Device and method for sealing puncture wounds

• US 5,725,498 A
• Filed: 09/12/1996
• Issued: 03/10/1998
• Est. Priority Date: 09/21/1990
• Status: Expired due to Term

• Current Assignee: St Jude Medical Puerto Rico LLC (Abbott Laboratories)
• Original Assignee: Datascope Corporation (Getinge AB)
• Inventors: Wolvek, Sid, Saper, Lawrence, Janzen, Ernst, Ruttgers, Gunter
• Primary Examiner(s): McDermott, Corrine M.
• Assistant Examiner(s): STRIGHT, RONALD K
• Application Number:
  US08/712,772
• Time in Patent Office: 544 Days
• Field of Search: 602/43-53, 606/213-215, 606/191, 604/11, 604/14-17, 604/46, 604/47, 604/49, 604/52, 604/53, 604/51, 604/54, 604/57, 604/59, 604/60, 604/68, 604/93, 604/158, 604/164, 604/171, 604/173, 604/310, 604/311 , 604/285-288, 604/367-368, 128/898
• US Class Current: 604/506
• 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 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00654 entirely comprised between the two sides of the opening

Abstract

A device is proposed for inserting hemostatic material through a tissue channel and against the outside wall of a blood vessel of a patient, wherein the blood vessel wall has a puncture therein adjacent the tissue channel. The device includes a charge of hemostatic material and a hollow sheath adapted to pass through the tissue channel, the sheath having a cross sectional profile larger than the puncture. The device places the hemostatic material in the hollow sheath and advances the hemostatic material through the sheath to the outside of the vessel wall around the puncture.

Claims

1. A method for sealing a puncture in a blood vessel separated from the skin of a patient by a layer of tissue, said layer of tissue including a tissue channel communicating between said puncture and the patient'"'"'s skin, said method comprising the steps of:

inserting a hemostatic material into said tissue channel, and

advancing said hemostatic material through said tissue channel to a position adjacent the outside wall of said blood vessel in a manner such that said hemostatic material is never freely exposed within the lumen of the blood vessel during said advancement.

2. The method as claimed in claim 1, further comprising the step of enlarging the cross-section of said tissue channel to a cross-section greater than the cross-section of said puncture prior to said step of inserting said hemostatic material.

3. The method as claimed in claim 2, wherein said enlarging step enlarges said tissue channel to a cross-section at least about 30% larger than the cross-section of said tissue channel prior to said enlarging step.

4. The method as claimed in claim 1, wherein said hemostatic material comprises collagen.

5. A method for sealing a puncture in a blood vessel separated from the skin of a patient by a layer of tissue, said layer of tissue including a tissue channel communicating between said puncture and the patient'"'"'s skin, said method comprising the steps of:

inserting a hollow sheath into said tissue channel, said sheath having a cross-section which is larger than the cross-section of said puncture,

inserting a hemostatic material into said hollow sheath; and

advancing said hemostatic material through said hollow sheath to a position adjacent the outside wall of said blood vessel in a manner such that said hemostatic material is never freely exposed within the lumen of the blood vessel during said advancement.

6. The method as claimed in claim 5, wherein said hemostatic material comprises collagen.

7. The method as claimed in claim 5, wherein a guide wire extends at least from said puncture, through said tissue channel to the skin of the patient, said advancing step including the step of advancing said hemostatic material over said guide wire through said hollow sheath.

8. The method as claimed in claim 5, wherein said hemostatic material comprises first and second charges of hemostatic material, and said advancing step includes the steps of advancing said first charge of hemostatic material through said hollow sheath to a position adjacent the outside wall of said blood vessel, and advancing said second charge of hemostatic material through said hollow sheath to a position proximate said first charge of hemostatic material.