CA2542214A1 - Tissue puncture closure device with automatic tamping - Google Patents
Tissue puncture closure device with automatic tamping Download PDFInfo
- Publication number
- CA2542214A1 CA2542214A1 CA002542214A CA2542214A CA2542214A1 CA 2542214 A1 CA2542214 A1 CA 2542214A1 CA 002542214 A CA002542214 A CA 002542214A CA 2542214 A CA2542214 A CA 2542214A CA 2542214 A1 CA2542214 A1 CA 2542214A1
- Authority
- CA
- Canada
- Prior art keywords
- tissue
- closure device
- puncture
- sealing
- filament
- 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
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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06114—Packages or dispensers for needles or sutures
- A61B17/06119—Packages or dispensers for needles or sutures of cylindrical shape
- A61B17/06123—Flat cylinders, e.g. including an inner reel
-
- 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
- A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
-
- 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
- A61B2017/00659—Type of implements located only on one side of the opening
Abstract
A method and apparatus for sealing a puncture or incision formed percutaneously in tissue separating two internal portions of the body of a living being with an anchor, a sealing plug and a filament connecting the anchor and sealing plug. The method and apparatus provide for automatic tamping and/or cinching of the sealing plug when the apparatus is withdrawn from the puncture site. The automatic tamping and/or cinching is facilitated by transducing a motive force generated by the withdrawal of the apparatus into a tamping and/or cinching force.
Claims (39)
1.~A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture, comprising:
a filament extending from a first end of the closure device to a second end of the closure device;
an anchor for insertion through the tissue wall puncture attached to the filament at the second end of the closure device;
a sealing plug slidingly attached to the filament adjacent to the anchor;
an automatic driving mechanism for automatically tamping or cinching the sealing plug toward the second end upon withdrawal of the closure device from the internal tissue wall puncture.
a filament extending from a first end of the closure device to a second end of the closure device;
an anchor for insertion through the tissue wall puncture attached to the filament at the second end of the closure device;
a sealing plug slidingly attached to the filament adjacent to the anchor;
an automatic driving mechanism for automatically tamping or cinching the sealing plug toward the second end upon withdrawal of the closure device from the internal tissue wall puncture.
2. ~A tissue puncture closure device for partial insertion into and sealing:
of an internal tissue wall puncture according to claim 1, further comprising a tamping tube disposed adjacent to the sealing plug; wherein the tamping tube is driven by the automatic driving mechanism to tamp the sealing plug.
of an internal tissue wall puncture according to claim 1, further comprising a tamping tube disposed adjacent to the sealing plug; wherein the tamping tube is driven by the automatic driving mechanism to tamp the sealing plug.
3. ~A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 2 wherein the automatic driving mechanism comprises a transducer for effecting a tamping force on the sealing plug upon withdrawal of the closure device from the tissue wall puncture.
4. A tissue puncture closure device for partial insertion into and sealing of an internal tissue-wall puncture according to claim 3 wherein the transducer comprises:
a spool with a portion of the filament wound thereon;
a gear engaged with the spool;
a tamping tube driver directly or indirectly driven by the gear.
a spool with a portion of the filament wound thereon;
a gear engaged with the spool;
a tamping tube driver directly or indirectly driven by the gear.
5. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 4, wherein the tamping tube driver comprises a flexible rack or a rigid tube slidingly disposed about the filament.
6. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 4 wherein the spool rotates and drives the gear, and the gear drives the tamping tube driver, when the anchor is deployed and the closure device is retracted from the tissue wall puncture.
7. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 4 wherein the gear comprises a gear train with a gear ratio of at least 2.5:1 with respect to the spool.
8. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 4 further comprising a torque limiting clutch disposed between the spool and the gear.
9. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 4 wherein the tamping tube driver is also the tamping tube.
10. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 3 wherein the transducer comprises an electronic switch at the proximal end of the closure device and a motor operatively connected to the electronic switch, wherein retraction of the closure device from the tissue wall puncture trips the electronic. switch and activates the motor to generate the tamping force on the seal plug.
11. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 10 wherein the motor is a servo or solenoid that actuates a linear tamping force on the seal plug.
12. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 3 wherein the transducer comprises an optical sensor operatively connected to a motor for detecting or measuring withdrawal of the closure device from the tissue wall puncture and generating a signal upon withdrawal of the closure device from the tissue wall puncture.
13, A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 12 wherein the signal generated by the optical sensor is transduced to an electrical signal activating the motor and generating the tamping force on the seal plug.
14. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture according to claim 1 wherein the filament extends at least partially back toward the proximal end and re-engages the seal plug.
15. A tissue puncture closure device for partial insertion into and sealing of an internal tissue wall puncture accessible through a percutaneous incision, wherein the closure device comprises a filament connected at a distal end to an anchor and to a sealing plug located proximal of the anchor for disposition and anchoring about the tissue wall puncture, wherein the improvement comprises:
means for automatically driving the sealing plug along the filament in a distal direction towards the anchor simultaneously upon withdrawal of the closure device from the tissue wall puncture.
means for automatically driving the sealing plug along the filament in a distal direction towards the anchor simultaneously upon withdrawal of the closure device from the tissue wall puncture.
