CA2527333A1 - Apparatus for sealing a vascular puncture - Google Patents

Apparatus for sealing a vascular puncture Download PDF

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Publication number
CA2527333A1
CA2527333A1 CA002527333A CA2527333A CA2527333A1 CA 2527333 A1 CA2527333 A1 CA 2527333A1 CA 002527333 A CA002527333 A CA 002527333A CA 2527333 A CA2527333 A CA 2527333A CA 2527333 A1 CA2527333 A1 CA 2527333A1
Authority
CA
Canada
Prior art keywords
lumen
fluid
expandable member
expandable
proximal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002527333A
Other languages
French (fr)
Other versions
CA2527333C (en
Inventor
Farhad Khosravi
Celso J. Bagaoisan
Stephen Ramee
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Access Closure Inc
Original Assignee
Accessclosure, Inc.
Farhad Khosravi
Celso J. Bagaoisan
Stephen Ramee
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Accessclosure, Inc., Farhad Khosravi, Celso J. Bagaoisan, Stephen Ramee filed Critical Accessclosure, Inc.
Publication of CA2527333A1 publication Critical patent/CA2527333A1/en
Application granted granted Critical
Publication of CA2527333C publication Critical patent/CA2527333C/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491—Surgical glue applicators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1018—Balloon inflating or inflation-control devices
    • A61M25/10181—Means for forcing inflation fluid into the balloon
    • A61M25/10182—Injector syringes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—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
    • A61B2017/00637—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 for sealing trocar wounds through abdominal wall
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—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
    • A61B2017/00646—Type of implements
    • A61B2017/0065—Type of implements the implement being an adhesive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A61M2025/0681—Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1018—Balloon inflating or inflation-control devices
    • A61M25/10184—Means for controlling or monitoring inflation or deflation
    • A61M25/10187—Indicators for the level of inflation or deflation

Abstract

An apparatus for sealing a puncture communicating with a blood vessel includes an inner member slidable within an outer member, and a balloon coupled to distal ends of the inner and outer members. A proximal end of the outer member includes a port for delivering fluid into the balloon, and a cylinder that communicates with the port. A piston coupled to the inner member is slidable and biased to move distally within the cylinder.

Claims (26)

