US20010003158A1 - Hemostatic puncture closure system and method of use - Google Patents

Hemostatic puncture closure system and method of use Download PDF

Info

Publication number
US20010003158A1
US20010003158A1 US09/754,606 US75460601A US2001003158A1 US 20010003158 A1 US20010003158 A1 US 20010003158A1 US 75460601 A US75460601 A US 75460601A US 2001003158 A1 US2001003158 A1 US 2001003158A1
Authority
US
United States
Prior art keywords
tract
puncture
closure
filament
closure device
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.)
Abandoned
Application number
US09/754,606
Inventor
Kenneth Kensey
John Nash
Douglas Evans
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.)
DSM Biomedical Inc
Original Assignee
Kensey Nash Corp
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
Priority claimed from US07/789,704 external-priority patent/US5222974A/en
Application filed by Kensey Nash Corp filed Critical Kensey Nash Corp
Priority to US09/754,606 priority Critical patent/US20010003158A1/en
Assigned to KENSEY NASH CORPORATION reassignment KENSEY NASH CORPORATION ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: EVANS, DOUGLAS, KENSEY, KENNETH, NASH, JOHN
Publication of US20010003158A1 publication Critical patent/US20010003158A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16GBELTS, CABLES, OR ROPES, PREDOMINANTLY USED FOR DRIVING PURPOSES; CHAINS; FITTINGS PREDOMINANTLY USED THEREFOR
    • F16G11/00Means for fastening cables or ropes to one another or to other objects; Caps or sleeves for fixing on cables or ropes
    • F16G11/10Quick-acting fastenings; Clamps holding in one direction only
    • F16G11/105Clamps holding in one direction only
    • F16G11/108Clamps holding in one direction only using a ball or a cylinder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004(bio)absorbable, (bio)resorbable, resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00637Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00646Type of implements
    • A61B2017/00654Type of implements entirely comprised between the two sides of the opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00646Type of implements
    • A61B2017/00659Type of implements located only on one side of the opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements 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
    • A61B2017/00672Locating means therefor, e.g. bleed back lumen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00898Material properties expandable upon contact with fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/032Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0811Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S604/00Surgery
    • Y10S604/90Telltale showing entry of blood into body inserted conduit

Definitions

  • U.S. Pat. No. 5,021,059 which has been assigned to the same assignee as this invention, there is disclosed a closure device and method of use for sealing a small incision or puncture in tissue separating one portion of the body of a living being from another portion thereof, e.g., a percutaneous puncture in a artery, to prevent the flow of a body fluid, e.g., blood, through the puncture.
  • the closure device is arranged to be used with (deployed by) an instrument which comprises a carrier in the form of a tubular member.
  • the tubular member has a proximally located portion and a distally located portion.
  • the latter includes an open free end arranged to be introduced through the incision or puncture.
  • the proximately located portion of the tubular member is arranged to be located out of the body of the being when the distally located portion is extended through the incision or puncture.
  • the closure device comprises three components, namely, an anchor member, a sealing member, and a filament, e.g., suture.
  • the sealing member is formed of a hemostatic material, e.g., compressed collagen foam.
  • the anchor member includes a tissue engaging portion configured to pass through the puncture in one direction but resistant to passage therethrough in the opposite direction.
  • the sealing member includes a tissue engaging portion.
  • the filament is connected between the anchor member and the sealing member in a pulley-like arrangement so that they may be moved relative to each other by the application of a pulling force on the filament.
  • the instrument is arranged to expel the anchor member through the puncture, e.g., into the artery, and to draw its tissue engaging portion into engagement with the tissue contiguous with the puncture.
  • the filament extends through the instrument to a point outside the body of the being and is arranged to be drawn in the proximal direction, whereupon the portion of the filament connecting the anchor member and the sealing member causes the tissue engaging portion of the sealing member to move with respect to said anchor member and into engagement with the tissue contiguous with the puncture on the opposite side thereof from said anchor member. This action causes the tissue engaging portion of the sealing member to seal the puncture from the flow of fluid therethrough.
  • closure device and deploying instrument in that patent leave something to be desired from the standpoints of effectiveness and efficiency of use.