16. A tissue closure device according to claim 15 wherein the means for automatically driving further comprises means for increasing linear velocity of a sealing plug driver relative to the linear velocity of withdrawal of the closure device.
17. A tissue closure device according to claim 15 wherein the means for automatic driving comprises means for transducing a motive force generated by retraction of a proximal end of the filament from the tissue closure device to a linear tamping force upon the sealing plug.
18. A tissue closure device according to claim 17 wherein the means for transducing comprises a spool around which the proximal end of the filament is wound and connected, and wherein retraction of the proximal end of the filament from the spool rotates the spool and generates a torsional motive force.
19. A tissue closure device according to claim 18 wherein the means for transducing comprises a mechanical gear train for transducing the torsional motive force generated by the spool to the linear tamping force upon the sealing plug.
20. A tissue closure device according to claim 19 wherein the mechanical gear train comprises a first gear integral with the spool, and a second gear engaged with the first gear and a tamping tube driver, wherein the torsional motive force of the spool drives the first gear, the second gear, and the tamping tube driver.
21. A tissue closure device according to claim 20, further comprising a gear ratio for increasing a linear velocity of the tamping tube driver relative to a linear velocity of withdrawal of the closure device.
22. A tissue closure device according to claim 20, further comprising a torque limiting clutch disposed between the spool and the first gear.
23. A tissue closure device according to claim 17 wherein the means for transducing comprises an electronic switch at the proximal end of the filament and coupled to a motor, wherein retraction of the filament from the closure device trips the electronic switch and activates the motor to tamp the sealing plug.
24. A tissue closure device according to claim 23 wherein the motor is a servo or solenoid.
25. A tissue closure device according to claim 17 wherein the means for transducing comprises an optical sensor operatively connected to a motor for detecting or measuring withdrawal of the closure device from the tissue wall puncture and generating a signal upon withdrawal of the closure device from the tissue wall puncture.
26. A tissue closure device according to claim 25 wherein the signal generated by the optical sensor is transduced to an electrical signal that activates the motor, wherein the motor generates the linear tamping force on the seal plug.
27. A tissue puncture closure device for partial insertion into and sealing of a tissue puncture in an internal tissue wall accessible through a percutaneous incision, comprising:
an anchor for disposition on a distal side of the internal tissue wall;
a sealing plug for disposition on a proximal side of the internal tissue wall;
a filament connected to and anchored at a distal end to the anchor and sealing plug for slidably cinching the anchor and sealing plug together about the tissue puncture, wherein the sealing plug is slidably disposed on the filament proximal to the anchor;
a tamping tube disposed on the filament for driving the sealing plug along the filament distally towards the anchor;
a storage spool onto which a proximal end of the filament is wound;
a first gear engaged with the storage spool;
wherein withdrawal of the closure device from the tissue puncture retracts the filament from the storage spool and actuates the first gear to directly or indirectly provide a tamping force to the tamping tube.
an anchor for disposition on a distal side of the internal tissue wall;
a sealing plug for disposition on a proximal side of the internal tissue wall;
a filament connected to and anchored at a distal end to the anchor and sealing plug for slidably cinching the anchor and sealing plug together about the tissue puncture, wherein the sealing plug is slidably disposed on the filament proximal to the anchor;
a tamping tube disposed on the filament for driving the sealing plug along the filament distally towards the anchor;
a storage spool onto which a proximal end of the filament is wound;
a first gear engaged with the storage spool;
wherein withdrawal of the closure device from the tissue puncture retracts the filament from the storage spool and actuates the first gear to directly or indirectly provide a tamping force to the tamping tube.
28. A tissue puncture closure device for partial insertion into and sealing of a tissue puncture in an internal tissue wail accessible through a percutaneous incision according to claim 27, further comprising a second gear engaging the first gear and a rack disposed about the filament, wherein actuation of the second gear drive drives the rack, and wherein the rack drives the tamping tube along the filament distally towards the anchor automatically upon withdrawal of the closure device from the tissue puncture.
29. A tissue puncture closure device for partial insertion into and sealing of a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 27, further comprising a torque limiting clutch disposed between the spool and the first gear.
30. A tissue puncture closure device for partial insertion into and sealing of a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 27 wherein the rack is integral with the tamping tube.
31. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision, comprising:
withdrawing a closure device from the tissue puncture;
automatically transducing a motive force generated by withdrawal of the closure device in a first direction to a cinching or tamping force in a second direction.
withdrawing a closure device from the tissue puncture;
automatically transducing a motive force generated by withdrawal of the closure device in a first direction to a cinching or tamping force in a second direction.
32. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 31, further comprising applying the tamping force in the second direction to a sealing plug.
33. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 32, further comprising transferring the motive force to a rack that is slidingly disposed about a filament, the filament being connected to the sealing plug.
34. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 33 wherein the transferring further comprises automatically unwinding the filament from a spool by deploying an anchor attached to the filament inside the tissue puncture, and withdrawing the closure device from the tissue puncture.
35, A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 3 wherein the automatic unwinding of the filament from the spool comprises rotating the spool, and wherein spool rotation comprises the motive force.
36. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 35, wherein the transferring further comprises driving a gear train operatively connected to tamping tube with the spool.
37. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 35, further comprising limiting the transmission of torque with a torque limiting clutch disposed between the spool and a tamping tube.
38. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision according to claim 31 wherein the motive force generated by withdrawal of the closure device from the tissue puncture is automatically transduced to the tamping force by an electronic or optical switch coupled to a motor.
39. A method of sealing a tissue puncture in an internal tissue wall accessible through a percutaneous incision, comprising:
providing a tissue puncture closure device comprising a filament connected at its distal end to an anchor and to a sealing plug located proximal of the anchor for disposition and anchoring about the tissue puncture;
inserting the tissue puncture closure into the percutaneous incision;
deploying the anchor into the tissue puncture;
withdrawing the closure device from the percutaneous;
automatically tamping the sealing plug toward the anchor end upon withdrawal of the closure device from the internal tissue wall puncture.
providing a tissue puncture closure device comprising a filament connected at its distal end to an anchor and to a sealing plug located proximal of the anchor for disposition and anchoring about the tissue puncture;
inserting the tissue puncture closure into the percutaneous incision;
deploying the anchor into the tissue puncture;
withdrawing the closure device from the percutaneous;
automatically tamping the sealing plug toward the anchor end upon withdrawal of the closure device from the internal tissue wall puncture.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/685,912 US7931670B2 (en) | 2003-10-15 | 2003-10-15 | Tissue puncture closure device with automatic tamping |
US10/685,912 | 2003-10-15 | ||
PCT/US2004/033153 WO2005039387A2 (en) | 2003-10-15 | 2004-10-08 | Tissue puncture closure device with automatic tamping |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2542214A1 true CA2542214A1 (en) | 2005-05-06 |
CA2542214C CA2542214C (en) | 2011-10-04 |
Family
ID=34520684
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2542214A Active CA2542214C (en) | 2003-10-15 | 2004-10-08 | Tissue puncture closure device with automatic tamping |
Country Status (6)
Country | Link |
---|---|
US (2) | US7931670B2 (en) |
EP (1) | EP1680029B1 (en) |
JP (1) | JP4704347B2 (en) |
AU (1) | AU2004283681B2 (en) |
CA (1) | CA2542214C (en) |
WO (1) | WO2005039387A2 (en) |
Families Citing this family (178)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020095164A1 (en) * | 1997-06-26 | 2002-07-18 | Andreas Bernard H. | Device and method for suturing tissue |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US7001400B1 (en) | 1999-03-04 | 2006-02-21 | Abbott Laboratories | Articulating suturing device and method |
US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
US7235087B2 (en) | 1999-03-04 | 2007-06-26 | Abbott Park | Articulating suturing device and method |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US20040092964A1 (en) | 1999-03-04 | 2004-05-13 | Modesitt D. Bruce | Articulating suturing device and method |
US7662161B2 (en) | 1999-09-13 | 2010-02-16 | Rex Medical, L.P | Vascular hole closure device |
US6391048B1 (en) | 2000-01-05 | 2002-05-21 | Integrated Vascular Systems, Inc. | Integrated vascular device with puncture site closure component and sealant and methods of use |
US8758400B2 (en) | 2000-01-05 | 2014-06-24 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
US7842068B2 (en) | 2000-12-07 | 2010-11-30 | Integrated Vascular Systems, Inc. | Apparatus and methods for providing tactile feedback while delivering a closure device |
US9579091B2 (en) | 2000-01-05 | 2017-02-28 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
US6461364B1 (en) | 2000-01-05 | 2002-10-08 | Integrated Vascular Systems, Inc. | Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use |
AU2001288006A1 (en) | 2000-09-08 | 2002-03-22 | Thomas Anthony | Device for locating a puncture hole in a liquid-carrying vessel |
US6626918B1 (en) | 2000-10-06 | 2003-09-30 | Medical Technology Group | Apparatus and methods for positioning a vascular sheath |
US8690910B2 (en) | 2000-12-07 | 2014-04-08 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US6623510B2 (en) | 2000-12-07 | 2003-09-23 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US6695867B2 (en) | 2002-02-21 | 2004-02-24 | Integrated Vascular Systems, Inc. | Plunger apparatus and methods for delivering a closure device |
