Patent Publication Number: US-2023157855-A1

Title: Vessel lining device and related methods

Description:
REFERENCE TO RELATED APPLICATIONS 
     This application is a continuation of U.S. Application Serial No. 16/807,781, filed Mar. 3, 2020, which is incorporated herein by reference. 
    
    
     TECHNICAL FIELD 
     The present disclosure relates to devices and methods for lining a vessel. 
     BACKGROUND 
     Percutaneous procedures often involve accessing vasculature with elongated instruments, e.g., catheters, deployed in an ordered sequence. Common vasculature access points for such procedures include the femoral artery in a patient’s groin area and the radial artery in the patient’s forearm, each of which provides direct access to the central vasculature system, including the central venous system. For vascular procedures entry into the femoral arteries involves using a hollow needle to poke through a patient’s skin, subcutaneous tissue and targeted vessel wall, thereby creating a puncture hole through each layer. After the needle poke, a guidewire is inserted through the needle until a distal end of the guidewire passes through the puncture hole and protrudes into the vessel lumen. From this puncture, all interventional equipment is then advanced into the artery to complete the operation. 
     As a result of these procedures, the inner lining of the vessel wall is exposed to various surgical equipment within the vessel. The vessel wall is therefore at risk to be damaged from the placement and advancement of these instruments. Potential complications can range from micro-scratching/tearing of the vessel walls to the unintentional dislodging of calcium or clots. These issues can lead to further complications during or after the surgical procedure. 
     SUMMARY 
     There is a need to provide better protection inside a vessel during surgical procedures in the vessel. An embodiment of the present disclosure is a deployment device configured to line a vessel. The deployment device includes a housing having a proximal end and a distal end opposite the proximal end, the housing defining a guidewire channel that extends from the distal end of the housing toward the proximal end. The deployment device further includes a tube elongated along a longitudinal axis. The tube has a proximal end and a distal end spaced from the proximal end of the tube along the longitudinal axis. The deployment device further includes a sheath assembly having a hub removably coupled to the distal end of the housing such that the housing is removable from the sheath assembly; and a mesh removably coupled to the tube and being positioned along the tube. At least one of the tube and the mesh are movable along the longitudinal axis in order to de-couple the mesh from the tube. 
     Another embodiment of the present disclosure is a method of lining a vessel. The method includes inserting a guidewire into the vessel through a puncture in the vessel. The method further includes sliding a deployment device along the guidewire and into the vessel until a distal end of the deployment device is inside the vessel. The method further includes actuating at least one of a tube and a mesh positioned along the tube to cause a lock to release the mesh from the distal end of the deployment device such that the mesh expands inside the vessel. The method further includes removing the tube from within the mesh in the vessel while maintaining the mesh in the vessel. 
     A further embodiment of the present disclosure is a deployment device configured to line a vessel. The deployment device includes a housing having a proximal end a distal end opposite the proximal end, and a guidewire channel that extends from the proximal end to the distal end of the housing. The deployment device further includes a tube extending relative to the housing in a distal direction. The deployment device further includes a sheath assembly having a hub removably coupled to the distal end of the housing, and a mesh removably coupled to the tube. The mesh is positioned along the tube in a compressed state. The deployment device further includes a lock that removably couples the mesh to the tube. The lock is configured to release the mesh from the tube. 
     A further embodiment of the present disclosure is a deployment device configured to line a vessel. The deployment device includes a housing having a proximal end, a distal end opposite the proximal end, and a guidewire channel that extends from the proximal end to the distal end of the housing. The deployment device further includes an inner tube extending relative to the housing in a distal direction. The deployment device further includes an outer tube extending relative to the housing in a distal direction and configured to surround the inner tube. The deployment device further includes a sheath assembly. The sheath assembly includes a hub removably coupled to the distal end of the housing. The sheath assembly further includes a mesh removably coupled to the outer tube, the mesh being positioned along the outer tube in a compressed state and configured to release from the outer tube when moved. The deployment device further includes a lock that removably couples the mesh to the outer tube and is configured to transition from a locked position to an unlocked position. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
       The foregoing summary, as well as the following detailed description, will be better understood when read in conjunction with the appended drawings. The drawings show illustrative embodiments of the disclosure. It should be understood, however, that the application is not limited to the precise arrangements and instrumentalities shown. 