  • the system basically comprises carrier means, introducer means, and closure means.
  • the puncture comprises a tract extending through tissue overlying the blood vessel.
  • the closure means comprises anchoring means, sealing means, and filament means.
  • the filament means is connected between the anchoring means and the sealing means.
  • the introducer means comprises a tubular member having a distal free end arranged to be inserted into the puncture tract and through the puncture.
  • the carrier means is arranged to be inserted through the introducer means to expel the anchoring means therefrom and to draw the anchoring means into engagement with the distal free end of the introducer means.
  • the introducer means and the carrier means are arranged to be moved together to draw the anchoring means into engagement with the interior tissue of the blood vessel contiguous with the puncture.
  • the filament means is arranged to pull the anchoring means and the sealing means relative to each other to cause the sealing means to engage tissue contiguous with the puncture outside of the vessel.
  • the system includes means and a method of use to enable one to readily determine the location of the wall of the vessel or lumen by the percutaneous introduction of such means into the vessel or lumen.
  • Such means can be used as a part of the system or method to seal the puncture or incision in a vessel or lumen or may be used for other purposes, e.g., it may be used for any application wherein it is desirable to determine the location of a vessel or lumen wall via a percutaneous incision or puncture.
  • FIG. 1 is a side elevational view, partially in section, showing a deploying instrument and a closure device of the system of the subject invention
  • FIG. 2 is an enlarged top plan view of the closure device shown in FIG. 1, with the sealing component shown in an uncompressed state;
  • FIG. 3 is a top plan view, like that of FIG. 2, but showing the sealing component in its compressed state ready for deployment by the instrument of FIG. 1;
  • FIG. 4 is an enlarged top plan view of the anchor component of the closure device
  • FIG. 5 is an enlarged side elevational view of the anchor component of closure device
  • FIG. 6 is a greatly enlarged plan view showing the knot used to effect the securement of a filament component of the closure device to the sealing component thereof;
  • FIG. 7 is a top plan view of one embodiment of a introducer sheath position indicating device forming a portion of the system of this invention.
  • FIG. 8 is an enlarged sectional view taken along line 8 - 8 of FIG. 7;
  • FIG. 9 is a front elevational view of a torsion spring used with the deployment instrument.
  • FIG. 10 is a side elevational view of the spring shown in FIG. 9;
  • FIG. 11 is an isometric view of the deployment instrument shown in FIG. 1;
  • FIG. 12 is an illustration showing a preliminary step in the positioning of a conventional introducer sheath through a percutaneous puncture in an artery using the position indicating device shown in FIG. 7;
  • FIG. 13 is an illustration similar to that of FIG. 12 showing desired position of the introducer sheath within the artery as established by the use of the position indicating device shown in FIG. 7;
  • FIG. 14 is an illustration showing the introduction of the deployment instrument into the properly located introducer sheath
  • FIGS. 15 - 23 are illustrations, similar to FIGS. 11 and 12, but showing the sequential steps in the use of the instrument to deploy the closure device to seal the percutaneous puncture in the artery;
  • FIG. 24 is an enlarged illustration showing the closure device in place after it has sealed the percutaneous puncture in the artery;
  • FIG. 25 is an isometric view of a position indicating clip of the system of this invention.
  • FIG. 26 is an isometric view of a second embodiment of a introducer sheath position indicating device forming a portion of the system of this invention.
  • FIG. 27 is an illustration similar to that of FIG. 12 showing desired position of a conventional introducer sheath within the artery as established by the use of the second embodiment of the position indicating device shown in FIG. 26;
  • FIG. 28 is an isometric view of a third embodiment of a introducer sheath position indicating device forming a portion of the system of this invention.
  • FIG. 29 is an illustration similar to that of FIG. 12 showing desired position of a conventional introducer sheath within the artery as established by the use of the third embodiment of the position indicating device shown in FIG. 28;
  • FIG. 30 is an isometric view of a conventional dilator
  • FIG. 31 is an isometric view of a modified introducer sheath forming a position indicating device of the system of this invention.
