CA2504626A1 - Closure device with textured surface - Google Patents

Closure device with textured surface Download PDF

Info

Publication number
CA2504626A1
CA2504626A1 CA002504626A CA2504626A CA2504626A1 CA 2504626 A1 CA2504626 A1 CA 2504626A1 CA 002504626 A CA002504626 A CA 002504626A CA 2504626 A CA2504626 A CA 2504626A CA 2504626 A1 CA2504626 A1 CA 2504626A1
Authority
CA
Canada
Prior art keywords
closure
closure device
opening
fibrous tissue
body cavity
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
CA002504626A
Other languages
French (fr)
Other versions
CA2504626C (en
Inventor
Daniel M. Lafontaine
Mark T. Ungs
William J. Drasler
Sheng-Ping Zhong (Samuel)
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.)
Boston Scientific Scimed Inc
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2504626A1 publication Critical patent/CA2504626A1/en
Application granted granted Critical
Publication of CA2504626C publication Critical patent/CA2504626C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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
    • A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00898—Material properties expandable upon contact with fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Closures For Containers (AREA)
  • Prostheses (AREA)
  • Shaping Of Tube Ends By Bending Or Straightening (AREA)

Abstract

A closure device closes an opening (16) in a body cavity (12). The closure device includes a closure member (26) that has an external, tissue-engaging surface formed with tissue engaging surface irregularities (30). An elongate member (24, 42) is disconnectably connected to the closure member (26).</SDO AB>

Claims (21)

1. A closure device for closing an opening in a body cavity, comprising:
a closure member having an external, tissue engaging surface formed with fibrous tissue engaging surface irregularities; and an elongate member disconnectably connected to the closure member.
2. The closure device of claim 1 wherein the surface irregularities are in a non-grasping orientation relative to movement of the closure member in a first direction.
3. The closure device of claim 2 wherein the surface irregularities are in a grasping orientation relative to movement of the closure member in a second direction, opposite the first direction.
4. The closure device of claim 3 wherein the surface irregularities are on a distal portion of the closure member.
5. The closure device of claim 4 wherein the elongate member is disconnectably connected to a proximal portion of the closure member.
6. The closure device of claim 5 wherein the elongate member is frictionally connected to the closure member.
7. The closure device of claim 5 wherein the elongate member is connected to the closure member with a frangible mechanical connection.
8. The closure device of claim 1 wherein the elongate member includes a hollow distal end sized to receive a portion of the closure member therein.
9. The closure device of claim 1 wherein the elongate member comprises a catheter.
10. The closure device of claim 1 wherein the elongate member comprises a wire.
11. The closure device of claim 3 wherein the surface irregularities comprise proximally facing hook portions.
12. The closure device of claim 11 wherein the hook portions comprise ridges extending about the surface of the closure member.
13. The closure device of claim 1 wherein the closure member comprises a substantially rigid material during delivery.
14. The closure device of claim 13 wherein the closure member comprises a swellable material.
15. The closure device of claim 14 wherein the swellable material is coated with a soluble coating that imparts rigidity prior to dissolution.
16. The closure device of claim 14 wherein the swellable material comprises collagen.
17. The closure device of claim 1 wherein the opening ha.s fibrous tissue located proximally thereof and wherein the surface irregularities engage and become entangled in the fibrous tissue as the collapsible member is moved proximally relative thereto.
18. The closure device of claim 17 wherein the opening is defined by relatively smooth tissue and wherein the surface irregularities pass the relatively smooth tissue without becoming entangled therein when the closure member is moved proximal relative thereto.
19. A method for closing an opening in a body cavity having fluid therein, comprising:
establishing a dry field in the body cavity adjacent the opening;

inserting a liquid swellable material into the dry field;
withdrawing the liquid swellable material from the body cavity through the opening until the liquid swellable material engage fibrous tissue proximal of the opening; and implanting the liquid swellable material outside the body cavity to close the opening.
20. A method of closing an opening in a body cavity, comprising:
advancing fibrous tissue engaging members distally through the opening into the body cavity;
withdrawing the fibrous tissue engaging members proximally through the opening to an engagement region where the fibrous tissue engaging members engage fibrous tissue proximal of the opening; and placing a closure member at the engagement region.
21. A closure apparatus for closing an opening in a body cavity, comprising:
a plurality of fibrous tissue engaging members coupled to a proximally extending elongate member, the fibrous tissue engaging members being movable between an expanded position and a collapsed position;

a closure sheath sized to receive the elongate member and slidable thereover to move the fibrous tissue engaging members from the expanded position to the collapsed position;
a delivery sheath sized to receive the closure sheath and having a distal end sized to engage the fibrous tissue engaging members when in the expanded position; and a closure member having an aperture defined therein sized to receive the closure sheath.
CA2504626A 2002-12-20 2003-12-18 Closure device with textured surface Expired - Fee Related CA2504626C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/325,710 US20040122349A1 (en) 2002-12-20 2002-12-20 Closure device with textured surface
US10/325,710 2002-12-20
PCT/US2003/040210 WO2004058075A2 (en) 2002-12-20 2003-12-18 Closure device with textured surface

Publications (2)

Publication Number Publication Date
CA2504626A1 true CA2504626A1 (en) 2004-07-15
CA2504626C CA2504626C (en) 2011-09-13

Family

ID=32593857

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2504626A Expired - Fee Related CA2504626C (en) 2002-12-20 2003-12-18 Closure device with textured surface

Country Status (7)

Country Link
US (2) US20040122349A1 (en)
EP (2) EP1575432B1 (en)
JP (1) JP4575168B2 (en)
AT (1) ATE555728T1 (en)
AU (1) AU2003300999A1 (en)
CA (1) CA2504626C (en)
WO (1) WO2004058075A2 (en)

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CA2504626C (en) 2011-09-13
JP4575168B2 (en) 2010-11-04
WO2004058075A2 (en) 2004-07-15
US20100234884A1 (en) 2010-09-16
WO2004058075A3 (en) 2004-11-18
EP1575432B1 (en) 2012-05-02
EP1575432A2 (en) 2005-09-21
EP2471463A2 (en) 2012-07-04
JP2006515768A (en) 2006-06-08
US8398677B2 (en) 2013-03-19
US20040122349A1 (en) 2004-06-24
AU2003300999A1 (en) 2004-07-22
ATE555728T1 (en) 2012-05-15

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