US3370587A - Method of introducing a catheter into a body vessel - Google Patents

Method of introducing a catheter into a body vessel Download PDF

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US3370587A
US3370587A US210327A US21032762A US3370587A US 3370587 A US3370587 A US 3370587A US 210327 A US210327 A US 210327A US 21032762 A US21032762 A US 21032762A US 3370587 A US3370587 A US 3370587A
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catheter
mandrel
blood vessel
tube
adapter
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US210327A
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Fernando R Vizcarra
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FERNANDO R VIZCARRA
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Fernando R. Vizcarra
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0111—Aseptic insertion devices

Definitions

  • This invention relates in general to methods of introduction of catheters through the integument and a blood vessel for injection of therepeutic fluids such as Whole blood, plasma, blood cells, hydroelectrolytic solutions, etc., into the circulatory flow; or for extraction of blood; and in particular to the use of a catheter-mandrel combination and a method for catheterizing a blood vessel or any internal portion of the body.
  • therepeutic fluids such as Whole blood, plasma, blood cells, hydroelectrolytic solutions, etc.
  • a patient may be limited in his mobility because of the danger of interfering with the operation of the catheter.
  • a rigid needle left in place during the fluid injecting process, movement of the body adjacent the needle may very likely cause puncturing of the blood vessel, or the separation of the needle from its applied position.
  • this immobility is very annoying and difficult for the patient.
  • FIG. 1 is an enlarged elevational view, partly in crosssection, showing the integument and blood vessel punctured by the hypodermic needle and the catheter tube and mandrel preparatory to introduction of the catheter tube into the blood vessel.
  • FIG. 2 is a similar view with the catheter tube partially introduced into the blood vessel and the mandrel partially withdrawn preparatory to further introduction of the catheter tube.
  • FIG. 3 is also a similar view with the puncturing needle withdrawn, and an adapter for reception of a syringe, etc., guided by the mandrel into position on the end of the catheter tube, the initial position of the adapter when being introduced to the catheter being shown in dotted lines.
  • FIG. 4 shows one manner of securing the exposed portion of the catheter to provide complete ambulation, if necessary, for the patient.
  • FIG. 5 illustrates use of the catheter and mandrel for insertion of the catheter directly into the blood vessel through a surgical opening without use of a needle.
  • the relative angles of the hypodermic needle and catheter with the integument and blood vessel are for illustrative purposes only. In actual practice the hypodermic needle is inserted as nearly as possible in a direct line with the blood vessel.
  • 1 designates a tube or catheter preferably made of a suitable pliable material in the plastics or the like.
  • the catheter 1 is adapted to receive a mandrel or rod 2 of suitable material which may be substantially rigid such as stainless steel or like material, or it may be of any other material which will impart some degree of rigidity to the catheter during its application to the blood vessel, said mandrel or rod being of a diameter suitable for easy insertion and sliding relation to said catheter.
  • the catheter 1 is adapted to fit the bore 3 of the hypodermic needle 4, the point 5 of which penetrates the integument 6 and blood vessel 7.
  • the catheter 1 and mandrel 2 may be introduced after the hypodermic needle 4 is in place in the blood vessel, or together with the hypodermic needle depending on the technique preferred.
  • the catheter 1 with mandrel 2 are inserted in the bore 3 of the hypodermic needle 4 with the mandrel por tion 2' extending from the catheter.
