Universal introducer

• US 20040172058A1
• Filed: 03/08/2004
• Published: 09/02/2004
• Est. Priority Date: 03/12/1997
• Status: Active Grant

• Current Assignee: Neomend, Inc. (Becton, Dickinson & Co)
• Original Assignee: Neomend, Inc. (Becton, Dickinson & Co)
• Inventors: Parker, Theodore L., Edwards, Stuart D., Wehman, Thomas C., Kucklick, Theodore, Lax, Ronald
• Granted Patent: US 7,081,125 B2
• Time in Patent Office: Days
• US Class Current: 606/213
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 18/1487 Trocar-like, i.e. devices producing an enlarged transcutaneous opening
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00495 for two-component glue
• CPC Class Codes: A61B 2017/005 hardenable using external energy source, e.g. laser, ultrasound
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/0065 the implement being an adhesive
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen
• CPC Class Codes: A61B 2017/3441 with distal sealing means
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

A device for introducing a catheter into a vessel through a puncture in a vessel and for sealing the puncture. The device includes an elongated body having a proximal end and a distal end sized to be positioned within a tissue site which includes the puncture. The elongated body includes a utility lumen sized to allow a catheter to be delivered through the utility lumen. The utility lumen is positioned within the elongated body so positioning the elongated body within the tissue site allows a catheter delivered through the utility lumen to enter the vessel. The elongated body also includes a closure lumen having an entrance port. A closure composition can be delivered through the entrance port into the closure lumen. The closure lumen also includes an exit port adjacent the distal end of the elongated body. The closure composition delivered into the closure lumen can be delivered through the exit port to the tissue site adjacent the puncture.

Claims

1. A method for introducing a catheter through a puncture within a vessel and sealing the puncture, comprising:

providing an apparatus comprising an elongated body having a distal end, the body including a circumferential wall having an inner surface and an outer surface, the body further including a utility lumen defined by the inner surface of the circumferential wall and a closure lumen separate from the utility lumen and being defined by a bore within the circumferential wall between the inner and outer surfaces, the closure lumen having a fluid delivery port located at a fixed distance from the distal end of the apparatus,

positioning the elongated body within the tissue site,

delivering a catheter through the utility lumen into the vessel,

performing a treatment with the catheter,

withdrawing the catheter through the utility lumen, and

delivering a closure composition through the closure lumen to the puncture.

2. The method of claim 1, further comprising:

delivering energy from at least one electrode on the elongated body to the closure composition delivered to the puncture.

3. The method of claim 1

wherein the elongated body includes a membrane positioned on the elongated body to be adjacent to a portion of tissue adjacent the puncture when the elongated body is positioned within the tissue site, and

a second closure lumen through which a second closure composition can be delivered to the membrane.

4. The method of claim 3, further comprising:

delivering the second closure composition through the second closure lumen to the membrane such that the second closure compound is delivered through the membrane to contact a portion of the tissue site adjacent the puncture.

5. The method of claim 4, further comprising:

delivering energy from at least one electrode on the elongated body to the second closure composition which has been delivered to the tissue site.