VESSEL CLOSURE DEVICES, SYSTEMS, AND METHODS

• US 20160000417A1
• Filed: 09/15/2015
• Published: 01/07/2016
• 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:
  US14/855,080
• Publication Number:
  US 20160000417A1
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 having a proximal end, a distal end, a plurality of openings through a wall of the guide member adjacent the distal end of the guide member, and a plurality of carrier lumens extending between the proximal end and the distal end of the guide member to connect to the openings adjacent the distal end of the guide member, the carrier lumens including axially aligned portions and curved portions extending between the axially aligned portions and the openings;

a plurality of shape memory anchors, each having a sharpened distal end and each being at least partially disposed within one of the plurality of carrier lumens of the guide member, the shape memory anchors comprising shape memory material having a shape memory effect and being configured to move between a first configuration, wherein the shape memory anchors are adapted to pierce a vessel wall with the sharpened distal end, and a second configuration, wherein the shape memory anchors include a plurality of multi-directional folds that are adapted to resist proximal movement when the shape memory anchors are deployed in the vessel wall;

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

a plurality of carriers disposed at least partially within the carrier lumens of the guide member, each carrier being detachably coupled to one of the shape memory anchors and adapted to move between a retracted position in which the carrier is substantially straightened at least partially within the carrier lumen and an extended position in which the carrier and shape memory anchor at least partially extend through one of the openings radially and distally away 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, 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;

a handle coupled to the outer housing;

a first plunger coupled to the guide member; and

a second plunger coupled to the carriers.

4. The vessel closure system of claim 3, wherein the guide member is moved between a retracted position in which the distal end of the guide member is positioned within the distal end of the outer housing and an extended position in which the distal end of the guide member is positioned distally of the distal end of the outer housing by moving the first plunger relative to the handle.

5. The vessel closure system of claim 1, wherein the carriers are movable between the retracted position and the extended position by moving the second plunger relative to the first plunger.

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

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.

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

27. The vessel closure system of claim 1, wherein at least one of the shape memory anchors includes nicks.

7. (canceled)

8. (canceled)

11. (canceled)

12. (canceled)

13. A vessel closure system, comprising:

a guide member having a proximal end, a distal end, a plurality of openings extending through a wall of the guide member immediately adjacent the distal end of the guide member, and a plurality of carrier lumens extending between the proximal end and the distal end of the guide member to connect to the openings adjacent the distal end of the guide member, the carrier lumens including axially aligned portions and curved portions extending between the axially aligned portions and the openings;

a plurality of tissue piercing shape memory anchors, each having a sharpened distal end and being at least partially disposed within one of the plurality of carrier lumens of the guide member, the shape memory anchors comprising shape memory material having a shape memory effect, the shape memory anchors comprising shape memory material having a shape memory effect and being configured to move between a first configuration, wherein the shape memory anchors are adapted to pierce a vessel wall with the sharpened distal end, and a second configuration, wherein the shape memory anchors include a plurality of multi-directional folds that are adapted to resist proximal movement when the shape memory anchors are deployed in the vessel wall;

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

a plurality of carriers disposed at least partially within the carrier lumens of the guide member, each carrier being detachably coupled to one of the shape memory anchors and adapted to move between a retracted position in which the carrier is substantially straightened at least partially within the carrier lumen and an extended position in which the carrier and shape memory anchor at least partially extend through one of the openings radially 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;

an expandable plug coupled to the distal end of the guide member, the expandable plug compressible to fit inside the guide member lumen of the outer housing and expanded when extended beyond the distal end of the housing, such that the distal end of the expandable plug is larger than the outer housing in an expanded configuration; and

a locator member configured to be at least partially disposed within a second lumen, the locator member comprising an anchor portion and an elongate portion, the anchor portion comprising a shape memory material and being disposed in the guide member lumen in an initial configuration and configured to move to an expanded configuration when positioned distally from the distal end of the outer housing, the anchor portion and the expandable plug being configured to position the vessel wall therebetween.

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.

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.

28. The vessel closure system of claim 13, wherein at least one of the shape memory anchors includes nicks.

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

30. The vessel closure system of claim 13, wherein at least one of the shape memory anchors includes notches.

31. The vessel closure system of claim 13, wherein the shape memory anchors are ribbon-shaped.

17. (canceled)

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25. (canceled)