Reattachable introducer for a medical device deployment system

• US 20060212067A1
• Filed: 02/28/2006
• Published: 09/21/2006
• Est. Priority Date: 09/20/2002
• Status: Active Grant

• Current Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Original Assignee: Codman & Shurtleff Incorporated (Johnson & Johnson)
• Inventors: Davis, Champ, Healy, Stephen R.
• Granted Patent: US 8,133,252 B2
• Time in Patent Office: Days
• US Class Current: 606/200
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12113 within an aneurysm
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 2017/1205 Introduction devices

Abstract

A reattachable introducer and method of using such introducer is disclosed for inserting an embolic coil deployment system into the tortuous vasculature of the human brain for placing an embolic coil within an aneurysm. The introducer includes a sheath having a lumen, a side opening and a longitudinal slit and includes a cylindrical sleeve slideably disposed about the sheath. A deployment catheter with a conical expander member is slideably disposed through the side opening of the sheath and through the lumen of the sheath. The conical expander member detaches the introducer from the deployment catheter through the longitudinal slit of the sheath, while the cylindrical sleeve reattaches the introducer to the deployment catheter through the longitudinal slit.

Claims

1. An embolic coil deployment system and reattachable introducer comprising:

a sheath which takes the form of an elongated, flexible, tubular member having a lumen extending therethrough and having a proximal end, a distal end, and an outer wall, said sheath having a side opening in the outer wall of said sheath adjacent to the proximal end of said sheath, and said sheath having a longitudinal slit extending through the outer wall of said sheath and extending from said side opening and in a direction toward the distal end of said sheath;

a cylindrical sleeve slidably disposed about said sheath and being movable between said side opening of said sheath toward the distal end of said sheath;

said cylindrical sleeve being short enough to move beyond said side opening and at least some of said slit when moved toward said distal end, without extending beyond said distal end;

a deployment catheter having a lumen extending therethrough and having a proximal section and a distal section, said deployment catheter being slidably disposed through said side opening of said sheath and through the lumen of said sheath; and

a vascular, occlusive embolic coil being detachably attached to the distal section of said deployment catheter.

2. An embolic coil deployment system and a reattachable introducer as defined in claim 1, wherein said deployment catheter includes a conical expander member having a base portion, said conical expander member tapers from said base portion to form a tip portion, said conical expander member being coaxially disposed about said deployment catheter with the tip portion of said conical expander member extending distally from the base portion of said conical expander member so that as said deployment catheter is moved distally said expander member causes said longitudinal slit to open thereby causing said sheath to separate from said deployment catheter.

3. An embolic coil deployment system and a reattachable introducer therefor as defined in claim 1, wherein said sheath includes a sheath stop which takes the form of a cylindrical ring having a lumen extending therethrough, said sheath stop being fixedly disposed about the outer wall of said sheath at a position proximal to the distal end of said sheath, to limit distal motion of said cylindrical sleeve.

4. An embolic coil deployment system and a reattachable introducer therefore as defined in claim 2, wherein said sheath includes a sheath stop which takes the form of a cylindrical ring having a lumen extending therethrough, said sheath stop being fixedly disposed about the outer wall of said sheath at a position proximal to the distal end of said sheath, to limit distal motion of said cylindrical sleeve.

5. An embolic coil deployment system and a reattachable introducer therefore as defined in claim 3, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

6. An embolic coil deployment system and a reattachable introducer therefore as defined in claim 4, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

27. The embolic coil deployment system of claim 1 in which said cylindrical sleeve is occupying a proximal sliding position on said sheath at said side opening to cause said sheath to pinch the deployment catheter, thereby preventing the sheath from sliding along the deployment catheter.

29. The embolic coil deployment system and reattachable introducer of claim 1 in which said side opening is of greater diameter than the outer diameter of said deployment catheter.

7. A reattachable introducer for use with an embolic coil deployment catheter to place an embolic coil into an aneurysm, said introducer comprising:

a sheath which takes the form of an elongated, flexible tubular member having a lumen extending therethrough and having a proximal end, a distal end, and an outer wall, said sheath having a side opening in the outer wall of said sheath adjacent to the proximal end of said sheath, said sheath having a longitudinal slit extending through the outer wall of said sheath and extending from said side opening toward the distal end of said sheath; and

a cylindrical sleeve slideably disposed about said sheath and being movable between said side opening of said sheath toward the distal end of said sheath, said cylindrical sleeve being short enough to move beyond said side opening and at least some of said slit when moved toward said distal end, without extending beyond said distal end, said cylindrical sleeve being also capable when moved to said side opening of causing the sheath to pinch a deployment catheter which is extending through said side opening and also extending proximally from said side opening through said sheath, thereby preventing the sheath from sliding along the deployment catheter.

8. A reattachable introducer as defined in claim 7, wherein said sheath includes a sheath stop which takes the form of a cylindrical ring having a lumen extending therethrough, said sheath stop being fixedly disposed about the outer wall of said sheath at a position proximal to the distal end of said sheath.

9. A reattachable introducer as defined in claim 8, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

30. The reattachable introducer of claim 7 in which said side opening is of greater diameter than the outer diameter of said deployment catheter.

