Automatic vascular closure deployment devices and methods

Patent metadata

Field	Value
Publication number	US-9301740-B2
Application number	US-201313869092-A
Country	US
Kind code	B2
Filing date	Apr 24, 2013
Priority date	Feb 11, 2010
Publication date	Apr 5, 2016
Grant date	Apr 5, 2016

Abstract

Methods of installing a vascular closure device, the vascular closure device adapted for sealing an opening in biological tissue and comprising an anchor, a compressible plug, a cinch and a suture, the method comprising the steps of providing an insertion sheath, inserting the insertion sheath into the opening in the biological tissue, providing a device sheath having the vascular closure device preloaded therein with a proximal portion of the suture attached to the device sheath, subsequent to the step of inserting the insertion sheath, inserting the device sheath into the insertion sheath, and retracting the insertion sheath and device sheath simultaneously, wherein during the retraction, the insertion sheath and the device sheath are fixed to one another and devices adapted to the methods.

First claim

What is claimed is:

1. A system for installing a vascular closure device, the vascular closure device adapted for sealing an opening in biological tissue and comprising an anchor, a compressible plug, a cinch and a suture, the system comprising:
the vascular closure device;
a housing attached to the suture at a proximal end of the housing;
a tubular member extending distally from the housing,
wherein when the anchor is seated against the biological tissue, pulling proximally on the housing causes the tubular member to retract into the housing and expose the plug, and
wherein a distance between the anchor and the proximal end of the housing remains unchanged when pulling proximally on the housing.

2. The system of claim 1 , wherein retracting the tubular member into the housing reduces a distance between a distal end of the tubular member and the proximal end of the housing.

3. The system of claim 1 , further comprising a releasable latch between the housing and the tubular member and a compressed biased member, wherein the latch is configured to release at a predetermined force level to allow the compressed biased member to expand to retract the tubular member into the housing.

4. The system of claim 1 , further comprising a pusher tube disposed in the housing and in the tubular member,
wherein pulling proximally on the housing causes the pusher tube to move distally with respect to the housing to compress the plug.

5. The system of claim 4 , further comprising a releasable latch member and a compressed bias member, wherein the latch is configured to release at a predetermined force level to allow the compressed bias member to expand and force the pusher tube distally to compress the plug.

6. The system of claim 5 , further comprising a suture cutting system,
the suture cutting system comprising,
a stop fixed with respect to the housing;
a shearing block fixed with respect to the tubular member;
a blade disposed within the block;
an elongate member attached to the blade and extending proximally therefrom, the elongate member having a proximal end attached to an element disposed about a proximal portion of the pusher tube proximal the stop,
wherein proximal movement of the pusher tube causes relative movement of the shearing block and blade to cut the suture.

7. The system of claim 6 , wherein the suture extends through the blade and the shearing block.

8. The system of claim 1 , further comprising a first releasable latch between the housing and the tubular member and a first compressed biased member, wherein the first latch is configured to release at a first predetermined force level to allow the first compressed biased member to expand to retract the tubular member into the housing and a second releasable latch member and a second compressed bias member, wherein the second latch is configured to release at a predetermined force level to allow the second compressed bias member to expand and force the pusher tube distally to compress the plug,
wherein the second predetermined force level is greater than the first predetermined force level.

9. The system of claim 1 , further comprising means for automatically seating the anchor on the tubular member.

10. The system of claim 1 , wherein the housing includes a device sheath; and
whereby the tubular member and the device sheath are configured such that the advancement of the device sheath within the tubular member and the subsequent retraction of the combination of the tubular member and the device sheath seat the plug in the opening.

11. The system of claim 10 , wherein the tubular member comprises an insertion sheath tube, an insertion sheath hub and a bias member compressed between the insertion sheath tube and the insertion sheath hub, whereby the insertion sheath tube and insertion sheath hub are fixed together at a releasable latch point that is released upon the application of a first force and that, when released, allows the bias member to expand.

12. The system of claim 11 , wherein the bias member operates to retract the device sheath inside the insertion sheath tube when the latch is released.

13. The system of claim 11 , further comprising a pusher tube attached to the device sheath by a second releasable latch, the pusher tube and the device sheath together confining a second bias member in a compressed position, the second latch releasable upon application of a second force to allow the second bias member to move the pusher tube distally relative to the device sheath, where the pusher tube has a distal end movable to contact the cinch.

14. The system of claim 13 , further comprising means for automatically cutting the suture upon release of the second latch.

15. The system of claim 11 , wherein the insertion sheath tube has a beveled distal end.

16. The system of claim 10 , wherein the bias member is a spring.

Assignees

• Boston Scient Scimed Inc

Inventors

• Thielen Joseph M
• Hill Jason P
• Jenson Mark L
• Pikus Michael J
• Richardson Leonard B
• Groff Joel

Classifications

• A61B2090/0807

  Indication means · CPC title

• A61B2017/0417

  T-fasteners · CPC title

• A61B17/0057 Primary

  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 title

• A61B17/0467

  Instruments for cutting sutures (surgical cutting instruments A61B17/32) · CPC title

• A61B2017/00654

  entirely comprised between the two sides of the opening · CPC title