Introducer sheath and hub assembly

• US 9,144,462 B2
• Filed: 01/30/2007
• Issued: 09/29/2015
• Est. Priority Date: 01/30/2007
• Status: Active Grant

• Current Assignee: Merit Medical Systems, Inc.
• Original Assignee: Merit Medical Systems, Inc.
• Inventors: Lampropoulos, Fred P., Mottola, Jim, Nelson, Arlin Dale
• Primary Examiner(s): ROANE, AARON F
• Application Number:
  US11/669,009
• Publication Number:
  US 20080183163A1
• Time in Patent Office: 3,164 Days
• Field of Search: 606/15, 606/7, 606/13, 606/16, 604 19- 21, 604/177, 607/88, 607/89
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00008 Vein tendon strippers tube strippers A61M1/83
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/0631 having means for fully covering the needle after its withdrawal, e.g. needle being withdrawn inside the handle or a cover being advanced over the needle
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

The present invention relates to medical treatment devices. In particular, according to one embodiment, the present invention a medical treatment device that includes, for example, a tube member, a treatment member by way of which energy can be transmitted in connection with performance of a medical procedure, a sleeve, and a hub member. In this example, the treatment member is positioned within the tube member and the tube member thus affords a degree or protection to the treatment member. The combination of the treatment member and the tube member is configured to be partially received within, and secured by, the hub member. In particular, the hub member includes a securement portion and a delivery portion which are releasably attached to each other.

Claims

1. A device, comprising:

a tube member;

a treatment member, having a first diameter, disposed at least partly within the tube member and having a distal end configured to deliver energy in connection with performance of a medical procedure;

a hub member, comprising;

a securement portion configured to secure the hub member to the treatment member;

a seal positioned between the tube member and the securement portion; and

a delivery portion coupled to the tube member, wherein the securement portion and the delivery portion are configured to be removably coupled together; and

a sleeve member having a second diameter;

wherein the sleeve member is disposed about the treatment member;

wherein the second diameter is larger than the first diameter, such that as the treatment member is advanced through the seal, the sleeve member contacts the seal and provides resistance to further advancement of the treatment member, and wherein the securement portion and the delivery portion are spaced apart from each other at a pre-determined distance such that,

contact between a distal end of the sleeve member and the seal correlates to disposition of the treatment member with respect to the delivery portion in an advancement position wherein the delivery member protects the treatment member from damage and/or from damaging body tissue and

disposition of the distal end of the sleeve distal of the seal correlates to disposition of the treatment member with respect to the delivery portion in a treatment position wherein the treatment member extends from the delivery member such that the treatment member may be used for treatment.

2. The device of claim 1, wherein the securement portion comprises a compression fitting configured to selectively secure and release the treatment member.

3. The device of claim 1, wherein the securement portion is permanently affixed to the treatment member.

4. The device of claim 1, wherein the treatment member is a fiber-optic.

5. The device of claim 4, wherein the energy is light energy associated with a laser.

6. The device of claim 1, wherein the delivery portion includes a port configured to allow passage of fluids between the side port and a distal end of the tube member.

7. The device of claim 1, wherein the tube member is permanently coupled to the delivery portion.

8. The device of claim 1, wherein the sleeve member is configured to slide into the delivery portion through the seal.

9. The device of claim 8, wherein the sleeve member is configured to maintain the securement portion and delivery portion is the spaced apart arrangement until the seal is sufficiently deformed to permit the sleeve member to penetrate the seal and enter the delivery portion.

10. The device of claim 1, wherein the sleeve member is permanently affixed to the securement portion.

11. The device of claim 1, wherein the sleeve member has a length between 1 and 3 cm.

12. The device of claim 1, wherein the delivery portion and the securement portion include respective complementary features, that enable the delivery portion and the securement portion to be releasably engaged with each other.

13. The device of claim 1, wherein a distal end of the treatment member is adjacent to a distal end of the delivery member when the sleeve contacts the seal.

18. The device of claim 1, wherein the device is configured such that when the sleeve contacts the seal, a distal end of the treatment member is adjacent to a distal end of the delivery member, and wherein the sleeve may be advanced through the seal a distance sufficient to deploy a portion of the treatment member sufficient to facilitate treatment.

19. The device of claim 18, wherein the treatment member is configured to extend from 1 to about 4 cm beyond the distal end of the delivery member.

14. A device, comprising:

a treatment member;

a hub member, including;

a securement portion configured to secure the hub member to the treatment member; and

a delivery portion, wherein the securement portion is directly coupled to the delivery portion; and

a sleeve member coupled to the securement portion, wherein the sleeve member is configured to hold the securement portion and the delivery portion apart from each other at a pre-determined distance in a first arrangement wherein the treatment member is in an advancement position with respect to the delivery portion such that the delivery portion protects the treatment member from damage and/or from damaging body tissue, and configured to provide an indication of the relative position of the treatment member with respect to the delivery portion, and wherein the sleeve member is further configured to at least partially reside in the hub member in a second arrangement wherein the treatment member is in a treatment position with respect to the delivery portion such that the treatment member extends from the delivery portion such that the treatment member may be used for treatment.

15. The device of claim 14, further comprising a sheath within which the treatment member is at least partially disposed, wherein the sheath is coupled to the delivery portion, and wherein the sheath is configured to be used in a medical procedure.

16. The device of claim 15, wherein the sheath is configured to cover a distal end of the treatment member in the first arrangement, and wherein the pre-determined distance corresponds to a distance that the distal end of the treatment member extends from the distal end of the sheath in the second arrangement.

17. The device of claim 14, wherein the treatment member is an optical fiber.