10. A medical device deployment system and a reattachable introducer therefor comprising:

a sheath which takes the form of an elongated, flexible tubular member having a lumen extending therethrough and having a proximal end, a distal end and an outer wall, said sheath having a side opening in the outer wall of said sheath adjacent to the proximal end of said sheath, and said sheath having a longitudinal slit extending through the outer wall of said sheath and extending from said side opening and in a direction toward the distal end of said sheath;

a cylindrical sleeve slideably disposed about said sheath and being movable between said side opening of said sheath and the distal end of said sheath, said cylindrical sleeve being short enough to move beyond said side opening and at least some of said slit when moved toward said distal end, without extending beyond said distal end;

a deployment catheter having a lumen extending therethrough and having a proximal section and a distal section, said deployment catheter being slideably disposed through the side opening of said sheath and through the lumen of said sheath; and

a medical device being detachably attached to the distal section of said deployment catheter.

11. A medical device deployment system and a reattachable introducer therefore as defined in claim 10, wherein said deployment catheter includes a conical expander member having a base portion, said conical expander member tapers from said base portion to form a tip portion, said conical expander member being coaxially disposed about said deployment catheter with the tip portion of said conical expander member extending distally from the base portion of said conical expander member so that as said deployment catheter is moved distally said expander member causes said longitudinal slit to open thereby causing said sheath to separate from said deployment catheter.

12. A medical device deployment system and a reattachable introducer therefore as defined in claim 10, wherein said sheath includes a sheath stop which takes the form of a cylindrical ring having a lumen extending therethrough, said sheath stop being fixedly disposed about the outer wall of said sheath at a position proximal to the distal end of said sheath.

13. A medical device deployment system and a reattachable introducer as defined in claim 10, wherein said deployment catheter includes a winged hub attached to the proximal section of said deployment catheter.

14. A medical device deployment system and a reattachable introducer as defined in claim 10, wherein said side opening is generally circular and said side opening has a diameter greater than an outside diameter of said deployment catheter.

15. A medical device deployment system and a reattachable introducer therefore as defined in claim 10, wherein said side opening is generally oval in shape, said side opening having a major axis and a minor axis, said major axis of said side opening being generally parallel with a longitudinal axis of said sheath, said minor axis of said side opening being generally greater than an outside diameter of said deployment catheter.

16. A medical device deployment system and a reattachable introducer as defined in claim 11, wherein said sheath includes a sheath stop which takes the form of a cylindrical ring having a lumen extending therethrough, said sheath stop being fixedly disposed about the outer wall of said sheath at a position proximal to the distal end of said sheath.

17. A medical device deployment system and a reattachable introducer therefor as defined in claim 11, wherein said deployment catheter includes a winged hub attached to the proximal section of said deployment catheter.

18. A medical device deployment system and a reattachable introducer therefor as defined in claim 11, wherein said side opening generally takes the form of a circle, said side opening having a diameter generally greater than an outside diameter of said deployment catheter.

19. A medical device deployment system and a reattachable introducer therefor as defined in claim 11, wherein said side opening generally takes the form of an oval, said side opening having a major axis and a minor axis, said major axis of said side opening being generally parallel with a longitudinal axis of said sheath, said minor axis of said side opening being generally greater than an outside diameter of said deployment catheter.

20. A medical device deployment system and a reattachable introducer therefor as defined in claim 12, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

21. A medical device deployment system and a reattachable introducer therefor as defined in claim 16, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

28. The embolic coil deployment system of claim 10 in which said cylindrical sleeve is occupying a proximal sliding position on said sheath at said side opening to cause said sheath to pinch the deployment catheter, thereby preventing the sheath from sliding along the deployment catheter.

31. The medical device deployment system of claim 10 in which said side opening is of greater diameter than the outer diameter of said deployment catheter.

22. A reattachable introducer for use with a medical device deployment catheter to place a medical device at a preselected position within a vessel, said reattachable introducer comprising:

a sheath which takes the form of an elongated flexible tubular member having a lumen extending therethrough and having a proximal end, a distal end, and an outer wall, said sheath having a side opening in the outer wall of said sheath adjacent to the proximal end of said sheath, said sheath having a longitudinal slit extending through the outer wall of said sheath and extending from said side opening toward the distal end of said sheath;

a cylindrical sleeve slideably disposed about said sheath and being movable between said side opening of said sheath and the distal end of said sheath, said cylindrical sleeve being short enough to move beyond said side opening and at least some of said slit when moved toward said distal end, without extending beyond said distal end; and

said cylindrical sleeve being also capable when moved to said side opening of causing the sheath to pinch a deployment catheter which is extending through said side opening and also extending proximally from said side opening through said sheath, thereby preventing the sheath from sliding along the deployment catheter.

23. A reattachable introducer as defined in claim 22, wherein said sheath includes a sheath stop which takes the form of a projection disposed on the outer wall of said sheath at a position proximal to the distal end of said sheath.

24. A reattachable introducer as defined in claim 23, wherein said sheath includes a sheath stop which takes the form of a cylindrical ring having a lumen extending therethrough, said sheath stop being fixedly disposed about the outer wall of said sheath at a position proximal to the distal end of said sheath.

25. A reattachable introducer as defined in claim 23, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

26. A reattachable introducer as defined in claim 24, wherein said longitudinal slit of said sheath extends from said side opening to said sheath stop.

32. The reattachable introducer of claim 22 in which said side opening is of greater diameter than the outer diameter of said deployment catheter.