1. An apparatus for sealing a puncture extending through tissue, comprising:
an outer member comprising proximal and distal ends defining a longitudinal axis therebetween, and a lumen extending between the proximal and distal ends;
an expandable member comprising proximal and distal ends, the proximal end of the expandable member being coupled to the distal end of the outer member such that an interior of the expandable member communicates with the lumen, the expandable member being expandable from a collapsed state to an expanded state when fluid is introduced into the interior;
an inner member slidably coupled to the outer member and comprising proximal and distal ends, the distal end being coupled to the distal end of the expandable member, the inner member being biased to move distally relative to the outer member for moving the distal end of the expandable member away from the proximal end of the expandable member to at least partially collapse the expandable member; and an element coupled to the inner member and comprising a surface exposed to the lumen such that, when fluid is introduced into the lumen, fluid pressure from the fluid pushes against the surface, causing the inner member to move proximally relative to the outer member for moving the distal end of the expandable member towards the proximal end of the expandable member.
2. The apparatus of claim 1, wherein the element is configured for causing the inner member to move distally relative to the outer member for moving the distal end of the expandable member away from the proximal end of the expandable member when fluid is evacuated from the lumen.
3. The apparatus of claim 1, wherein the outer member comprises a port on the proximal end, the port communicating with the lumen for connecting a source of fluid to the lumen.
4. The apparatus of claim 3, further comprising a cylinder extending from the proximal end of the outer member, the element coupled to the inner member comprising a piston slidable within the cylinder and coupled to the proximal end of the inner member.
5. The apparatus of claim 4, wherein the surface comprises a distal surface of the piston.
6. The apparatus of claim 4, wherein the piston divides the cylinder into proximal and distal chambers, the distal chamber communicating with the lumen.
7. The apparatus of claim 6, further comprising a fluid within the proximal chamber, the fluid comprising a predetermined pressure for biasing the inner member distally relative to the outer member.
8. The apparatus of claim 7, wherein the fluid comprises a gas at atmospheric pressure.
9. The apparatus of claim 7, further comprising a source of fluid coupled to the port, the source of fluid configured for delivering fluid into the lumen at a pressure greater than the predetermined pressure for moving the inner member proximally relative to the outer member.
10. The apparatus of claim 4, further comprising a spring within the cylinder for biasing the inner member distally relative to the outer member.
11. The apparatus of claim 1, wherein the surface has a surface area that is substantially greater than a cross-sectional area of the lumen.
12. The apparatus of claim 1, wherein the inner member comprises a wire.
13. The apparatus of claim 1, wherein the outer member comprises a tubular member, and wherein the inner member is slidable within the outer member.
14. The apparatus of claim 13, wherein the inner member extends through the lumen of the outer member, the inner member having a cross-section smaller than a cross-section of the lumen to allow fluid to flow through the lumen around the inner member.
15. The apparatus of claim 1, wherein the expandable member comprises a balloon.
16. The apparatus of claim 1, wherein the expandable member has a length in the collapsed state, and wherein, in the expanded state, a distance between the distal ends of the inner and outer members changes to shorten the length as the expandable member expands towards the expanded state.
17. The apparatus of claim 16, wherein the length shortens such that the proximal and distal ends of the expandable member at least partially evert into the interior of the expandable member.
18. The apparatus of claim 1, wherein, in the collapsed state, the inner member is biased distally to subject the expandable member to axial tension to minimize a profile of the expandable member.
19. The apparatus of claim 1, wherein the outer member has an outer diameter of about 0.025 inch (0.625 mm) or less.
20. The apparatus of claim 1, further comprising an elongate sheath comprising proximal and distal ends, and a lumen extending therebetween, the lumen having sufficient size for receiving the outer member therein when the expandable member is in the collapsed state.
21. The apparatus of claim 20, further comprising a source of liquid sealing compound coupled to the proximal end of the sheath for delivering liquid sealing compound into the lumen between the sheath and the outer member.
22. The apparatus of claim 21, wherein the liquid sealing compound comprises a hydrogel.
23. An apparatus for sealing a tract through tissue communicating with a body lumen, comprising:
a source of sealing material comprising a plurality of chambers including polymer components that create a hydrogel when mixed together;
an outer sleeve insertable into a tract through tissue, the outer sleeve comprising proximal and distal ends and one or more lumens extending between the proximal and distal ends, the plurality of chambers being coupled to the one or more lumens for delivering the polymer components to the distal end of the outer sleeve; and a balloon catheter insertable into the outer sleeve comprising an outer member, an inner member slidably disposed within a lumen of the outer member, and an expandable member coupled to distal ends of the inner and outer members, the inner member being slidable proximally and distally relative to the outer member for moving a distal end of the expandable member towards or away from a proximal end of the expandable member when fluid is introduced into and evacuated from the lumen to expand and collapse the expandable member, respectively.
24. The apparatus of claim 23, further comprising a piston coupled to the inner member and exposed to the lumen such that, when fluid is introduced into the lumen, fluid pressure from the fluid may push the piston proximally, causing the inner member to move proximally, thereby shortening the expandable member as it expands.
25. The apparatus of claim 24, further comprising a housing extending from a proximal end of the balloon catheter, the piston being slidable within the housing.
26. The apparatus of claim 25, wherein the piston is biased distally within the piston for biasing the inner member to a distal position wherein the expandable member is extended distally.
CA2527333A 2003-06-04 2004-05-27 Apparatus for sealing a vascular puncture Active CA2527333C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/454,362 2003-06-04
US10/454,362 US7331979B2 (en) 2003-06-04 2003-06-04 Apparatus and methods for sealing a vascular puncture
PCT/US2004/016938 WO2005000126A2 (en) 2003-06-04 2004-05-27 Apparatus for sealing a vascular puncture

Publications (2)

Publication Number Publication Date
CA2527333A1 true CA2527333A1 (en) 2005-01-06
CA2527333C CA2527333C (en) 2012-11-06

Family

ID=33489718

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2527333A Active CA2527333C (en) 2003-06-04 2004-05-27 Apparatus for sealing a vascular puncture

Country Status (7)

Country Link
US (5) US7331979B2 (en)
EP (1) EP1631197B1 (en)
JP (1) JP4440259B2 (en)
AT (1) ATE355019T1 (en)
CA (1) CA2527333C (en)
DE (1) DE602004005037T2 (en)
WO (1) WO2005000126A2 (en)

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WO2005000126A2 (en) 2005-01-06
WO2005000126A3 (en) 2005-05-19
JP4440259B2 (en) 2010-03-24
US7316704B2 (en) 2008-01-08
ATE355019T1 (en) 2006-03-15
US8128654B2 (en) 2012-03-06
EP1631197A2 (en) 2006-03-08
US20040267193A1 (en) 2004-12-30
US20040267307A1 (en) 2004-12-30
US20040249342A1 (en) 2004-12-09
DE602004005037T2 (en) 2007-08-23
US7985240B2 (en) 2011-07-26
JP2006526470A (en) 2006-11-24
US7331979B2 (en) 2008-02-19
EP1631197B1 (en) 2007-02-28
US20080058864A1 (en) 2008-03-06
US7553319B2 (en) 2009-06-30
DE602004005037D1 (en) 2007-04-12
US20080058862A1 (en) 2008-03-06
CA2527333C (en) 2012-11-06

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