Blood vessel closure clip and delivery device

• US 9,295,469 B2
• Filed: 06/03/2013
• Issued: 03/29/2016
• Est. Priority Date: 06/04/2002
• Status: Expired due to Fees

• Current Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Inventors: Cummins, Christy, Stevenson, Robert K.
• Primary Examiner(s): Woo, Julian W
• Application Number:
  US13/908,796
• Publication Number:
  US 20130338708A1
• Time in Patent Office: 1,030 Days
• US Class Current: 1/1
• 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 17/064 Surgical staples, i.e. penetrating the tissue
• 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 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00668 the implement being a tack or a staple
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/22061 for spreading elements apart

Abstract

A clip for closing a puncture in a body lumen comprises a clip having a resiliently expandable circumference and a plurality of barbed prongs extending at least approximately in the same direction from one edge of the clip. A device for deploying such a clip is described. A method for deploying such a clip is also described.

Claims

1. A method comprising:

advancing a catheter toward a puncture in a tissue wall;

increasing a dimension of an expander to increase a dimension of a puncture occluder, the puncture occluder having prongs projecting towards a front end of the catheter;

advancing the puncture occluder to penetrate tissue surrounding the tissue wall; and

decreasing a dimension of the puncture occluder to close the puncture in the tissue wall.

2. The method of claim 1, further comprising removing the catheter from the puncture in the tissue wall causing the puncture occluder to pull the surrounding tissue together to substantially seal the puncture in the tissue wall.

3. The method of claim 1, further comprising expanding the puncture occluder adjacent the tissue wall.

4. The method of claim 1, further comprising identifying that the puncture occluder is positioned a pre-determined distance from the tissue wall.

5. The method of claim 4, further comprising identifying blood flow through the catheter from a blood entry port to a proximal blood port.

6. The method of claim 1, wherein advancing the puncture occluder comprises advancing a catheter distally.

7. The method of claim 1, wherein advancing the puncture occluder comprises expanding an expandable member mounted to the catheter, a portion of the expandable member advancing the puncture occluder distally toward the tissue wall.

8. A method comprising:

advancing a puncture occluder to a pre-determined distance from a tissue wall having a puncture therethrough, the puncture occluder having a body and a plurality of prongs extending from the body;

increasing a dimension of the puncture occluder;

following increasing the dimension of the puncture occluder, advancing the puncture occluder to penetrate tissue surrounding the puncture through the tissue wall;

decreasing the dimension of the puncture occluder to substantially seal the puncture.

9. The method of claim 8, wherein increasing the dimension of the puncture occluder comprising expanding a puncture occluder expander.

10. The method of claim 9, wherein expanding the puncture occluder expander further comprises expanding a distal end of the puncture occluder expander preferentially from a proximal end of the puncture occluder expander.

11. The method of claim 8, wherein advancing the puncture occluder comprises advancing a catheter supporting the puncture occluder.

12. The method of claim 8, wherein decreasing the dimension of the puncture occluder comprises allowing the puncture occluder to resiliently contract from an expanded state to a collapsed state.

13. The method of claim 8, further comprising identifying that the puncture occluder is positioned a pre-determined distance from the tissue wall.

14. The method of claim 13, further comprising identifying blood flow through the catheter from a blood entry port to a proximal blood port.

15. A method for substantially closing a puncture in a tissue wall, the method comprising:

advancing a catheter until an indication that a puncture occluder is positioned a pre-determined distance from a wall of the body lumen;

after advancing the catheter until the indication that the puncture occluder is positioned, increasing a dimension of a puncture occluder expander to increase a dimension of the puncture occluder,

while increasing the dimension of the puncture occluder expander, advancing the catheter to cause the puncture occluder to penetrate tissue surrounding the wall of the body lumen;

after advancing the catheter, partially decreasing a dimension of the puncture occluder expander; and

removing the catheter from the tissue tract to decrease the dimension of the puncture occluder to pull the surrounding tissue together to substantially close the puncture.

16. The method of claim 15, wherein increasing a dimension of the puncture occluder expander comprises inflating a balloon.

17. The method of claim 15, wherein increasing a dimension of the puncture occluder expander comprises distally sliding a portion of a sleeve slidably mounted to the catheter.

18. The method of claim 17, further comprising distally sliding the portion of the sleeve radially moves a plurality of splines of the sleeve mutually outwardly.

19. The method of claim 18, wherein decreasing the dimension of the puncture occluder comprises distally sliding the portion of the sleeve to collapse the plurality of spines mutually inwardly toward the catheter.

20. The method of claim 15, wherein the puncture occluder expander is a balloon inflatably mounted to the catheter and wherein decreasing the dimension of the puncture occluder comprises deflating the balloon.

21. The method of claim 15, wherein the puncture occluder comprises:

a ring-like body having a plurality of struts forming a plurality of generally diamond-shaped openings in an expanded configuration, the generally diamond-shaped openings being disposed side-by-side around the ring-like body; and

a plurality of tissue engaging portions associated with the ring-like body.

22. The method of claim 15, wherein the plurality of struts form a plurality of apices, the plurality of tissue engaging portions being associated with the plurality of apices.

23. The method of claim 15, wherein the plurality of tissue engaging portions are tissue penetrating portions.

24. The method of claim 15, wherein the plurality of tissue engaging portions mutually converge slightly towards a center axis of the ring-like body.

25. The method of claim 15, wherein the plurality of generally diamond-shaped openings are longitudinal slits in a collapsed configuration.

26. The method of claim 25, wherein removing the catheter from the tissue tract releases the puncture occluder from the catheter.

27. The method of claim 15, wherein the puncture occluder comprises:

a plurality of strut members forming a plurality of generally diamond-shaped openings, the plurality of strut member being configured to form an annular shaped structure with the generally diamond-shaped openings extending generally longitudinally relative to a longitudinal axis of the medical device; and

a plurality of tissue engaging portions, each tissue engaging portion being disposed between adjacently positioned generally diamond-shaped openings.