US7211101B2 (en) | 2000-12-07 | 2007-05-01 | Abbott Vascular Devices | Methods for manufacturing a clip and clip |
US7905900B2 (en) | 2003-01-30 | 2011-03-15 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US7806904B2 (en) | 2000-12-07 | 2010-10-05 | Integrated Vascular Systems, Inc. | Closure device |
US7029480B2 (en) * | 2001-01-24 | 2006-04-18 | Abott Laboratories | Device and method for suturing of internal puncture sites |
US20050021123A1 (en) * | 2001-04-30 | 2005-01-27 | Jurgen Dorn | Variable speed self-expanding stent delivery system and luer locking connector |
IES20010547A2 (en) | 2001-06-07 | 2002-12-11 | Christy Cummins | Surgical Staple |
JP4508866B2 (en) | 2002-06-04 | 2010-07-21 | アボット ヴァスキュラー デヴァイシス | Vascular closure clip and delivery device |
US20040116115A1 (en) * | 2002-12-06 | 2004-06-17 | Ertel Lawrence R. | Systems and methods for providing interactive guest resources |
US7160309B2 (en) | 2002-12-31 | 2007-01-09 | Laveille Kao Voss | Systems for anchoring a medical device in a body lumen |
US7857828B2 (en) | 2003-01-30 | 2010-12-28 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8202293B2 (en) | 2003-01-30 | 2012-06-19 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8758398B2 (en) | 2006-09-08 | 2014-06-24 | Integrated Vascular Systems, Inc. | Apparatus and method for delivering a closure element |
US8905937B2 (en) | 2009-02-26 | 2014-12-09 | Integrated Vascular Systems, Inc. | Methods and apparatus for locating a surface of a body lumen |
US8821534B2 (en) | 2010-12-06 | 2014-09-02 | Integrated Vascular Systems, Inc. | Clip applier having improved hemostasis and methods of use |
US8398656B2 (en) | 2003-01-30 | 2013-03-19 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8100923B2 (en) | 2003-09-15 | 2012-01-24 | Abbott Laboratories | Suture locking device and methods |
US7462188B2 (en) | 2003-09-26 | 2008-12-09 | Abbott Laboratories | Device and method for suturing intracardiac defects |
US7449024B2 (en) | 2003-12-23 | 2008-11-11 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US20050267520A1 (en) | 2004-05-12 | 2005-12-01 | Modesitt D B | Access and closure device and method |
US7758564B2 (en) * | 2004-05-14 | 2010-07-20 | Ethicon Endo-Surgery, Inc. | Medical instrument having a catheter and a medical guidewire |
WO2005113051A2 (en) * | 2004-05-14 | 2005-12-01 | Ethicon Endo-Surgery, Inc. | Medical instrument having a medical guidewire |
IES20040368A2 (en) | 2004-05-25 | 2005-11-30 | James E Coleman | Surgical stapler |
US7678133B2 (en) | 2004-07-10 | 2010-03-16 | Arstasis, Inc. | Biological tissue closure device and method |
US7686829B2 (en) * | 2004-11-04 | 2010-03-30 | Wound Care Technologies, Inc. | Wound closure product |
US7988706B2 (en) | 2005-04-11 | 2011-08-02 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with automatic torque sensing tamping system |
US7713283B2 (en) * | 2005-04-11 | 2010-05-11 | St. Jude Medical Puerto Rico, Llc | Tissue puncture closure device with magazine fed tamping system |
US7250057B2 (en) * | 2005-04-11 | 2007-07-31 | St. Jude Medical Puerto Rico B.V. | Tissue puncture closure device with automatic torque sensing tamping system |
US7618436B2 (en) * | 2005-04-12 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with scroll gear transmission tamping system |
US8088144B2 (en) * | 2005-05-04 | 2012-01-03 | Ensure Medical, Inc. | Locator and closure device and method of use |
AU2006247355B2 (en) | 2005-05-12 | 2013-01-10 | Arstasis, Inc. | Access and closure device and method |
US7618438B2 (en) * | 2005-05-17 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with disengagable automatic tamping system |
US7837705B2 (en) * | 2005-05-17 | 2010-11-23 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure system with retractable sheath |
AU2012202872B2 (en) * | 2005-05-17 | 2014-01-30 | Terumo Puerto Rico L.L.C. | Tissue puncture closure system with retractable sheath |
US8926633B2 (en) | 2005-06-24 | 2015-01-06 | Abbott Laboratories | Apparatus and method for delivering a closure element |
US8313497B2 (en) | 2005-07-01 | 2012-11-20 | Abbott Laboratories | Clip applier and methods of use |
US20070006692A1 (en) * | 2005-07-11 | 2007-01-11 | Phan Christopher U | Torque limiting device |
US7749247B2 (en) * | 2005-08-04 | 2010-07-06 | St. Jude Medical Puerto Rico, Llc | Tissue puncture closure device with coiled automatic tamping system |
