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WO1998017341B1 - Hemostasis valve, system and assembly - Google Patents

Hemostasis valve, system and assembly

Info

Publication number
WO1998017341B1
WO1998017341B1 PCT/US1997/019146 US9719146W WO9817341B1 WO 1998017341 B1 WO1998017341 B1 WO 1998017341B1 US 9719146 W US9719146 W US 9719146W WO 9817341 B1 WO9817341 B1 WO 9817341B1
Authority
WO
WIPO (PCT)
Prior art keywords
hemostasis valve
lumen
operating device
valve body
hemostasis
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1997/019146
Other languages
French (fr)
Other versions
WO1998017341A2 (en
WO1998017341A3 (en
Filing date
Publication date
Priority claimed from US08/735,521 external-priority patent/US5895376A/en
Priority to EP97911884A priority Critical patent/EP0934095B1/en
Priority to CA002266959A priority patent/CA2266959A1/en
Priority to AT97911884T priority patent/ATE284240T1/en
Priority to AU49155/97A priority patent/AU4915597A/en
Priority to DE69731892T priority patent/DE69731892T2/en
Application filed filed Critical
Priority to JP51962498A priority patent/JP4117405B2/en
Publication of WO1998017341A2 publication Critical patent/WO1998017341A2/en
Publication of WO1998017341A3 publication Critical patent/WO1998017341A3/en
Publication of WO1998017341B1 publication Critical patent/WO1998017341B1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Abstract

A hemostasis valve including a collapsible membrane in a portion of a through-lumen. Fluid pressure in a chamber surrounding the collapsible membrane assists in sealing the collapsible membrane around an operating device inserted through the hemostasis valve. Different mechanisms for mechanically deforming the collapsible membrane to assist in sealing are disclosed. Also, a system for continuously flushing a vascular catheter connected to a hemostasis valve at a rate of 0.10 to 10.0 cubic centimeters per minute, and a hemostasis valve assembly including an expandable reservoir which stores liquid volume under pressure.