         FIG.  1    is a perspective view of a deployment device according to an embodiment of the present disclosure; 
         FIG.  2    is a side view of a distal end of a tube of the deployment device shown in  FIG.  1   ; 
         FIG.  3    is a perspective view of the deployment device shown in  FIG.  1    in an unlocked position; 
         FIG.  4    is a side view of a distal end of a tube of the deployment device shown in  FIG.  3   ; 
         FIG.  5    is a perspective view of a deployment device according to another embodiment of the present disclosure; 
         FIG.  6    is a perspective view of a deployment device according to another embodiment of the present disclosure; 
         FIG.  7    is a perspective view of a deployment device according to another embodiment of the present disclosure; 
         FIG.  8    is a perspective view of a deployment device according to another embodiment of the present disclosure; 
         FIG.  9    is a perspective view of a deployment device according to another embodiment of the present disclosure; 
         FIG.  10 A  is a schematic side view of a deployment device prior to implementation in a vessel, according to an embodiment of the present disclosure; 
         FIG.  10 B  is a schematic side view of the deployment device shown in  FIG.  10 A  implemented in the vessel; 
         FIG.  10 C  is a schematic side view of the deployment device shown in  FIGS.  10 A and  10 B  deploying the mesh inside the vessel; 
         FIG.  10 D  is a schematic side view of the deployment device shown in  FIGS.  10 A,  10 B, and  10 C  being removed from the vessel; 
         FIG.  11    is a perspective view of a deployment device  1100  according to another embodiment of the present disclosure; 
         FIG.  12    is a perspective view of a deployment device  1100  according to another embodiment of the present disclosure; and 
         FIG.  13    is a process flow diagram illustrating a method for lining a vessel. 
     
    
    
     DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS 
     As shown in  FIGS.  1  and  3   , embodiments of the present disclosure include a deployment device  100  configured for use inside a vessel. The deployment device  100  is used to line an interior of a vessel in a patient’s body during a surgical procedure performed by a user. The deployment device  100  may be actuated by the user in various ways to line the interior of the vessel, as further explained below. 
     Referring to  FIGS.  1  and  3   , an exemplary deployment device includes a housing assembly  104 , a sheath assembly  108  having a mesh  112 , an actuator  116  and a tube  120  coupled to the housing assembly  104 . The deployment device extends along a central axis A and has a first end  124 , where the housing assembly  104  is positioned, and a second end  128  opposite the first end  124  along the central axis A, where the tube  120  and sheath assembly  108  are positioned. 
     The housing assembly  104  is configured to allow a user to manipulate the deployment device  100  with the user’s hands and insert the deployment device  100  into a patient’s vessel via a puncture site. The housing assembly  104  has a proximal end  132  and a distal end  136  opposite the proximal end  132 . The interior of the housing assembly  104  is sized to permit a guidewire (not depicted) to pass therethrough to insert the deployment device  100   into the vessel. The housing assembly  104  is operably coupled to the tube  120  at the distal end  136 . In addition, the housing assembly  104  is removably coupled to the sheath assembly  108  at the distal end  136 . 