  • the catheter and mandrel may then be gently urged through the hypodermic needle and into the blood vessel.
  • the flexibility of the catheter facilitates its introduction into the blood vessel without pain or annoyance to the patient and without causing injury to the internal wall of the blood vessel.
  • the catheter is inserted in the blood vessel a desired distance leaving a sufiicient length of the catheter and mandrel remaining exposed.
  • the length of the catheter and length of the mandrel may vary according to the catheterization situation involved. On insertion in a straight blood vessel the mandrel may enter a considerable distance if necessary. In other situations the mandrel may enter only a very short distance. Also, a mandrel which has some degree of flexibility, although aiding the entry of the catheter may adjust itself to any curvature in the blood vessel and may enter a considerable distance with the catheter.
  • the catheter and mandrel may be inserted with onedefinite complete stroke to the desired position, .or it may be inserted in small increments by partial Withdrawal of the mandrel after each application of the mandrel and catheter into the blood vessel.
  • a short adapter 9 similar in form to a hypodermic needle is applied to the external end of the catheter.
  • An important function of the mandrel is to aid in this operation as the mandrel guides the adapter 9 and keeps the catheter aligned for easier entry of the adapter into the end of the catheter.
  • the end of the catheter tube is expanded by the adapter and the tensile strength of the catheter tube keeps it snugly in position on the end of the adapter which is forced into the bore of the tube with the aid of the mandrel.
  • the adapter 9 is connected to any desirable instrument such as a syringe, or through connecting means 11 to a source of fluid to be injected into the blood vessel, or to any receptacle for blood being withdrawn from the blood vessel.
  • Another important feature of my invention is the use of the mandrel with an adapter having a bore no less than the bore of the catheter tube, said adapter, by means of the mandrel, being forced into and expanding the end of the catheter tube and thereby providing unrestricted flow of fluid through the tube and the adapter.
  • FIG. 5 the catheter 1 is shown introduced through a surgical opening 12 for use in the same manner as hereinbefore described.
  • a hypodermic needle is not employed, the mandrel 2 being used in the same manner as with the hypodermic needle and making it easier to urge the flexible catheter into the blood vessel through a surgical opening.
  • the tube and mandrel makes it quite easy to force the short adapter 9 over the mandrel and into the end of the catheter, said mandrel, while remaining in the catheter preventing discharge of blood from the catheter and formation of blood clots in the catheter.
  • the mandrel is easily slid out of the catheter preparatory to making suitable connection of a syringe, tube or other connection to the adapter 9. This arrangement makes it possible to use an adapter with an aperture of the same diameter as the interior bore of the catheter.
  • a method of catheterization comprising the application through the integument and into a blood vessel of a hypodermic needle, the application of an internally bored catheter tube having proximal and distal ends through the hypodermic needleuntil the distal end of the catheter tube enters the blood vessel,
  • a method of catheterization comprising the application through the integument and into a blood vessel of a hypodermic needle, the application of an internally bored catheter tube having proximal and distal ends through the hypodermic needle until the distal end of the catheter tube enters the blood vessel,
  • a method of catheterization comprising the application through the integument and into a blood vessel of a hypodermic needle, the application of an internally bored catheter tube having proximal and distal ends through the hypodermic needle until the distal end of the catheter tube enters the blood vessel,