US20070032824A1 (en) * | 2005-08-04 | 2007-02-08 | St. Jude Medical Puerto Rico B.V. | Tissue puncture closure device with track plug |
US8083754B2 (en) | 2005-08-08 | 2011-12-27 | Abbott Laboratories | Vascular suturing device with needle capture |
US7883517B2 (en) | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US8267947B2 (en) | 2005-08-08 | 2012-09-18 | Abbott Laboratories | Vascular suturing device |
ATE459312T1 (en) * | 2005-08-17 | 2010-03-15 | Bard Inc C R | VARIABLE SPEED STENT DELIVERY SYSTEM |
US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US8758397B2 (en) * | 2005-08-24 | 2014-06-24 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US8920442B2 (en) | 2005-08-24 | 2014-12-30 | Abbott Vascular Inc. | Vascular opening edge eversion methods and apparatuses |
US20070060895A1 (en) * | 2005-08-24 | 2007-03-15 | Sibbitt Wilmer L Jr | Vascular closure methods and apparatuses |
EP2727564B1 (en) | 2006-01-13 | 2023-05-03 | C. R. Bard, Inc. | Stent delivery system |
US11026822B2 (en) | 2006-01-13 | 2021-06-08 | C. R. Bard, Inc. | Stent delivery system |
US8808310B2 (en) | 2006-04-20 | 2014-08-19 | Integrated Vascular Systems, Inc. | Resettable clip applier and reset tools |
US7862582B2 (en) * | 2006-05-02 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Suture management |
US8556930B2 (en) | 2006-06-28 | 2013-10-15 | Abbott Laboratories | Vessel closure device |
GB0615658D0 (en) * | 2006-08-07 | 2006-09-13 | Angiomed Ag | Hand-held actuator device |
US20080064920A1 (en) * | 2006-09-08 | 2008-03-13 | Ethicon Endo-Surgery, Inc. | Medical drive system for providing motion to at least a portion of a medical apparatus |
AU2012216379B2 (en) * | 2006-09-18 | 2014-03-27 | Terumo Puerto Rico L.L.C. | A method of sealing a tissue puncture |
US7749248B2 (en) * | 2006-09-18 | 2010-07-06 | St. Jude Medical Puerto Rico Llc | Flexible tamping device |
US8430906B2 (en) * | 2006-09-29 | 2013-04-30 | St. Jude Medical, Cardiology Division, Inc. | Method and apparatus to promote hemostasis |
US8226681B2 (en) | 2007-06-25 | 2012-07-24 | Abbott Laboratories | Methods, devices, and apparatus for managing access through tissue |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
GB0713497D0 (en) | 2007-07-11 | 2007-08-22 | Angiomed Ag | Device for catheter sheath retraction |
US7771455B2 (en) * | 2007-08-31 | 2010-08-10 | Ken Christopher G M | Closure medical device |
US20090105744A1 (en) * | 2007-10-17 | 2009-04-23 | Modesitt D Bruce | Methods for forming tracts in tissue |
US8652166B2 (en) | 2007-11-30 | 2014-02-18 | Radi Medical Systems Ab | Insertion tool for a medical closure device |
US20090157101A1 (en) | 2007-12-17 | 2009-06-18 | Abbott Laboratories | Tissue closure system and methods of use |
US8893947B2 (en) | 2007-12-17 | 2014-11-25 | Abbott Laboratories | Clip applier and methods of use |
US7841502B2 (en) | 2007-12-18 | 2010-11-30 | Abbott Laboratories | Modular clip applier |
US8491629B2 (en) | 2008-02-15 | 2013-07-23 | Rex Medical | Vascular hole closure delivery device |
US8920463B2 (en) | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US8070772B2 (en) | 2008-02-15 | 2011-12-06 | Rex Medical, L.P. | Vascular hole closure device |
US20110029013A1 (en) | 2008-02-15 | 2011-02-03 | Mcguckin James F | Vascular Hole Closure Device |
US8920462B2 (en) * | 2008-02-15 | 2014-12-30 | Rex Medical, L.P. | Vascular hole closure device |
US9226738B2 (en) | 2008-02-15 | 2016-01-05 | Rex Medical, L.P. | Vascular hole closure delivery device |
US9364206B2 (en) | 2008-04-04 | 2016-06-14 | Access Closure, Inc. | Apparatus and methods for sealing a vascular puncture |
US8029533B2 (en) | 2008-04-04 | 2011-10-04 | Accessclosure, Inc. | Apparatus and methods for sealing a vascular puncture |
US9282965B2 (en) | 2008-05-16 | 2016-03-15 | Abbott Laboratories | Apparatus and methods for engaging tissue |
CA2731493A1 (en) * | 2008-07-21 | 2010-01-28 | Arstasis, Inc. | Devices and methods for forming tracts in tissue |
CN102159126A (en) * | 2008-07-21 | 2011-08-17 | 阿尔斯塔西斯公司 | Devices, methods, and kits for forming tracts in tissue |
JP5616891B2 (en) * | 2008-08-26 | 2014-10-29 | セント ジュード メディカル インコーポレイテッドSt. Jude Medical, Inc. | Method and system for sealing a percutaneous puncture |
WO2010031050A1 (en) * | 2008-09-15 | 2010-03-18 | Abbott Vascular Inc. | Redundant tissue closure methods and apparatuses |
US8398676B2 (en) | 2008-10-30 | 2013-03-19 | Abbott Vascular Inc. | Closure device |
US8858594B2 (en) | 2008-12-22 | 2014-10-14 | Abbott Laboratories | Curved closure device |