     The sheath assembly  108  includes the mesh  112  and a hub  114  removably coupled to the distal end  136  of the housing assembly  104 . In the illustrated embodiment, the mesh  112  is positioned along the tube  120 . The mesh  112  is configured to be compressed against the tube  120  when the deployment device  100  is inserted into the vessel, and expand inside the vessel when released or decoupled from the tube  120 . The mesh thus lines the interior of the vessel when it is released. In its compressed state, the mesh  112  surrounds the tube  120  and is removably coupled to the hub  114  and to the tube  120 . In the illustrated embodiment, the inner diameter of the mesh  112  when compressed against the tube  120  is 7 French (“FR”), or approximately 1 mm. In other embodiments, the inner diameter of the mesh  112  may vary. In the illustrated embodiment, the inner diameter of the mesh  112  when expanded is sized to conform or contact the vessel. In alternative embodiments, the inner diameter of the mesh  112  when expanded may vary. The mesh  112  must be comprised of a flexible material in order to be compressed around the tube  120  and also expand to line the interior of the vessel. However, the mesh  112  must also be strong enough to protect the interior vessel from the insertion and removal of various equipment. In the illustrated embodiment, the mesh  112  is made of nitinol. In alternative embodiments, the mesh  112  may be made of various materials, including stainless steel, other metallic alloys, nylon, polyurethane, or other polymers. 
     The actuator  116  is configured to extend the tube  120  in a distal direction from a first position to a second position that is distal to the first position along the central axis A when the actuator  116  is engaged, thereby releasing the mesh  112  from the tube  120  and into the vessel. The actuator  116  is coupled to the proximal end  132  of the housing assembly  104 . The actuator  116  is also operably coupled to the tube  120 . In the illustrated embodiment, the actuator is a release lever; however, in alternative embodiments, the type of actuator may vary. The release lever rotates about the y-axis, which causes a transfer of rotational motion of the lever to translational motion of the tube  120  in the distal direction about the perpendicular x-axis. The tube  120  extends in a distal direction along the central axis A. The movement of the tube  120  releases the compressed mesh  112 . 
     The tube  120  is configured to be inserted inside the vessel via the puncture site and is further configured to transport the mesh  112  inside the vessel. The tube  120  is sized to permit a guidewire (not depicted) to pass therethrough. The tube  120  is elongated along the central axis A and has a proximal end  140  and a distal end  144 . The tube  120  has a length that extends from the proximal end  140  to the distal end  144  along the central axis A. In the illustrated embodiment, the length of the tube can vary as clinically required. In alternative embodiments, the length of the tube  120  may vary. The proximal end  140  of the tube  120  is coupled to the distal end  136  of the housing assembly  104 . 
     Referring to  FIGS.  2  and  4   , the distal end  144  of the tube  120  includes a lock  148  and a tip  152 . In the illustrated embodiment, the lock  148  is configured to transition between a locked position and an unlocked position when the tube  120  is actuated by the actuator  116 . In the illustrated embodiment, the mesh  112  is fixed to the tube  120  in the locked position, and the mesh  112  is not fixed to the tube  120  in the unlocked position. The lock  148  is configured to hold the mesh  112  in a compressed state against the distal end of the tube  120  when the lock  148  is in the locked position. The lock  148  is further configured to release the mesh from the distal end of the tube when the lock is in the unlocked position. In the illustrated embodiment, the lock  148  is a metallic ring. In alternative embodiments, the shape and composition of the lock  148  may vary. 
     The lock  148  is positioned on a portion of the tip  152 . The tip  152  is sized and shaped to be inserted smoothly into the vessel and allow the lock  148  to transition from a locked position to an unlocked position. In the illustrated embodiment, a distal portion of the tip  152  is conical in shape. In another embodiment, the distal portion of the tip  152  may be round in shape. In alternative embodiments, the shape of the tip  152  may vary. In the present disclosure, the tip  152  includes a proximal surface  156 , a protrusion  160  located in a distal direction along the central axis A from the proximal surface  156 , and a distal stop surface  164  located in a distal direction along the central axis A from the proximal surface  156  and the protrusion  160 . The protrusion  160  is therefore positioned between and spaced from the proximal surface  156  and the distal stop surface  164 . The proximal surface  156  and protrusion  160  are separated by a proximal groove  168 . Similarly, the distal stop surface  164  and the protrusion  160  are separated by a distal groove  268 . 
