Method for closing and sealing an artery after removing a catheter

• US 4,929,246 A
• Filed: 10/27/1988
• Issued: 05/29/1990
• Est. Priority Date: 10/27/1988
• Status: Expired due to Fees

• Current Assignee: Cardiofocus Incorporated
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Sinofsky, Edward L.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/263,277
• Time in Patent Office: 579 Days
• Field of Search: 128/303.1, 128/395-398, 606/3, 606/8, 606/14, 606/15
• US Class Current: 606/8
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/22059 transparent
• CPC Class Codes: A61F 2/06 Blood vessels

Abstract

A method for closing and sealing a puncture at a puncture site in an artery located beneath the skin after a catheter is removed from the puncture. The method includes the steps of applying pressure directly to the artery at the puncture site, and applying laser energy directly to the artery at the puncture site while pressure is applied. The laser energy is sufficient to thermally weld the artery at the puncture site. Preferably, the step of applying pressure directly to the artery includes the steps of advancing a tube having an inflatable balloon at its distal end through the overlying tissue to the punction site, and inflating the balloon. Laser energy is carried thorugh an optical fiber to the balloon and is directed through the wall of the balloon to the puncture site.

Claims

1. A method for closing and sealing a puncture at a puncture site in an artery located beneath the skin, after a medical device is removed from the puncture, comprising the steps of:

applying pressure directly to the artery at the puncture site, said pressure being sufficient to substantially close the puncture, the step of applying pressure including the steps of advancing a tube having an inflatable balloon at its distal end through overlying tissue to the puncture site, and inflating the balloon so that the balloon and the tube apply pressure to the puncture site; and

applying laser energy directly to the artery at the puncture site while pressure is applied, said laser energy being sufficient to thermally weld the artery at the puncture site.

2. A method as defined in claim 1 wherein the step of advancing a tube to the puncture site includes the step of advancing the tube through an introducer that was used for introduction of a catheter.

3. A method as defined in claim 1 wherein the step of applying laser energy includes the step of directing laser energy through said tube and through said balloon to effect heating of said artery.

4. A method as defined in claim 3 wherein the step of directing laser energy through said tube includes the step of directing laser energy through an optical fiber that terminates in said balloon.

5. A method as defined in claim 1 wherein the step of applying laser energy includes applying laser energy in a wavelength range of 1.4 to 2.5 micrometers.

6. A method as defined in claim 1 wherein the step of applying laser energy includes applying laser energy having a penetration depth sufficient to thermally weld said puncture while avoiding coagulation of blood in said artery.

7. A method as defined in claim 1 wherein the step of applying pressure includes the step of providing a transparent PET balloon affixed to the distal end of said tube.

8. A method as defined in claim 1 wherein the step of applying laser energy includes applying laser energy having a penetration depth not substantially greater than the thickness of the artery wall.

9. A method as defined in claim 1 wherein said tube has sufficient rigidity to support the pressure applied to said puncture site by said balloon.

10. A method for closing and sealing a puncture at a puncture site in an artery located beneath the skin, after a catheter is removed from the puncture, comprising the steps of:

advancing a tube having an inflatable balloon at its distal end through a catheter introducer to the puncture site;

inflating the balloon so that the balloon and the tube apply pressure directly to the puncture site, said pressure being sufficient to substantially close the puncture; and

directing laser energy through said tube and through said balloon to effect direct heating of the puncture site, said laser energy being sufficient to thermally weld the artery at the puncture site.

11. A method as defined in claim 10 wherein the step of directing laser energy includes directing laser energy in a wavelength range of 1.4 to 2.5 micrometers.

12. A method as defined in claim 10 wherein the step of directing laser energy includes applying laser energy having a penetration depth sufficient to thermally weld said puncture while avoiding coagulation of blood in said artery.

13. A method as defined in claim 10 wherein the step of directing laser energy through said tube includes the step of directing laser energy through an optical fiber that terminates in said balloon.

14. A method as defined in claim 10 wherein the step of directing laser energy includes applying laser energy having a penetration depth not substantially greater than the thickness of the artery wall.