US8323312B2 (en) | 2008-12-22 | 2012-12-04 | Abbott Laboratories | Closure device |
US9089311B2 (en) | 2009-01-09 | 2015-07-28 | Abbott Vascular Inc. | Vessel closure devices and methods |
US9173644B2 (en) * | 2009-01-09 | 2015-11-03 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US20100179589A1 (en) | 2009-01-09 | 2010-07-15 | Abbott Vascular Inc. | Rapidly eroding anchor |
US9414820B2 (en) | 2009-01-09 | 2016-08-16 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US9486191B2 (en) | 2009-01-09 | 2016-11-08 | Abbott Vascular, Inc. | Closure devices |
US20100185234A1 (en) | 2009-01-16 | 2010-07-22 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US8529598B2 (en) | 2009-02-20 | 2013-09-10 | Boston Scientific Scimed, Inc. | Tissue puncture closure device |
US8298259B2 (en) * | 2009-05-05 | 2012-10-30 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with actuatable automatic spool driven compaction system |
CN102802541A (en) * | 2009-05-15 | 2012-11-28 | 阿尔斯塔西斯公司 | Devices, methods and kits for forming tracts in tissue |
US9078631B2 (en) * | 2009-07-28 | 2015-07-14 | St. Jude Medical Puerto Rico Llc | Dual hypotube suture cutting device and methods |
WO2011019374A1 (en) | 2009-08-14 | 2011-02-17 | St. Jude Medical Puerto Rico Llc | Carrier tube for vascular closure device and methods |
US20110054492A1 (en) | 2009-08-26 | 2011-03-03 | Abbott Laboratories | Medical device for repairing a fistula |
CA2774958A1 (en) * | 2009-09-22 | 2011-03-31 | Arstasis, Inc. | Devices, methods, and kits for forming tracts in tissue |
US8303624B2 (en) | 2010-03-15 | 2012-11-06 | Abbott Cardiovascular Systems, Inc. | Bioabsorbable plug |
WO2011146729A2 (en) * | 2010-05-19 | 2011-11-24 | Cook Incorporated | Devices and methods useful for sealing bodily openings |
EP2584978B1 (en) | 2010-06-22 | 2018-08-01 | Covidien LP | Apparatus for storage and/or introduction of implant for hollow anatomical structure |
US20120022562A1 (en) * | 2010-07-23 | 2012-01-26 | Boston Scientific Scimed, Inc. | Device to detect internal bleeding |
US8758399B2 (en) | 2010-08-02 | 2014-06-24 | Abbott Cardiovascular Systems, Inc. | Expandable bioabsorbable plug apparatus and method |
BR112013001699A2 (en) | 2010-08-03 | 2016-05-24 | Gore Enterprise Holdings Inc | fabric cap |
US8603116B2 (en) | 2010-08-04 | 2013-12-10 | Abbott Cardiovascular Systems, Inc. | Closure device with long tines |
US9220489B2 (en) * | 2010-08-20 | 2015-12-29 | St. Jude Medical Puerto Rico Llc | Clutch release mechanism for vascular closure device |
WO2012030376A1 (en) | 2010-08-30 | 2012-03-08 | St. Jude Medical Puerto Rico Llc | Disengagable cam system for tissue puncture closure device |
US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US9149264B2 (en) | 2010-10-08 | 2015-10-06 | St. Jude Medical Puerto Rico Llc | Cam driven compaction tube for vascular closure device |
GB201017834D0 (en) | 2010-10-21 | 2010-12-01 | Angiomed Ag | System to deliver a bodily implant |
US8758402B2 (en) | 2010-12-17 | 2014-06-24 | Boston Scientific Scimed, Inc. | Tissue puncture closure device |
US9149265B2 (en) | 2011-02-26 | 2015-10-06 | Abbott Cardiovascular Systems, Inc. | Hinged tissue support device |
US9149276B2 (en) | 2011-03-21 | 2015-10-06 | Abbott Cardiovascular Systems, Inc. | Clip and deployment apparatus for tissue closure |
US8974476B2 (en) | 2011-03-23 | 2015-03-10 | St. Jude Medical Puerto Rico Llc | Vascular closure device with compaction tube suture cutting port and methods |
US9402606B2 (en) * | 2011-03-23 | 2016-08-02 | St. Jude Medical Puerto Rico Llc | Snap-on vascular closure device and methods |
EP3028648B1 (en) | 2011-05-19 | 2019-07-10 | Terumo Puerto Rico L.L.C. | Procedural sheath adapter for vascular closure device |
US9414822B2 (en) | 2011-05-19 | 2016-08-16 | Abbott Cardiovascular Systems, Inc. | Tissue eversion apparatus and tissue closure device and methods for use thereof |
WO2012170601A1 (en) * | 2011-06-07 | 2012-12-13 | St. Jude Medical Puerto Rico Llc | Circumferentially located suture release mechanism for vascular closure device |
US9055932B2 (en) | 2011-08-26 | 2015-06-16 | Abbott Cardiovascular Systems, Inc. | Suture fastener combination device |
US10485524B2 (en) | 2011-10-25 | 2019-11-26 | Essential Medical, Inc. | Instrument and methods for surgically closing percutaneous punctures |
US9492156B2 (en) | 2011-11-28 | 2016-11-15 | St. Jude Medical Puerto Rico Llc | Large bore anchor device |
US9332976B2 (en) | 2011-11-30 | 2016-05-10 | Abbott Cardiovascular Systems, Inc. | Tissue closure device |