  • FIG. 32 is an enlarged sectional view taken along line 32 - 32 of FIG. 31;
  • FIG. 33 is an illustration similar to that of FIG. 12 showing desired position of the modified introducer sheath of FIG. 32 located within the artery;
  • FIG. 34 is an enlarged top plan view of an alternative anchor component to that shown in FIG. 4;
  • FIG. 35 is an enlarged side elevational view of the alternative anchor shown in FIG. 34;
  • FIG. 36 is an enlarged sectional view of an alternative tamping means to that shown in FIG. 1;
  • FIG. 37 is an enlarged illustration similar to FIG. 23 but showing the use of the alternative tamping means of FIG. 36;
  • FIG. 38 is an enlarged illustration similar to FIG. 24 but showing the closure device in place after it has sealed the percutaneous puncture in the artery using the alternative tamping means.
  • an instrument forming a portion of a system for deploying a closure device 22 to seal a percutaneous puncture 24 within a blood vessel 26 , e.g., the femoral artery, constructed in accordance with this invention.
  • the puncture 24 includes not only the opening in the wall of the vessel but also the tract 24 A, i.e., the passageway in the tissue located between the vessel and the skin of the being formed when the vessel is punctured.
  • the instrument 20 and closure device 22 have particular utility when used in connection with intravascular procedures, such as angiographic dye injection, cardiac catheterization, balloon angioplasty and other types of recanalizing of atherosclerotic arteries, etc. since the closure 22 is designed to cause immediate hemostasis of the blood vessel, e.g., arterial, puncture.
  • the description of the preferred embodiment instrument and closure contained herein is directed to the closing off of percutaneous incisions or punctures in arteries, they have much more wide-spread applications.
  • the sealing of a percutaneous opening in an artery shown herein is merely exemplary.
  • a typical, conventional, intravascular surgical procedure e.g., catheter instrumentation of an artery, utilizing a percutaneous opening
  • a cannula of an instrument such as an angiographic needle (not shown)
  • the artery such as the femoral artery
  • the needle cannula is held in place and the flexible end of a mini-guidewire (not shown) is then passed through the cannula into the artery to the desired depth (i.e., longitudinal position therealong).
  • the needle cannula is removed, leaving the guidewire in place.
  • An introducer sheath 28 (FIGS. 12 and 13) and an arterial dilator (not shown) are then passed over the guidewire, through the puncture or incision and into the artery. The guidewire and then the dilator are removed leaving the introducer sheath in place.
  • a catheter, or other intravascular instrument (not shown) is then inserted through the introducer sheath 28 and threaded down the artery 26 to the desired intravascular location, e.g., the situs of the atherosclerotic occlusion.
  • the catheter is removed. Thereafter, the sheath is removed and the surgeon or other trained person applies manual, digital pressure to the percutaneous puncture until hemostasis has occurred.
  • the current standard of care for puncture hemostasis is to apply digital or mechanical pressure on the puncture site for twenty minutes to an hour, depending on the puncture size and the degree of hemolytic therapy. Obviously this results in wasted time for the physicians and other catheter lab personnel, and causes inconvenience and discomfort for the patient. In addition serious complications arise from persistent bleeding and hematom a formation in approximately five percent of the patients.
  • the introducer sheath 28 is left in place within the artery (although it is moved so that its distal end is at a desired position therein, as will be described later).
  • the deployment instrument 20 having the closure device 22 therein is inserted into the introducer sheath.
  • the closure device is then deployed (ejected) and operated to immediately seal the arterial puncture site 24 and plug the tract 24 A.
  • the closure device 22 is designed to reduce post-procedure puncture complications, cause minimal inflammatory reaction and resorb completely within a relatively short period of time, e.g., sixty to ninety days.
  • the closure has three basic components, namely, a sealing member 30 , an intraarterial anchor member 32 , and a positioning member 34 .
  • the sealing member is in the form of an elongated rod-like plug, e.g., a hemostatic, resorbable collagen sponge or foam. This member is arranged for sealing the puncture.
  • the anchor member 34 is an elongated, stiff, low-profile, resorbable member which is arranged to be seated inside the artery against the artery wall contiguous with the puncture 24 .
  • the anchor member 32 is made of non-hemostatic resorbable polymer similar to resorbable suture.
