Suture device
First Claim
1. An apparatus for suturing a perforation in a side wall of a patient'"'"'s blood vessel, comprising:
- an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s blood vessel;
a first combination suture point and anchor;
a first suture thread connected to said first combination suture point and anchor;
carrier means for carrying said first combination suture point and anchor in a distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said first combination suture point and anchor in a proximal direction through the side wall of the patient'"'"'s blood vessel so that said first combination suture point and anchor is anchored against being pulled back through said side wall in a distal direction;
a second combination suture point and anchor;
a second suture thread connected to said second combination suture point and anchor; and
wherein said carrier means further provides a means for carrying said second combination suture point and anchor in said distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said second combination suture point and anchor in said proximal direction through the side wall of the patient'"'"'s blood vessel at a circumferentially spaced position around said perforation from said first combination suture point and anchor.
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Accused Products
Abstract
An apparatus is provided for suturing a perforation in a side wall of a patient'"'"'s blood vessel. The apparatus includes an outer sheath having a longitudinal passage defined therethrough. The outer sheath is adapted to be inserted through the perforation in the patient'"'"'s blood vessel. The apparatus includes at least a first suture point and at least a first suture thread attached to said first suture point. A carrier device is provided for carrying the first suture point in a distal direction through the longitudinal passage of the outer sheath into the patient'"'"'s blood vessel and for pulling the first suture point in a proximal direction through the side wall of the patient'"'"'s blood vessel. At least two such suture points and suture threads are preferably so attached to the patient'"'"'s blood vessel and are then utilized to close the perforation.
736 Citations
41 Claims
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1. An apparatus for suturing a perforation in a side wall of a patient'"'"'s blood vessel, comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s blood vessel; a first combination suture point and anchor; a first suture thread connected to said first combination suture point and anchor; carrier means for carrying said first combination suture point and anchor in a distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said first combination suture point and anchor in a proximal direction through the side wall of the patient'"'"'s blood vessel so that said first combination suture point and anchor is anchored against being pulled back through said side wall in a distal direction; a second combination suture point and anchor; a second suture thread connected to said second combination suture point and anchor; and wherein said carrier means further provides a means for carrying said second combination suture point and anchor in said distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said second combination suture point and anchor in said proximal direction through the side wall of the patient'"'"'s blood vessel at a circumferentially spaced position around said perforation from said first combination suture point and anchor. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. An apparatus for suturing a perforation in a side wall of a patient'"'"'s blood vessel, comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s blood vessel; a first combination suture point and anchor; a first suture thread connected to said first combination suture point and anchor; carrier means for carrying said first combination suture point and anchor in a distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said first combination suture point and anchor in a proximal direction through the side wall of the patient'"'"'s blood vessel so that said first combination suture point and anchor is anchored against being pulled back through said side wall in a distal direction; a second combination suture point and anchor; a second suture thread connected to said second combination suture point and anchor; and wherein said carrier means is a means for simultaneously carrying both said first and second combination suture points and anchors. - View Dependent Claims (21)
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22. An apparatus for suturing a perforation in a patient'"'"'s blood vessel, comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s vessel; a suture carrier insertable through said longitudinal passage of said outer sheath, said carrier including; an elongated carrier shaft having a proximal end and a distal end; and first and second laterally extendable arms connected to said distal end of said carrier shaft, said arms being extendable from a retracted position wherein said arms are received in said longitudinal passage of said outer sheath, to a laterally extended position wherein said arms extend laterally beyond said outer sheath; first and second suture points detachably mounted on said first and second arms, respectively, said suture points being pointed in a proximal direction when said arms are in their laterally extended position; and first and second suture threads connected to said first and second suture points, respectively. - View Dependent Claims (23, 24)
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25. An apparatus for suturing a perforation in a side wall of a patient'"'"'s blood vessel, comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s blood vessel; first and second suture points; first and second suture threads connected to said first and second suture points, respectively; carrier means for carrying said first and second suture points in a distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said first and second suture points in a proximal direction through the side wall of the patient'"'"'s blood vessel at circumferentially spaced positions around the perforation; wherein said carrier means includes an elongated carrier shaft having a proximal end and a distal end, and said carrier means includes first and second laterally extendable arms connected to said distal end of said carrier shaft, said first and second suture points being carried by said first and second arms, respectively; and wherein said outer sheath has a side wall with first and second guide slots defined therethrough for receiving said first and second arms, respectively, when said arms move to said extended position. - View Dependent Claims (26)
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27. An apparatus for suturing a perforation in a side wall of a patient'"'"'s blood vessel, comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s blood vessel; first and second suture points; first and second suture threads connected to said first and second suture points, respectively; carrier means for carrying said first and second suture points in a distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said first and second suture points in a proximal direction through the side wall of the patient'"'"'s blood vessel at circumferentially spaced positions around the perforation; wherein said carrier means includes an elongated carrier shaft having a proximal end and a distal end, and said carrier means includes first and second laterally extendable arms connected to said distal end of said carrier shaft, said first and second suture points being carried by said first and second arms, respectively; and intermediate insertion sheath means for compressing said arms to a laterally retracted position and for inserting said arms into said longitudinal passage of said outer sheath.
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28. An apparatus for suturing a perforation in a side wall of a patient'"'"'s blood vessel, comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s blood vessel; a first suture point; a first suture thread connected to said first suture point; carrier means for carrying said first suture point in a distal direction through said longitudinal passage of said outer sheath into the patient'"'"'s blood vessel and for pulling said first suture point in a proximal direction through the side wall of the patient'"'"'s blood vessel; said carrier means including; an elongated carrier shaft having a proximal end and a distal end; and a first laterally extendable arm connected to a distal portion of said shaft, said first suture point being carried by said first arm; and intermediate insertion sheath means for compressing said arm to a laterally retracted position and for inserting said arm into said longitudinal passage of said outer sheath. - View Dependent Claims (29, 30, 31)
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32. An apparatus for suturing a perforation in a patient'"'"'s blood vessel comprising:
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an outer sheath having a longitudinal passage defined therethrough, said outer sheath being insertable through the perforation in the patient'"'"'s vessel; a suture carrier insertable through said longitudinal passage of said outer sheath, said carrier including; an elongated carrier shaft having a proximal end and a distal end; and first and second laterally extendable arms connected to said distal end of said carrier shaft, said arms being extendable from a retracted position wherein said arms are received in said longitudinal passage of said outer sheath, to a laterally extended position wherein said arms extend laterally beyond said outer sheath; first and second suture points detachably mounted on said first and second arms, respectively; first and second suture threads connected to said first and second suture points, respectively; and perforation closing means for pulling said suture points laterally toward each other when a tension force is applied to said suture threads after said suture points have penetrated a side wall of the patient'"'"'s blood vessel.
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33. A method of closing a perforation in a side wall of a patient'"'"'s blood vessel upon removal of a vascular sheath from the perforation, comprising:
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(a) providing first and second suture threads having first and second suture points connected thereto, respectively; (b) carrying said first and second suture points, in a distal direction through said vascular sheath into said blood vessel; (c) penetrating the side wall of the blood vessel in a proximal direction with said suture points so that said suture points are located outside the side wall with said suture threads running through the side wall into the blood vessel and out through said vascular sheath; (d) removing said vascular sheath from the perforation; and (e) closing the perforation with said suture threads. - View Dependent Claims (34, 35, 36, 37, 38, 39, 40, 41)
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Specification