Visceral anchors for purse-string closure of perforations

• US 8,551,139 B2
• Filed: 11/28/2007
• Issued: 10/08/2013
• Est. Priority Date: 11/30/2006
• Status: Active Grant

• Current Assignee: Baystate Health Incorporated, Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Surti, Vihar C., Desilets, David
• Primary Examiner(s): McDermott, Corrine M
• Assistant Examiner(s): MASHACK, MARK F
• Application Number:
  US11/946,565
• Publication Number:
  US 20080132948A1
• Time in Patent Office: 2,141 Days
• Field of Search: 606139-158, 606/74, 606/103, 606/300, 606/232, 241/28, 241/29.R, 241/31.R, 247/121, 247/122
• US Class Current: 606/232
• 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 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/1142 Purse-string sutures

Abstract

Medical devices and related methods for closing a perforation in a bodily wall The medical device generally includes a suture having opposing first and second ends and a set of visceral anchors. Each visceral anchor includes a crossbar having opposing ends and a suture slidably attached thereto. Each visceral anchor is passed through the bodily wall adjacent the periphery of the perforation. The ends of the suture are tensioned to reduce the distance between the visceral anchors and compress the bodily wall around the perforation. The ends of the suture are secured to maintain the compression of the bodily wall and close the perforation.

Claims

1. A medical device for closing a perforation in a bodily wall, the medical device comprising:

a suture having opposing first and second ends; and

a set of visceral anchors, each visceral anchor including a crossbar having opposing ends and a wire having first and second ends secured to the crossbar, the crossbar being elongated to define a longitudinal axis, the first and second ends of the wire being longitudinally spaced apart, the crossbar being tubular to define an interior and an exterior, the wire projecting from the interior and extending along the exterior to define the loop, the first and second ends of the wire being secured spaced apart within the lumen to the opposing ends of the crossbar the wire forming a loop through which the suture extends, the suture being slidably attached to each of the crossbars;

the first and second ends of the suture capable of being independently tensioned for translating the suture relative to each of the visceral anchors and closing the perforation.

2. The medical device of claim 1, wherein the tensioning of the suture reduces the distance between the visceral anchors for closing the perforation in a purse-string fashion.

3. The medical device of claim 1, wherein each visceral anchor is positioned on one side of the bodily wall, and wherein the first and second ends of the suture are positioned on the opposite side of the bodily wall.

4. The medical device of claim 1, wherein each visceral anchor includes a passageway between the opposing ends of the crossbar the passageway having an entrance and an exit through which the suture passes, the entrance and exit being spaced apart a distance less than an outer diameter of the crossbar.

5. The medical device of claim 1, further comprising an overtube for delivery of the set of visceral anchors, the overtube having a set of lumens, each lumen receiving a visceral anchor, portions of the suture located between the visceral anchors extending outside the lumens at a distal end of the overtube.

6. The medical device of claim 5, further comprising a set of puncture needles slidably received with the set of lumens, the set of puncture needles receiving the set of visceral anchors therein.

7. The medical device of claim 1, wherein the first and second ends of the wire are welded or soldered to the crossbar.

8. The medical device of claim 1, wherein the crossbar of each visceral anchor in the set of anchors is a single crossbar.

9. A visceral anchor for connecting a suture to tissue, the visceral anchor comprising:

a crossbar having first and second opposing ends, the crossbar defining a longitudinal axis, the crossbar having a tubular wall defining a lumen and an exterior, the tubular wall having first and second openings longitudinally spaced apart; and

a wire having first and second ends extending through the first and second openings in the tubular wall, respectively, and the first and second ends are spaced apart and fixed to the tubular wall within the lumen, the wire projecting out from the tubular wall and extending along the exterior of the tubular wall to form a loop defining a passageway located between the opposing ends of the crossbar, the passageway slidably receiving the suture therein;

the passageway having an entrance and an exit through which the suture passes, the entrance and exit being spaced apart a distance less than an outer diameter of the crossbar.

10. The visceral anchor of claim 9, wherein the entrance and exit are spaced apart a distance greater than 0.001mm and less than 1 mm.

11. The visceral anchor of claim 9, wherein the passageway extends parallel to the longitudinal axis.

12. The visceral anchor of claim 9, wherein the first and second ends of the wire are secured to the opposing ends of the crossbar within the lumen of the tubular wall.

13. The visceral anchor of claim 9, wherein the wire is coated with a friction reducing material.

14. The visceral anchor of claim 9, wherein the first and second ends of the wire are welded or soldered to the tubular wall.

15. The visceral anchor of claim 9, wherein the first and second ends are fixed to the tubular wall at locations longitudinally spaced apart.

16. The visceral anchor of claim 9, further comprising a suture extending through the passageway of the loop.