  • the positioning member 34 comprises a filament, e.g., a resorbable suture.
  • the suture connects the anchor member and the collagen plug (sealing member) via a pulley-like arrangement which serves to move the anchor and plug together, to sandwich and lock the artery wall between the anchor and plug.
  • the closure device 22 is used after the interventional procedure is finished.
  • the physician inserts the delivery or deployment instrument 20 containing the closure device 22 into the patients' introducer sheath 28 .
  • the anchor member 32 passes out of the distal end of the introducer sheath and deploys into the artery lumen.
  • the deployment instrument 20 is then withdrawn from the introducer sheath until resistance is felt when the anchor member catches on the distal end thereof. Once this occurs (and assuming that the anchor is in the correct orientation when it catches on the end of the introducer sheath, as will be described later) the deployment instrument and the introducer sheath are then immediately withdrawn together.
  • This withdrawing action causes the anchor member 32 to engage (catch) on the artery wall contiguous with the puncture.
  • Continued withdrawal of the instrument and introducer sheath causes the pulley-like configuration of the filament to pull the collagen plug 30 toward the anchor member 32 , thereby depositing the plug in the puncture tract 24 A against the exterior of the artery contiguous with the puncture.
  • the pulling on the filament to bring the plug into engagement with the puncture site also has the effect of deforming the plug into a larger diameter body to aid in holding it in place.
  • the plug since the plug is formed of a compressed collagen it also expands automatically in the presence of blood within the puncture tract when deployed, thereby further contributing to the plug's enlargement.
  • the instrument 20 also includes a tamper (to be described later) which is mounted on the suture and which is slidable thereon.
  • the deployment of the plug member also effects the deployment of the tamper into the puncture tract proximally of the plug member.
  • the tamper is then used to gently compress and lock the collagen plug on the outside of the artery.
  • the anchor member 32 is non-hemostatic and is sized to be hemodynamically insignificant in comparison to the size of the femoral artery. Thus, the resorbable anchor has an insignificant hemodynamic effect on blood flow.
  • Anchoring is repeatable, safe, and effective to deploy the collagen plug. Hemostasis occurs almost instantaneously, e.g., in 15 seconds or less, when the closure device is deployed properly.
  • the sealing member or plug 30 comprises a cylindrical member formed of a compressible, resorbable, collagen foam, such as that sold by Collatec, Inc. of Plainsboro, N.J.
  • the plug 30 is arranged to be compressed from the large diameter configuration shown in FIG. 2 to the small diameter, elongated configuration shown in FIG. 3.
  • the diameter of the plug is very small, e.g., 1.32 mm, and therefor suitable for disposition within the instrument 20 as will be described later.
  • the plug 30 includes an annular recess 40 extending about its outer periphery adjacent its proximal end.
  • aperture 42 , 44 , and 46 extend through the plug.
  • the aperture 42 is located close to the recess 40 and diametrically through the centerline of the plug.
  • the aperture 46 is located close to the distal end of the plug and extends transversely through the plug on one side of the centerline.
  • the aperture 44 is located between apertures 42 and 44 and extends transversely through the plug on the other side of the centerline.
  • the filament 34 of the closure device 22 serves to couple the plug component to the anchor component in an arrangement to effect the movement of the plug component toward the anchor component, once the anchor component is in its desired position in the artery at the puncture or incision.
  • the coupling of the plug component to the anchor component simulates a pulley to achieve a desired mechanical advantage.
  • the filament is formed of resorbable, flexible, strong material, e.g., a resorbable suture.
  • the anchor member 32 basically comprises a thin, narrow, strip or bar of material, such as a resorbable lactide/glycolide polymer sold by Medisorb Technologies International L.P. under the trade designation MEDISORB.
  • the strip is sufficiently rigid such that once it is in position within the artery (as will be described later) it is resistant to deformation to preclude it from bending to pass back through the puncture through which it was first introduced.
  • the member 32 has a generally planar top surface 48 , a generally planar bottom surface 50 and a peripheral side surface 52 . Each end of the member 32 is rounded.
  • the side surface 52 of the anchor member 32 tapers inward from its top surface to its bottom surface as shown in FIG.
