Vascular hole closure device

• US 7,267,679 B2
• Filed: 01/16/2003
• Issued: 09/11/2007
• Est. Priority Date: 09/13/1999
• Status: Expired due to Term

• Current Assignee: REX Medical LP
• Original Assignee: REX Medical LP
• Inventors: McGuckin, James F. Jr., Briganti, Richard T.
• Primary Examiner(s): Robert; Eduardo C.
• Assistant Examiner(s): Araj; Michael J.
• Application Number:
  US10/345,533
• Publication Number:
  US 20030144695A1
• Time in Patent Office: 1,699 Days
• Field of Search: 606/213, 606215-217, 606/219, 606156-158, 606/200, 606/151
• US Class Current: 606/151
• 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 17/0401 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 17/064 Surgical staples, i.e. penetrating the tissue
• 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 2017/00867 shape memory effect

Abstract

A device for closing an aperture in a vessel wall comprising an elongated member positionable inside the vessel against an internal opening of the aperture and having a dimension exceeding a dimension of the internal opening of the aperture to prevent egress of fluid through the aperture. At least two curved legs are coupled to the elongated member, curve in a direction substantially perpendicular to the longitudinal axis of the elongated member, and are positionable outside the vessel to help retain the elongated member in position the legs.

Claims

1. A device for closing an aperture in a vessel wall, the aperture having an external opening in an external region of the vessel wall and an internal opening in an internal region of the vessel wall, the device comprising:

an elongated member formed from a first material and having a longitudinal axis extending through a vessel engaging surface, the elongated member positionable inside the vessel against the internal opening of the aperture, the vessel engaging surface configured with a dimension at least substantially equal to a dimension of the internal opening of the aperture to prevent egress of fluid through the aperture and configured to extend along the length of the vessel wall; and

at least two curved legs formed from a second material different than the first material, the legs formed from a single element of metallic material and positionable outside the vessel to help retain the elongated member in position, the legs extending from the vessel engaging surface during insertion and placement of the elongated member and curved in different directions in the placement position,

wherein the elongated member has a configuration and is movable between first and second positions with respect to the curved legs such that it is pivotable from a first insertion position to a second placement position at an angle to the first position, the elongated member maintaining the configuration in the first and second positions.

2. The device of claim 1, wherein the at least two curved legs are composed of shape memory material.

3. The device of claim 2, wherein the elongated member is composed of a resorbable material.

4. The device of claim 3, wherein the single element of material includes a tab to couple the curved legs to the elongated member.

5. The device of claim 1, wherein the metallic element is formed to separate at a first end into curved leg regions and further formed with a tab at a second end to couple the curved legs to the elongated member.

6. The device of claim 5, wherein the elongated member has a slot formed therein to receive the tab.

7. The device of claim 5, wherein the at least two curved legs are composed of shape memory material.

8. The device of claim 1, wherein the legs curve in a direction substantially parallel to the longitudinal axis of the elongated member.

9. The device of claim 1, wherein the legs curve in a direction substantially perpendicular to the longitudinal axis of the elongated member.

10. The device of claim 1, wherein the elongated member is oval shaped with a substantially uniform width between a first and second end portion.

11. The device of claim 1, wherein the elongated member is composed of a resorbable material.

12. The device of claim 1, wherein the elongated member has a first thickness at an end portion and second greater thickness at a central portion.

13. The device of claim 1, wherein the at least two legs comprises two legs positioned approximately 180 degrees apart.

14. The device of claim 1, wherein the single element of material includes a tab to couple the curved legs to the elongated member.

15. The device of claim 14, wherein the at least two legs comprises two legs positioned approximately 180 degrees apart.

16. The device of claim 1, wherein the elongated member has a thickness between the vessel engaging surface and an opposing surface, and the vessel engaging surface has a first length extending along the vessel engaging surface, wherein the first length is greater than the thickness.

17. A device for closing an aperture in a vessel wall, the aperture having an external opening in an external region of the vessel wall and an internal opening in an internal region of the vessel wall, the device comprising:

a non-penetrating elongated patch member with non-sharpened edges having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture, the elongated member having a vessel engaging surface extending in a direction along the longitudinal axis and having a dimension at least substantially equal to a dimension of the internal opening of the aperture to prevent egress of fluid through the aperture by covering the aperture; and

at least two curved legs formed from a single element of metallic material and positionable outside the vessel to help retain the elongated member in position, the legs being uncovered and curved in different directions and having free fully exposed ends curving inwardly toward each other.

18. The device of claim 17, wherein the elongated member is composed of a material different than the material of the legs.

19. The device of claim 17, wherein the single element of metallic material forming the legs forms a connection to the elongated member.

20. A device for closing an aperture in a vessel wall, the aperture having an external opening in an external region of the vessel wall and an internal opening in an internal region of the vessel wall, the device comprising:

an elongated member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture, the elongated member having a vessel engaging surface with a dimension at least substantially equal to a dimension of the internal opening of the aperture to prevent egress of fluid through the aperture, the elongated member being movable between a first insertion orientation and a second placement orientation to enable the vessel engaging surface to prevent egress of fluid; and

at least two curved legs positionable outside the vessel to help retain the elongated member in position, the legs initially extending in a direction away from a top surface of the elongated member and then curving downwardly toward the top surface of the elongated member, each of the legs having a first free end to engage tissue and a second end attached to and extending from the elongated member.

21. The device of claim 20, wherein the elongated member is composed of an absorbable material and the legs are composed of a metallic material.