Closure device and methods for making and using them
First Claim
1. A method for closing an opening in a wall of a body lumen, comprising:
- advancing a distal end of a first elongate member within the body lumen, the first elongate member extending through a lumen of a second elongate member, the first elongate member having a distal portion that assists in both locating the wall and presenting the wall for receiving a clip, the clip having a plurality of tissue engaging portions having tips that point generally toward a central axis of the clip;
partially withdrawing the first elongate member, together with the second elongate member, proximally from the body lumen to withdraw the distal portion of the first elongate member and locate the wall and present the wall for receiving the clip;
advancing the clip relative to the first elongate member and the second elongate member and the wall of the body lumen until the plurality of tissue engaging portions penetrate the presented wall of the body lumen; and
withdrawing the first elongate member and the second elongate member from the body lumen, leaving the clip to substantially close the opening in the wall of the body lumen.
2 Assignments
0 Petitions
Accused Products
Abstract
A method for closing an opening in a wall of a body lumen using a clip can include advancing a distal end of an elongate member within the body lumen, the elongate member having a distal portion that assists in presenting the wall for receiving a clip having a plurality of tissue engaging portions having tips that point generally toward a central axis of the clip. The clip can be advanced relative to the elongate member and the wall of the body lumen until the plurality of tissue engaging portions penetrate the wall of the body lumen. Once the clip penetrates the wall, the elongate member can be withdrawn from the body lumen, leaving the clip to substantially close the opening in the wall of the body lumen.
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Citations
17 Claims
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1. A method for closing an opening in a wall of a body lumen, comprising:
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advancing a distal end of a first elongate member within the body lumen, the first elongate member extending through a lumen of a second elongate member, the first elongate member having a distal portion that assists in both locating the wall and presenting the wall for receiving a clip, the clip having a plurality of tissue engaging portions having tips that point generally toward a central axis of the clip; partially withdrawing the first elongate member, together with the second elongate member, proximally from the body lumen to withdraw the distal portion of the first elongate member and locate the wall and present the wall for receiving the clip; advancing the clip relative to the first elongate member and the second elongate member and the wall of the body lumen until the plurality of tissue engaging portions penetrate the presented wall of the body lumen; and withdrawing the first elongate member and the second elongate member from the body lumen, leaving the clip to substantially close the opening in the wall of the body lumen. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method for closing an opening in a wall of a body lumen, comprising:
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advancing a distal end of a first elongate member within the body lumen, the first elongate member slidably extending through a lumen of a second elongate member, the first elongate member having a distal portion, the distal portion assisting in both locating and presenting the wall for receiving a clip, the clip having a plurality of tissue engaging portions symmetrically disposed about the clip; partially withdrawing the first elongate member, together with the second elongate member, proximally from the body lumen to withdraw the distal portion of the first elongate member to locate the wall and present the wall for receiving the clip; advancing the clip relative to the first elongate member and the second elongate member and the wall of the body lumen, as the distal portion of the first elongate member assists with both locating and presenting the wall for receiving the clip, until the plurality of tissue engaging portions penetrate an outer surface of the presented wall of the body lumen, the tissue engaging portions and the distal portion of the first elongate member being angularly offset from one another, the clip being annularly disposed around a portion of the second elongate member supporting the distal portion of the first elongate member that assists in both locating and presenting the wall for receiving the clip; and withdrawing the first elongate member and the second elongate member from the body lumen, leaving the clip to substantially close the opening in the wall of the body lumen. - View Dependent Claims (8, 9, 10, 11)
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12. A method for closing an opening in a wall of a body lumen, comprising:
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advancing a distal end of a first elongate member within the body lumen using a guide wire, the first elongate member slidably extending through a lumen of a second elongate member, the first elongate member being an obturator, the obturator assisting in both locating and proximally presenting the wall for receiving a clip, the clip having a plurality of tissue engaging portions symmetrically disposed about the clip, the obturator extending from a distal end of the second elongate member; locating an inner surface of the wall using the obturator; withdrawing the obturator proximally to present an outer surface of the wall for receiving the clip; positioning a distal end of the second elongate member relative to the first elongate member, the second elongate member comprising a carrier assembly that receives the clip with the clip being annularly disposed around a portion of the second elongate member supporting the distal portion of the first elongate member that assists in both locating and presenting the wall for receiving the clip and outside of the lumen of the second elongate member; advancing the clip distally, toward the wall of the body lumen, as the distal portion of the first elongate member assists with presenting the wall for receiving the clip, until the plurality of tissue engaging portions penetrate the outer surface of the presented wall of the body lumen; and withdrawing the first elongate member and the second elongate member from the body lumen, leaving the clip to substantially close the opening in the wall of the body lumen. - View Dependent Claims (13, 14, 15, 16, 17)
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Specification