  • a hemispherical projection 54 is located at the center of the top surface 48 .
  • the hemispherical projection 54 includes a longitudinally extending slot 56 disposed perpendicularly to the top surface 48 of the member 32 .
  • the bottom 58 of the slot 56 is arcuate (FIG. 5).
  • a cylindrical opening 60 extends transversely across the member 32 through the projection 54 .
  • a loop 62 of suture material extends through the opening 60 .
  • the loop 62 is closed by a knot 64 .
  • the portion of the loop 62 extending through the opening 60 overlies the bottom 58 of the slot and forms a “pin” about which the filament 34 extends.
  • the filament 34 is threaded through the slot 56 , under the “pin” of the loop 60 and back out the slot 56 on the other side thereof as shown clearly in FIG. 5 to connect the plug member 30 to the anchor member 32 .
  • the pulley-like connection between the anchor member and the plug member is effected by threading the filament 34 from a remote point (which is located outside the deployment instrument 20 when the closure device is in place in that instrument) through the transverse aperture 42 , down the plug to the aperture 46 , through that aperture to the opposite side of the plug and from there to the anchor member where it is threaded through the slot 56 and about the “pin” as described earlier. From there the filament 34 extends back to the plug where it enters into aperture 44 , passes through the aperture to the opposite side of the plug, where it terminates in a loop 66 extending around the annular recess 40 . The loop is secured by a knot 68 , whose details are shown in FIG. 6.
  • FIGS. 34 and 35 there is shown an alternative anchor member 32 ′.
  • That anchor member is virtually identical to the anchor member 32 except that member 32 ′ includes means to enable it to be imaged radiographically to facilitate the placement of the closure at the desired situs within the patient's body.
  • the alternative anchor member 32 ′ includes a pair of wells 32 A in the top surface 48 adjacent the respective ends of the anchor member.
  • a plug or powder of a conventional radio-opaque material which is preferably biocompatible and which is excretable, e.g., solid agents of sodium diatrizoate, iohexal, etc., is located within each well 32 A.
  • a respective cover or cap 32 B preferably formed of a thin disk of a bioresorbable material, e.g., PGA, is disposed over each well to seal the material within the well.
  • Each cover is secured to the top surface 48 of the anchor 32 ′ by a seal line extending about the periphery of the well. That seal line can be formed in various ways, e.g., by heat sealing.
  • the instrument basically comprises a carrier 100 in the form of an elongated tube 102 formed of a somewhat flexible material, such as polyethylene or polyvinyl chloride, so that the carrier may be freely passed through the introducer sheath into an operative position within the patient's artery, notwithstanding any curvature of the introducer sleeve which may exist.
  • a carrier 100 in the form of an elongated tube 102 formed of a somewhat flexible material, such as polyethylene or polyvinyl chloride, so that the carrier may be freely passed through the introducer sheath into an operative position within the patient's artery, notwithstanding any curvature of the introducer sleeve which may exist.
  • the outside diameter of the tubular carrier 100 is 8 French.
  • the distal end of the tube 102 includes a rigid, e.g., stainless steel, sleeve or bypass tube 104 mounted thereon, to enable it to be inserted through a conventional hemostasis valve 28 A (FIGS. 12 - 14 ) forming a portion of the introducer sheath 28 , through the sheath, and out the distal end thereof into the artery 26 .
  • the distal end of the flexible tube 102 necks down into a generally hemicylindrical configuration (See FIG. 1) which includes a longitudinally extending slit (not shown) therein to enable it to be fit within the bypass tube 104 without buckling.
  • the closure device 22 is located within the distal end of the tubular carrier 100 .
  • the anchor member 32 is disposed longitudinally within the bypass tube 104 laterally of the central longitudinal axis 106 of the carrier.
  • the plug member 30 is located within the tube 102 just behind (proximally) of the anchor member and on the opposite side of the central longitudinal axis. In fact the distal end of the plug member overlies the proximal end of the anchor member.
  • the bypass tube 104 includes a reference detent 108 in its periphery located diametrically opposite to the position of the anchor member.
  • the detent 108 serves as a visual guide to help the user orient the instrument to a proper yaw angle with respect to the central longitudinal axis for insertion within the introducer sheath as will be described later.
