Vascular hole closure device

• US 9,924,930 B2
• Filed: 02/07/2015
• Issued: 03/27/2018
• Est. Priority Date: 02/15/2008
• Status: Active Grant

• Current Assignee: Rex Medical, LLC
• Original Assignee: REX Medical LP
• Inventors: McGuckin, Jr., James F., Leedle, John D., Tarmin, James S., Anidharan, Thanu
• Primary Examiner(s): Dornbusch, Dianne
• Application Number:
  US14/616,674
• Publication Number:
  US 20150150548A1
• Time in Patent Office: 1,144 Days
• 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00615 Implements with an occluder on one side of the opening and holding means therefor on the other
• CPC Class Codes: A61B 2017/00623 Introducing or retrieving devices therefor
• CPC Class Codes: A61B 2017/00659 located only on one side of the opening

Abstract

A device for closing an aperture in a vessel wall comprising a covering member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture and a first spherical retainer positionable external of the vessel. The covering member has a dimension to prevent egress of fluid through the aperture.

Claims

1. A device for closing an aperture in a wall of a vessel, the aperture extending through the wall of the vessel and communicating with an internal lumen of the vessel, the device comprising:

a distal covering member positionable within the vessel against the aperture, the covering member having a dimension to prevent blood flow through the aperture;

a first retainer positionable external of the vessel and proximal of the covering member the retainer retaining the covering member inside the vessel to prevent blood flow from the lumen of the vessel through the aperture;

a first connecting member having a first portion and a second portion, wherein the first retainer is fixedly attached to the first connecting member at the first portion of the first connecting member, wherein applying a proximally directed force on the second portion of the first connecting member advances the first retainer distally toward the covering member;

a second retainer; and

a second connecting member having a first portion and a second portion, wherein the second retainer is fixedly attached to the second connecting member at the first portion of the second connecting member, wherein applying a proximally directed force on the second portion of the second connecting member advances the second retainer distally toward the covering member.

2. The device of claim 1, wherein the second retainer is positionable external of the vessel and movable distally toward the covering member.

3. The device of claim 1, wherein the covering member is composed of a resorbable material.

4. The device of claim 3, wherein the first and second retainers and the first and second connecting members are composed of a resorbable material.

5. The device of claim 1, wherein the covering member is elongated in configuration and is retained in a delivery sheath in a longitudinal position for delivery and transitions to a transverse placement position within the vessel.

6. The device of claim 1, wherein the first and second retainers are positioned in a stacked relationship in a delivery position.

7. The device of claim 6, wherein the first and second retainers in a placement position are positioned in a substantially side by side relationship.

8. The device of claim 1, wherein the first and second retainers in a placement position are positioned in a substantially side by side relationship.

9. The device of claim 1, wherein the covering member has a thicker region in a central region than in end regions.

10. The device of claim 1, wherein the covering member has a transverse dimension less than a longitudinal dimension.

11. A device for closing an aperture in a wall of a vessel, the aperture extending through the wall of the vessel and communicating with an internal lumen of the vessel, the device comprising:

an intravascular covering member having a dimension to prevent blood flow through the aperture, the covering member having first and second openings;

a first extravascular retainer positionable proximal of the covering member, the first extravascular retainer retaining the intravascular covering member within the vessel;

a first connecting member having a first portion and a second portion, the first connecting member looping through the first and second openings of the covering member, the first retainer fixedly attached to the first connecting member such that movement of the first connecting member moves the attached first extravascular retainer, wherein pulling a portion of the first connecting member in a direction away from the covering member advances the first retainer in an opposite direction toward the covering member;

a second extravascular retainer positionable proximal of the covering member and movable toward the covering member; and

a second connecting member having a first portion and a second portion, the second connecting member looping through third and fourth openings of the covering member, the second retainer fixedly attached to the second connecting member such that movement of the second connecting member moves the attached second extravascular retainer, wherein pulling a portion of the second connecting member in a direction away from the covering member advances the second retainer in an opposite direction toward the covering member.

12. The device of claim 11, wherein the first and second extravascular retainers and the first and second connecting members are composed of resorbable material.

13. The device of claim 12, wherein the covering member is composed of resorbable material.

14. The device of claim 11, wherein the first and second extravascular retainers are positioned in side by side relationship in a placement position.

15. The device of claim 14, wherein the first and second retainers are positioned in a stacked relationship in a delivery position.