Claims

AMENDED CLAIMS[received by the International Bureau on 16 June 1998 (16.06.98); original claims 3 and 12 cancelled; original claims 1, 4-11 and 13-22 amended; original claims 4-11 and 13-22 renumbered as claims 3-10 and 11-20 respectively; remaining claim unchanged (5 pages)]
1. A hemostasis valve comprising:
(a) a valve body having a proximal end for receiving an operating device and a distal end for connection to a guide catheter;
(b) a through-lumen in said valve body intermediate said proximal and distal ends, wherein an operating device is inserted through said through-lumen and into a guide catheter;
(c) a chamber in said valve body surrounding said through-lumen, said chamber being filled with fluid under pressure;
(d) a collapsible membrane in a portion of said through-lumen constructed and arranged such that the fluid pressure in said chamber assists in sealing said collapsible membrane around an operating device; and
(e) means for mechanically deforming said collapsible membrane, whereby the sealing of said collapsible membrane around an operating device is further assisted by said mechanical deforming means .
2. A hemostasis valve according to claim 1, further including a variable pressure source capable of providing sufficient fluid pressure in said chamber to completely seal said collapsible membrane around the operating device.
3. A hemostasis valve according to claim 1, wherein said mechanical deforming means comprise a clamp which applies radially directed pressure to said collapsible membrane .
4. A hemostasis valve according to claim 3, wherein said clamp applies pressure by deforming an outer flexible membrane surrounding said chamber, thereby increasing the fluid pressure in said chamber and in turn deforming said collapsible membrane.
5. A hemostasis valve according to claim 3, wherein said clamp includes two feet inserted through corresponding openings in an outer wall of said valve body.
6. A hemostasis valve according to claim 1, wherein said mechanical deforming means comprise proximal and distal portions of said through-lumen on opposite sides of said collapsible membrane, one of said portions being rotatable relative to said valve body to twist said collapsible membrane.
7. A hemostasis valve according to claim 1, wherein said mechanical deforming means includes a spring which biases said mechanical deforming means to a closed position.
8. A hemostasis valve comprising:
(a) a valve body having a proximal end for receiving an operating device and a distal end for connection to a guide catheter; (b) a through-lumen in said valve body intermediate said proximal and distal ends, wherein an operating device is inserted through said through-lumen and into a guide catheter;
(c) said through-lumen comprising a proximal portion, a distal portion and an elastomeric sleeve therebetween;
(d) one of said proximal and distal portions of said through-lumen being rotatable relative to said valve body between a closed position wherein said elastomeric sleeve is twisted to seal around an operating device and an open position wherein said elastomeric sleeve is sufficiently untwisted to
18 unseal said elastomeric sleeve from an operating device; and
(e) a spring, connected to said rotatable portion of said through-lumen, which resists rotation of said rotatable portion from said closed position to said open position.
9. A hemostasis valve according to claim 8, wherein - said rotatable portion of said through-lumen is connected to an adjustment knob which is rotatably mounted on said valve body.
10. A hemostasis valve according to claim 9, wherein said rotatable portion of said through-lumen is said proximal portion and said adjustment knob is mounted proximate said proximal end of said valve body.
11. A hemostasis valve according to claim 10, wherein said spring is a coil spring around a portion of said valve body.
12. A system for flushing a vascular catheter, comprising:
(a) a hemostasis valve; (b) a vascular catheter for insertion into a patient, sealingly connected to said hemostasis valve;
(c) a source for providing flushing fluid under pressure, in fluid communication with said hemostasis valve; and
(d) means for controlling the flow of said flushing fluid from said source to said hemostasis valve at a rate of about between 0.10 to 10.0 cubic centimeters per minute, thereby continuously flushing said vascular catheter.
13. A system according to claim 12, wherein said flow controlling means comprise a flow restricting orifice.
19
14. A system according to claim 12, wherein said flow controlling means comprise a narrow tube having a diameter and length appropriate for achieving a predetermined flow rate.
15. A system according to claim 12, further comprising a pressure monitor.
16. A system according to claim 12, further comprising means for periodically flushing said vascular catheter at a relatively high rate.
17. An assembly for maintaining hemostasis in a patient, comprising:
(a) a hemostasis valve including a sealing member, moveable between a closed position, wherein liquid in said valve in fluid communication with a patient is sealed by said sealing member, and an open position; and
(b) an expandable reservoir in fluid communication with the liquid in said hemostasis valve, moveable between expanded and retracted positions;
(c) said expandable reservoir being constructed and arranged such that, when said hemostasis valve is moved to said open position, said expandable reservoir retracts toward said retracted position so as to force the liquid out of said open hemostasis valve.
18. An assembly according to claim 17, wherein said reservoir is an elastomeric bellows-like diaphragm.
19. An assembly according to claim 17, wherein said reservoir can be substantially expanded by a liquid pressure of about between 60 to 120 millimeters of mercury.
20
20. A hemostasis valve according to claim 1, further including means for providing fluid communication between said through-lumen and chamber.
21
PCT/US1997/019146 1996-10-23 1997-10-17 Hemostasis valve, system and assembly Ceased WO1998017341A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
JP51962498A JP4117405B2 (en) 1996-10-23 1997-10-17 Hemostasis valve, system and assembly
CA002266959A CA2266959A1 (en) 1996-10-23 1997-10-17 Hemostasis valve, system and assembly
AT97911884T ATE284240T1 (en) 1996-10-23 1997-10-17 VALVE FOR HEMOSTASIS
AU49155/97A AU4915597A (en) 1996-10-23 1997-10-17 Hemostasis valve, system and assembly
DE69731892T DE69731892T2 (en) 1996-10-23 1997-10-17 VALVE FOR HEMOSTASIS
EP97911884A EP0934095B1 (en) 1996-10-23 1997-10-17 Hemostasis valve

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/735,521 US5895376A (en) 1996-10-23 1996-10-23 Hemostasis valve, system and assembly
US08/735,521 1996-10-23

Publications (3)

Publication Number Publication Date
WO1998017341A2 WO1998017341A2 (en) 1998-04-30
WO1998017341A3 WO1998017341A3 (en) 1998-06-11
WO1998017341B1 true WO1998017341B1 (en) 1998-08-13

Family

ID=24956146

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1997/019146 Ceased WO1998017341A2 (en) 1996-10-23 1997-10-17 Hemostasis valve, system and assembly

Country Status (9)

Country Link
US (2) US5895376A (en)
EP (1) EP0934095B1 (en)
JP (1) JP4117405B2 (en)
AT (1) ATE284240T1 (en)
AU (1) AU4915597A (en)
CA (1) CA2266959A1 (en)
DE (1) DE69731892T2 (en)
ES (1) ES2234009T3 (en)
WO (1) WO1998017341A2 (en)