Description

Feb. 27, 1968 F. R. VIZCARRA 3,370,587
METHOD OF INTRODUCING A CATHETER INTO A BODY VESSEL Filed July 17, 1962 INVENTOR. FERNANDO R. \HZCARRA United States Patent ()fi 3,370,587 Patented Feb. 27, 1968 ice 3,370,587 METHOD F INTRODUCING A CATHETER INTO A BODY VESSEL Fernando R. V zcarra, Calz. Chula Vista 69, Cuernavaca, Morelos, Mexico Filed July 17, 1962, Ser. No. 210,327 3 Claims. (Cl. 128214.4)
This invention relates in general to methods of introduction of catheters through the integument and a blood vessel for injection of therepeutic fluids such as Whole blood, plasma, blood cells, hydroelectrolytic solutions, etc., into the circulatory flow; or for extraction of blood; and in particular to the use of a catheter-mandrel combination and a method for catheterizing a blood vessel or any internal portion of the body.
With some of the present day methods a patient may be limited in his mobility because of the danger of interfering with the operation of the catheter. With a rigid needle left in place during the fluid injecting process, movement of the body adjacent the needle may very likely cause puncturing of the blood vessel, or the separation of the needle from its applied position. Where certain fluids must, of necessity be injected slowly or over a long period of time this immobility is very annoying and difficult for the patient.
It is one object of my invention to provide a catheter tube and internally positioned mandrel and method of use in which the catheter tube is introduced either through a surgical opening or through the interior bore of a hypodermic needle and through the integument and blood vessel with the aid of the mandrel which retains the tube in a more rigid condition until the desired position is attained within the blood vessel at which time the mandrel may be removed or prior to removal may be used for introduction of an adapter to the end of the catheter tube leaving only the flexible tube and external connection to the conduit from a source of fluid for injection, or for connection to a syringe or other receptacle for blood.
Other objects and advantages, as well as the construction and manner of use of my invention will be better understood by reference to the following specification in connection with the accompanying drawing in which:
FIG. 1 is an enlarged elevational view, partly in crosssection, showing the integument and blood vessel punctured by the hypodermic needle and the catheter tube and mandrel preparatory to introduction of the catheter tube into the blood vessel.
FIG. 2 is a similar view with the catheter tube partially introduced into the blood vessel and the mandrel partially withdrawn preparatory to further introduction of the catheter tube.
FIG. 3 is also a similar view with the puncturing needle withdrawn, and an adapter for reception of a syringe, etc., guided by the mandrel into position on the end of the catheter tube, the initial position of the adapter when being introduced to the catheter being shown in dotted lines.
FIG. 4 shows one manner of securing the exposed portion of the catheter to provide complete ambulation, if necessary, for the patient.
FIG. 5 illustrates use of the catheter and mandrel for insertion of the catheter directly into the blood vessel through a surgical opening without use of a needle.
In the drawings, the relative angles of the hypodermic needle and catheter with the integument and blood vessel are for illustrative purposes only. In actual practice the hypodermic needle is inserted as nearly as possible in a direct line with the blood vessel.
Referring now to the drawing by numerals of reference, 1 designates a tube or catheter preferably made of a suitable pliable material in the plastics or the like. The catheter 1 is adapted to receive a mandrel or rod 2 of suitable material which may be substantially rigid such as stainless steel or like material, or it may be of any other material which will impart some degree of rigidity to the catheter during its application to the blood vessel, said mandrel or rod being of a diameter suitable for easy insertion and sliding relation to said catheter.
The catheter 1 is adapted to fit the bore 3 of the hypodermic needle 4, the point 5 of which penetrates the integument 6 and blood vessel 7. The catheter 1 and mandrel 2 may be introduced after the hypodermic needle 4 is in place in the blood vessel, or together with the hypodermic needle depending on the technique preferred. When the hypodermic needle is properly positioned in the blood vessel, the catheter 1 with mandrel 2 are inserted in the bore 3 of the hypodermic needle 4 with the mandrel por tion 2' extending from the catheter. The catheter and mandrel may then be gently urged through the hypodermic needle and into the blood vessel.
The flexibility of the catheter facilitates its introduction into the blood vessel without pain or annoyance to the patient and without causing injury to the internal wall of the blood vessel. The catheter is inserted in the blood vessel a desired distance leaving a sufiicient length of the catheter and mandrel remaining exposed.
The length of the catheter and length of the mandrel may vary according to the catheterization situation involved. On insertion in a straight blood vessel the mandrel may enter a considerable distance if necessary. In other situations the mandrel may enter only a very short distance. Also, a mandrel which has some degree of flexibility, although aiding the entry of the catheter may adjust itself to any curvature in the blood vessel and may enter a considerable distance with the catheter.
