Vascular closure device

• US 10,639,020 B2
• Filed: 09/27/2016
• Issued: 05/05/2020
• Est. Priority Date: 09/28/2015
• Status: Active Grant

• Current Assignee: Arterica, Inc.
• Original Assignee: M-V Arterica AB
• Inventors: Larzon, Thomas, Whirley, Robert G., Karlsson, Daniel, Nyman, Henrik, Humphrey, Joseph, Larzon, Cecilia
• Primary Examiner(s): David, Shaun L
• Application Number:
  US15/277,542
• Publication Number:
  US 20170086804A1
• Time in Patent Office: 1,316 Days
• Field of Search: None
• 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 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/00676 promotion of self-sealing of the puncture
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/0488 Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

The present disclosure relates to a vascular closure device adapted for use in closing a puncture in a blood vessel after e.g. a percutaneous interventional procedure. The disclosure also relates to a method for vascular closure using such a vascular closure device.

Claims

1. A method of closing a passage through tissue which is proximate to a blood vessel, the method comprising:

providing a vascular closure device, the vascular closure device comprising;

an elongated housing having a proximal end and a distal end,

a first engagement member and a second engagement member releasably arranged with the elongated housing,

a first deployment member and a second deployment member arranged with the elongated housing, and

a first tension element secured to the first engagement member and a separate second tension element secured to the second engagement member;

positioning the distal end of the elongated housing proximate to the tissue which is proximate to the blood vessel;

deploying the first engagement member with the first deployment member and deploying the second engagement member with the second deployment member in a distal and radially outward direction from the elongated housing of the vascular closure device and engaging the first engagement member and second engagement member with the tissue which is proximate to the blood vessel at a distance from each other and without engaging the blood vessel; and

applying a retraction force to the first engagement member with the first tension element and to the second engagement member with the second tension element to reduce the distance between the first engagement member and the second engagement member to close the passage in the tissue which is proximate to the blood vessel.

2. The method according to claim 1, wherein the method further comprises:

arranging the first engagement member and the second engagement member to mechanically capture the tissue which is proximate to the blood vessel.

3. The method according to claim 1, wherein the first engagement member and the second engagement member are adapted to engage with a fascia membrane of said tissue which is proximate to the blood vessel at a predetermined distance from the distal end of the elongated housing of the vascular closure device.

4. The method according to claim 1, wherein the vascular closure device further comprises an anvil member adapted to provide a reference point in relation to the blood vessel, and the method further comprises:

positioning the anvil member within the blood vessel.

5. The method according to claim 1, wherein the method further comprises:

advancing the vascular closure device over a guidewire.

6. The method according to claim 1, wherein the method further comprises:

creating a tissue lock by applying the retraction force to the first tension element and the second tension element using a retraction member.

7. The method according to claim 6, wherein the method further comprises:

applying a locking member at the first tension element and second tension element to maintain the first tension element and second tension element in a retracted state.

8. The method according to claim 1, wherein retraction member is adapted to apply the retracting force to the first tension element and second tension element to reduce the distance between the first engagement member and the second engagement member, and the method further comprises:

applying a locking member at the first tension element and second tension element to maintain the first tension element and second tension element in a retracted state, thereby creating a tissue lock.

9. The method according to claim 1, wherein the vascular closure device further comprises a hemostasis member adapted to block blood flow through the passage, and the method further comprises:

positioning the hemostasis member within the blood vessel prior to deploying the first engagement member and the second engagement member.

10. The method according to claim 1, wherein the vascular closure device further comprises a device positioning member, and the method further comprises:

aligning the device positioning member with a longitudinal axis of the blood vessel prior to deploying the first engagement member and the second engagement member.

11. The method according to claim 1, wherein the first engagement member and the second engagement member are deployed to engage with said tissue which is proximate to the blood vessel according to a predetermined pattern.

12. The method according to claim 1 wherein the first tension element and second tension element are routed into a distal tip of the vascular closure device and wherein the method further comprises applying the retraction force to the first engagement member with the first tension element and to the second engagement member with the second tension element in a direction towards the distal tip of the vascular closure device.