VESSEL CLOSURE DEVICE

• US 20120179172A1
• Filed: 09/20/2010
• Published: 07/12/2012
• Est. Priority Date: 09/22/2009
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Inventors: Paul, Ram H. Jr., Bates, Brian L., Stanley, Cleon
• Granted Patent: US 9,398,902 B2
• Time in Patent Office: Days
• US Class Current: 606/142
• 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 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/303 with four or more legs

Abstract

A device and system for closure of an opening formed in a body vessel includes a bioabsorbable grasping member and locking member. The grasping member includes grasping lingers that are radially collapsible to the closed positions by movement of the locking member over the fingers. A distal portion of the fingers is configured to grasp an outer wall portion of the body vessel surrounding the opening when the fingers are in the open position. Movement of the locking member can cause the fingers to at least substantially close the vessel opening. Structural features on the fingers and/or locking member can inhibit proximal or distal movement of the locking member when in a locking position. A detachable arm can be coupled to the grasping member to facilitate placement of the grasping member. A sheath can fit over the detachable arm and be configured to move the locking member over the fingers.

Claims

1. An implantable grasper for closure of an opening in a body vessel wall, comprising:

a grasping member having a proximal portion and a distal portion, said proximal portion comprising a body and a proximal end, and said distal portion comprising a plurality of fingers extending radially from a distal end of said body at a first angle, and collapsible therefrom to a second angle, said fingers having a distal portion configured to grasp an outer wall portion of said body vessel surrounding said opening when said fingers are extended at said first angle; and

a locking member slidably received over a portion of said grasping member, the locking member movable along the fingers to collapse said fingers from said first angle to said second angle to cause said collapsed fingers to at least substantially close said vessel opening, said grasping member and said locking member being formed from a bioabsorbable composition,

where at least one of said fingers of the grasping member and the locking member is structured and arranged to inhibit the locking member from axial movement in either a proximal direction or a distal direction after the fingers are collapsed.

2. The grasper of claim 1, where the proximal end of the proximal portion is at least one of a keyed structure or a keyway structure, having at least one alternating axial rib and axial groove.

3. The grasper of claim 1, where the proximal end of the proximal portion includes at least one of external threads along an outside surface or internal threads along a lumen extending through the proximal portion.

4. The grasper of any one of the preceding claims, wherein said distal portion further comprising at least one of:

one or more first cut-out portions at an axial end of said distal portion;

one or more teeth along at least one of the lateral sides of said fingers; and

a second cut-out portion along at least one of said lateral sides proximal of said teeth.

5. The grasper of any one of the preceding claims, wherein at least one of said fingers of the grasping member and the locking member having one or more engaging members to define a pre-determined locking position for the movable locking member so that when in the locking position the locking member is inhibited from axial movement in either the proximal or distal directions.

6. The grasper of claim 5, wherein the one or more engaging members has a pair of confronting surfaces that are substantially perpendicular to an underlying surface.

7. The grasper of any one of claims 5-6, wherein the one or more engaging members further comprises a pair of protrusions.

8. The grasper of claim 7, wherein one of the protrusions has an inclined surface to facilitate distal movement of the locking member to an abutting relationship with a confronting surface of the other of the protrusions

9. The grasper of any one of claim 5-8, wherein the one or more engaging members further defines one or more walls of a recess.

10. The grasper of any one of the preceding claims, wherein at least one of said fingers of the grasping member and the locking member are structured and arranged to provide tactile feedback in response to the locking member being positioned in a pre-determined locking position.

11. A system for closure of an opening in a body vessel wall of a body, comprising:

a bioabsorbable grasping member having a proximal end, a proximal body, and a plurality of collapsible fingers extending radially from a distal end of said proximal body, said fingers having a distal portion, the distal portion comprising at least one of;

one or more first cut-out portions at an axial end of said distal portion, one or more teeth along at least one of a pair of lateral sides of said fingers, and a second cut-out portion along at least one of said lateral sides proximal of said teeth, said distal portion configured to grasp an outer wall portion of said body vessel surrounding said opening when said fingers are extended in an open position;

a bioabsorbable locking member slidably coupled over a portion of the grasping member, where the locking member is movable to collapse said fingers from the open position to a closed position to cause said collapsed fingers to at least substantially close said vessel opening; and

a detachable arm removably attached to the grasping member so that the grasping member and the locking member can remain in the body after detachment of the detachable arm from the grasping member.