  • the instrument 20 includes a conventional luer fitting 110 .
  • the proximal end of the carrier tube 102 extends into an opening in the fitting 110 and is secured in place therein by any suitable means.
  • Another conventional luer fitting 112 is threadedly secured to the threaded distal end 114 of the fitting 110 .
  • the fittings 110 and 112 together form a hollow body through which the proximal end of the filament 34 extends.
  • a tensioning assembly is located within that body and basically comprises a ball 116 , a cup shaped ball seat 118 , a compression spring 120 , and a spring seat 122 .
  • the spring seat is a disk-like member located within an annular recess within the center of the luer fitting 110 .
  • the ball seat includes a conical inner surface 124 having a central opening 126 .
  • the spring is a helical member interposed between the spring seat 122 and the ball 116 to bias the ball toward the conical surface 124 of the ball seat 118 .
  • the proximally located portion of the filament 34 extends through the space between the ball 116 and its seat.
  • the amount of force applied to the ball is established by a spacer sleeve 128 located between the luer fittings 110 and 112 . By appropriate selection of the width of the sleeve 128 any desired preload can be applied to the spring.
  • the carrier 100 also includes a tamping member 130 .
  • This member is an elongated rod-like member formed of any suitable material, e.g., polyethylene, and is disposed within the carrier tube 102 immediately proximally of the plug 32 .
  • the tamping member 130 includes a central passageway 132 extending down its length from its distal end 134 to its proximal end 136 .
  • the filament 34 portion extending from the anchor member 32 passes through the passageway 132 in the tamping member and from there into the luer fittings 110 and 112 , past the tensioning assembly, and out through the hole 126 at the proximal end of the instrument 20 .
  • a holding sleeve or tag 138 e.g., a stainless steel tube, is crimped onto the filament so that it engages the proximal end of the tamping member 130 to hold that member in place.
  • the tag 138 is arranged to cooperate with a torsion spring 142 (FIGS. 9 and 10) to apply tension onto the filament 34 after the closure device is in place to enable the instrument 20 to be removed and the filament severed (as will be described later).
  • the instrument 20 is arranged to be inserted into a conventional introducer sheath 28 to effect the deployment of the closure device 20 .
  • the sheath 28 includes a body portion in which a conventional hemostasis valve 28 A is located and a tubular portion 28 B extending from the body.
  • the tubular portion 28 B terminates in an open distal or free end 28 C.
  • the body portion of the sheath 28 includes a sideport 28 D having a conventional stopcock 28 E located therein.
  • the distal end of the body of the sheath includes an annular groove 28 F which is arranged to receive a position indicator clip 150 forming a portion of the system of this invention, for reasons to be described later.
  • the sheath Before the instrument can be inserted into the introducer sheath 28 , the sheath itself must be properly located within the artery. This action is accomplished via a positioning device 200 . That device forms a portion of the system of this invention and is shown in FIGS. 7 and 8. As can be seen the device 200 basically comprises a conventional dilator whose outer periphery has been modified to include a longitudinally extending flat 202 . The device 200 is arranged to be fully inserted within the introducer sheath 28 like shown in FIG. 12. The insertion of the device 200 within the introducer sheath 28 forms a passageway between the flatted surface 202 of the device 200 and the interior surface of the tubular portion 28 B of the sheath disposed thereover.
  • the length of the flatted portion 202 is selected so that when the device 200 is fully with the introducer sheath, and the distal end of the sheath within the interior of the artery, the distal end of the flatted surface extends just beyond the distal end 28 C of the introducer sheath to form a window 204 into which blood may flow, while the proximal end of the surface 202 is in fluid communication with the interior of the introducer body and the sideport 28 D. Accordingly, blood may flow into the window 204 through the passageway formed by the flatted surface, into the sideport 28 D and from there to the stopcock 28 E when the window 204 is within the interior of the artery.
  • FIG. 26 there is shown a second embodiment of a positioning device 300 for effecting the proper positioning of the introducer sheath 28 within the artery.
  • the device 300 basically comprises a conventional obturator whose outer periphery has been modified to include an annular recess 302 extending thereabout.