     The lock is disposed between the proximal surface  156  and the distal stop surface  164 . The distal stop surface  164  is sized to prevent the lock  148  from advancing over the tip  152 . In the present disclosure, the diameter of the distal stop surface  164  is larger than the diameter of the lock  148  to stop the lock  148  from moving past the distal stop surface  164  in the distal direction. The proximal surface  156  tapers in a distal direction toward the proximal groove  168  and the protrusion  160  to aid in insertion of the tip into the patient’s vessel. 
     The lock  148  is positioned on the protrusion  160  and compresses the mesh  112  against the protrusion  160  in the locked position. The lock  148  is released from the protrusion  160  and moves in the proximal direction toward the proximal surface  156  in the unlocked position. The diameter of the tube  120  is sized to stop the lock  148  from advancing past the proximal surface  156  in the proximal direction, and the lock  148  is displaced into the proximal groove  168 . Upon release of the lock  148  from the protrusion  160 , the lock  148  releases the mesh  112  from the tube  120 . The lock  148  transitions from the locked position to the unlocked position when the actuator  116  (not depicted) actuates the tube  120  to extend in a distal direction along the central axis A. 
       FIGS.  1  and  2    illustrate the deployment device  100  prior to engagement of the actuator  116 . Prior to engagement of the actuator  116 , the lock  148  is in the locked position. The mesh  112  surrounds the tube and is compressed between the lock  148  and the protrusion  160  at the distal end  144  of the tube  120 . This configuration allows the deployment device  100  to be compact in order to be inserted into the patient’s vessel.  FIGS.  3  and  4    illustrate the deployment device shown in  FIGS.  1 - 2   , upon engagement of the actuator  116 . In the illustrated embodiment, rotation of the actuator  116  about the y-axis causes translational motion of the tube  120  in the distal direction about the x-axis. Rotation of the actuator  116  causes the tube  120  to extend in a distal direction along the central axis A. Extension of the tube  120  transitions the lock  148  from the locked position on the protrusion  160  to the unlocked position on the proximal groove  168 , thereby releasing the compressed mesh  112  from the tube  120 . The mesh  112  then expands in the vessel to line the interior of the vessel. 
       FIG.  5    is a perspective view of a deployment device  500  according to another embodiment of the present disclosure. The deployment device  500  includes the same housing assembly  104 , tube  120 , and sheath assembly  108  of the deployment device  100  shown in  FIGS.  1 - 4    and described above. Therefore, the features and functionalities disclosed above for the deployment device  100  apply to the deployment device  500  shown in  FIG.  5    and will have the same reference numbers. Referring to  FIG.  5   , in the illustrated embodiment, the actuator  516  is a screw having a screw head  517  and a threaded body  518  that is configured to be rotated by a user about the x-axis. The screw  516  is positioned such that the screw head  517  is disposed on the outer surface of the housing assembly  104  and at least a portion of the threaded body  518  is disposed within the housing assembly  104 . The threaded body  518  is operably coupled to the tube  120  inside the housing assembly  104 . 
     When a user rotates the screw  516  about the x-axis via the screw head  517 , the threaded body  518  of the screw  516  provides translational movement of the tube  120  about the same axis. Rotation of the screw  516  therefore extends the tube  120  in the distal direction along the central axis A. Extension of the tube  120  transitions the lock  148  from the locked position on the protrusion  160  to the unlocked position off of the protrusion  160  and in the proximal groove  168 , thereby releasing the compressed mesh  112 . The mesh  112  then expands in the patient’s vessel to line the interior of the vessel. 
       FIG.  6    is a perspective view of a deployment device  600  according to another embodiment of the present disclosure. The deployment device  600  includes the same housing assembly  104 , tube  120 , and sheath assembly  108  of the deployment device  100  shown in  FIGS.  1 - 4    and described above. Therefore, the features and functionalities disclosed above for the deployment device  100  apply to the deployment device  600  shown in  FIG.  6    and will have the same reference numbers. Referring to  FIG.  6   , in the illustrated embodiment, the actuator  616  is a button coupled to a spring (not depicted) that is configured to be depressed by a user about the x-axis. The button  616  is disposed on the outer surface of the housing assembly  104  and the spring is disposed within the housing assembly  104 . The spring is operably coupled to the tube  120  inside the housing assembly  104 . 