Depending also on the situation, the catheter and mandrel may be inserted with onedefinite complete stroke to the desired position, .or it may be inserted in small increments by partial Withdrawal of the mandrel after each application of the mandrel and catheter into the blood vessel.
A short adapter 9 similar in form to a hypodermic needle is applied to the external end of the catheter. An important function of the mandrel is to aid in this operation as the mandrel guides the adapter 9 and keeps the catheter aligned for easier entry of the adapter into the end of the catheter. The end of the catheter tube is expanded by the adapter and the tensile strength of the catheter tube keeps it snugly in position on the end of the adapter which is forced into the bore of the tube with the aid of the mandrel.
The adapter 9 is connected to any desirable instrument such as a syringe, or through connecting means 11 to a source of fluid to be injected into the blood vessel, or to any receptacle for blood being withdrawn from the blood vessel.
Another important feature of my invention is the use of the mandrel with an adapter having a bore no less than the bore of the catheter tube, said adapter, by means of the mandrel, being forced into and expanding the end of the catheter tube and thereby providing unrestricted flow of fluid through the tube and the adapter.
In FIG. 5 the catheter 1 is shown introduced through a surgical opening 12 for use in the same manner as hereinbefore described. In this manner of use a hypodermic needle is not employed, the mandrel 2 being used in the same manner as with the hypodermic needle and making it easier to urge the flexible catheter into the blood vessel through a surgical opening.
My invention makes it possible for almost any nonspecialist to apply the catheter. The use of the mandrel, in
' 3 eflect, decreases the flexibility of the nonrigid tube or catheter rendering it temporarily more rigid and making its introduction into the blood vessel a relatively simple task. Further, the combination of the tube and mandrel makes it quite easy to force the short adapter 9 over the mandrel and into the end of the catheter, said mandrel, while remaining in the catheter preventing discharge of blood from the catheter and formation of blood clots in the catheter. The mandrel is easily slid out of the catheter preparatory to making suitable connection of a syringe, tube or other connection to the adapter 9. This arrangement makes it possible to use an adapter with an aperture of the same diameter as the interior bore of the catheter.
It is obvious that changes in form, proportion, and details of construction may be resorted to without departing from the principles of my invention and I reserve all rights to such changes as come within the terms of these specifications and the claims which follow.
'What I claim as new and desire to secure by Letters Patent is:
1. A method of catheterization comprising the application through the integument and into a blood vessel of a hypodermic needle, the application of an internally bored catheter tube having proximal and distal ends through the hypodermic needleuntil the distal end of the catheter tube enters the blood vessel,
the application of a mandrel having proximal and distal ends to the catheter tube leaving the proximal end of the mandrel exposed from the proximal end of the catheter tube, and leaving the distal end of the catheter tube in fully flexible condition, including the removal of the hypodermic needle prior to withdrawal of the mandrel,
application of an adapter to the end of the catheter tube with the aid of the mandrel prior to complete withdrawal of said mandrel,
and application to the adapter of means for injection or withdrawal of fluid.
2. A method of catheterization comprising the application through the integument and into a blood vessel of a hypodermic needle, the application of an internally bored catheter tube having proximal and distal ends through the hypodermic needle until the distal end of the catheter tube enters the blood vessel,
the application of a mandrel having proximal and distal catheter tube in fully flexible condition, including complete withdrawal of the hypodermic needle from the catheter tube, application of an adapter to the tube, 7 and application to the adapter of means for injection or withdrawal of fluid.
3. A method of catheterization comprising the application through the integument and into a blood vessel of a hypodermic needle, the application of an internally bored catheter tube having proximal and distal ends through the hypodermic needle until the distal end of the catheter tube enters the blood vessel,
the application of a mandrel having proximal and distal ends to the catheter tube leaving the proximal end of the mandrel exposed from the proximal end of the catheter tube, and leaving the distal end of the catheter tube in fully flexible condition,
application of an adapter to the proximal ends of the mandrel and flexible tube for'reception of fluid injecting or withdrawing means prior to removal of the mandrel from the flexible tube,
and application to said adapter of the fluid injection or withdrawing means. 1 r
/ References Cited UNITED STATES PATENTS 2,389,355 11/1945 Golland 128-214 2,937,643 5/1960 Elliot -2- 128-214 3,000,380 9/1961 Doherty 128-214 3,030,953 4/1962 Koehn 128-214 2,393,003 1/1946 Smith 128349 3,016,899 1/ 1962 Stenwall 128- 348 3,017,884 1/1962' Doherty et al 128-2144 3,097,646 7/1963 Scislowicz 128-214.4 3,220,411 11/ 1965, Czorny 128214.4
FOREIGN PATENTS 1,064,445 12/1953 France.
885,917 8/ 1953 Germany.
558,709 3/1957 Italy.
OTHER REFERENCES Cooper, Neurological Alleviation of Parkinsonism, C. 'C. Thomas, 1956 pp. -82.
DALTON L. TRULUCK, Primary Examiner. JORDAN FRANKLIN, Exami er.

