Closure device and methods for making and using them
First Claim
1. A method for closing an opening in a body luminal wall, comprising:
- positioning an expandable locator having at least one expandable element through the opening to engage the at least one expandable element with an internal surface of the body luminal wall when the at least one expandable element is in an expanded orientation;
deploying a clip to tissue adjacent the opening in the body luminal wall to draw the tissue around the opening toward the opening to close the opening, the clip sliding relative to at least a portion of the expandable locator; and
removing the expandable locator through the opening in the body luminal wall.
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Accused Products
Abstract
A clip for engaging tissue includes a generally annular-shaped body defining a plane and disposed about a central axis extending normal to the plane. The body includes alternating inner and outer curved regions, defining a zigzag pattern about a periphery of the clip. The body is biased towards a planar configuration lying in the plane and deflectable towards a transverse configuration extending out of the plane. Tines extend from the inner curved regions, the tines being oriented towards the central axis in the planar configuration, and parallel to the central axis in the transverse configuration. The tines may include primary tines and secondary tines that are shorter than the primary tines. The primary tines may be disposed on opposing inner curved regions and oriented towards one another such that they overlap in the planar configuration.
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Citations
21 Claims
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1. A method for closing an opening in a body luminal wall, comprising:
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positioning an expandable locator having at least one expandable element through the opening to engage the at least one expandable element with an internal surface of the body luminal wall when the at least one expandable element is in an expanded orientation;
deploying a clip to tissue adjacent the opening in the body luminal wall to draw the tissue around the opening toward the opening to close the opening, the clip sliding relative to at least a portion of the expandable locator; and
removing the expandable locator through the opening in the body luminal wall. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A method for closing an opening in a body luminal wall, comprising:
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positioning an expandable locator against an internal surface of the body luminal wall to engage at least one expandable element of the locator with the body luminal wall;
slidably deploying an annular clip to an external surface of the body luminal wall adjacent the opening in the body luminal wall; and
removing the expandable locator, after deploying the annular clip, through the opening in the body luminal wall so as to close the opening. - View Dependent Claims (9, 10, 11, 12, 13, 14)
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15. A method for closing an opening in a body luminal wall, comprising:
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positioning an expandable locator against an internal surface of the body luminal wall such that at least one expandable element of the locator in an expanded orientation contacts the internal surface adjacent the opening in the body luminal wall;
positioning an annular clip proximate to an external surface adjacent the opening in the body luminal wall;
removing the expandable locator through the opening in the body luminal wall; and
deploying the annular clip, after removing the expanded locator, into the external surface adjacent the opening in the body luminal wall so as to close the opening. - View Dependent Claims (16, 17, 18, 19, 20, 21)
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Specification