Method and device for locating a vessel and for closing a vascular puncture site

Patent metadata

Field	Value
Publication number	US-9770233-B2
Application number	US-201214113270-A
Country	US
Kind code	B2
Filing date	Apr 18, 2012
Priority date	Apr 25, 2011
Publication date	Sep 26, 2017
Grant date	Sep 26, 2017

Abstract

A vascular closure device ( 20 ) having a proximal end and a distal end is described. The vascular closure device may include an insertion sheath ( 28 ), a handle, and a locator anchor ( 38 ) positionable distally outside a distal end of the insertion sheath when the handle is in a first position. The handle may be movable from the first position to a second position located proximally relative to the first position, the locator anchor being configured to expand laterally when the handle is moved from the first position to the second position. Additionally, the handle may be movable from the second position to a third position located proximally relative to the second position to deploy a vascular closure implant in a puncture tract. A vascular closure method is also disclosed.

First claim

What is claimed is:

1. A vascular locator device, comprising:
a proximal end and a distal end;
a housing extending longitudinally between the proximal end and the distal end, the housing having a proximal end portion adjacent to the proximal end;
a locator anchor comprising a first elongated segment and a second elongated segment, the locator anchor being positionable distally outside a distal end of the housing, the first elongated segment comprising a first bent portion having a first hinge, the second elongated segment comprising a second bent portion having a second hinge, the first and second hinges each having a laterally-expandable spring action, the first and second hinges being positioned within the housing and being elastically constrained against lateral expansion by the housing;
an elongated member coupled to the locator anchor, the elongated member being movable in a proximal direction relative to the housing to fold the locator anchor at the first hinge and at the second hinge when the locator anchor is positioned distally outside the distal end of the housing such that the locator anchor laterally expands;
a coupling element positioned at the proximal end and connected to the elongated member;
a pair of holding members positioned at the proximal end, wherein the coupling element is configured to move the pair of holding members laterally outward upon expansion of the locator anchor.

2. The vascular locator device of claim 1 , wherein at least a portion of the elongated member extends longitudinally through a cavity defined in the housing.

3. The vascular locator device of claim 1 , wherein the locator anchor is configured such that the first hinge moves in a first direction and the second hinge moves in a second direction when the elongated member is moved in a proximal direction relative to the housing.

4. The vascular locator device of claim 3 , wherein the first direction is generally opposite the second direction.

5. The vascular locator device of claim 1 , wherein the locator anchor is configured to have a lateral length greater than a diameter of the housing when the locator anchor is laterally expanded.

6. The vascular locator device of claim 1 , wherein the locator anchor further comprises a third hinge and a fourth hinge.

7. The vascular locator device of claim 6 , wherein at least one of the first hinge, the second hinge, the third hinge, and the fourth hinge comprises a resilient material.

8. The vascular locator device of claim 6 , wherein the third hinge and the fourth hinge are configured to remain substantially stationary in a proximal direction relative to the housing when the elongated member is moved in a proximal direction relative to the housing.

9. The vascular locator device of claim 6 , wherein the locator anchor is configured to fold at the third hinge and the fourth hinge when the elongated member is moved in a proximal direction relative to the housing.

10. The vascular locator device of claim 1 , wherein the locator anchor substantially comprises a four-sided diamond shaped profile, the first hinge and the second hinge comprising opposite corners of the four-sided diamond shaped profile.

11. The vascular locator device of claim 1 , wherein the elongated member comprises a wire.

12. The vascular locator device of claim 1 , wherein the first hinge and the second hinge are each spaced from the elongated member approximately an equal distance.

13. The vascular locator device of claim 1 , wherein the first elongated segment and the second elongated segment extend from a point at which the locator anchor is coupled to the elongated member.

14. The vascular locator device of claim 1 , wherein the locator anchor comprises a plurality of elongated segments extending from a point at which the locator anchor is coupled to the elongated member, wherein each of the elongated segments comprises a hinge.

15. The vascular locator device of claim 14 , wherein the plurality of elongated segments are each configured to expand radially outward with respect to the elongated member.

16. A method of locating a vessel, comprising:
providing a vascular locator device having a proximal end and a distal end, the vascular locator device comprising:
a housing extending longitudinally between the proximal end and the distal end;
a locator anchor disposed in a distal end of the housing, the locator anchor comprising a first hinge and a second hinge, wherein an elongated member is coupled to the locator anchor;
displacing the locator anchor from the housing into a vessel;
moving the elongated member in a proximal direction relative to the locator anchor such that the locator anchor laterally expands, the locator anchor folding at the first hinge and the second hinge; a coupling element positioned at the proximal end and connected to the elongated member; and a pair of holding members positioned at the proximal end, wherein the coupling element is configured to move the pair of holding member laterally outward upon expansion of the locator anchor.

17. The method of claim 16 , wherein moving the elongated member in a proximal direction relative to the locator anchor comprises moving the first hinge in a first direction and the second hinge in a second direction.

18. The method of claim 16 , wherein moving the elongated member in a proximal direction relative to the locator anchor causes the locator anchor to laterally expand to a lateral length greater than a diameter of an opening defined in the distal end of the housing.

19. The method of claim 16 , wherein the locator anchor further comprises a third hinge and a fourth hinge, the third hinge and the fourth hinge being configured to remain substantially stationary in a proximal direction relative to the housing when the elongated member is moved in a proximal direction relative to the housing.

20. The method of claim 19 , wherein moving the elongated member in a proximal direction relative to a portion of the locator anchor causes the locator anchor to fold at the third hinge and the fourth hinge.

Assignees

• Nelson Jonathan D
• St Jude Medical Puerto Rico

Inventors

• Nelson Jonathan D

Classifications

• A61B2017/22047

  Means for immobilising the guide wire in the patient · CPC title

• A61B2017/00592

  Elastic or resilient implements · CPC title

• A61B5/4887

  Locating particular structures in or on the body · CPC title

• A61B5/103

  Measuring devices for testing the shape, pattern, {colour,} size or movement of the body or parts thereof, for diagnostic purposes (measuring instruments specially adapted for dentistry A61C19/04) · CPC title

• A61B2017/00637

  for sealing trocar wounds through abdominal wall · CPC title