Sheath retractor mechanism and method

• US 5,868,755 A
• Filed: 01/16/1997
• Issued: 02/09/1999
• Est. Priority Date: 01/16/1997
• Status: Expired due to Fees

• Current Assignee: Atrion (Atrion Corporation)
• Original Assignee: Atrion (Atrion Corporation)
• Inventors: Kanner, Rowland W., Young, Larry Lee
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US08/784,745
• Time in Patent Office: 754 Days
• Field of Search: 606/1, 606/108, 606/191-200, 604/157, 604/171, 604/164, 604/264
• US Class Current: 606/108
• CPC Class Codes: A61F 2/0095 Packages or dispensers for prostheses or other implants for intraocular lenses A61F2/1691; for dental surgery A61C19/02
• CPC Class Codes: A61F 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00

Abstract

An actuating mechanism and method for sequentially translating a sheath member relative to an elongate member such as a balloon catheter movably inserted through the sheath includes a coupling structure constructed to enable selectively coupling or uncoupling of a drive member to the sheath member in order to drive translation of the coupled sheath member in one or more translation increments and to enable uncoupling of the drive member following each of said increments of retraction. In a particularly beneficial method of sheath retraction from a portion of an angioplasty balloon catheter on which a stent is mounted, the method includes coupling a drive structure to the sheath and driving translation of the coupled sheath relative to the catheter to expose the stent-mounted portion of the catheter, and then repeating the translational drive of the coupled sheath to further translate the sheath and expose a further incremental portion of the catheter, in order to produce sequential one-way movement of the sheath in controlled increments to attain exposure of the balloon catheter and the stent mounted thereon without disturbing its position.

Claims

1. A method for particularly retracting a protective sheath from a portion of an elongate member inserted through the sheath, comprising the following steps:

a) activating a drive structure to simultaneously couple said drive structure to said sheath and drive translation of said coupled sheath relative to said elongate member to expose a portion thereof covered by said sheath prior to said translation; and

b) repeating step a) to further translate said sheath and expose a further portion of said elongate member, in order to produce sequentially extended exposure of said elongate member by the repetitive sheath translations.

2. A method according to claim 1, wherein step (a) comprises translating said drive structure coupled to said sheath.

3. A method according to claim 1, further comprising uncoupling said drive structure from said sheath.

4. A method according to claim 2, further comprising additional steps comprising uncoupling said drive structure from said sheath;

reversely translating said drive structure in a direction opposite to said translating; and

recoupling said drive structure to said sheath preparatory to said repetitive step (b) in order to ensure only one-way retracting motion of said sheath.

5. A method according to claim 1, wherein said step (a) comprises engaging respective frictionally adhering surfaces of said drive structure and a coupling structure secured to said sheath.

6. A method according to claim 5, further comprising pressuring said respective adhering surfaces to ensure sufficient adhesion thereof to enable said translation in step (a).

7. A method according to claim 5, further comprising reversely translating said drive structure in a direction opposite to said translating while sliding said drive structure surface against said coupling structure surface to prevent reversely translating said sheath with said drive structure.

8. A method according to claim 7, further comprising holding said coupling structure stationary during said reversely translating said drive structure in order to ensure only one-way retracting motion of said sheath.

9. A method for particularly retracting a protective sheath from a portion of an elongate member movably inserted through the sheath, comprising the following steps:

a) coupling a drive structure to said sheath;

b) driving translation of said sheath relative to said elongate member to expose a portion thereof covered by said sheath prior to said driving;

c) uncoupling said drive structure from said sheath;

d) reversely translating said drive structure in a direction opposite to translation in step (b);

e) recoupling said drive structure to said sheath; and

f) repeating step (b) to further translate said sheath and expose a further portion of said elongate member, in order to produce sequentially extended exposure of said elongate member by the repetitive sheath translations.

10. An actuating mechanism for translating a sheath member relative to an elongate member inserted through the sheath member, comprising:

a drive structure;

a coupling structure coupleable to said sheath member and constructed to enable selective coupling of the coupling structure to said drive structure in order to drive translation of the coupled sheath member in one or more translation increments and to enable selective uncoupling of the drive structure from said coupling structure following each said translation increment.

11. An actuating mechanism according to claim 10, wherein said coupling structure comprises a frictional coupling element arranged for gripping engageability of said drive structure.

12. An actuating mechanism according to claim 10, wherein said coupling structure comprises a pivotal pawl element biased to grip said drive structure.

13. An actuating mechanism according to claim 10, wherein said coupling structure comprises a first grip member arranged to releasibly grip said drive structure to enable said selective coupling thereof, and a second grip structure arranged to enable releasable gripping of an adjacent non-moving surface in said mechanism in order to promote release of said coupling grip by said first grip member and prevent reverse translation of said sheath member in a direction opposite to said translation increment when said drive structure is reversibly translated.

14. An actuating mechanism according to claim 13, wherein said first and second grip members comprise respective first and second pivotal pawl members pivotally mounted on a support structure connectable to said sheath member.

15. An actuating mechanism according to claim 14, wherein said support structure includes a tubular portion through which said elongate member is extendable to enable relative translation of said sheath member relative thereto.

16. An actuating mechanism according to claim 14, wherein each of said first and second grip members comprises a frictional gripping portion.

17. An actuating mechanism according to claim 10, wherein said coupling structure is secured to a support structure connectable to said sheath member.

18. An actuating mechanism according to claim 17, wherein said coupling structure is further secured to a guide member spaced from said support structure and arranged to guide said retraction.

19. An actuating mechanism according to claim 17, wherein said coupling structure includes a resilient biasing member arranged to bias said selective coupling.

