148 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
• CPC Class Codes: A61M 60/216 including a rotating member acting on the blood, e.g. impeller
• CPC Class Codes: A61M 60/414 transmitted by a rotating cable, e.g. for blood pumps mounted on a catheter
• CPC Class Codes: A61M 60/422 the force acting on the blood contacting member being electromagnetic, e.g. using canned motor pumps

Abstract

A sheath device for inserting a catheter into a patient'"'"'s body is described. The device has a first sheath with a proximal end and a distal end. When the device is used as intended, the distal end of the first sheath is provided for arrangement in the patient'"'"'s body and the proximal end of the first sheath is provided for arrangement outside the patient'"'"'s body. The first sheath comprises a tubular section and a sheath housing, which is disposed at the proximal end of the section and has a receiving channel for a strand-shaped body. The device solves the problem of reliably fixing a second sheath or a catheter with respect to the first sheath by providing a clamping element on the receiving channel for fixing a strand-shaped body in the receiving channel by way of clamping.

Claims

1. A sheath device for inserting a catheter into a patient'"'"'s body, comprising:

a first sheath having a proximal end and a distal end, the distal end of the first sheath configured to be arranged in the patient'"'"'s body during use and the proximal end of the first sheath configured to be arranged outside the patient'"'"'s body, the first sheath comprising a tubular section connected to a sheath housing, the sheath housing disposed at a proximal end of the tubular section configured as a receiving channel, and wherein the sheath housing is displaceable relative to the tubular section along a longitudinal axis;

a second sheath configured as a lumen for receiving a medical device and configured to be positioned proximal of the proximal end of the first sheath, wherein a distal end of the second sheath is positioned inside a proximal end of the sheath housing; and

a clamping element on the receiving channel configured to clamp the second sheath in position relative to the first sheath prior to moving the medical device from the second sheath into the receiving channel;

wherein the tubular section is configured to allow for a transfer of the medical device from the second sheath into the tubular section when the tubular section is displaced relative to the sheath housing such that the sheath housing extends proximally beyond the proximal end of the tubular section.

2. The sheath device according to claim 1, wherein the clamping element comprises an elastically radially deformable clamping ring.

3. The sheath device according to claim 2, wherein the clamping ring is produced from an elastomer.

4. The sheath device according to claim 2, wherein the clamping ring is produced from a plastic material or metal and wherein the clamping ring is slotted.

5. The sheath device according to claim 2, wherein the clamping ring can be expanded in a radially inward direction by means of a screw element acting axially relative to the receiving channel.

6. The sheath device according to claim 5, wherein the axially acting screw element exerts axial pressure on the deformable clamping ring by means of a pressure piece.

7. The sheath device according to claim 5, wherein the clamping ring is compressed radially inward by means of the axially acting screw element and an axially movable wedge body.

8. The sheath device according to claim 6 or 7, further comprising a radial expansion element of the receiving channel wherein the radial expansion element is provided on the side of the clamping ring located opposite the pressure piece or wedge body in an axial direction wherein the radial expansion element comprises a flushing element.

9. The sheath device according to claim 6 or 7, further comprising a valve sealing the receiving channel, wherein the valve is provided on the side of the clamping ring located opposite the pressure piece or wedge body in an axial direction.

10. The sheath device according to claim 7, wherein the wedge body is a ring having a wedge-shaped cross-section.

11. The sheath device according to claim 1, wherein the catheter extends through the receiving channel and wherein the catheter is fixed in the clamping element.

12. The sheath device according to claim 1, wherein the catheter extends through a receiving channel inside the second sheath, wherein the second sheath is fixed in the clamping element.

13. The sheath device of claim 1, wherein the second sheath is configured to retain the medical device before being clamped to the first sheath.

14. The sheath device of claim 1, wherein the clamping element is configured to be released to remove the second sheath from the sheath housing after the medical device has been received into the first sheath.

15. The sheath device of claim 14, wherein the clamping element is further configured to clamp the medical device in a position in the receiving channel after removal of the second sheath.

16. The sheath device of claim 1, wherein the clamping element comprises a first clamp and a second clamp, the first clamp configured to fix the second sheath relative to the first sheath, and the second clamp configured to fix the medical device in the receiving channel.

17. The sheath device of claim 1, wherein the proximal end of the tubular section widens in a trumpet-like shape.

18. The sheath device of claim 1, wherein after the transfer of the medical device the sheath housing is axially fixed relative to the tubular section.

19. The sheath device of claim 18, wherein the sheath housing is axially fixed relative to the tubular section by a pressure screw.

20. The sheath device of claim 1, wherein the tubular section protrudes from the sheath housing in the proximal direction.