Bioabsorbable plug

• US 8,303,624 B2
• Filed: 03/15/2010
• Issued: 11/06/2012
• Est. Priority Date: 03/15/2010
• Status: Active Grant

• Current Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Cardiovascular Systems Incorporated (Abbott Laboratories Incorporated)
• Inventors: Fortson, Aaron M.
• Primary Examiner(s): WOO, JULIAN W
• Application Number:
  US12/724,304
• Publication Number:
  US 20110224719A1
• Time in Patent Office: 967 Days
• Field of Search: 606/95, 606/151, 606/213, 606/232, 606/230, 128/831
• 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, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00579 Barbed implements
• CPC Class Codes: A61B 2017/00588 Rigid or stiff implements, e.g. made of several rigid parts linked by hinges
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00654 entirely comprised between the two sides of the opening

Abstract

In one example implementation, a device for closing an opening in tissue includes a proximal end and a distal end. The device further includes a port that extends from the proximal end of the device towards the distal end of the device. In addition to extending from the proximal end of the device towards the distal end of the device, the port includes a restriction zone and a storage region. The device further includes a blocking element that is configured to move between a neutral position, located in the storage region of the port, and a blocking position, located in the restriction zone of the port. When the blocking element is in the blocking position, the blocking element cooperates with the restriction zone in the port to assist in blocking fluid flow through the port.

Claims

1. A device for closing an opening in tissue, comprising:

a plug member having a proximal end and a distal end;

a port extending from the proximal end towards the distal end; and

a blocking element operatively associated with the port to move between a neutral position and a blocking position, the blocking element having a terminal end and a suture portion extending from the blocking element and having a suture end terminating at the blocking element, the terminal end being within the port in both the neutral position and the blocking position, the neutral position being a position where the blocking element permits fluid flow through the port and the blocking position being a position where the blocking element cooperates with the port to assist in blocking fluid flow through the port.

2. The device as recited in claim 1, the plug member comprising an outer surface with a plurality of projections extending from at least a portion of the outer surface.

3. The device as recited in claim 1, the port comprising:

a storage region for storing the blocking element in the neutral position; and

a restriction zone for receiving the blocking element in the blocking position.

4. The device as recited in claim 1, wherein the blocking element is formed from a knot tied in a suture portion.

5. The device as recited in claim 1, wherein the plug member is made from a bioabsorbable, bioresorbable, biodegradable, or bioerodible material.

6. A device for closing an opening in tissue, the device comprising:

a plug member having a proximal end, a distal end, a port extending through the plug member from the proximal end towards the distal end, and an outer surface extending from the proximal end toward the distal end, a cross-sectional dimension of the plug member decreasing from the proximal end toward the distal end;

a plurality of projections extending from at least a portion of the outer surface; and

a blocking element that cooperates with the port to block fluid flow through the port when moved to a blocking position, the blocking element having a terminal end and a suture portion terminated at and extending from the blocking element, the terminal end being within the port in both a first position that allows fluid to flow through the port and a second position where the terminal end prohibits fluid to flow through the port.

7. The device as recited in claim 6, further comprising a tissue-receiving region located between the proximal end and the distal end of the plug member, the tissue-receiving region having a recess in the outer surface of the plug member.

8. The device as recited in claim 6, wherein the plurality of projections engage the tissue to prevent movement of the plug member.

9. The device as recited in claim 6, wherein the device is made from a bioabsorbable, bioresorbable, biodegradable, or bioerodible material.

10. A system for closing an opening in tissue, comprising:

an elongate member having a proximal end, a distal end, and a passage extending from the proximal end toward the distal end;

a plug member operatively associated with the elongate member, the plug member comprising;

a plug proximal end and a plug distal end;

a port extending through the plug member from the plug proximal end towards the plug distal end, the port cooperating with the passage in the elongate member;

a blocking element coupled to a distal end of suture-like actuator, the suture-like actuator operatively associated with the passage in the elongate member and the port in the plug member to permit movement of the blocking element between a neutral position and a blocking position, the blocking element having a terminal end and the suture-like actuator terminated at and extending from the blocking element, the blocking element cooperating with the port to assist in blocking fluid flow through the port when in the blocking position, the terminal end being within the port in both a neutral position that allows fluid to flow through the port and a blocking position where the terminal end prohibits fluid to flow through the port.

11. The system as recited in claim 10, wherein the plug member is releasable from the elongate member.

12. The system as recited in claim 10, the actuator comprising a suture portion and a pull handle on a proximal end of the suture portion.

13. The system as recited in claim 10, wherein the passage in the elongate member further comprises a fluid marker passageway that permits fluid to flow from the port in the plug member through the passage in the elongate member and out the fluid marker passageway.

14. The system as recited in claim 10, wherein the actuator, the blocking element, and the plug member are made from a bioabsorbable, bioresorbable, biodegradable, or bioerodible material.

15. The system as recited in claim 10, the port in the plug member comprising:

a storage region, the blocking element being positioned in the storage region when the blocking element is in the neutral position; and

a restriction zone, the blocking element being positioned in the restriction zone when the blocking element is in the blocking position.

16. The system as recited in claim 15, the restriction zone comprising a transition from a first portion of the port to a second portion of the port,

the second portion of the port having a smaller cross-section dimension than the first portion of the port.

17. The system as recited in claim 10, the elongate member further comprising one or more pins located toward the distal end of the elongate member;

and

the plug member further comprising one or more slots that correspond to the one or more pins, the plug member and the elongate member releasably coupled by way of the one or more pins located on the elongate member cooperating with the one or more slots in the plug member.

18. A system for closing an opening in tissue, comprising:

an elongate member having a proximal end, a distal end, and a passage extending from the proximal end toward the distal end;

a plug member coupled to the elongate member, the plug member comprising;

a plug proximal end, a plug distal end, a port extending from the plug proximal end to the plug distal end, and an outer surface extending from the plug proximal end towards the plug distal end, a cross-sectional dimension of the plug member decreasing from the plug proximal end toward the plug distal end and a diameter of the port increasing in diameter from the plug proximal end toward the plug distal end;

a blocking element movable through the port, and a suture terminated at and extending from the blocking element; and

a plurality of projections extending from at least a portion of the outer surface.

19. The system as recited in claim 18, wherein the elongate member can decouple from the plug member.

20. The system as recited in claim 18, the plug member further comprising a tissue-receiving zone and an anchor portion,

the tissue-receiving zone and the anchor portion being configured to cooperate to interface with a wall in the tissue of a body lumen.

21. A method for closing an opening in a body lumen, the method comprising:

advancing a plug member to the opening in the body lumen, the plug member comprising a proximal end, a distal end, and a port extending from the distal end toward the proximal end; and

moving a blocking element from a neutral position that allows fluid to flow through the port to a blocking position that prohibits fluid to flow through the port, the blocking element having a terminal end and a suture portion terminated at and extending from the blocking element, the terminal end being within the port in both the neutral position and the blocking position, the blocking element and the port cooperating to assist in blocking fluid flow through the port when the blocking element is in the blocking position.

22. The method of claim 21, further comprising:

identifying when a distal end of the plug member is located within the opening in the body lumen.

23. The method of claim 21, wherein moving the blocking element from the neutral position to the blocking position comprises:

pulling a suture portion that is coupled to the blocking element, the blocking element being moved from a storage region within the port to a restriction zone within the port upon pulling the suture portion.

24. The method of claim 21, further comprising slightly withdrawing the plug member;

wherein upon slightly withdrawing the plug member, a plurality of projections, extending from at least a portion of an outer surface of the plug member, engage tissue in a tissue tract.