REDUNDANT TISSUE CLOSURE METHODS AND APPARATUSES
First Claim
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1. A method of closing an opening in a body lumen, comprising:
- (a) deploying a tissue eversion apparatus into the opening in the body lumen;
(b) everting edges of the opening with a plurality of elongate tissue engaging members to form an everted tissue region;
(b) deploying a first closure element in a first configuration to the everted tissue region around the opening in the body lumen;
(c) transitioning the first closure element to a second smaller configuration so as to close the opening in the body lumen; and
(d) retracting the tissue eversion apparatus so as to release the everted edges.
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Abstract
A tissue closure device including a tissue eversion apparatus, and a first and a second, redundant closure element that are placed on the external surface of a tissue puncture wound to enhance the efficacy of closure. The first closure element and the second closure element are left resident on the external surface of or in proximity to the tissue puncture wound in order to provide redundancy of closure.
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Citations
19 Claims
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1. A method of closing an opening in a body lumen, comprising:
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(a) deploying a tissue eversion apparatus into the opening in the body lumen; (b) everting edges of the opening with a plurality of elongate tissue engaging members to form an everted tissue region; (b) deploying a first closure element in a first configuration to the everted tissue region around the opening in the body lumen; (c) transitioning the first closure element to a second smaller configuration so as to close the opening in the body lumen; and (d) retracting the tissue eversion apparatus so as to release the everted edges. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method of closing an opening in a body lumen, comprising:
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(a) deploying a tissue eversion apparatus into the opening in the body lumen, the tissue eversion apparatus having a plurality of elongate tissue engaging members capable of approximating and everting edges of the opening to form an everted tissue region; (b) deploying a first closure element in a first configuration to the everted tissue region around the opening in the body lumen; (c) transitioning the first closure element to a second smaller configuration so as to close the opening in the body lumen; (d) retracting the tissue eversion apparatus so as to release the everted edges; and (e) deploying a second closure element over or around the first closure element so as to redundantly close the opening in the body lumen. - View Dependent Claims (10, 11, 12, 13)
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14. A method of closing an opening in a blood vessel, comprising:
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(a) inserting a tubular member having a proximal end and a distal end regions, an exterior surface, and a lumen extending along an entire length of the tubular member into the opening in the blood vessel; (b) deploying a tissue eversion apparatus having a plurality of elongate tissue engaging members capable of approximating and everting edges of the opening to form an everted tissue region, the tissue eversion apparatus being disposed within the lumen of the tubular member and deployable therefrom; (c) partially withdrawing the tubular member proximally causing a distal portion of the tissue engaging members to engage with tissue around the opening and forming the everted tissue region; (d) applying a first closure element in a first configuration to the everted tissue region distal to the tissue engaging members, the first closure element being operatively coupled to tubular member and deployable therefrom; (e) transitioning the first closure element to a second smaller configuration so as to close the opening in the blood vessel; (f) retracting the tissue eversion apparatus so as to release the everted edges; and (g) applying a second closure element over or around the first closure element so as to redundantly close the opening in the body lumen, the second closure element being operatively coupled to the tubular member and deployable therefrom. - View Dependent Claims (15, 16, 17, 18, 19)
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Specification