Device and method for suturing blood vessels and the like

• US 5,810,849 A
• Filed: 06/09/1997
• Issued: 09/22/1998
• Est. Priority Date: 06/09/1997
• Status: Expired due to Term

• Current Assignee: St Jude Medical Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: CardioLogics, LLC
• Inventors: Kontos, Stavros
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/871,789
• Time in Patent Office: 470 Days
• Field of Search: 606/1, 606/138, 606/139, 606/144, 606/145, 606/148, 606/149, 606/222, 606/224, 606/228, 606/213, 606/205
• US Class Current: 606/144
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen

Abstract

A method and device for sealing an opening in an anatomical structure within a living body involves the positioning of the tissue adjacent to the opening within a gap formed by a central part of a flexible tube between proximal and distal parts thereof. A movable surface coupled to the central part is also provided so that, in a first configuration, the movable surface is substantially continuous with outer surfaces of the proximal and distal parts and, in a second configuration, the movable surface projects away from the outer surfaces of the proximal and distal parts. A first needle coupled to a suture loop is drawn from a needle retention channel formed within the distal part through the tissue received in the gap and into a needle receiving channel formed within the proximal part. After the device has been rotated to a second position, the procedure is repeated and a second needle attached to the suture loop is drawn through the tissue in the same manner. The two ends are knotted together and tightened to seal the opening in the anatomical structure.

Claims

1. A device for sealing a hole in an anatomical structure within a living body comprising:

a flexible tube including proximal and distal parts coupled together by a central part, the proximal part including an end portion which, when the device is in an operative position, is located outside the body;

a movable surface coupled to the central part so that, in a first configuration, the movable surface is substantially continuous with outer surfaces of the proximal and distal parts wherein, in a second configuration, the movable surface projects away from the outer surfaces of the proximal and distal parts a predetermined distance;

at least one needle retention channel formed within the distal part for holding a plurality of needles therein, wherein the needle retention channel extends to a distal part opening formed in the proximal end of the distal part;

a needle receiving channel formed within the proximal part and extending to a proximal part opening formed in the distal end of the proximal part, wherein, at least in the second configuration, the distal part opening faces the proximal part opening across a gap formed by the central part between the proximal and distal parts; and

a flash-back lumen extending from a proximal end opening formed in the end portion of the proximal part to one of an opening formed in the central part and the at least one needle retention channel.

2. The device according to claim 1, wherein the movable surface is rotatably coupled to the proximal and distal parts so that, upon rotation of the movable surface relative to the proximal and distal parts, the movable surface is moved away from the outer surfaces of the proximal and distal parts.

3. The device according to claim 2, wherein the movable surface rotates about the flash-back lumen.

4. The device according to claim 3, further comprising a rotating element rotatably coupled to the end portion of the proximal part and non-rotatably coupled to the movable surface so that, upon rotation of the rotating element relative to the proximal part, the movable surface is rotated relative to the proximal part.

5. The device according to claim 3, wherein the rotating element is coupled to the proximal part via a tube rotatably received within a proximal portion of the flash-back lumen and wherein the rotating element is coupled to the movable surface via a tube non-rotatably received within a central part portion of the flash-back lumen.

6. The device according to claim 1, wherein the movable surface includes an expandable member which, when inflated moves the movable surface away from the outer surfaces of the proximal and distal parts.

7. The device according to claim 6, further comprising an inflation lumen extending from the proximal end of the proximal part to the expandable member.

8. The device according to claim 7, wherein when one of a gas and a fluid is supplied to the inflation lumen, the expandable member is inflated so that the central part projects away from the central axis.

9. The device according to claim 6, wherein the expandable member includes a balloon.

10. A method for sealing holes in anatomical structures within a living body, comprising the steps of:

guiding a device to a first desired position within a hole in an anatomical structure, wherein the device includes;

a proximal part including a needle receiving channel,

a central part coupling the proximal part to a distal part,

a movable surface coupled to the central part wherein, when the device is in a first configuration, the movable surface is substantially continuous with outer surfaces of the proximal and distal parts and wherein, when the device is in a second configuration, the movable surface is moved a predetermined distance from the outer surfaces of the proximal and distal surfaces,

a needle retention channel extending through the distal part to a distal part opening formed in a proximal end of the distal part, the needle retention channel having a first needle and a second needle received therein, wherein a length of suture is coupled between distal ends of the first and second needles; and

a needle receiving channel extending from a proximal part opening formed in a distal end of the proximal part to an end opening formed in the proximal end of the proximal part, wherein, when the device is in the second configuration, the distal part opening faces the proximal part opening across a gap formed by the central part between the proximal and distal parts,

when the device is in the first desired position, placing the device in the second configuration to push the movable surface against a portion of the circumference of the hole thereby positioning a first portion of the anatomical structure within the gap formed between the proximal and distal parts;

drawing on one of a first part of the length of suture and a first pull cord attached to the distal end of the first needle to draw the first needle and the first part of the length of suture proximally out of the needle retention channel through the first portion of the anatomical structure and into the needle receiving channel;

rotating the device to a second desired position within the hole so that a second portion of the anatomical structure adjacent to the hole is located within the gap;

drawing on one of a second part of the length of suture and a second pull cord attached to a distal end of the second needle to draw the second needle and the second part of the length of suture out of the needle retention channel, through the second portion of the anatomical structure and into the needle receiving channel;

fastening the first and second parts of the length of suture together to form a first suture loop; and

tightening the first suture loop to draw the sides of the opening in the anatomical structure together.

11. The method according to claim 10, wherein the device is inserted into the hole along a previously inserted guide wire.

12. The method according to claim 10, wherein the step of projecting the movable surface away from the outer surfaces of the proximal and distal parts includes rotating the movable surface relative to the proximal and distal parts.

13. The method according to claim 12, wherein a flashback lumen extends to one of an opening formed in the central part and the at least one needle retention channel, and wherein the movable surface rotates about the axis.

14. The method according to claim 13, wherein a rotating element is rotatably coupled to the proximal part and wherein the rotating element is non-rotatably coupled to the movable part so that, when the rotating element is rotated relative to the proximal part, the central part rotates relative to the proximal part.

15. The method according to claim 10, wherein the movable surface includes an expandable member and wherein the step of projecting the movable surface away from the outer surfaces of the proximal and distal parts includes inflating the expandable member.

16. The method according to claim 15, wherein an inflation lumen extends from the proximal end of the proximal part to the expandable member.

17. The method according to claim 16, wherein the expandable member is inflated by supplying one of gas and liquid to the expandable member via the inflation lumen.

18. The method according to claim 15, wherein the expandable member includes a balloon.