CA2492700A1 - Apparatus for sealing surgical punctures - Google Patents

Apparatus for sealing surgical punctures Download PDF

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Publication number
CA2492700A1
CA2492700A1 CA002492700A CA2492700A CA2492700A1 CA 2492700 A1 CA2492700 A1 CA 2492700A1 CA 002492700 A CA002492700 A CA 002492700A CA 2492700 A CA2492700 A CA 2492700A CA 2492700 A1 CA2492700 A1 CA 2492700A1
Authority
CA
Canada
Prior art keywords
disk
self
expanding
delivery
proximal
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
CA002492700A
Other languages
French (fr)
Other versions
CA2492700C (en
Inventor
Gerd Seibold
Kenneth J. Michlitsch
Randolf Von Oepen
Bodo Quint
Ib Erling Joergensen
Stevan Nielsen
Tommy Conzelmann
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.)
Abbott Laboratories Vascular Enterprises Ltd
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 CA2492700A1 publication Critical patent/CA2492700A1/en
Application granted granted Critical
Publication of CA2492700C publication Critical patent/CA2492700C/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
    • A61B17/0057—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
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • 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

Abstract

Apparatus is provided for sealing a puncture within a vessel or tissue to provide hemostasis, comprising a first disk coupled to either a second disk or a spring, and sealingly engaged to the vessel or tissue surrounding the puncture. At least the first disk is preferably configured to substantially conform to the profile of the vessel or tissue when deployed. In one embodiment, the disks may be released from engagement with the vessel or tissue to reposition the disks after deployment.

Claims (40)