12. The system of claim 11, where a distal portion of the detachable arm frictionally contacts a portion of the grasping member, where said detachable arm detaches from said grasping member without manipulation of the detachable arm.

13. The system of claim 11, where the detachable arm includes a proximal portion and a distal portion, said distal portion comprising a plurality of collapsible fingers extending radially from a distal end of said proximal portion of the detachable arm in an open position,

the system further comprising a sheath slidably received over a portion of the detachable arm, the sheath configured to collapse said fingers of the detachable arm from said open position to a closed position to cause a portion of said collapsed fingers to frictionally contact a portion of the grasping member, where withdrawal of the sheath permits said fingers to radially extend to the open position so that said fingers are removed from contact with said portion of the grasping member.

14. The system of claim 11, where one of the detachable arm and the grasping member has a keyed structure, having at least one alternating rib and groove, and the other of the detachable arm and the grasping member has a keyway structure, having at least one alternating rib and groove structured and arranged to cooperatively interface with the at least one alternating rib and groove of the keyed structure, where alignment of the groove of one and the rib of the other permits detachment of the grasping member from the detachable arm.

15. The system of claim 11, where one of the detachable arm and the grasping member has external threads, and the other of the detachable arm and the grasping member has internal threads configured to threadably engage with the external threads, where rotational movement of the detachable arm relative to the grasping member in a loosening direction permits detachment of the grasping member from the detachable arm.

16. The system of claim 11, where one of the detachable arm and the grasping member has a flexible member, and the other of the detachable arm and the grasping member has an aperture configured to receive the flexible member, where removal of the flexible member from said aperture permits detachment of the grasping member from the detachable arm.

17. The system of any one of claims 11-16, further comprising an anchor member having a distal end portion, said distal end portion having a non-expanded condition and an expanded condition, said anchor member configured such that said distal end portion is passable through a passageway of said body of said grasping member in said non-expanded condition, and expandable to said expanded condition upon passage therethrough.

18. The system of any one of claims 11-17, further comprising a locking sheath having a lumen extending therein, where the detachable arm is slidably received in the lumen of the locking sheath, the locking sheath having a distal end configured to move the locking member to a position surrounding the fingers.

19. The system of claim 18, further comprising an introducer sheath having a lumen extending therein, where the lumen of the introducer sheath is configured to contain the locking sheath, the detachable arm, the grasping member, and the locking member for delivery to the opening of the body vessel wall, where withdrawal of the introducer sheath therefrom permits radial extension of the fingers of the grasping member to the open position.

20. A method for closing an opening at an access site in a body vessel, comprising:

providing a closure device for said opening, said closure device comprising;

a grasping member having a proximal portion and a distal portion, said distal portion comprising a plurality of grasping fingers extending from a distal end of said proximal portion, said fingers radially extending from said proximal portion distal end in an open position, and radially collapsible therefrom to a closed position, said fingers having a distal portion configured to grasp tissue of said body vessel surrounding said opening when said fingers are extended in the open position, a closing member slidable relative to a portion of said grasping member for radially collapsing said fingers from said open position to said closed position, each of said grasping member and said closing member being formed from a bioabsorbable composition, where at least one of said fingers and the closing member is structured and arranged to inhibit the closing member from axial movement in either a proximal direction or a distal direction after the fingers are collapsed;

a stabilizing member engageable with said proximal portion of the grasping member; and

a locking sheath slidable over said stabilizing member and at least a portion of said grasping member;

arranging said grasping member to said open position such that the distal portion of said fingers engage tissue surrounding said opening; and

advancing said locking sheath over said stabilizing member and a length of said grasping member, such that said locking sheath engages and advances said closing member over a length of said fingers, thereby collapsing said fingers to the closed position to at least substantially close said vessel opening at the access site in the body vessel.