US9138214B2 (en) * | 2012-03-02 | 2015-09-22 | Abbott Cardiovascular Systems, Inc. | Suture securing systems, devices and methods |
US8864778B2 (en) | 2012-04-10 | 2014-10-21 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8858573B2 (en) | 2012-04-10 | 2014-10-14 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US20130317481A1 (en) | 2012-05-25 | 2013-11-28 | Arstasis, Inc. | Vascular access configuration |
US20130317438A1 (en) | 2012-05-25 | 2013-11-28 | Arstasis, Inc. | Vascular access configuration |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9307966B2 (en) | 2012-08-15 | 2016-04-12 | St. Jude Medical Puerto Rico Llc | Vascular closure device anchor |
US9743920B2 (en) | 2012-08-20 | 2017-08-29 | Terumo Puerto Rico, L.L.C. | Flexible tamping member |
US9585643B2 (en) | 2012-08-21 | 2017-03-07 | St. Jude Medical Puerto Rico Llc | Carrier tubes for closure devices |
US9468429B2 (en) | 2012-08-21 | 2016-10-18 | St. Jude Medical Puerto Rico Llc | Sealing mechanism for closure devices |
US9586033B2 (en) | 2012-08-24 | 2017-03-07 | St. Jude Medical Puerto Rico Llc | Collapsible sheath and tapered dilator for tissue puncture access |
US9427227B2 (en) | 2012-12-13 | 2016-08-30 | Ethicon Endo-Surgery, Llc | Suturing device with reusable shaft and disposable cartridge |
US9364209B2 (en) | 2012-12-21 | 2016-06-14 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device |
US9486132B2 (en) | 2013-01-17 | 2016-11-08 | Abbott Cardiovascular Systems, Inc. | Access device for accessing tissue |
US9138215B2 (en) | 2013-01-21 | 2015-09-22 | Vi Bravoseal, Llc | Vessel sealing device |
US10307145B2 (en) | 2013-01-21 | 2019-06-04 | Cyndrx, Llc | Vessel sealing device |
US9131931B2 (en) | 2013-01-21 | 2015-09-15 | Vi Bravoseal, Llc | Vessel sealing device with automatic deployment |
US11253242B2 (en) | 2013-01-21 | 2022-02-22 | Cyndrx, Llc | Vessel sealing device |
US9131932B2 (en) * | 2013-02-01 | 2015-09-15 | St. Jude Medical Puerto Rico Llc | Dual lumen carrier tube with retractable sleeve and methods |
US9307967B2 (en) | 2013-03-08 | 2016-04-12 | St. Jude Medical Puerto Rico Llc | Linkage driven compaction device |
US9980719B2 (en) | 2013-03-12 | 2018-05-29 | St. Jude Medical Puerto Rico Llc | Non-invasive suture cutter and related methods for cutting a suture below the skin |
US20140277328A1 (en) | 2013-03-14 | 2014-09-18 | St. Jude Medical Systems Ab | Composite material and uses thereof |
WO2014150154A1 (en) | 2013-03-15 | 2014-09-25 | Essential Medical, Inc. | Vascular closure devices and methods of use |
WO2014169215A2 (en) * | 2013-04-11 | 2014-10-16 | University Of Utah Research Foundation | Self-closing laparoscopic port |
US10154835B2 (en) | 2013-05-09 | 2018-12-18 | Essential Medical, Inc. | Vascular closure device with conforming plug member |
EP2832318B1 (en) * | 2013-07-31 | 2017-04-05 | Venus MedTech (HangZhou), Inc. | Handle assembly for implant delivery apparatus comprising a force limiter, a displacement limiter and/or a brake frame assembly |
EP2832316B1 (en) * | 2013-07-31 | 2017-03-29 | Venus MedTech (HangZhou), Inc. | Handle assembly for implant delivery apparatus comprising a displacement limiter, a force limiter and/or a brake frame assembly |
EP2832315B1 (en) * | 2013-07-31 | 2017-11-22 | Venus MedTech (HangZhou), Inc. | Handle assembly for implant delivery apparatus comprising a brake frame assembly, a force limiter and/or a displacement limiter |
ES2875842T3 (en) | 2013-12-23 | 2021-11-11 | Arrow Int Llc | Vascular closure device |
MA40946A (en) | 2014-11-14 | 2017-09-19 | Access Closure Inc | APPARATUS AND METHODS FOR MAKING A VASCULAR PUNCTURE WATERTIGHT |
US10004491B2 (en) * | 2015-06-15 | 2018-06-26 | Ethicon Llc | Suturing instrument with needle motion indicator |
US10070858B2 (en) * | 2015-06-17 | 2018-09-11 | Ethicon Llc | Barbed suture dispenser |
US10555727B2 (en) | 2015-06-26 | 2020-02-11 | Essential Medical, Inc. | Vascular closure device with removable guide member |
USD847988S1 (en) | 2015-11-13 | 2019-05-07 | Access Closure, Inc. | Handle grip |
USD865166S1 (en) | 2015-11-13 | 2019-10-29 | Access Closure, Inc. | Sheath adapter |
USD843573S1 (en) | 2015-11-13 | 2019-03-19 | Access Closure, Inc. | Vascular closure apparatus |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
CA3092566C (en) * | 2018-03-23 | 2023-09-19 | Conmed Corporation | Suture anchor driver |
US11504105B2 (en) | 2019-01-25 | 2022-11-22 | Rex Medical L.P. | Vascular hole closure device |
US11439383B2 (en) | 2019-08-20 | 2022-09-13 | Abbott Cardiovascular Systems, Inc. | Self locking suture and self locking suture mediated closure device |
