Tissue closure system and methods of use

• US 8,672,953 B2
• Filed: 06/06/2011
• Issued: 03/18/2014
• Est. Priority Date: 12/17/2007
• Status: Expired due to Fees

• Current Assignee: Abbott Laboratories Incorporated
• Original Assignee: Abbott Laboratories Incorporated
• Inventors: Reyes, Steven, Baron, Scott
• Primary Examiner(s): TYSON, MELANIE RUANO
• Application Number:
  US13/153,594
• Publication Number:
  US 20110238089A1
• Time in Patent Office: 1,016 Days
• Field of Search: 606/139, 606/142, 606/143, 606151-158, 606/213, 606219-221, 623/23.72, 623/23.74
• US Class Current: 606/142
• 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 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014

Abstract

A system for closing an opening in tissue includes a closure element having a coiled body and a plurality of tissue engaging portions disposed about at least a portion of the body, the body being formed of a resilient material. The system also includes a clip applier apparatus that is configured to deploy the closure element into the tissue.

Claims

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

a closure element having;

a coiled body having a first free end and an opposing second free end, said body being formed of a resilient material, the first free end and the opposing second free end being disposed about an outer periphery, on opposite sides of the central axis of the coiled body in a closed configuration and separated by an angular separation of about 0 degrees in a pre-deployed, coiled expanded state; and

a plurality of tissue engaging portions disposed about at least a portion of said body between said first free end and said opposing second free end, said plurality of tissue engaging portions extending only from a first side of said coiled body in a first direction, said plurality of tissue engaging portions extending in the first direction in both the pre-deployed configuration and the closed configuration; and

a clip applier apparatus being configured to deploy said closure element into the tissue.

2. The system of claim 1, wherein the clip applier apparatus includes a locator assembly having a distal end region configured to extend into the opening and selectably contact a wall of the tissue, said distal end region being selectively movable between and expanded state and unexpanded state.

3. The system of claim 1, wherein the clip applier apparatus includes a locator assembly having a distal end region and a proximal end region, the proximal end region being configured to cooperate with a movable locator assembly block.

4. The system of claim 1, wherein the clip applier apparatus includes a carrier assembly, said carrier assembly retaining said closure element within said carrier assembly.

5. The system of claim 1, wherein the clip applier apparatus includes a triggering system, said triggering system being moveable toward a distal end of the clip applier apparatus.

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

a closure element having;

a coiled body having a first free end and an opposing second free end, said body being formed of a resilient material, the first free end and the opposing second free end being disposed about an outer periphery, on opposite sides of the central axis of the coiled body in a closed configuration and separated by an angular separation of about 0 degrees in pre-deployed, coiled expanded state; and

a plurality of tissue engaging portions disposed about at least a portion of said body between said first free end and said opposing second free end, said plurality of tissue engaging portions extending from only a first side of said coiled body in a first direction, said plurality of tissue engaging portions extending in the first direction in both the pre-deployed configuration and the closed configuration, a second side of said coiled body being generally flat; and

a clip applier apparatus being configured to deploy said closure element into the tissue, said clip applier apparatus comprising a housing supporting at least a portion of a locator assembly, a carrier assembly, and a triggering system.

7. The system of claim 6, wherein said locator assembly includes a distal end region configured to extend into the opening and selectably contact a wall of the tissue and a proximal end region configured to cooperate with a movable locator assembly block.

8. The system of claim 6, wherein said carrier assembly is coupled with said locating assembly, said carrier assembly retaining said closure element within said carrier assembly.

9. The system of claim 6, wherein said triggering system cooperates with said locator assembly, said triggering system being moveable toward said distal end region of said locator assembly as a movable locator assembly block moves toward said distal end region.

10. The system of claim 6, wherein said locator assembly is configured to selectively control a distal end region of said locator assembly between an expanded state and an unexpanded state.

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

a closure element having;

a coiled body having a central axis, a first free end, and an opposing second free end, said body being formed of a resilient material and having a first side, a second planar side opposite the first side, and a pair of planar sides extending from the second planar side toward the first side, the first free end and the opposing second free end being disposed about an outer periphery, on opposite sides of the central axis of the coiled body with a first angular separation of about 180 degrees in a closed configuration and separated by a second angular separation of about 0 degrees in a pre-deployed, coiled expanded state; and

a plurality of tissue engaging portions disposed about at least a portion of said body between said first free end and said opposing second free end, said plurality of tissue engaging portions extending axially from only the first side of said coiled body in a first direction, said plurality of tissue engaging portions extending in the first direction in both the pre-deployed configuration and the closed configuration; and

a clip applier apparatus being configured to deploy said closure element into the tissue, said clip applier apparatus including a locator assembly having a distal end region configured to extend into the opening and selectably contact a wall of the tissue and a proximal end configured to cooperate with a movable locator assembly block, a carrier assembly coupled with said locating assembly, said carrier assembly retaining said closure element within said carrier assembly, and a triggering system cooperating with said locator assembly, said triggering system moveable toward said distal end region of said locator assembly as said movable locator assembly block moves toward said distal end region.

12. The system of claim 11, further comprising a housing receiving said locator assembly, said carrier assembly, and said triggering system.

13. The system of claim 11, wherein said locator assembly is configured to selectively control said distal end region of said locator assembly between an expanded state and an unexpanded state.

14. The system of claim 13, wherein said locator assembly further comprises a control member coupled to at least one expansion member and a tubular member configured to surround said control member.

15. The system of claim 14, wherein said locator assembly further comprises a tubular body block mounted to said tubular member, a spring retainer receiving a portion of said tubular body block, and said movable locator assembly block slidably cooperating with said tubular body block and said tubular member.

16. The system of claim 11, further comprising a splittable sheath selectively cooperating with said carrier assembly.

17. The system of claim 11, wherein said carrier assembly includes a pusher member, a carrier member, and a cover member.

18. The system of claim 17, wherein said carrier member includes a tapered distal end.

19. The system of claim 17, wherein said pusher member is moveable relative to said cover member and said cover member, said cover member being selectively deformable by distal movement of said pusher member.

20. The system of claim 19, further comprising a support member.