Claims (1)

1. A METHOD OF CATHETERIZATION COMPRISING THE APPLICATION THROUGH THE INTEGUMENT AND INTO A BLOOD VESSEL OF A HYPODERMIC NEEDLE, THE APPLICATION OF AN INTERNALLY BORED CATHETER TUBE HAVING PROXIMAL AND DISTAL ENDS THROUGH THE HYPODERMIC NEEDLE UNTIL THE DISTAL END OF THE CATHETER TUBE ENTERS THE BLOOD VESSEL, THE APPLICATION OF A MANDREL HAVING PROXIMAL AND DISTAL ENDS TO THE CATHETER TUBE LEAVING THE PROXIMAL END OF THE MANDREL EXPOSED FROM THE PROXIMAL END OF THE CATHETER TUBE, AND LEAVING THE DISTAL END OF THE
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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3570485A (en) * 1968-05-06 1971-03-16 Baxter Laboratories Inc Flexible catheter and inserting apparatus
US3750653A (en) * 1970-09-08 1973-08-07 School Of Medicine University Irradiators for treating the body
US3792703A (en) * 1972-07-10 1974-02-19 Deseret Pharma Catheter placement unit
US3827434A (en) * 1972-06-21 1974-08-06 Vicra Sterile Inc Catheter insertion device
US3960153A (en) * 1969-09-30 1976-06-01 Jane Towne Carey Apparatus for the palliative treatment of pleural effusions
US4068659A (en) * 1976-07-12 1978-01-17 Deseret Pharmaceutical Co., Inc. Catheter placement assembly
US4274408A (en) * 1979-03-26 1981-06-23 Beatrice Nimrod Method for guide-wire placement and novel syringe therefor
US4451256A (en) * 1981-05-06 1984-05-29 Intermedicat Gmbh Catheter set
USRE31873E (en) * 1976-09-08 1985-04-30 Venous catheter device
US4581012A (en) * 1984-12-05 1986-04-08 I-Flow Corporation Multilumen catheter set
US4894057A (en) * 1987-06-19 1990-01-16 Howes Randolph M Flow enhanced multi-lumen venous catheter device
US5336205A (en) * 1993-02-25 1994-08-09 Target Therapeutics, Inc. Flow directed catheter
US5538512A (en) * 1993-02-25 1996-07-23 Zenzon; Wendy J. Lubricious flow directed catheter
US5730733A (en) * 1995-06-01 1998-03-24 Scimed Life Systems, Inc. Flow assisted catheter
US5797869A (en) * 1987-12-22 1998-08-25 Vas-Cath Incorporated Multiple lumen catheter
US5899892A (en) * 1996-05-31 1999-05-04 Scimed Life Systems, Inc. Catheter having distal fiber braid
US6193705B1 (en) 1998-10-28 2001-02-27 Scimed Life Systems, Inc. Flow assisted catheter
US20040220549A1 (en) * 2003-04-14 2004-11-04 Dittman Jay A. Large diameter delivery catheter/sheath
US20050090802A1 (en) * 2003-04-28 2005-04-28 Connors John J.Iii Flexible sheath with varying durometer

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2389355A (en) * 1943-01-27 1945-11-20 Goland Surgical needle
US2393003A (en) * 1944-05-03 1946-01-15 Smith Minton Larkin Kidney catheter
DE885917C (en) * 1951-05-17 1953-08-10 Martin Dr Med Boesl Permanent catheter made of elastic material
FR1064445A (en) * 1952-10-15 1954-05-13 Bruneau & Cie Lab Device for injections, particularly intravenous
US2937643A (en) * 1957-10-11 1960-05-24 Eric C Elliot Device for fluid transference
US3000380A (en) * 1958-09-22 1961-09-19 George O Doherty Means and methods of injecting or infusing fluids into patients
US3016899A (en) * 1958-11-03 1962-01-16 Carl B Stenvall Surgical instrument
US3017884A (en) * 1958-05-01 1962-01-23 George O Doherty Apparatus for injecting or infusing fluids into patients and method of making same
US3030953A (en) * 1957-10-17 1962-04-24 Wilbur R Koehn Apparatus for applying catheter
US3097646A (en) * 1960-12-06 1963-07-16 Abbott Lab Venous catheter apparatus
US3220411A (en) * 1962-06-27 1965-11-30 Vasil P Czorny Intravenous catheter placement unit

