Expandable access systems and methods

• US 9,498,249 B2
• Filed: 11/21/2012
• Issued: 11/22/2016
• Est. Priority Date: 11/21/2012
• Status: Active Grant

• Current Assignee: P TECH, LLC
• Original Assignee: P TECH, LLC
• Inventors: Bonutti, Peter M, Cremens, Matthew J
• Primary Examiner(s): STIGELL, THEODORE J
• Application Number:
  US13/683,847
• Publication Number:
  US 20140142509A1
• Time in Patent Office: 1,462 Days
• Field of Search: 604/104, 604/164.01, 604/164.03, 604/164.06, 606/167, 606/192
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• 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 2025/0024 Expandable catheters or sheaths
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

Embodiments may include an expandable access system having contracted and expanded configurations. The system and methods may include an expandable access device having a helix or wrapped shape. Embodiments may include a cannula, stent, needle, trocar, introducer, fastener, and/or any other devices disclosed herein. Embodiments may also include an expandable trocar positionable in at least a portion of the access device. A sleeve or band may be disposed over at least a portion of the access device and configured to resist radial expansion of the access device. Expansion of the trocar and/or receipt of an object may radially expand the access device between a contracted configuration and an expanded configuration.

Claims

1. An expandable access system having contracted and expanded configurations, the system comprising:

an expandable access device having a body that overlaps itself in a contracted configuration to define an access passage;

an expandable trocar being positionable in at least a portion of the access device; and

a sleeve disposed over at least a portion of the access device and configured to resist radial expansion of the access device,

wherein expansion of the trocar radially expands the access device from the contracted configuration toward an expanded configuration.

2. The system of claim 1, wherein the access device includes a cannula having a funnel configured to receive the trocar.

3. The system of claim 1, wherein the sleeve is an elastic material.

4. The system of claim 1, further comprising an introducer configured to expand the trocar thereby urging radial expansion of the access device.

5. The system of claim 1, wherein the body of the access device is formed by wrapping a sheet about an axis of the access passage.

6. The system of claim 1, wherein the trocar includes a valve.

7. The system of claim 1, wherein the trocar includes a port.

8. The system of claim 1, wherein at least a portion of the access device is bendable to a curved shape.

9. The system of claim 1, wherein the access device enables an implant to be positioned through the access device.

10. The system of claim 1, further comprising a stent positionable over the access device.

11. An expandable access system having contracted and expanded configurations, the system comprising:

an expandable access device having a body that includes a sheet that overlaps itself in a contracted configuration to define an access passage;

an expandable trocar being positionable in at least a portion of the access device; and

a sleeve disposed over at least a portion of the access device and configured to resist radial expansion of the access device,

wherein the access device expands upon passage of a portion of an object in the access passage.

12. The system of claim 11, wherein the access device includes a cannula having a funnel configured to receive the trocar.

13. The system of claim 11, wherein the sleeve is an elastic material.

14. The system of claim 11, further comprising a leading end of the trocar or an introducer configured penetrate a body tissue.

15. The system of claim 11, wherein the body is formed by wrapping a sheet about an axis through an end of the sheet.

16. The system of claim 11, wherein the trocar includes a valve.

17. The system of claim 11, wherein the trocar includes a port.

18. The system of claim 11, wherein at least a portion of the access device is bendable to a curved shape.

19. The system of claim 11, wherein the access system includes an implant configured to remain in the body after removal of the trocar.

20. The system of claim 11, further comprising a stent positionable over the access device.

21. An expandable system having contracted and expanded configurations, the system comprising:

an expandable access device having a body that is formed by at least one of cutting the body into a spiral or helical shape and forming a wire into a spiral or helical shape to define an access passage;

a funnel connected to the access device; and

a band disposed around at least a portion of the access device,

wherein the access device is configured to expand from a contracted configuration toward an expanded configuration with release of the band.

22. The system of claim 21, wherein the access device is a cannula the funnel is configured to receive a trocar.

23. The system of claim 22, further comprising an introducer configured to expand the trocar thereby urging radial expansion of the access device.

24. The system of claim 22, wherein the trocar includes a valve.

25. The system of claim 21, wherein the band is an elastic material.

26. The system of claim 21, wherein at least a portion of the access device is bendable to a curved shape.

27. The system of claim 21, wherein the access device enables an implant to be positioned through the access device.

28. The system of claim 21, further comprising a stent positionable over the access device.

29. A method for using an expandable access system having contracted and expanded configurations, the method comprising:

providing an expandable access device with a body that overlaps itself in a contracted configuration to define an access passage;

providing an expandable trocar in at least a portion of the access passage, the trocar having a trocar passage;

positioning the expandable access device and trocar in a body portion of a patient; and

expanding the trocar and access devices from a contracted configuration toward an expanded configuration.

30. The method of claim 29, further comprising removing the trocar from the access device while the access device remains in the patient.

31. The method of claim 29, further comprising providing an introducer in at least a portion of the trocar passage to facilitate penetration of the access device into the body portion.

32. The method of claim 29, further comprising bending the access device to a curved shape with the trocar or an introducer.

33. The method of claim 29, further comprising applying vibratory or thermal energy to the access device to secure the access device in substantially the expanded configuration.

34. The method of claim 29, further comprising applying vibratory or thermal energy to the access device to secure the access device relative to a body tissue.

35. The method of claim 29, further comprising translating vibratory or thermal energy to at least one of the access device, trocar, and an introducer to penetrate a body tissue.

36. The method of claim 29, further comprising positioning the expandable access device in a passage of a body of a patient.

37. The method of claim 29, further comprising positioning the expandable access device in a blood vessel, wherein the expandable access device is expanded to increase or support a passage of the blood vessel.

38. The method of claim 29, further comprising removing the trocar from the body while the access device remains in the body.