Closure device

• US 9,332,977 B2
• Filed: 11/08/2013
• Issued: 05/10/2016
• Est. Priority Date: 02/01/2007
• Status: Expired due to Fees

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated), Oregon Health & Science University
• Original Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated), Oregon Health & Science University
• Inventors: Pavcnik, Dusan, Tekulve, Kurt J., Deckard, Michael
• Primary Examiner(s): Lynch, Robert
• Application Number:
  US14/076,024
• Publication Number:
  US 20140066980A1
• Time in Patent Office: 914 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• 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 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00575 for closure at remote site, e.g. closing atrial septum defects
• CPC Class Codes: A61B 2017/00584 Clips
• CPC Class Codes: A61B 2017/00592 Elastic or resilient implements
• CPC Class Codes: A61B 2017/00597 Implements comprising a membrane
• CPC Class Codes: A61B 2017/00606 Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A closure device for closing a bodily passageway is provided. The device includes first and second frames and first and second crossbars. A sheet of biocompatible material is attached to one or more of the frames. The first crossbar extends across the first frame and has terminal crossbar ends connectively linked to separate sites on the first frame; the second crossbar is similarly linked to the second frame. The crossbars are attached to each other at a connection point, and they are each configured to bend away from the connection point when the closure device is deployed to close a bodily passageway. A method of making the closure device is provided, as well as a method for closing a bodily passageway using such a device. Further, a closure device assembly is provided, including a closure device, a delivery catheter housing, and a delivery release member.

Claims

1. A method for closing a bodily passageway in a patient, the method comprising:

providing a closure device assembly, the closure device assembly comprising;

a delivery catheter housing;

a delivery release member; and

a collapsibly disposed closure device, the closure device comprising;

a first frame comprising at least one hollow tube;

a sheet of biocompatible material attached to the first frame;

a first crossbar extending across the first frame, the first crossbar having terminal crossbar ends connectively linked to separate sites on the first frame;

a second crossbar attached to the first crossbar at a connection point; and

a second frame comprising at least one hollow tube, the second crossbar extending across the second frame, the second crossbar having terminal crossbar ends connectively linked to separate sites on the second frame,

wherein the first crossbar and the second crossbar each comprise at least one hollow tube and are each configured to bend away from the connection point when the closure device is deployed to close a bodily passageway;

wherein at least one first retention member extends through a lumen of the hollow tube of the first frame and connects the first crossbar to the first frame,

wherein at least one second retention member extends through a lumen of the hollow tube of the second frame and connects the second crossbar to the second frame;

advancing the delivery catheter housing through the bodily passageway;

releasing the first frame from the delivery catheter housing proximate to a first opening of the bodily passageway;

retracting the delivery catheter housing through the bodily passageway and positioning the delivery catheter housing proximate to a second opening of the bodily passageway; and

disengaging the closure device from the delivery release member and releasing the second frame proximate to the second opening of the bodily passageway,

wherein the closure device is secured to tissue portions surrounding the bodily passageway, thereby closing the bodily passageway.

2. The method of claim 1, wherein the closure device further comprises a third crossbar and a fourth crossbar, the third crossbar having terminal crossbar ends connectively linked to separate sites on the first frame, and the fourth crossbar having terminal ends connectively linked to separate sites on the second frame.

3. The method of claim 2, wherein the connection point is a first connection point, and wherein the third crossbar is attached to the fourth crossbar at a second connection point, the third and fourth crossbars being configured to bend away from the second connection point when the closure device is deployed to close a bodily passageway.

4. The method of claim 1, wherein the at least one first retention member is threaded through a lumen of the hollow tube of the first frame and connects the first crossbar to the first frame.

5. A method for making a closure device for closing a bodily passageway, the method comprising:

threading at least one first retention member through at least one first tubular member to create a first frame;

threading the at least one first retention member through a first crossbar and a third crossbar;

fastening the at least one first retention member to hold together the at least one first tubular member, the first crossbar and the third crossbar;

threading at least one second retention member though at least one second tubular member to create a second frame;

threading the at least one second retention member through a second crossbar and a fourth crossbar;

fastening the at least one second retention member to hold together the at least one second tubular member, the second crossbar and the fourth crossbar;

attaching a central portion of the first crossbar to the second crossbar;

attaching a central portion of the third crossbar to the fourth crossbar;

threading at least one third retention member through a delivery bar; and

fastening the at least one third retention member to at least one of the following;

the at least one first tubular member, the at least one second tubular member, the at least one first retention member, and the at least one second retention member.

6. The method of claim 5, wherein the retention members are provided as wires.

7. The method of claim 6, wherein the tubular members, the crossbars, and the delivery bar are provided as coils.

8. The method of claim 7, wherein the step of attaching a central portion of the first crossbar to the second crossbar comprises threading the first crossbar and the second crossbar through a first marker band;

and wherein the step of attaching a central portion of the third crossbar to the fourth crossbar comprises threading the third crossbar and the fourth crossbar through a second marker band.

9. A method for making a closure device for closing a bodily passageway, the method comprising:

threading at least one first retention member through at least one first tubular member to create a first frame;

threading the at least one first retention member through a first crossbar and a third crossbar;

fastening the at least one first retention member to hold together the at least one first tubular member, the first crossbar and the third crossbar;

threading at least one second retention member though at least one second tubular member to create a second frame;

threading the at least one second retention member through a second crossbar and a fourth crossbar;

fastening the at least one second retention member to hold together the at least one second tubular member, the second crossbar and the fourth crossbar;

attaching a central portion of the first crossbar to the second crossbar;

attaching a central portion of the third crossbar to the fourth crossbar;

threading at least one third retention member through a delivery bar; and

fastening the at least one third retention member to at least one of the following;

the at least one first tubular member, the at least one second tubular member, the at least one first retention member, and the at least one second retention member;

wherein the retention members are provided as wires;

wherein the tubular members are provided as coils; and

wherein the at least one first tubular member comprises two tubular members, and the first retention member is a single retention member that is threaded through each of the two first tubular members multiple times; and

wherein the at least one second tubular member comprises two tubular members, and the second retention member is a single retention member that is threaded through each of the two second tubular members multiple times.

10. The method of claim 9, further comprising heat treating the tubular members and crossbars.