Families Citing this family (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6276661B1 (en) 1996-11-06 2001-08-21 Medtronic, Inc. Pressure actuated introducer valve
US7013916B1 (en) 1997-11-14 2006-03-21 Air Products And Chemicals, Inc. Sub-atmospheric gas delivery method and apparatus
US6786918B1 (en) * 2000-10-17 2004-09-07 Medtronic Vascular, Inc. Stent delivery system
US6688306B1 (en) * 2000-11-27 2004-02-10 Kimberly-Clark Worldwide, Inc. Clamping assembly for maintaining the position of a respiratory care treatment device
US6709449B2 (en) * 2001-01-12 2004-03-23 Mayo Foundation For Medical Education And Research Stent treatment apparatus and method
WO2003070313A1 (en) * 2002-02-19 2003-08-28 Medamicus, Inc. Composite stasis valve
AU2003295726A1 (en) * 2002-11-19 2004-06-15 Gmp Cardiac Care, Inc. Hemostasis valve and a method of using the hemostasis valve
US7494477B2 (en) * 2003-09-02 2009-02-24 Pulsecath B.V. Catheter pump, catheter and fittings therefore and methods of using a catheter pump
US7150299B2 (en) 2003-09-12 2006-12-19 Air Products And Chemicals, Inc. Assembly and method for containing, receiving and storing fluids and for dispensing gas from a fluid control and gas delivery assembly having an integrated fluid flow restrictor
DE602004031974D1 (en) * 2003-12-11 2011-05-05 Cook Inc hemostasis valve
US20050209568A1 (en) * 2004-03-16 2005-09-22 Shanley Laurence M Needle cap assembly for syringe
US7854731B2 (en) * 2004-03-18 2010-12-21 C. R. Bard, Inc. Valved catheter
US7094218B2 (en) * 2004-03-18 2006-08-22 C. R. Bard, Inc. Valved catheter
US7578803B2 (en) * 2004-03-18 2009-08-25 C. R. Bard, Inc. Multifunction adaptor for an open-ended catheter
US8083728B2 (en) 2004-03-18 2011-12-27 C. R. Bard, Inc. Multifunction adaptor for an open-ended catheter
US7594910B2 (en) 2004-03-18 2009-09-29 C. R. Bard, Inc. Catheter connector
US7594911B2 (en) 2004-03-18 2009-09-29 C. R. Bard, Inc. Connector system for a proximally trimmable catheter
US7377915B2 (en) 2004-04-01 2008-05-27 C. R. Bard, Inc. Catheter connector system
US7353822B2 (en) * 2004-04-27 2008-04-08 Kimberly-Clark , Worldwide, Inc. Clamping assembly for limiting the depth of insertion of a respiratory care treatment device
EP1740253B1 (en) 2004-04-30 2008-08-13 C.R.Bard, Inc. Valved sheath introducer for venous cannulation
US9597483B2 (en) 2004-11-29 2017-03-21 C. R. Bard, Inc. Reduced-friction catheter introducer and method of manufacturing and using the same
US8403890B2 (en) 2004-11-29 2013-03-26 C. R. Bard, Inc. Reduced friction catheter introducer and method of manufacturing and using the same
US8932260B2 (en) 2004-11-29 2015-01-13 C. R. Bard, Inc. Reduced-friction catheter introducer and method of manufacturing and using the same
US8926564B2 (en) 2004-11-29 2015-01-06 C. R. Bard, Inc. Catheter introducer including a valve and valve actuator
FR2878750B1 (en) * 2004-12-06 2007-02-02 Claude Mialhe VALVE FOR SURGICAL OR MEDICAL INSTRUMENT
US7875019B2 (en) 2005-06-20 2011-01-25 C. R. Bard, Inc. Connection system for multi-lumen catheter
US7914519B2 (en) * 2005-06-23 2011-03-29 Elcam Medical Agricultural Cooperative Association, Ltd. Catheter device
US8162894B2 (en) * 2005-09-09 2012-04-24 Cook Medical Technologies Llc Valve opener
US8444602B2 (en) * 2005-09-09 2013-05-21 Cook Medical Technologies Llc Hemostatic valve system