1. A device for sealing a puncture extending through tissue proximal to an interior vessel surface, the device comprising:
a first disk having a self-expanding frame that forms a plurality of petals; and a proximal element coupled to the first disk, wherein the device has a retracted delivery configuration adapted for delivery to the puncture, and a deployed configuration in which the first disk is adapted to engage and substantially conform to the interior vessel surface, and the proximal element is configured to engage the tissue.
2. The device of claim 1, wherein the first disk is configured to be released from engagement with the interior vessel surface.
3. The device of claim 1 or 2, wherein the first disk is configured to be releasably coupled to the proximal element.
4. The device of claim 1, 2 or 3, wherein the proximal element comprises a second disk.
5. The device of claim 4, wherein the first disk is attached to a nut and the second disk is attached to a bolt, the nut configured to be releasably coupled to the bolt.
6. The device of claim 1, 2, 3, 4 or 5, further comprising at least one delivery shaft configured to facilitate coupling of the first disk to the proximal element.
7. The device of any one of claims 1 to 6, further comprising at least one delivery element constrained to translate a maximum distal depth.
8. The device of claim 6, wherein the at least one delivery shaft is configured to facilitate decoupling of the first disk from the proximal element.
9. The device of any one of claims 1 to 8, wherein the proximal element comprises a spring.
10. The device of any one of claims 1 to 9, wherein one or both of the first disk and the proximal element comprises barbs, hooks, sharp edges, or roughened surfaces.
11. The device of any one of claims 1 to 10, further comprising a membrane encasing at least the self-expanding frame of the first disk.
12. The device of any one of claims 1 to 11, further comprising a coagulant-enhancing agent disposed on one or both of the first disk and the proximal element.
13. The device of any one of claims 1 to 12, wherein the device comprises a biodegradable material.
14. A device for sealing a puncture extending through tissue proximal to an interior vessel surface, the device comprising:
a first self-expanding disk and a second self-expanding disk, wherein the device is configured to be released from engagement with the interior vessel surface after deployment of the device, thereby permitting the device to be repositioned.
15. The device of claim 14, wherein the second self-expanding disk substantially conforms to the interior vessel surface.
16. The device of claim 14 or 15, further comprising a membrane encasing at least the second self-expanding disk.
17. The device of claim 14, 15 or 16, further comprising a coagulant-enhancing agent disposed on one or both of the first and second self-expanding disks.
18. The device of claim 14, 15, 16 or 17, wherein the first self-expanding disk is configured to be releasably coupled to the second self-expanding disk.
19. The device of claim 14, 15, 16, 17 or 18, further comprising a nut and a bolt, wherein the first self-expanding disk is attached to the nut and the second self-expanding disk is attached to the bolt, the nut configured to be releasably coupled to the bolt.
20. The device of any one of claims 14 to 19, further comprising at least one delivery shaft configured to facilitate coupling of the first self-expanding disk to the second self-expanding disk.
21. The device of claim 20, wherein the at least one delivery shaft is configured to facilitate decoupling of the first self-expanding disk from the second self-expanding disk.
22. The device of any one of claims 14 to 21, wherein the first self-expanding disk comprises a frame and the second self-expanding disk comprises a frame.
23. The device of claim 22, wherein the frames of the first and second disks form a plurality of petals.
24. The device of any one of claims 14 to 23, wherein the device comprises a biodegradable material.
25. A device for sealing a puncture extending through tissue proximal to an interior vessel surface, the device comprising:
a nut coupled to a bolt, wherein the device is configured to be releasably engaged to the interior vessel surface.
26. The device of claim 25, wherein the bolt is configured to substantially conform to the interior vessel surface.
27. The device of claim 25 or 26, wherein the nut is configured to be releasably coupled to the bolt.
28. The device of claim 25, 26 or 27, wherein the nut comprises a first self-expanding disk and the bolt comprises a second self-expanding disk.
29. The device of claim 25, 26, 27 or 28, wherein the device is biodegradable.
30. A device for sealing a puncture extending through tissue proximal to an interior vessel surface, the device comprising:
a first disk having a self-expanding frame that forms a plurality of petals; and a proximal element coupled to the first disk, wherein at least part of the device is biodegradable.
31. The device of claim 30, wherein the device has a retracted delivery configuration adapted for delivery to the puncture, and a deployed configuration in which the first disk is adapted to engage and substantially conform to the interior vessel surface, and the proximal element is configured to engage the tissue.
32. The device of claim 30 or 31, wherein the device is configured to be releasably engaged to the interior vessel surface.
33. The device of claim 30, 31 or 32, wherein the first disk is configured to be releasably coupled to the proximal element.
34. The device of claim 30, 31, 32 or 33, wherein the proximal element comprises a second disk.
35. The device of claim 34, wherein the first disk is attached to a nut and the second disk is attached to a bolt, the nut configured to be releasably coupled to the bolt.
36. The device of any one of claims 30 to 35, wherein the proximal element comprises a spring.
37. The device of any one of claims 30 to 36, wherein one or both of the first disk and the proximal element comprises barbs, hooks, sharp edges, or roughened surfaces.
38. The device of any one of claims 30 to 37, further comprising a minimally invasive delivery element configured to deliver the first disk and the proximal element.
39. The device of any one of claims 30 to 38, further comprising at least one delivery element constrained to translate a maximum distal depth.
40. A device for sealing a puncture extending through tissue proximal to an interior vessel surface, the device comprising:
a first disk having a self-expanding frame that forms a plurality of petals;
a proximal element coupled to the first disk; and a minimally invasive delivery apparatus comprising first and second delivery elements configured to at least selectively limit distal translation of the first delivery element with respect to the second delivery element so that only the first disk is extended out of the minimally invasive delivery apparatus.
CA2492700A 2002-07-31 2003-07-25 Apparatus for sealing surgical punctures Expired - Fee Related CA2492700C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US40065802P 2002-07-31 2002-07-31
US60/400,658 2002-07-31
PCT/EP2003/008248 WO2004012603A2 (en) 2002-07-31 2003-07-25 Apparatus for sealing surgical punctures

Publications (2)

Publication Number Publication Date
CA2492700A1 true CA2492700A1 (en) 2004-02-12
CA2492700C CA2492700C (en) 2010-10-12

Family

ID=31495850

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2492700A Expired - Fee Related CA2492700C (en) 2002-07-31 2003-07-25 Apparatus for sealing surgical punctures

Country Status (8)

Country Link
US (3) US8118833B2 (en)
EP (1) EP1526810B1 (en)
JP (1) JP4425135B2 (en)
AT (1) ATE428351T1 (en)
AU (1) AU2003266954A1 (en)
CA (1) CA2492700C (en)
DE (1) DE60327208D1 (en)
WO (1) WO2004012603A2 (en)

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AU2003266954A8 (en) 2004-02-23
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WO2004012603A2 (en) 2004-02-12
US20080208225A1 (en) 2008-08-28
US8118833B2 (en) 2012-02-21
EP1526810A2 (en) 2005-05-04
DE60327208D1 (en) 2009-05-28
ATE428351T1 (en) 2009-05-15
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JP4425135B2 (en) 2010-03-03
WO2004012603A3 (en) 2004-05-21
US20060106418A1 (en) 2006-05-18
CA2492700C (en) 2010-10-12
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US20080208226A1 (en) 2008-08-28
US8147513B2 (en) 2012-04-03

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