Vessel closure device

• US 9,962,144 B2
• Filed: 09/10/2013
• Issued: 05/08/2018
• Est. Priority Date: 06/28/2006
• Status: Active Grant

• Current Assignee: Abbott Laboratories Incorporated
• Original Assignee: Abbott Laboratories Incorporated
• Inventors: Ellingwood, Brian A.
• Primary Examiner(s): Dornbusch, Dianne
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US14/023,428
• Publication Number:
  US 20140018850A1
• Time in Patent Office: 1,701 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 2017/00659 located only on one side of the opening
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/0649 Coils or spirals

Abstract

The present invention relates to closing an opening within a subcutaneous bodily vessel by using a spiral closure device to engage tissue around the opening. The spiral closure device is adapted to be threaded into the vessel wall surrounding the opening in the bodily vessel. A deployment mechanism may be used to rotate the spiral closure device. As the deployment mechanism is rotated the spiral closure device is rotated such that a tip of the spiral closure device engages the vessel wall around the opening in the bodily vessel. Continued rotation of the spiral closure device threads the closure device through the tissue around the opening. The closure device may have a tapered configuration in which the distal end is larger than the proximal end. As the distal end is threaded through the vessel wall, the narrowing closure device pulls the vessel wall tissue together, thereby effectively closing the opening.

Claims

1. A method for installing a tissue closure device, the method comprising:

locating an opening in tissue;

positioning a closure device adjacent the opening, the closure device having a proximal annular cap and a coiled wire extending from adjacent the annular proximal cap, an elongate member extends through a portion of the coiled wire, the coiled wire increasing in diameter from the proximal annular cap toward a distal end of the closure device, a diameter of the proximal annular cap being larger than a diameter of the coiled wire adjacent the proximal annular cap and at least a diameter of an intermediate portion of the coiled wire; and

deploying the proximal annular cap and the coiled wire of the closure device distally into the opening to engage the coiled wire with the tissue surrounding the opening, the coiled wire engages and pulls the tissue surrounding the opening radially inwardly and reduces blood-loss by the patient after deployment.

2. The method as recited in claim 1, further comprising rotating the closure device into the tissue surrounding the opening following completing a procedure through the opening.

3. The method as recited in claim 1, wherein deploying the closure device further comprising releasing the closure device from a deployment mechanism.

4. The method of claim 1, wherein locating the opening in the tissue comprises:

extending a locator through the tissue; and

determining that bodily fluid is being received through the locator.

5. The method of claim 4, wherein determining that bodily fluid is being received through the locator comprises identifying bodily fluid passing through a bleed-back lumen.

6. The method of claim 1, wherein the coiled wire is solid.

7. The method of claim 1, wherein the coiled wire has a circular cross-section.

8. The method of claim 1, wherein the proximal annular cap is affixed to the elongate member.

9. A method for reducing blood-flow following a medical procedure, the method comprising:

locating an opening in a tissue wall through which a medical procedure was performed;

positioning a tissue closure device at the opening, the closure device including a proximal annular cap and a coiled wire with a sharpened distal tip, an elongate member extends through a portion of the coiled wire, the coiled wire increasing in diameter from the proximal annular cap toward a distal end of the closure device, a diameter of the proximal annular cap being larger than a diameter of the coiled wire adjacent the annular cap and at least a diameter of an intermediate portion of the coiled wire;

advancing the closure device distally into the tissue wall surrounding the opening; and

deploying the closure device to engage the coiled wire with the tissue wall to engage and pull the tissue surrounding the opening radially inwardly, the combination of the coiled wire and the elongate member reducing blood-loss by the patient after deployment of the closure device in the tissue wall.

10. The method of claim 9, wherein the coils of the coiled wire are compressible.

11. The method of claim 9, wherein advancing the closure device further comprises advancing the tissue wall along a length of the closure device.

12. The method of claim 9, wherein advancing the closure device further comprises advancing the closure device from a deployment mechanism, the deployment mechanism comprising an elongate structure with an opening therein for receiving the closure device.

13. The method of claim 12, further comprising rotatably engaging the closure device with the deployment mechanism to penetrate the tissue wall with a sharpened distal tip.

14. The method of claim 9, wherein locating the opening comprises advancing a bleed back lumen associated with a deployment device into the opening in the tissue wall.

15. The method of claim 9, advancing the closure device comprises:

removably mounting the closure device to a deployment mechanism; and

rotating a portion of the deployment mechanism to move the closure device to engage the tissue wall.

16. A method for installing a tissue closure device so as to reduce blood-loss by the patient, the method comprising:

locating an opening in a tissue wall;

positioning a deployment mechanism at the opening, the deployment mechanism supporting a tissue closure device, the closure device having a proximal annular cap and a coiled wire extending from adjacent the annular cap, an elongate member extends through a portion of the coiled wire, the coiled wire increasing in diameter from the proximal annular cap toward a distal end of the closure device, a diameter of the proximal annular cap larger than a diameter of the coiled wire adjacent the proximal annular cap and at least a diameter of an intermediate portion of the coiled wire; and

rotating the deployment mechanism to deploy the tissue closure device distally into the tissue wall to engage and pull together the tissue wall surrounding the opening and to reduce blood-loss by the patient by traversing a plunger, disposed within a tube of the deployment mechanism, along an axis of the tube.

17. The method of claim 16, wherein the coiled wire comprises a helically wound wire having a plurality of coils and rotatably deploying the tissue closure device comprises advancing the plurality of coils into the tissue wall along a length of the closure device.

18. The method of claim 17, wherein the wire comprises a shape memory material.

19. The method of claim 16, wherein traversing the plunger comprises traversing a threaded portion of the plunger along threaded portion of the deployment mechanism.

20. The method of claim 16, wherein the tissue closure device engages the tissue wall when rotated in a first direction and disengages from the deployment mechanism when rotated in a second direction.