US20090012476A1 (en) * 2007-07-05 2009-01-08 Galt Medical Corporation Hemostasis valve for a catheter introducer
WO2009052327A1 (en) 2007-10-19 2009-04-23 C.R. Bard, Inc. Introducer including shaped distal region
US8118784B2 (en) * 2007-10-30 2012-02-21 Cook Medical Technologies Llc Haemostatic valve
US8858608B2 (en) * 2007-12-10 2014-10-14 Cook Medical Technologies Llc Lubrication apparatus for a delivery and deployment device
US8034065B2 (en) * 2008-02-26 2011-10-11 Ethicon Endo-Surgery, Inc. Controlling pressure in adjustable restriction devices
US8277410B2 (en) * 2008-03-13 2012-10-02 Boston Scientific Scimed, Inc. Methods and apparatus for inhibiting introduction of air into the vasculature during a percutaneous procedure
US8025640B2 (en) * 2008-06-27 2011-09-27 Tyco Healthcare Group Lp Pressurized surgical valve
US20100036329A1 (en) * 2008-08-07 2010-02-11 Nasser Razack Hemostasis valve
US8308692B2 (en) * 2008-09-03 2012-11-13 Cook Incorporated Introducer for use in inserting a medical device into a body vessel and method for same
US8337484B2 (en) 2009-06-26 2012-12-25 C. R. Band, Inc. Proximally trimmable catheter including pre-attached bifurcation and related methods
EP2448628B1 (en) 2009-06-29 2018-09-19 Cook Medical Technologies LLC Haemostatic valve device
US8951229B2 (en) * 2010-02-22 2015-02-10 Boston Scientific Limited Pressure actuated catheter seal and method for the same
US9005266B2 (en) 2011-10-10 2015-04-14 Robert Feldtman Vascular delivery methods
US9216277B2 (en) 2012-03-20 2015-12-22 Cook Medical Technologies, LLC Hemostasis mechanism and method
WO2013152324A1 (en) 2012-04-06 2013-10-10 C. R. Bard, Inc. Distal valve for a catheter
US9078981B2 (en) 2012-09-21 2015-07-14 Boston Scientific Scimed Inc. Catheter system including an embolism protection device
US11202892B2 (en) * 2013-07-15 2021-12-21 John P. Pigott Balloon catheter having a retractable sheath
US9675792B2 (en) 2013-08-05 2017-06-13 Cook Medical Technologies Llc Hemostasis mechanism and method
CA2967015C (en) 2014-11-07 2023-02-28 C.R. Bard, Inc. Connection system for tunneled catheters
US10765853B2 (en) 2014-12-22 2020-09-08 Cook Medicai Technologies LLC Hemostatic valve system
US11207512B2 (en) 2015-04-23 2021-12-28 Freudenberg Medical, Llc Automatic medical valve with a variable diameter seal
US9884175B2 (en) * 2015-04-23 2018-02-06 Freudenberg Medical, Llc Automatic medical valve with a variable diameter seal
WO2017100927A1 (en) 2015-12-15 2017-06-22 Neovasc Tiara Inc. Transseptal delivery system
US10183145B2 (en) 2016-02-24 2019-01-22 Incept, Llc Enhanced flexibility neurovascular catheter
CN110300607A (en) 2016-09-22 2019-10-01 全血管私人有限公司 The device and method of blood vessel hyperperfusion for extravascular compartments
US11896782B2 (en) 2017-08-23 2024-02-13 C. R. Bard, Inc. Priming and tunneling system for a retrograde catheter assembly
CN114025813B (en) * 2019-05-20 2024-05-14 内奥瓦斯克迪亚拉公司 Introducer with hemostatic mechanism
WO2021076954A1 (en) 2019-10-16 2021-04-22 Inari Medical, Inc. Systems, devices, and methods for treating vascular occlusions
US20210315598A1 (en) 2019-12-18 2021-10-14 Imperative Care, Inc. Methods of placing large bore aspiration catheters
US11752317B2 (en) 2020-02-04 2023-09-12 Medtronic, Inc. Hemostasis valve orientation relative to the fluid space in a introducer sheath
CN116899082A (en) * 2023-07-11 2023-10-20 上海恩盛医疗科技有限公司 Introducer sheath set