US11348398B1 (en) * | 2020-09-08 | 2022-05-31 | Express Scripts Strategic Development, Inc. | Systems and methods for pharmaceutical dispensing |
Family Cites Families (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3864895A (en) * | 1973-02-26 | 1975-02-11 | Wright Machinery Company Inc | Multi-pack method and apparatus |
US4448194A (en) * | 1982-02-03 | 1984-05-15 | Ethicon, Inc. | Full stroke compelling mechanism for surgical instrument with drum drive |
US5222974A (en) * | 1991-11-08 | 1993-06-29 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5282827A (en) * | 1991-11-08 | 1994-02-01 | Kensey Nash Corporation | Hemostatic puncture closure system and method of use |
US5676689A (en) * | 1991-11-08 | 1997-10-14 | Kensey Nash Corporation | Hemostatic puncture closure system including vessel location device and method of use |
US5411520A (en) | 1991-11-08 | 1995-05-02 | Kensey Nash Corporation | Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use |
US5411530A (en) * | 1992-11-13 | 1995-05-02 | Akhtar; Masood | Sensing algorithm for anti-tachycardia devices using dual chamber sensing |
US5417699A (en) | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US5433060A (en) * | 1994-02-10 | 1995-07-18 | Recot, Inc. | Automated method and apparatus for detachably securing flexible packages to a display strip |
US5531759A (en) | 1994-04-29 | 1996-07-02 | Kensey Nash Corporation | System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating |
US5545178A (en) * | 1994-04-29 | 1996-08-13 | Kensey Nash Corporation | System for closing a percutaneous puncture formed by a trocar to prevent tissue at the puncture from herniating |
US6071301A (en) * | 1998-05-01 | 2000-06-06 | Sub Q., Inc. | Device and method for facilitating hemostasis of a biopsy tract |
US5662681A (en) * | 1996-04-23 | 1997-09-02 | Kensey Nash Corporation | Self locking closure for sealing percutaneous punctures |
US6036607A (en) | 1998-03-02 | 2000-03-14 | Finegan; Christopher H. | Adjustable grip |
EP1196092A1 (en) * | 1999-06-18 | 2002-04-17 | Radi Medical Systems Ab | A tool, a sealing device, a system and a method for closing a wound |
US7250057B2 (en) * | 2005-04-11 | 2007-07-31 | St. Jude Medical Puerto Rico B.V. | Tissue puncture closure device with automatic torque sensing tamping system |
US7713283B2 (en) * | 2005-04-11 | 2010-05-11 | St. Jude Medical Puerto Rico, Llc | Tissue puncture closure device with magazine fed tamping system |
US7618436B2 (en) * | 2005-04-12 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with scroll gear transmission tamping system |
US7618438B2 (en) * | 2005-05-17 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with disengagable automatic tamping system |
US7837705B2 (en) * | 2005-05-17 | 2010-11-23 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure system with retractable sheath |
-
2003
- 2003-10-15 US US10/685,912 patent/US7931670B2/en active Active
-
2004
- 2004-10-08 JP JP2006535559A patent/JP4704347B2/en active Active
- 2004-10-08 AU AU2004283681A patent/AU2004283681B2/en active Active
- 2004-10-08 WO PCT/US2004/033153 patent/WO2005039387A2/en active Application Filing
- 2004-10-08 CA CA2542214A patent/CA2542214C/en active Active
- 2004-10-08 EP EP04794490.5A patent/EP1680029B1/en active Active
-
2011
- 2011-03-18 US US13/051,786 patent/US8647364B2/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
US7931670B2 (en) | 2011-04-26 |
US20050085851A1 (en) | 2005-04-21 |
EP1680029A2 (en) | 2006-07-19 |
EP1680029A4 (en) | 2011-06-08 |
AU2004283681A1 (en) | 2005-05-06 |
CA2542214C (en) | 2011-10-04 |
US8647364B2 (en) | 2014-02-11 |
EP1680029B1 (en) | 2018-07-18 |
WO2005039387A2 (en) | 2005-05-06 |
JP2007508114A (en) | 2007-04-05 |
US20110172702A1 (en) | 2011-07-14 |
WO2005039387A3 (en) | 2006-01-12 |
JP4704347B2 (en) | 2011-06-15 |
AU2004283681B2 (en) | 2010-02-18 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CA2542214A1 (en) | Tissue puncture closure device with automatic tamping | |
JP2007508114A5 (en) | ||
EP1869301B1 (en) | Tissue puncture closure device with automatic torque sensing tamping system | |
US8465518B2 (en) | Tissue puncture closure device with automatic torque sensing tamping system | |
CA2662972C (en) | Flexible tamping device | |
CA2603871C (en) | Tissue puncture closure device with scroll gear transmission tamping system | |
WO2006110614A2 (en) | Tissue puncture closure device with magazine fed tamping system | |
AU2012216379B2 (en) | A method of sealing a tissue puncture |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request |