Closure devices, systems, and methods

• US 9,414,824 B2
• Filed: 07/03/2014
• Issued: 08/16/2016
• Est. Priority Date: 01/16/2009
• Status: Active Grant

• Current Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Inventors: Fortson, Aaron M., Roorda, Wouter E.
• Primary Examiner(s): ORKIN, ALEXANDER J
• Application Number:
  US14/323,753
• Publication Number:
  US 20140364900A1
• Time in Patent Office: 775 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 2017/00646 Type of implements
• CPC Class Codes: A61B 2017/00654 entirely comprised between the two sides of the opening

Abstract

The present disclosure includes vessel closure devices, systems, and methods. A closure device configured to close an opening in a body lumen may include an elongate member having a distal end and a proximal end. An anchor member may be disposed on the elongate member proximate the distal end of the elongate member. A cap member may also be disposed on the elongate member a distance from the distal end of the elongate member. The anchor member and the cap member cooperate to close the opening in the body lumen.

Claims

1. A closure system configured to close an opening in a body lumen, the closure system comprising:

a generally tubular outer member having a distal opening and a proximal opening;

a generally tubular intermediate member disposed at least partially within the outer member;

a generally tubular inner member disposed at least partially within the generally tubular intermediate member, the generally tubular inner member including a lumen; and

a closure device disposed at least partially within the outer member and around at least a portion of an outer surface of the generally tubular inner member extending from a distal end towards a proximal end of the generally tubular inner member, the closure device comprising;

a suture having a distal end and a proximal end;

a monolithic anchor member connected to the suture proximate the distal end of the suture and at least partially wrapped around to at least partially encircle a portion of the generally tubular inner member, the anchor member being elastic such that the anchor member conforms to an inner surface of the body lumen, a knot affixed to a proximal face of the monolithic anchor member; and

a cap member connected to the suture a distance from the distal end of the suture, the cap member being configured to conform to an outer surface of the body lumen, wherein the anchor member and the cap member being deformed to close the opening in the body lumen with a convex-like surface of the cap member being disposed toward the monolithic anchor member,

wherein the suture extends distally from the distal end of the generally tubular inner member and distal the monolithic anchor in a pre-deployed, delivery configuration.

2. The closure system of claim 1, further comprising a second suture disposed substantially in parallel with the suture.

3. The closure system of claim 1, wherein the suture comprises one or more projections disposed along the length thereof.

4. The closure system of claim 3, wherein the one or more projections are chosen from a group comprising teeth, barbs, and ridges.

5. The closure system of claim 3, wherein the one or more projections are configured to permit movement by the cap member in a distal direction and resist movement by the cap member in a proximal direction.

6. The closure system of claim 1, wherein the cap member is slidably disposed on the elongate member.

7. The closure system of claim 1, wherein the anchor member or cap member comprises a biodegradable material.

8. The closure system of claim 1, wherein the anchor member or cap member is disc shaped.

9. The closure system of claim 1, wherein the anchor member or cap member has a varying thickness.

10. The closure system of claim 1, wherein the suture comprises a bioabsorbable monofilament.

11. The closure system of claim 1, wherein the cap member is coupled to the suture proximate a knot.

12. A closure system comprising:

a generally tubular outer member having a distal opening and a proximal opening;

a generally tubular intermediate member disposed at least partially within the outer member;

a generally tubular inner member disposed at least partially within the generally tubular intermediate member, the generally tubular inner member including a lumen; and

a closure device disposed at least partially within the outer member and around at least a portion of an outer surface of the generally tubular inner member extending from a distal end towards a proximal end of the generally tubular inner member, the closure device comprising;

a suture having a distal end and a proximal end, the suture being disposed at least partially through the intermediate member;

a monolithic anchor member connected to the suture proximate the distal end of the suture, the anchor member being further disposed within the outer member distal of the intermediate member and at least partially wrapped around to at least partially encircle a portion of the generally tubular inner member, the anchor member being elastic such that the anchor member conforms to an inner surface of the body lumen, a knot affixed to a proximal face of the monolithic anchor member; and

a cap member connected to the suture a distance from the distal end of the suture and at least partially wrapped around to at least partially encircle another portion of the generally tubular inner member, the cap member being configured to conform to an outer surface of the body lumen, the cap member being further disposed within the outer member proximal of the anchor member and being deformed to close the opening in the body lumen with a convex-like surface of the cap member being disposed toward the monolithic anchor member,

wherein the suture extends distally from the distal end of the generally tubular inner member and distal the monolithic anchor in a pre-deployed, delivery configuration.

13. The closure system of claim 12, wherein the outer member comprises a non-rigid catheter.

14. The closure system of claim 12, wherein the inner member comprises a guidewire lumen, fluid marker port, or flow back lumen.

15. The closure system of claim 12, wherein the inner member and the intermediate member are integrated together into a single component.

16. The closure system of claim 12, wherein the intermediate member comprises a pusher tube.

17. The closure system of claim 12, wherein the intermediate member is movable relative to the outer member.

18. The closure system of claim 12, wherein the distal movement of the intermediate member relative to the outer member is limited to the movement necessary deploy the anchor member from the distal opening of the outer member.

19. The closure system of claim 12, further comprising a collagen or polyethylene glycol plug configured to at least partially obstruct a tissue tract proximate a body lumen opening.

20. A method of closing an opening in a lumen wall, the method comprising:

advancing the distal end of a closure system over a guidewire into a body lumen, the closure system comprising;

a generally tubular outer member having a distal opening and a proximal opening;

a generally tubular intermediate member disposed at least partially within the outer member;

a generally tubular inner member disposed at least partially within the generally tubular intermediate member, the generally tubular inner member including a lumen; and

a closure device disposed at least partially within the outer member and around at least a portion of an outer surface of the generally tubular inner member extending from a distal end towards a proximal end of the generally tubular inner member, the closure device comprising;

a suture having a distal end and a proximal end, the suture being disposed at least partially through the intermediate member;

a monolithic anchor member connected to the suture proximate the distal end of the suture and at least partially wrapped around to at least partially encircle a portion of the generally tubular inner member, the anchor member being further disposed within the outer member distal of the intermediate member, the anchor member being elastic such that the anchor member conforms to an inner surface of the body lumen; and

a cap member disposed on the elongate member a distance from the distal end of the elongate member, the cap member being further disposed within the outer member proximal of the anchor member, the cap member being configured to conform to an outer surface of the body lumen, the cap member being further disposed within the outer member proximal of the anchor member and being deformed to close the opening in the body lumen with a convex-like surface of the cap member being disposed toward the monolithic anchor member,

wherein the suture extends distally from the distal end of the generally tubular inner member and distal the monolithic anchor in a pre-deployed, delivery configuration;

deploying the anchor member into the lumen;

tensioning the suture to engage the anchor member with a distal surface of the lumen wall; and

deploying the cap member and advancing the cap member in a distal direction along the suture to engage a proximal surface of the lumen wall.