Vascular closure methods and apparatuses
First Claim
Patent Images
1. A tissue closure device for closing an aperture in a wall of tissue, comprising:
- a) a delivery sheath having a first end configured to be advanced towards and contact the wall of tissue to surround the aperture and a second end spaced from the first end in a direction along a longitudinal length of the delivery sheath;
b) a cincture element, removably mounted to the delivery sheath, defining an opening that has a first size when the cincture element is mounted to the delivery sheath, and can assume a second size, smaller than the first, when the cincture element is not mounted to the delivery sheath, the cincture element having a first end, a second end, an intermediate portion disposed between the first end and the second end and forming the opening, and a knot associated with the cincture element;
c) a cincture-retaining structure near the first end of the delivery sheath; and
d) a cylindrical member disposed within the delivery sheath, and having a lumen therethrough, the cylindrical member having a distal end distal the cincture-retaining structure and closer to the first end than the second end of the delivery sheath when the cincture element has the first size, the cylindrical member, and the lumen thereof, being configured to receive the first end and second end of the cincture element through the lumen and prevent passage of the knot.
2 Assignments
0 Petitions
Accused Products
Abstract
A vascular closure device comprised of a sheath-delivered cincture or noose-like device or knot comprised of suture, wire, or other suitable materials, that is placed on the external surface of a puncture wound, and closed. The vascular closure cincture is delivered by a sheath, and after closing is left resident on the external surface of a tissue puncture wound.
1122 Citations
24 Claims
-
1. A tissue closure device for closing an aperture in a wall of tissue, comprising:
-
a) a delivery sheath having a first end configured to be advanced towards and contact the wall of tissue to surround the aperture and a second end spaced from the first end in a direction along a longitudinal length of the delivery sheath; b) a cincture element, removably mounted to the delivery sheath, defining an opening that has a first size when the cincture element is mounted to the delivery sheath, and can assume a second size, smaller than the first, when the cincture element is not mounted to the delivery sheath, the cincture element having a first end, a second end, an intermediate portion disposed between the first end and the second end and forming the opening, and a knot associated with the cincture element; c) a cincture-retaining structure near the first end of the delivery sheath; and d) a cylindrical member disposed within the delivery sheath, and having a lumen therethrough, the cylindrical member having a distal end distal the cincture-retaining structure and closer to the first end than the second end of the delivery sheath when the cincture element has the first size, the cylindrical member, and the lumen thereof, being configured to receive the first end and second end of the cincture element through the lumen and prevent passage of the knot. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
-
-
16. A tissue closure device for closing an aperture in a wall of tissue, comprising:
-
a) a delivery sheath having a first end configured to be advanced towards and contact the wall of tissue to surround the aperture and a second end spaced from the first end in a direction along a longitudinal length of the delivery sheath; b) a cincture element, removably mounted to an exterior surface of the delivery sheath, having a first end, a second end, an intermediate portion disposed between the first end and the second end and forming an opening, and a knot associated with the cincture element, the opening continued to have a first size when the cincture element is mounted with the delivery sheath, and can assume a second size, smaller than the first, when the cincture element is not mounted with the delivery sheath; c) a cincture retention structure near the first end of the delivery sheath and being configured to selectively retain the cincture element, the cincture retention structure disposed inside of the lumen of the delivery sheath in a pre-deployed position with the cincture element having the first size; and d) a cylindrical member disposed within a lumen of the delivery sheath adjacent to the cincture retention structure, at a location off axis from a longitudinal axis of the delivery sheath in a direction transverse to the longitudinal axis and adjacent an inner surface of the delivery sheath, with the cylindrical member having a narrowed distal end distal the cincture retention structure and closer to the first end than the second end of the delivery sheath when the cincture element has the first size, and having a lumen therethrough, the cylindrical member, and the lumen thereof, being configured to receive the first end and second end of the cincture element through the lumen and prevent passage of the knot. - View Dependent Claims (17, 18, 19, 20)
-
-
21. A tissue closure device for closing an aperture in a wall of tissue, comprising:
-
a) a delivery sheath having a lumen and having a first end configured to be advanced towards and contact the wall of tissue to surround the aperture and a second end spaced from the first end in a direction along a longitudinal length of the delivery sheath; b) a cincture element, removably mounted to an exterior surface of the delivery sheath, having a first end, a second end, an intermediate portion disposed between the first end and the second end and forming an opening, and a knot associated with the cincture element, the opening formed by the cincture element having a first size when the cincture element is mounted to the delivery sheath, and can assume a second size, smaller than the first, when the cincture element is not mounted to the delivery sheath; c) a cincture retention structure near the first end of the delivery sheath and being configured to selectively retain the cincture element, the cincture retention structure disposed outside of the lumen of the delivery sheath in a pre-deployed position with the cincture element having the first size; and d) a cylindrical member disposed within the lumen of the delivery sheath at a location laterally off axis from a longitudinal axis of the delivery sheath and adjacent an inner surface of the delivery sheath, with the cylindrical member having a narrowed distal end distal the cincture retention structure and closer to the first end than the second end of the delivery sheath when the cincture element has the first size, and having a lumen therethrough, the cylindrical member, and the lumen thereof, being configured to receive the first end and second end of the cincture element through the lumen and prevent passage of the knot. - View Dependent Claims (22, 23, 24)
-
Specification