CA2488751A1 - Vascular wound closure device and method - Google Patents

Vascular wound closure device and method Download PDF

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Publication number
CA2488751A1
CA2488751A1 CA002488751A CA2488751A CA2488751A1 CA 2488751 A1 CA2488751 A1 CA 2488751A1 CA 002488751 A CA002488751 A CA 002488751A CA 2488751 A CA2488751 A CA 2488751A CA 2488751 A1 CA2488751 A1 CA 2488751A1
Authority
CA
Canada
Prior art keywords
delivery tube
assembly
catheter
pusher member
hemostatic material
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.)
Granted
Application number
CA002488751A
Other languages
French (fr)
Other versions
CA2488751C (en
Inventor
Yong Hua Zhu
Wolff M. Kirsch
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Loma Linda University
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2488751A1 publication Critical patent/CA2488751A1/en
Application granted granted Critical
Publication of CA2488751C publication Critical patent/CA2488751C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • 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
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N7/00—Television systems
    • H04N7/08—Systems for the simultaneous or sequential transmission of more than one television signal, e.g. additional information signals, the signals occupying wholly or partially the same frequency band, e.g. by time division
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N7/00—Television systems
    • H04N7/08—Systems for the simultaneous or sequential transmission of more than one television signal, e.g. additional information signals, the signals occupying wholly or partially the same frequency band, e.g. by time division
    • H04N7/087—Systems for the simultaneous or sequential transmission of more than one television signal, e.g. additional information signals, the signals occupying wholly or partially the same frequency band, e.g. by time division with signal insertion during the vertical blanking interval only
    • H04N7/088—Systems for the simultaneous or sequential transmission of more than one television signal, e.g. additional information signals, the signals occupying wholly or partially the same frequency band, e.g. by time division with signal insertion during the vertical blanking interval only the inserted signal being digital
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491—Surgical glue applicators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/0065—Type of implements the implement being an adhesive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00659—Type of implements located only on one side of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter

Abstract

A method and apparatus for closing a vascular wound includes a guidewire and/or other surgical implement extending from the wound. A hemostatic material is advanced over the surgical implement and into contact with an area of the blood vessel surrounding the wound. The surgical implement is removed.
Blood soaks the hemostatic material, and blood clotting is facilitated by the hemostatic agent within the material. A sealing layer of adhesive can be applied to the hemostatic material, confining the blood flow to the material.
Thus, the vascular puncture wound is sealed by natural blood clot formation.

Claims (18)

1. An assembly for closing a vascular wound comprising:
a delivery tube defining a chamber configured to accommodate a hemostatic material therewithin, the delivery tube having a proximal end and a distal end;
an apparatus configured to position the distal end of the delivery tube adjacent the vascular wound; and a pusher member having a distal portion configured to fit at least partially through the proximal end of the delivery tube, a portion of the pusher member having a diameter larger than the diameter of at least a portion of the delivery tube;
wherein the pusher member and delivery tube are configured so that as the pusher member is moved distally relative to the delivery tube, the pusher member engages and deforms the delivery tube so that openings are created for hemostatic material to exit the chamber.
2. The assembly of Claim 1, wherein the apparatus comprises a catheter having a tapered distal portion sad at least one catheter hole proximal said distal portion.
3. The assembly of Claim 2, wherein the catheter extends through the delivery tube
4. The assembly of Claim 3, wherein the hemostatic material is disposed between the catheter and the delivery tube.
5. The assembly of Claim 2 further comprising:
a stop member disposed about a surface of the catheter; and a coupling member movably disposed about the catheter and configured to engage the stop member and engage a proximal coupling member on the pusher member to releasably couple the catheter and pusher member.
6. The assembly of Claim 5, wherein the pusher member also comprises a distal coupling member configured to releasably couple the pusher member and delivery tube.
7. The assembly of Claim 1 further comprising means for releasably coupling the delivery tube, the apparatus, and the pusher member in fixed relation to one another.
8. The assembly of Claim 1, wherein the delivery tube is generally conical.
9. The assembly of Claim 1, wherein the hemostatic material comprises Hemadex.TM.
10. The assembly of Claim 1, wherein the delivery tube comprises at least one weakened portion configured to preferentially break when the pusher member is moved distally relative to the delivery tube.
11. The assembly of Claim 10, wherein the at least one weakened portion comprises a wall section of reduced thickness.
12. The assembly of Claim 10, wherein the at least one weakened portion comprises a scored wall section.
13. The assembly of Claim 1, wherein the delivery tube comprises two separate halves coupled together.
14. The assembly of Claim 1, wherein the delivery tube comprises an elastic material.
15. The assembly of Claim 1, wherein the delivery tube comprises at least two retractor alms movably connected to each ether, the arms configured to be moved between as open position and a closed position, each of the retractor arms defining an inner surface, the inner surfaces defining a channel through the retractor arms when the arms are in the closed position, the channel configured to receive the catheter, at least a first portion of the channel being sized to engage the surface of the catheter to hold the catheter in a fixed position relative to the closed arms, sad at least a second portion of the channel is configured to define a space between the inner surface and the catheter.
16. The assembly of Claim 15, wherein a hemostatic material is disposed in the space.
17. The assembly of Claim 1 additionally comprising a first coupler configured to releasably couple the delivery tube and pusher member so that the gusher member dues not move proximally or distally relative to the delivery tube.
18. The assembly of Claim, 17 additionally comprising a second coupler configured to releasably couple the catheter to the pusher member so that when the first and second couplers are engaged the catheter, pusher member and delivery tube do net move proximally or distally relative to one another.
CA2488751A 2002-06-14 2003-06-16 Vascular wound closure device and method Expired - Fee Related CA2488751C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US38923902P 2002-06-14 2002-06-14
US60/389,239 2002-06-14
PCT/US2003/019072 WO2003105697A1 (en) 2002-06-14 2003-06-16 Vascular wound closure device and method

Publications (2)

Publication Number Publication Date
CA2488751A1 true CA2488751A1 (en) 2003-12-24
CA2488751C CA2488751C (en) 2012-04-17

Family

ID=29736615

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2488751A Expired - Fee Related CA2488751C (en) 2002-06-14 2003-06-16 Vascular wound closure device and method

Country Status (10)

Country Link
US (4) US7780699B2 (en)
EP (1) EP1513456B1 (en)
JP (2) JP4544991B2 (en)
CN (1) CN1306910C (en)
AT (1) ATE342000T1 (en)
AU (1) AU2003276105A1 (en)
CA (1) CA2488751C (en)
DE (1) DE60309030T2 (en)
ES (1) ES2274253T3 (en)
WO (1) WO2003105697A1 (en)

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US7780699B2 (en) 2010-08-24
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US9101731B2 (en) 2015-08-11
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JP2005529674A (en) 2005-10-06
CN1674829A (en) 2005-09-28

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