Systems for anchoring a medical device in a body lumen

• US 8,998,932 B2
• Filed: 06/18/2012
• Issued: 04/07/2015
• Est. Priority Date: 12/31/2002
• Status: Expired due to Fees

• Current Assignee: Abbott Laboratories
• Original Assignee: Abbott Laboratories
• Inventors: Voss, Laveille Kao
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US13/525,875
• Publication Number:
  US 20120289903A1
• Time in Patent Office: 1,023 Days
• Field of Search: 606/144, 606/145, 606/148, 606/213, 606/215, 606/136
• US Class Current: 606/139
• 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 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• 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 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/047 having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence

Abstract

A system for securing a device in tissue, having a sheath having a plurality of side openings; a rotatable element disposed within the sheath; and a plurality of curved projections extending from the rotatable element, wherein rotation of the rotatable element within the sheath pushes distal ends of each of the curved projections outwardly through one of the plurality of openings and into the tissue.

Claims

1. A system for anchoring a device, comprising:

a sheath having a plurality of side openings;

a rotatable element disposed within the sheath; and

at least two projections extending radially from and attached to the rotatable element, wherein rotation of the rotatable element with respect to the sheath advances the distal ends of the projections radially outwardly through the openings, one of the two projections being distal the other of the two projections,

wherein the at least two projections are formed from a shape memory material, and wherein the at least two projections spring radially outwardly as they pass outwardly through the side opening as the rotatable element is rotated with respect to the sheath when the at least two projections are exposed to a temperature change.

2. The system of claim 1, wherein the at least two projections is directly connected to the rotatable element.

3. The system of claim 1, wherein the at least two projections is integrally formed with the rotatable element.

4. The system of claim 1, wherein the shape memory material is Nitinol.

5. The system of claim 1, wherein the at least two projections comprises four projections disposed at 90 degrees to one another around the rotatable element.

6. The system of claim 1, wherein the plurality of side openings are disposed longitudinally along the length of the sheath.

7. The system of claim 1, wherein the projections extend radially in a plane that is perpendicular to the longitudinal axis of the system.

8. The system of claim 1, further comprising a suture-carrying feature on each of the ends of the distal ends of the projections.

9. A method of tissue closure, comprising:

inserting a distal end of a device having a sheath with at least a pair of side openings, a rotatable element within the sheath, and two pairs of projections, each projections having a distal end and a suture-carrying feature thereon, extending radially from the rotatable element, the pairs of projections attached to the rotatable element, one of the pair of projections being distal the other of the pair of projections, the suture-carrying feature attached to an end of a suture, wherein rotation of the rotatable element with respect to the sheath pushes each distal end of the projections radially outwardly through the each openings into an artery;

advancing a needle through a wall of the artery and into the suture-carrying feature; and

withdrawing the needle through the wall of the artery to pull the end of the suture through the wall of the artery.

10. The method of claim 9, wherein withdrawing the needle through the wall of the artery to pull the end of the suture through the wall of the artery comprises withdrawing a pair of needles through the wall of the artery, to pull a pair of suture ends through the wall of the artery.

11. The method of claim 9, wherein the suture-carrying feature is a cuff at an end of the suture.

12. The method of claim 9, further comprising rotating the rotatable element to extend the pairs of projections through the pairs of side openings.

13. The method of claim 12, wherein the two pairs of projections extend through the two pairs of side openings, the side openings being disposed at 90 degrees to one another around the sheath.

14. The method of claim 13, wherein each of the projections curves outwardly through a respective opening of the two pairs of side openings.

15. The method of claim 13, wherein one pair of projections extend radially through one pair of side openings in a first plane that is perpendicular to a longitudinal axis of the system.

16. The method of claim 15, wherein another pair of projections extend radially through another pair of side opening in a second plane distal the first plane, the second plane being parallel to the first plane.