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2389355A (en) * 1943-01-27 1945-11-20 Goland Surgical needle
US2393003A (en) * 1944-05-03 1946-01-15 Smith Minton Larkin Kidney catheter
DE885917C (en) * 1951-05-17 1953-08-10 Martin Dr Med Boesl Permanent catheter made of elastic material
FR1064445A (en) * 1952-10-15 1954-05-13 Bruneau & Cie Lab Device for injections, particularly intravenous
US2937643A (en) * 1957-10-11 1960-05-24 Eric C Elliot Device for fluid transference
US3030953A (en) * 1957-10-17 1962-04-24 Wilbur R Koehn Apparatus for applying catheter
US3017884A (en) * 1958-05-01 1962-01-23 George O Doherty Apparatus for injecting or infusing fluids into patients and method of making same
US3000380A (en) * 1958-09-22 1961-09-19 George O Doherty Means and methods of injecting or infusing fluids into patients
US3016899A (en) * 1958-11-03 1962-01-16 Carl B Stenvall Surgical instrument
US3097646A (en) * 1960-12-06 1963-07-16 Abbott Lab Venous catheter apparatus
US3220411A (en) * 1962-06-27 1965-11-30 Vasil P Czorny Intravenous catheter placement unit

Cited By (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3570485A (en) * 1968-05-06 1971-03-16 Baxter Laboratories Inc Flexible catheter and inserting apparatus
US3960153A (en) * 1969-09-30 1976-06-01 Jane Towne Carey Apparatus for the palliative treatment of pleural effusions
US3750653A (en) * 1970-09-08 1973-08-07 School Of Medicine University Irradiators for treating the body
US3827434A (en) * 1972-06-21 1974-08-06 Vicra Sterile Inc Catheter insertion device
US3792703A (en) * 1972-07-10 1974-02-19 Deseret Pharma Catheter placement unit
US4068659A (en) * 1976-07-12 1978-01-17 Deseret Pharmaceutical Co., Inc. Catheter placement assembly
USRE31873E (en) * 1976-09-08 1985-04-30 Venous catheter device
US4274408A (en) * 1979-03-26 1981-06-23 Beatrice Nimrod Method for guide-wire placement and novel syringe therefor
US4451256A (en) * 1981-05-06 1984-05-29 Intermedicat Gmbh Catheter set
US4581012A (en) * 1984-12-05 1986-04-08 I-Flow Corporation Multilumen catheter set
US4894057A (en) * 1987-06-19 1990-01-16 Howes Randolph M Flow enhanced multi-lumen venous catheter device
US7229429B2 (en) 1987-12-22 2007-06-12 Vas-Cath Inc. Multiple lumen catheter
US6206849B1 (en) 1987-12-22 2001-03-27 Vas-Cath Incorporated Multiple lumen catheter
US20010044594A1 (en) * 1987-12-22 2001-11-22 Vas-Cath Incorporated Multiple lumen catheter
US5797869A (en) * 1987-12-22 1998-08-25 Vas-Cath Incorporated Multiple lumen catheter
US5538512A (en) * 1993-02-25 1996-07-23 Zenzon; Wendy J. Lubricious flow directed catheter
US5336205A (en) * 1993-02-25 1994-08-09 Target Therapeutics, Inc. Flow directed catheter
US5947939A (en) * 1995-06-01 1999-09-07 Scimed Life Systems, Inc. Flow assisted catheter
US5730733A (en) * 1995-06-01 1998-03-24 Scimed Life Systems, Inc. Flow assisted catheter
US5961511A (en) * 1996-05-31 1999-10-05 Scimed Life Systems, Inc. Catheter having LCP reinforced distal portion
US5899892A (en) * 1996-05-31 1999-05-04 Scimed Life Systems, Inc. Catheter having distal fiber braid
US6193705B1 (en) 1998-10-28 2001-02-27 Scimed Life Systems, Inc. Flow assisted catheter
US20040220549A1 (en) * 2003-04-14 2004-11-04 Dittman Jay A. Large diameter delivery catheter/sheath
US7704245B2 (en) 2003-04-14 2010-04-27 Cook Incorporated Large diameter delivery catheter/sheath
US7968038B2 (en) 2003-04-14 2011-06-28 Cook Medical Technologies Llc Large diameter delivery catheter/sheath
US20050090802A1 (en) * 2003-04-28 2005-04-28 Connors John J.Iii Flexible sheath with varying durometer
US11000670B2 (en) 2003-04-28 2021-05-11 Cook Medical Technologies Llc Flexible sheath with varying durometer

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