Insertion assembly and method of inserting a vessel plug into the body of a patient

• US 5,478,352 A
• Filed: 12/06/1993
• Issued: 12/26/1995
• Est. Priority Date: 10/01/1990
• Status: Expired due to Term

• Current Assignee: St Jude Medical Puerto Rico BV (Abbott Laboratories)
• Original Assignee: Quinton Instrument Co. (Cardica Incorporated)
• Inventors: Fowler, Bradford C.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/163,496
• Time in Patent Office: 750 Days
• Field of Search: 606/213, 606/215, 604/15, 604/285-288, 604/57, 604/59, 604/68-70
• US Class Current: 606/213
• 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 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00654 entirely comprised between the two sides of the opening
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/06 Blood vessels

Abstract

A device and method of closing an incision or puncture in a patient by inserting a vessel plug into the incision or puncture until the distal end of the vessel plug is adjacent to the outer lumen of the blood vessel or target organ so that the vessel plug does not obstruct the flow of fluid through the blood vessel or target organ. The precise positioning of the vessel plug in the incision or puncture is accomplished through the use of a balloon catheter or a cylindrical insertion assembly having a proximal plunger member associated therewith.

Claims

1. A closure device for sealing an incision formed in the body of a patient wherein the incision extends from the skin of the patient;

through the lumen of a blood vessel and into the blood vessel of the patient, said closure device including a plug member comprising;

an elongate and generally cylindrical vessel plug which is formed of a bioabsorbable material and has distal and proximal end portions and said vessel plug has a lengthwise dimension sufficient to be received in the incision such that said distal end portion is positioned at a first predetermined position in the incision proximally of the lumen of the blood vessel of the patient and said proximal end portion is positioned proximally thereof to obstruct the flow of blood from the blood vessel into the incision.

2. The closure device of claim 1 wherein said distal end portion of said vessel plug is oriented at an angle of approximately 25 to 45 degrees with respect to said lengthwise dimension of said vessel plug.

3. The closure device of claim 1 wherein said distal end portion of said vessel plug is contoured to conform to the outer lumen of the blood vessel and said proximal end portion is positioned in the incision formed in the body of the patient.

4. The closure device of claim 1 wherein said vessel plug is constructed of a biodegradable material having a radiopaque material therein.

5. The closure device of claim 1 wherein said vessel plug is constructed of a biodegradable material having a clotting agent therein.

6. A closure device for sealing an incision formed in the body of a patient wherein the incision extends from the skin of the patient;

through the lumen of a blood vessel and into the blood vessel of the patient, said closure including a plug member comprising;

a bioabsorbable vessel plug having distal and proximal end portions and said vessel plug has a lengthwise dimension between said distal and proximal end portions such that said distal end portion is positioned at a first predetermined position in the incision adjacent to the outer surface of the lumen of the blood vessel of the patient and said proximal end portion is positioned adjacent to the outer surface skin of the patient to obstruct the flow of blood from the blood vessel into the incision.

7. The closure device of claim 6 wherein said vessel plug has a first diameter sized to be inserted into the incision and a second diameter sufficient to obstruct the flow of blood from the blood vessel into the incision.

8. The closure device of claim 7 wherein said distal end portion of said vessel plug is oriented at an angle of approximately 25 to 45 degrees with respect to the lengthwise dimension of said vessel plug.

9. The closure device of claim 7 wherein said distal end portion of said vessel plug is contoured to conform to the outer lumen of the blood vessel and said proximal end is positioned in the incision formed in the body of the patient.

10. A closure device for sealing an incision formed in the body of a patient wherein the incision extends from the skin of the patient;

through the lumen of a blood vessel and into the blood vessel of the patient, said closure device including a plug member comprising;

an elongate vessel plug having distal and proximal end portions and said distal end portion and said proximal end portion being spaced apart a sufficient distance in the incision and said vessel plug having a diameter sufficient to obstruct the flow of blood from the blood vessel into the incision.