Catheter introducer system

• US 7,914,492 B2
• Filed: 01/22/2007
• Issued: 03/29/2011
• Est. Priority Date: 01/27/2003
• Status: Active Grant

• Current Assignee: Arizona Medical Systems, LLC
• Original Assignee: Richard R. Heuser
• Inventors: Heuser, Richard R.
• Primary Examiner(s): Mendez; Manuel A
• Application Number:
  US11/656,898
• Publication Number:
  US 20070161956A1
• Time in Patent Office: 1,527 Days
• Field of Search: 604/164, 604/165, 604/166, 604/170, 604/171, 604523-539, 604264-279
• US Class Current: 604/164.1
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/3441 with distal sealing means
• CPC Class Codes: A61M 2025/0004 having two or more concentrically arranged tubes for forming a concentric catheter system
• 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 2039/0633 the seal being a passive seal made of a resilient material with or without an opening
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00
• CPC Class Codes: A61M 39/0613 with means for adjusting the seal opening or pressure A61M39/0693 takes precedence

Abstract

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 includes 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. 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.

Claims

1. A catheter introducer system comprising a catheter sheath including a generally elongate body and a housing coupled to the body, the body and housing including a lumen and distal and proximal openings communicating with the lumen and configured for insertion and longitudinal movement of a catheter therethrough, the body of the sheath formed of a flexible material to allow insertion of the sheath body into a human blood vessel, 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 a valve opening configured to receive the catheter therethrough and a shutter adjacent the valve 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.

2. The catheter introducer system of claim 1 wherein the shutter includes a plurality of shutter vanes manipulable to provide for the friction fit.

3. The catheter introducer system of claim 2 wherein the plurality of shutter vanes are mounted on hinges.

4. A catheter introducer system comprising a catheter sheath including a generally elongate body and a housing coupled to the body, the body and housing including a lumen and distal and proximal openings communicating with the lumen and configured for insertion and longitudinal movement of a catheter therethrough, the body of the sheath formed of a flexible material to allow insertion of the sheath body into a human blood vessel, 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 therethrough, the valve including a chuck to grip the catheter radially, 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, wherein the chuck includes an annular base and an opposed annular clamp, and a washer disposed between the base and the clamp, and at least one of the base and the clamp included a beveled surface that forces the washer radially inwardly as the base and the clamp are drawn together.

5. The catheter introducer system of claim 4 wherein the washer includes a beveled surface that interfaces with one of the base or the clamp to force the washer radially inwardly as the base and the clamp are drawn together.

6. The catheter introducer system of claim 4 wherein the base includes a beveled surface and the clamp includes a beveled surface, the beveled surfaces of the base and clamp forcing the washer radially inwardly as the base and the clamp are drawn together.

7. A valve for use with a catheter introducer system, the 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.

8. The valve of claim 7 wherein the shutter includes a plurality of shutter vanes manipulable to provide for the friction fit.

9. The valve of claim 8 wherein the plurality of shutter vanes are mounted on hinges.