     When a user depresses the button  616  about the x-axis, the spring transfers compressive energy from the depression of the button  616  into translational movement in the tube  120  about the same axis. Depression of the button  616  extends the tube  120  in the distal direction along the central axis A. Extension of the tube  120  transitions the lock  148  from the locked position on the protrusion  160  to the unlocked position off of the protrusion  160  and in the proximal groove  168 , thereby releasing the compressed mesh  112 . The mesh  112  then expands in the patient’s vessel to line the interior of the vessel. 
       FIG.  7    is a perspective view of a deployment device  700  according to another embodiment of the present disclosure. The deployment device  700  includes the same housing assembly  104 , tube  120 , and sheath assembly  108  of the deployment device  100  shown in  FIGS.  1 - 4    and described above. Therefore, the features and functionalities disclosed above for the deployment device  100  apply to the deployment device  700  shown in  FIG.  7    and will have the same reference numbers. Referring to  FIG.  7   , in the illustrated embodiment, the actuator  716  is a pin coupled to a spring (not depicted) that is configured to be displaced by a user about the z-axis. The pin  716  is disposed on the outer surface of the housing assembly  104  and the spring is disposed within the housing assembly  104 . The spring is operably coupled to the tube  120  and is oriented about the x-axis. 
     Prior to displacement of the pin  716 , the spring is in a compressed state. When a user displaces the pin  716  about the z-axis, the spring is released about the x-axis, providing translational movement of the tube  120  in the distal direction about the x-axis. Displacement of the pin  716  extends the tube  120  in the distal direction along the central axis A. Extension of the tube  120  transitions the lock  148  from the locked position on the protrusion  160  to the unlocked position off of the protrusion  160  and in the proximal groove  168 , thereby releasing the compressed mesh  112 . The mesh  112  then expands in the patient’s vessel to line the interior of the vessel. 
       FIG.  8    is a perspective view of a deployment device  800  according to another embodiment of the present disclosure. The deployment device  800  includes the same housing assembly  104 , tube  120 , and sheath assembly  108  of the deployment device  100  shown in  FIGS.  1 - 4    and described above. Therefore, the features and functionalities disclosed above for the deployment device  100  apply to the deployment device  800  shown in  FIG.  8    and will have the same reference numbers. Referring to  FIG.  8   , in the illustrated embodiment, the actuator  816  is a tab configured to be moved in a distal direction along a track  817  about the x-axis. The tab  816  and track  817  are disposed on the outer surface of the housing assembly  104  and are both coupled to the tube  120 . The track  817  comprises at least one ridge along the track to prevent the tab  816  from progressing along the track  817  in a proximal direction. 
     When a user progresses the tab  816  along the track  817  about the x-axis, the tab  816  and track  817  provide translational movement of the tube  120  in the distal direction about the same axis. Extension of the tube  120  transitions the lock from the locked position on the protrusion  160  to the unlocked position off of the protrusion  160  and in the proximal groove  168 , thus releasing the compressed mesh  112 . The mesh  112  then expands in the patient’s vessel to line the interior of the vessel. When the tab  816  is progressed over the at least one ridge, the tab  816  locks in the current position, preventing the tab  816  from progressing in the proximal direction and preventing translational movement of the tube  120  in a proximal direction about the x-axis. 
