VESSEL CLOSURE DEVICES, SYSTEMS, AND METHODS

• US 20110218568A1
• Filed: 05/20/2011
• Published: 09/08/2011
• Est. Priority Date: 01/09/2009
• Status: Abandoned Application

• Current Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Inventors: Voss, Laveille K.
• Application Number:
  US13/112,631
• Publication Number:
  US 20110218568A1
• Time in Patent Office: Days
• US Class Current: 606/232
• 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 17/04 for suturing wounds; Holders or packages for needles or suture materials suture materials A61L17/00
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 2017/0061 Implements located only on one side of the opening
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00628 T-shaped occluders
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00659 located only on one side of the opening
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/00668 the implement being a tack or a staple
• 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0464 for soft tissue

Abstract

A vessel closure system is provided that can include a plurality of shape memory anchors configured to close a puncture in a vessel wall. The shape memory anchors can be at least partially disposed within a guide member and can be comprised of materials having shape memory properties. The shape memory anchors can be configured to change from a first configuration suitable for deployment from the guide member and through the vessel wall to a second configuration adapted to resist proximal movement against a distal surface of the vessel wall. The shape memory anchors can be coupled to at least one suture. The vessel closure system can also include a plurality of carriers having a distal end and a proximal end. The carriers can be disposed at least partially within the guide member. Each of the carrier members can be configured to deploy at least one of the shape memory anchors from the guide member.

Claims

1. A vessel closure system, comprising:

a guide member;

a plurality of shape memory anchors at least partially disposed within the guide member, the shape memory anchors comprising shape memory material having a shape memory effect, the shape memory anchors configured to change from a first configuration suitable for deployment from the guide member and through a vessel wall to a second configuration adapted to resist proximal movement against a distal surface of the vessel wall;

at least one suture element coupled to each of the shape memory anchors; and

a plurality of carriers each having a distal end and a proximal end, the carriers disposed at least partially within the guide member, wherein each of the carriers is configured to deploy at least one of the shape memory anchors from the guide member.

2. The vessel closure system of claim 1, wherein at least one of the shape memory anchors is substantially straight in the first configuration.

3. The vessel closure system of claim 1, wherein at least one of the shape memory anchors is at least partially positioned within at least one of the carriers.

4. The vessel closure system of claim 1, wherein at least one of the shape memory anchors is detachably coupled to at least one of the carriers.

5. The vessel closure system of claim 1, wherein at least one of the shape memory anchors includes a tip configured to pierce the vessel wall.

6. The vessel closure system of claim 1, wherein at least one of the carriers includes a tip configured to pierce the vessel wall.

7. The vessel closure system of claim 1, wherein at least one of the shape memory anchors is in a coiled configuration in the second configuration.

8. The vessel closure system of claim 1, wherein at least one of the shape memory anchors is in a bird'"'"'s nest configuration in the second configuration.

9. The vessel closure system of claim 1, wherein at least one of the shape memory anchors comprises a nitinol wire.

10. The vessel closure system of claim 1, further comprising an outer housing having a distal end and a proximal end, wherein a guide member lumen is defined between the distal end of the outer housing and the proximal end of the outer housing, the guide member lumen being configured to receive at least a portion of the guide member.

11. The vessel closure system of claim 1, wherein the guide member includes a plurality of carrier lumens defined therein extending distally from a proximal end of the guide member;

wherein each of the carrier lumens is sized to receive at least one of the carriers and at least one of the shape memory anchors, the carrier lumens being further configured to direct the carriers and the shape memory anchors outward and distally away from the guide member.

12. The vessel closure system of claim 11, wherein the carrier lumens each include an axial portion and a curved, angled portion.

13. A vessel closure system, comprising:

a plurality of shape memory anchors comprising shape memory material having a shape memory effect, the shape memory anchors configured to change from a first configuration to a second configuration adapted to resist proximal movement against a distal surface of a vessel wall.

at least one suture secured to each of the shape memory anchors;

a plurality of carriers each having a distal end and a proximal end;

wherein each of the carriers is configured to carry at least one of the shape memory anchors;

a guide member having a plurality of carrier lumens defined therein extending distally from a proximal end of the guide member toward a distal end of the guide member, wherein each of the carrier lumens is sized to receive one of the carriers and one of the shape memory anchors, the carrier lumens being further configured to direct the carrier and the shape memory anchor radially outward and distally away from the guide member;

an outer housing having a distal end and a proximal end, wherein a guide member lumen is defined between the distal end of the outer housing and the proximal end of the outer housing, the guide member lumen being configured to receive at least a portion of the guide member; and

a locator member configured to be at least partially disposed within the second lumen, the locator member comprising an anchor portion and an elongate portion, the anchor portion being disposed in the second lumen in an initial configuration and configured to move to an expanded configuration when positioned distally from the distal end of the outer housing.

14. The vessel closure system of claim 13 wherein at least one of the shape memory anchors is detachably coupled to the distal end of one of the carriers.

15. The vessel closure system of claim 13, wherein at least one of the shape memory anchors is configured to be at least partially disposed within the distal end of one of the carriers in the first configuration.

16. The vessel closure system of claim 13, wherein at least one of the carriers includes a tip configured to pierce the vessel wall.

17. The vessel closure system of claim 13, wherein at least one of the shape memory anchors includes a tip configured to pierce the vessel wall.

18. The vessel closure system of claim 13, wherein at least one of the shape memory anchors is in a bird'"'"'s nest configuration in the second configuration.

19. The vessel closure system of claim 13, wherein at least one of the shape memory anchors is in a planar configuration in the second configuration.

20. The vessel closure system of claim 13, wherein at least one of the shape memory anchors includes friction points configured to maintain the shape memory anchor in the second configuration.

21. The vessel closure system of claim 13, wherein at least one of the shape memory anchors comprises nitinol.

22. The vessel closure system of claim 13, wherein at least one of the shape memory anchors has a cross-sectional configuration that is triangular.

23. A method of closing a puncture in a vessel, comprising:

advancing a distal end of a guide member into proximity with a puncture in a vessel wall, the guide member having openings, each of the openings being in communication with one of a plurality of carrier lumens defined in the guide member;

advancing shape memory anchors through the carrier lumens in order to move the shape memory anchors radially outward and distally away from the distal end of the guide member and to move the shape memory anchors at least partially through the vessel wall, wherein sutures are further coupled to the shape memory anchors;

changing at least one of the shape memory anchors from a first configuration wherein the shape memory anchors have an elongate configuration to a second configuration wherein the shape memory wires have a configuration adapted to resist proximal movement against the vessel wall;

retracting the guide member from the vessel wall; and

establishing tension in the sutures with a constrictor to move the shape memory anchors toward each other to thereby close the puncture.

24. The method of claim 23, wherein the shape memory anchors comprise nitinol wires.

25. The methods of claim 23, wherein the shape memory anchors have a bird'"'"'s nest configuration in the second configuration.