20. An actuating instrument for particular use in retracting a protective sheath member relative to a catheter movably inserted through the sheath member, said instrument comprising:

a support structure connectable to said sheath member to support said retraction thereof;

a drive member arranged to propel retraction of said support structure to enable the retraction of the sheath member therewith; and

a coupling structure affixed to said support structure and constructed to enable selective coupling of said coupling structure to said drive member in order to drive said retraction in one or more retraction increments and to enable selective uncoupling of said coupling structure from said drive member following each of said retraction increments.

21. An instrument according to claim 20, wherein said drive member is reversibly movable in order to propel retraction of said support structure said in a first movement direction of said drive member;

said drive member being arranged to enable a second directional movement uncoupled from said support structure in a direction opposite to said first movement direction, in order to propel retraction of said sheath member in one or more retraction increments of one-way displacement, so that successive retraction increments of said sheath member are alternated by uncoupled opposing movements of said drive member relative to said increments of retraction.

22. An instrument according to claim 20, wherein said drive member is reversibly translatable in opposing directions respectively corresponding to said selective coupling and uncoupling.

23. An instrument according to claim 20, wherein said drive member is arranged to propel said support structure in coextensive displacement therewith defining said retraction increments of said support structure and sheath member.

24. An instrument according to claim 20, further comprising stop structure contactable against said drive member to terminate propelling motion of said drive member thereagainst in a first movement direction to define a displacement dimension of said retraction increments.

25. An instrument according to claim 20, wherein said support structure includes a tubular portion through which said catheter is extendable to enable retraction of said support structure and sheath member relative thereto.

26. An instrument according to claim 25, further comprising a second support structure connectable to said catheter to support the extension of said catheter through the sheath support structure.

27. An instrument according to claim 26, wherein said second support structure comprises a rigid tube through which said catheter is extendable for support during retraction of the sheath support structure thereover.

28. An instrument according to claim 27, wherein said sheath support structure comprises a seal member sealable on said rigid tube to prevent any leakage of bodily or other fluid from between said sheath support structure and said rigid tube extendable therethrough.

29. An instrument according to claim 20, wherein said coupling structure comprises a frictional coupling element arranged for gripping engagement of said drive member.

30. An actuating instrument according to claim 20, wherein said coupling structure comprises a first grip member arranged to releasibly grip said drive member to enable said selective coupling thereof, and a second grip member arranged for gripping a stationary, anchor structure in said instrument in order to promote release of said coupling grip by said first grip member and prevent translation of said sheath member in a direction opposite to said retraction thereof.

31. An instrument according to claim 30, wherein each of said first and second grip members comprises a frictional gripping portion.

32. An instrument according to claim 30, wherein said first and second grip members comprise respective first and second pivotal pawl members pivotally mounted on said support structure connectable to said sheath member.

33. An instrument according to claim 32, wherein said first and second pivotal pawl members are arranged in opposing bias against said respective drive member and anchor structure.

34. An instrument according to claim 33, wherein a spring member is seated on both of said first and second pawl members imposing said opposite bias thereon respectively.

35. An instrument according to claim 30, wherein said drive member comprises a reversibly translatable member releasibly gripped by a first frictionally engaged pivotal grip member of said coupling structure, and said anchoring structure comprises a stationary wall of said instrument with respective to said translation of said sheath support structure, said stationary wall releasibly gripped by a second frictionally engaged pivotal grip member of said coupling structure.

36. An instrument according to claim 30, wherein said coupling structure is secured to said support structure for retraction therewith.

37. An instrument according to claim 36, wherein said coupling structure is further secured to a guide member spaced from said support structure and arranged to guide said retraction.

38. A method for particularly retracting a protective sheath from a portion of an elongate member, comprising the following steps:

a) coupling a drive structure to said sheath;

b) activating said drive structure to drive translation of said coupled sheath relative to said elongate member to expose a portion thereof covered by said sheath prior to said translation;

c) uncoupling said drive structure from said sheath; and

d) repeating step (b) to further translate said sheath and expose a further portion of said elongate member, in order to produce sequentially extended exposure of said elongate member by the repetitive sheath translations.

39. A method for particularly retracting a protective sheath from a portion of an elongate member, comprising the following steps:

a) coupling a drive structure to said sheath;

b) translating said drive structure coupled to said sheath to drive translation of said coupled sheath relative to said elongate member to expose a portion thereof covered by said sheath prior to said translation; and

c) uncoupling said drive structure from said sheath in order to ensure only one-way retracting motion of said sheath;

d) reversely translating said drive structure in a direction opposite to said translating in step (b);

e) recoupling said drive structure to said sheath; and

f) repeating step (b) to further translate said sheath and expose a further portion of said elongate member, in order to produce sequentially extended exposure of said elongate member by the repetitive sheath translations.

40. A method for particularly retracting a protective sheath from a portion of an elongate member comprising the following steps:

a) engaging respective frictionally adhering surfaces of a drive structure and a coupling structure secured to said sheath to couple said drive structure to said sheath;

b) activating said drive structure to drive translation of said coupled sheath relative to said elongate member to expose a portion thereof covered by said sheath prior to said translation;

c) reversely translating said drive structure in a direction opposite to said translating in step (b) while sliding said drive structure surface against said coupling structure surface to prevent reversely translating said sheath with said drive structure; and

d) repeating step (b) to further translate said sheath and expose a further portion of said elongate member, in order to produce sequentially extended exposure of said elongate member by the repetitive sheath translations.

41. A method according to claim 40, further comprising holding said coupling structure stationary during said reversely translating said drive structure in order to ensure only one-way retracting motion of said sheath.