       FIG.  9    is a perspective view of a deployment device  900  according to another embodiment of the present disclosure. The deployment device  900  includes the same housing assembly  104 , tube  120 , and sheath assembly  108  of the deployment device  100  shown in  FIGS.  1 - 4    and described above. Therefore, the features and functionalities disclosed above for the deployment device  100  apply to the deployment device  900  shown in  FIG.  9    and will have the same reference numbers. Referring to  FIG.  9   , in the illustrated embodiment, the actuator  916  is a gear coupled to a track system (not depicted) that is configured to be rotated by a user about the y-axis. The gear  916  is disposed on the outer surface of the housing assembly  104  while the track system is disposed in the interior of the housing assembly  104 . The track system is coupled to the tube  120 . 
     When a user rotates the gear  916  about the y-axis, the track system provides translational movement of the tube  120  in the distal direction about the x-axis. The tube  120  extends in a distal direction along the central axis A, causing the lock  148  to transition from the locked position on the protrusion  160  to the unlocked position off of the protrusion  160  and in the proximal groove  168 , thereby releasing the compressed mesh  112 . The mesh  112  then expands in the patient’s vessel to line the interior of the vessel. 
       FIGS.  10 A- 10 D  illustrate the deployment device  100  shown in  FIGS.  1 - 4   , as the deployment device  100  is inserted and releases the mesh  112  in a vessel  102 . Referring to  FIG.  10 A , a guidewire  106  is inserted into a puncture site  110  of the vessel  102 . In the illustrative embodiment, the guidewire  106  is fed through the tip  152  of the deployment device. In alternative embodiments, the deployment device  100  may be placed onto the guidewire  106  by any means known in the art. At this stage, the actuator  116  is not engaged. The mesh  112  surrounds the tube  120  and is compressed against the protrusion  160  by the lock  148 . 
     Referring to  FIG.  10 B , the deployment device  100  is inserted into the vessel  102  through the puncture site  110 . At this stage, the actuator  116  is not engaged, and the mesh  112   remains compressed between the lock  148  and the protrusion  160 . The deployment device  100  is progressed into the vessel  102  until the hub  114  contacts the patient’s skin  118 . 
     Referring to  FIG.  10 C , the actuator  116  can be engaged by the user once the hub  114  contacts the patient’s skin  118 . Engagement of the actuator  116  causes the tube  120  to extend in a distal direction along the central axis A past its original position. Extension of the tube  120  in the distal direction releases the lock  148  from its position on the protrusion  160  and causes the lock  148  to fall in the proximal groove  168 . Movement of the lock  148  releases the mesh  112 , which causes the mesh  112  to expand inside the vessel  102 . The mesh  112  is configured to expand to line the interior of the vessel  102 . 
     Referring to  FIG.  10 D , the deployment device  100  is uncoupled from the sheath assembly  108  and is removed from the vessel  102 . The hub  114  remains in contact with the patient’s skin  118  over the puncture site  110  and the mesh  112  remains inside the vessel so that the remainder of the procedure can be completed. The hub  114  and the mesh  112  may be subsequently removed upon completion of the procedure and the puncture site  110  may subsequently be sealed. 
       FIG.  11    is a side view of a deployment device  1100  according to another embodiment of the present disclosure. The deployment device  1100  includes the same housing assembly  104 , tube  120 , actuator  116 , and hub  114  of the deployment device  100  shown in  FIGS.  1 - 4    and described above. Therefore, the features and functionalities disclosed above for the deployment device  100  apply to the deployment device  1100  shown in  FIG.  11    and will have the same reference numbers. Referring to  FIG.  11   , the deployment device further includes a mesh  1112  and a lock  148 . The mesh  1112  is configured to be compressed against the tube  120  when the deployment device  1100  is inserted into a patient’s vessel, and expand inside the vessel when released from the tube  120 . The mesh thus lines the interior of the vessel when it is released. In its compressed state, the mesh  1112  surrounds the tube  120  and is removably coupled to the hub  114  and to the tube  120 . The mesh  1112  is operably coupled to the actuator  116 . 