Family Cites Families (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3276472A (en) * 1963-12-03 1966-10-04 Medex Inc Medical valve
US3759289A (en) * 1971-08-03 1973-09-18 Wall R De Perfusion safety valve
US4000739A (en) * 1975-07-09 1977-01-04 Cordis Corporation Hemostasis cannula
US4254773A (en) * 1978-11-24 1981-03-10 Medex Inc. Swivel coupling for a catheterization system
US4337770A (en) * 1979-06-07 1982-07-06 Young James E Flow regulating device for arterial catheter systems
US4300571A (en) * 1979-07-27 1981-11-17 Medex Inc. Constant flush device
US4610665A (en) * 1983-01-18 1986-09-09 Terumo Kabushiki Kaisha Medical instrument
US4580573A (en) * 1983-10-20 1986-04-08 Medical Device Development Corporation, Inc. Catheter introducer
US4726374A (en) * 1985-12-09 1988-02-23 Cordis Corporation Leakproof hemostasis valve
US4701160A (en) * 1986-06-11 1987-10-20 Minnesota Mining And Manufacturing Company Catheter and method for infusing fluid into a patient
US4743235A (en) * 1986-09-05 1988-05-10 Medex, Inc. Flush control device
US4723550A (en) * 1986-11-10 1988-02-09 Cordis Corporation Leakproof hemostasis valve with single valve member
US4798594A (en) * 1987-09-21 1989-01-17 Cordis Corporation Medical instrument valve
US4895565A (en) * 1987-09-21 1990-01-23 Cordis Corporation Medical instrument valve
US4909798A (en) * 1987-11-12 1990-03-20 Daig Corporation Universal hemostasis cannula
US4886507A (en) * 1988-02-01 1989-12-12 Medex, Inc. Y connector for angioplasty procedure
US4960412A (en) * 1988-04-15 1990-10-02 Universal Medical Instrument Corp. Catheter introducing system
US4932114A (en) * 1988-07-14 1990-06-12 North American Instrument Corp. Method of making a rotating adapter for catheters
US5078433A (en) * 1988-07-14 1992-01-07 North American Instrument Corp. Rotating adapter for catheters and the like
US5000745A (en) * 1988-11-18 1991-03-19 Edward Weck Incorporated Hemostatis valve
US4946133A (en) * 1988-11-21 1990-08-07 Schneider (U.S.A.) Inc., A Pfizer Co. Hemostasis valve
US4932633A (en) * 1988-11-21 1990-06-12 Schneider-Shiley (U.S.A.) Inc. Hemostasis valve
US5209732A (en) * 1989-03-17 1993-05-11 Merit Medical Systems, Inc. Locking syringe with thread-release lock
US5127626A (en) * 1989-10-31 1992-07-07 Applied Vascular Devices, Inc. Apparatus for sealing around members extending therethrough
US5041095A (en) * 1989-12-22 1991-08-20 Cordis Corporation Hemostasis valve
WO1991010459A1 (en) * 1990-01-10 1991-07-25 Angeion Corporation Hemostasis valve introducer
US5071411A (en) * 1990-03-26 1991-12-10 Cordis Corporation Pressure-actuated valve for sealing flow conduit
US5389080A (en) 1990-07-26 1995-02-14 Yoon; Inbae Endoscopic portal for use in endoscopic procedures and methods therefor
US5429609A (en) 1990-07-26 1995-07-04 Yoon; Inbae Endoscopic portal for use in endoscopic procedures and methods therefor
US5161773A (en) * 1990-08-01 1992-11-10 Numed, Inc. Method and apparatus for controlling fluid flow
US5098406A (en) * 1990-11-01 1992-03-24 Interface Biomedical Laboratories Corp. Anti-reflux, low friction, skirted hemostasis valve and introducer
US5158553A (en) * 1990-12-26 1992-10-27 Cardiopulmonics Rotatably actuated constricting catheter valve
US5092857A (en) * 1991-05-17 1992-03-03 Fleischhacker John J Hemostasis valve having support shoulders
US5102395A (en) * 1991-06-26 1992-04-07 Adam Spence Corporation Hemostasis valve
US5215536A (en) * 1991-11-13 1993-06-01 Merit Medical Systems, Inc. Self-locking control syringe
US5171230A (en) * 1991-11-29 1992-12-15 Medex, Inc. Fast flush catheter valve
US5334164A (en) * 1992-01-03 1994-08-02 United States Surgical Corporation Variable interior dimension cannula assembly
US5356375A (en) * 1992-04-06 1994-10-18 Namic U.S.A. Corporation Positive pressure fluid delivery and waste removal system
CA2093748C (en) * 1992-04-24 1996-11-12 Roy D. Gravener Valve assembly for introducing instruments into body cavities
US5267966A (en) * 1992-09-28 1993-12-07 Cook Incorporated Hemostasis cannula and method of making a valve for same
US5338313A (en) * 1992-12-17 1994-08-16 Thomas J. Fogarty, M.D. Adjustable valve having a radially compressible sealing body
US5356379A (en) * 1993-08-03 1994-10-18 Vaillancourt Vincent L Disposable ambulatory infusion pump assembly
WO1995015195A1 (en) * 1993-11-30 1995-06-08 Medex, Inc. Plastic needleless valve housing for standard male luer locks
US5405334A (en) * 1994-02-18 1995-04-11 Merit Medical Systems, Inc. Catheter apparatus with means for subcutaneous delivery of anesthetic agent or other fluid medicament
US5456676A (en) * 1994-02-18 1995-10-10 Merit Medical Systems, Inc. Rotatable bubble-free connector
US5634911A (en) * 1995-05-19 1997-06-03 General Surgical Innovations, Inc. Screw-type skin seal with inflatable membrane
US5782817A (en) * 1995-11-06 1998-07-21 Cordis Corporation Catheter introducer having toroidal valve

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