Clip applier and methods of use

• US 10,398,418 B2
• Filed: 02/29/2016
• Issued: 09/03/2019
• Est. Priority Date: 01/30/2003
• Status: Expired due to Fees

• Current Assignee: Integrated Vascular Systems, Inc. (Abbott Laboratories)
• Original Assignee: Integrated Vascular Systems, Inc. (Abbott Laboratories)
• Inventors: Palermo, Thomas J., Belef, William M., Carley, Michael T., Ginn, Richard S., Pantages, Anthony J., Jabba, Ronald J., Sagastegui, Francisco Javier
• Primary Examiner(s): Woo, Julian W
• Application Number:
  US15/056,281
• Publication Number:
  US 20160174954A1
• Time in Patent Office: 1,282 Days
• CPC Class Codes: A61B 17/0057 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 sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00668 the implement being a tack or a staple
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61B 2017/12018 Elastic band ligators
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure

Abstract

A vessel closure device delivery system including a delivery device that couples to a vessel closure clip for delivering the clip onto a blood vessel and a retractable vessel locator is removeably attached to the delivery device, the distal end of the vessel locator being adapted to transition from a collapsed state suitable for insertion into a vessel and an expanded state that lodges against a wall of the vessel from inside the vessel.

Claims

1. A system, comprising:

a delivery device that cooperates with a closure device and aids with delivering the closure device to tissue;

a locator operatively associated with the delivery device and is adapted to transition between two different states, one of which is configured for lodging against tissue, the locator comprising a first end, a second end, and at least three elongate members each having three bends, a mounting structure formed in the first end, the elongate member comprising a plurality of elongate, longitudinally extending members, with at least one shoulder extending transversely from each of the plurality of elongate members, the at least one shoulder transitioning a transverse width of the elongate member from a first transverse width, at a location of the elongate member longitudinally adjacent to the at least one shoulder in a first direction, to a second transverse width less than the first transverse width, an elongate member of the plurality of elongate members having the second transverse width, a first portion of each elongate member extends proximally away from a shaft and a second portion extends distally away from the shaft in a deployed state of the locator.

2. A system as in claim 1, wherein the delivery device comprises an elongated member retaining the closure device in a deliverable configuration, a pusher member adapted to deploy the closure device, and an actuator to actuate the pusher member with respect to the elongated member to deploy the closure device.

3. A system as in claim 2, further comprising a cover member for retaining closure device on the elongated member during delivery, the cover member coupled to an actuator to release the closure device during deployment.

4. A system as in claim 1, wherein the locator may be used to guide the delivery device to the tissue.

5. A system as in claim 1, wherein the locator comprises an atraumatic distal tip and the plurality of elongate members extend proximally from the atraumatic distal tip.

6. A system as in claim 1, wherein a third portion of the elongate member extends toward the first portion, the first portion and the third portion being on opposite sides of one of the three bends.

7. A system as in claim 1, wherein an actuator member couples to a distally positioned mounting member to which the elongate member mounts.

8. A system, comprising:

a locator comprising a distal end configured to transition between two different states, one of the two different states being configured to contact tissue adjacent an opening, the locator comprising a first end, a second end, and at least three elongate members each having three bends and geometric features to aid with bending of the elongate member, the first end comprising a mounting structure and the second end being integrally formed with ends of the at least three elongate members, the mounting structure being configured to maintain a portion of the elongate member adjacent the first end in a longitudinally extending orientation in both a deployed state and an undeployed state, the longitudinally extending orientation being the same in both the deployed state and the undeployed state, the elongate member comprising a plurality of elongate, longitudinally extending members, with at least one shoulder extending transversely from each of the plurality of elongate members, the at least one shoulder transitioning a transverse width of the elongate member from a first transverse width, at a location of the elongate member longitudinally adjacent to the at least one shoulder in a first direction, to a second transverse width less than the first transverse width, an elongate member of the plurality of elongate members having the second transverse width, a first portion of each elongate member extends proximally away from a longitudinal axis of the locator and a second portion extends distally away from the longitudinal axis of the locator in the deployed state of the locator.

9. A system as in claim 8, wherein a third portion of the elongate member extends toward the first portion, the first portion and the third portion being on opposite sides of one of the three bends.

10. A system as in claim 8, wherein the locator comprises an atraumatic distal tip, the elongate member extending proximally from the atraumatic distal tip.

11. A system as in claim 8, wherein the at least three elongate members mount to a ring, the atraumatic distal tip being mounted to the ring.

12. A system, comprising:

a locator having a first end, a second end and a plurality of elongate members, each elongate member having three bends and features to aid with bending, the first end comprising a mounting structure and the second end being integrally formed with ends of the plurality of elongate members, the mounting structure being formed at the first end and being configured to maintain a portion of the elongate member adjacent the first end in a longitudinally extending orientation in both a deployed state and an undeployed state, the longitudinally extending orientation being the same in both the deployed state and the undeployed state, each elongate member comprising a plurality of elongate, longitudinally extending members, with at least one shoulder extending transversely from each of the plurality of elongate members, the at least one shoulder transitioning a transverse width of the elongate member from a first transverse width, at a location of the elongate member longitudinally adjacent to the at least one shoulder in a first direction, to a second transverse width less than the first transverse width, an elongate member of the plurality of elongate members having the second transverse width, a first portion of each of the elongate members extending generally proximally and a second portion of the elongate member extending generally distally in a deployed configuration of the locator, a third portion of each of the elongate members extending generally longitudinally, the first portion and the third portion being on opposite sides of one bend of the plurality of bends and a distal end of the third portion bending towards an atraumatic distal tip.

13. A system as in claim 12, wherein the plurality of elongate members extends proximally from the atraumatic distal tip, the distal end of the elongate member being received beneath the atraumatic distal tip.

14. A system as in claim 12, wherein the at least three elongate members are mounted to a ring, the atraumatic distal tip being mounted to the ring.

15. A system as in claim 12, wherein the plurality of elongate members are formed from a radiopaque material.