     The distal end  144  of the tube  120  includes the lock  1148 . The lock  1148  is configured to hold the mesh  1112  in a compressed state against the tube  120  in a locked position prior to engagement of the actuator  116 . The lock  1148  is disposed on a portion of the tip  152 . The lock  1148  is positioned on the protrusion  160  and compresses the mesh  1112  against the protrusion  160  prior to engagement of the actuator  116 . This configuration allows the deployment device  1100  to be compact in order to be inserted into the patient’s vessel. Once the deployment device  1100  is inserted into the patient’s vessel, the actuator  116  may be engaged. 
     In the illustrated embodiment, engagement of the actuator  116  about the x-axis causes translational motion of the mesh  1112  in the x-axis. For example, rotation of the actuator  116  causes the mesh  1112  to retract in a proximal direction along the central axis A. Retraction of the mesh  1112  releases the mesh  1112  from beneath the lock  1148 . The mesh  1112  then expands in the vessel to line the interior of the vessel. In the illustrated embodiment, retraction of the mesh  1112  causes the lock  1148  to be transition from the locked position on the protrusion  160  to an unlocked position on the proximal groove  168 . In alternative embodiments, the lock may stay in place on the protrusion  160  when the mesh  1112  retracts. 
       FIG.  12    is a side view of a deployment device  1200  according to another embodiment of the present disclosure. The deployment device  1200  includes the same housing assembly  104 , actuator  116 , and hub  114  of the deployment device  100 ,  1100  shown in  FIGS.  1 - 4 ,  11    and described above. Therefore, the deployment device  100 ,  1100  and the deployment device  1200  shown in  FIG.  12    and will have the same reference numbers. Referring to  FIG.  12   , the deployment device further includes an inner tube  1221  and an outer tube  1222  that surrounds the inner tube  1221 . The inner tube  1221  and the outer tube  1222  are hollow tubes and are concentric to each other. 
     The inner tube  1221  and the outer tube  1222  are configured to be inserted inside the vessel via the puncture site. The inner tube  1221  is sized to permit a guidewire (not depicted) to pass therethrough. The inner tube  1221  therefore has a diameter of approximately 6 FR, while the outer tube  1222  has a diameter of approximately 8 FR. The inner tube  1221  and outer tube  1222  are elongated along the central axis A and have a proximal end  1240  and a distal end  1244 . The inner tube  1221  and the outer tube  1222  have a length that extends from the proximal end  1240  to the distal end  1244  along the central axis A. The proximal end  1240  is coupled to the distal end  136  of the housing assembly  104 . The distal end  1244  tapers in a distal direction and includes a screw insert  1250 . 
     The deployment device  1200  further includes a tip  1252 . The tip  1252  is sized and shaped to be inserted smoothly into the vessel. In the illustrated embodiment, a distal portion of the tip  1252  is conical in shape. In another embodiment, the distal portion of the tip  1252  may be round in shape. In alternative embodiments, the shape of the tip  1252  may vary. In the present disclosure, the tip  1252  includes a screw head  1251  located in a proximal direction along the central axis A, a protrusion  1260  located in a distal direction along the central axis A from the screw head  1251 , and a distal stop surface  1264  located in a distal direction along the central axis A from the screw head  1251  and the protrusion  1260 . The protrusion  1260  is therefore positioned between and spaced from the screw head  1251  and the distal stop surface  1264 . The screw head  1251  and protrusion  1260  are separated by a proximal groove  1268 . Similarly, the distal stop surface  1264  and the protrusion  1260  are separated by a distal groove  1269 . 
     The tip  1252  is configured to be attached to the inner tube  1221  and the outer tube  1222 . Specifically, the screw head  1251  is configured to be inserted into the screw insert  1250 . The tip  1252  includes a hollow channel that extends along the length of the tip  1252  to allow a guidewire to pass through both the tip  1252  and the inner tube  1221  when the tip  1252  and the inner tube  1221  and outer tube  1222  are attached. 
     The deployment device  1200  further includes a mesh  1212 . The mesh  1212  is configured to be compressed against the outer tube  1222  when the deployment device  1200  is inserted into a patient’s vessel, and expand inside the vessel when released from the outer tube  1222 . The mesh thus lines the interior of the vessel when it is released. In its compressed state, the mesh  1212  surrounds the outer tube  1222  and is removably coupled to the hub  114  and to the outer tube  1222 . The mesh  1212  is operably coupled to the actuator  116 . 
     The deployment device  1200  further includes a lock  1248 . The lock  1248  is configured to hold the mesh  1212  in a compressed state against the outer tube  1222  in a locked position prior to engagement of the actuator  116 . The lock  1248  is disposed on a portion of the tip  1252 . The lock  1248  is positioned on the protrusion  1260  and compresses the mesh  1212  against the protrusion  1260  prior to engagement of the actuator  116 . This configuration allows the deployment device  1200  to be compact in order to be inserted into the patient’s vessel. Once the deployment device  1200  is inserted into the patient’s vessel, the actuator  116  may be engaged. 
     In the illustrated embodiment, engagement of the actuator  116  about the y-axis causes translational motion of the mesh  1212  in the x-axis. For example, rotation of the actuator  116  causes the mesh  1212  to retract in a proximal direction along the central axis A. Retraction of the mesh  1212  releases the mesh  1212  from beneath the lock  1248 . The mesh  1212  then expands in the vessel to line the interior of the vessel. In the illustrated embodiment, retraction of the mesh  1212  causes the lock  1248  to transition from the locked position on the protrusion  1260  to an unlocked position on the distal groove  1269 . In alternative embodiments, the lock may stay in place on the protrusion  1260  when the mesh  1212  retracts. 
     Now referring to  FIG.  13   , a method  1300  for lining a patient’s vessel using the deployment device  100 ,  1100 ,  1200  shown in  FIGS.  1 - 4 , and  10 A- 12    will be described. In step  1304 , a guidewire  106  is inserted through a puncture site  110  of a patient’s vessel  102 . The guidewire  106  passes through the puncture site  110  and protrudes into the vessel lumen. In step  1308 , the second end  128  of the deployment device  100 ,  1100 ,  1200  is placed onto the proximal end of the guidewire  106  via the tip  152 ,  1252  and the deployment device  100 ,  1100 ,  1200  is slid along the guidewire  106 . In step  1312 , the deployment device  100 ,  1100 ,  1200  is progressed further along the guidewire  106  until a distal end of the deployment device  100 ,  1100 ,  1200  has entered the patient’s vessel tract. The deployment device  100 ,  1100 ,  1200  is progressed along the guidewire  106  and into the patient’s vessel tract until the hub  114  is in contact with the patient’s skin. In step  1316 , when the hub  114  is in contact with the patient’s skin, the actuator  116  actuates at least one of the tube  120  and the mesh  112 ,  1112 ,  1212 . In step  1320 , the lock  148 ,  1148 ,  1248  releases the mesh  112 ,  1112 ,  1212  from the tube  120 ,  1222  such that the mesh  112 ,  1112 ,  1212  expands inside the vessel to line the interior of the vessel. In step  1324 , the housing assembly  104  and the tube  120 ,  1221 ,  1222  of the deployment device  100 ,  1100 ,  1200  is removed from the vessel, leaving behind the mesh  112 ,  1112 ,  1212  and guidewire  106  inside the vessel, as well as the hub  114  in contact with the patient’s skin  118 . The remainder of the surgical procedure may then be completed before the mesh  112 ,  1112 ,  1212  the hub  114 , and the guidewire  106  are removed, and the puncture site  110  is subsequently sealed. 
     The present disclosure is described herein using a limited number of embodiments, these specific embodiments are not intended to limit the scope of the disclosure as otherwise described and claimed herein. Modification and variations from the described embodiments exist. More specifically, the following examples are given as a specific illustration of embodiments of the claimed disclosure. It should be understood that the invention is not limited to the specific details set forth in the examples.