  • the device 300 is arranged to be fully inserted within the introducer sheath 28 as shown in FIG. 27.
  • the insertion of the device 300 within the introducer sheath 28 forms an annular passageway between the annular recess 302 of the device 300 and the interior surface of the tubular portion 28 B of the sheath 28 .
  • a side opening or port 304 is provided in the sidewall 28 B of the introducer sheath 28 closely adjacent its open distal end 28 C.
  • the length of the annular recess 302 is selected so that when the device 300 is fully with the introducer sheath 28 , and the port 304 in the distal end of the sheath is located within the interior of the artery, the distal end of the annular recess 302 extends just beyond the port 304 while the proximal end of the recess 302 is in fluid communication with the interior of the introducer's sideport 28 D.
  • the port 304 forms a window into which blood in the artery may flow when the distal end 28 C of the introducer is located therein.
  • blood may flow into the window 304 through the annular passageway formed between the recess 302 and the inner surface of the tubular portion 28 A of the introducer, into the sideport 28 D and from there to the stopcock 28 E when the window 304 is within the interior of the artery.
  • FIG. 28 there is shown a third embodiment of a positioning device 400 for effecting the proper positioning of the introducer sheath 28 within the artery.
  • the device 400 basically comprises a conventional obturator having a passageway 402 extending longitudinally down substantially the length of the device.
  • An entrance port 404 extends radially inward into the device communicating with the distal end of the passageway 402
  • an outlet port extends radially inward into the device communicating with the proximal end of the passageway 402 .
  • the device 400 is arranged to be fully inserted within the introducer sheath 28 as shown in FIG. 29.
  • the length of the annular passageway 402 is selected so that when the device 400 is fully with the introducer sheath 28 and the distal end of the sheath is located within the interior of the artery, the inlet port 404 of the passageway 402 extends just beyond the free end of the sheath, while the outlet port 406 is in fluid communication with the interior of the introducer's sideport 28 D.
  • the port 404 forms a window into which blood in the artery may flow when the distal end 28 C of the introducer is located therein.
  • FIG. 31 there is shown alternative embodiment 28 ′ of an introducer sheath.
  • the sheath is similar to sheath 28 described earlier except that its tubular portion 28 B includes a second passageway 502 (FIG. 31) extending therethrough.
  • the passageway 502 serves as the passageway for blood to flow therethrough so that the sheath 28 ′, itself, can act as a positioning device for effecting its proper positioning within the artery.
  • the passageway 502 extends longitudinally down the sheath 28 ′ within its wall and parallel to the central passageway 504 (the central passageway receives the deployment instrument 20 —to be described later).
  • the distal end of the passageway 502 includes a radially extending port 506 .
  • the proximal end of the passageway 502 (not shown) is in fluid communication with the interior of the introducer's sideport 28 D.
  • the introducer sheath 28 ′ is arranged to be used with a conventional obturator 600 (shown in FIG. 30).
  • the positioning of the introducer sheath 28 utilizing either of the devices 300 or 400 or the positioning of the introducer sheath 28 ′ utilizing the obturator 600 is similar to that described with reference to the device 200 .
  • the stopcock 28 E is opened to observe the flow of blood therefrom (thereby indicating that the inlet port or window is within the artery).
  • the introducer sheath is then retracted (moved proximally) until the blood flow through the stopcock just stops, thereby indicating that the distal end 28 C of the introducer sheath has just left the artery lumen.
  • introducer sheath with the device therein is then reinserted approximately 10 mm into the puncture to ensure that the distal end of introducer sheath is at the desired position within the artery. Blood flow should be reestablished through the stopcock at this time. Then the stopcock is closed. From this point the introducer sheath must be kept fixed (as described earlier) and the position indicating device 300 or 400 (or the conventional obturator 600 ) removed to ready the introducer sheath for receipt of the deployment instrument 20 carrying the closure device 22 through the central passageway in the particular introducer sheath (that passageway is denoted by the reference number 504 in the embodiment 28 ′).
  • the deployment of the closure will now be described with reference to FIGS. 14 - 23 and is as follows:
  • the reference detent 108 on the bypass tube is identified by the user and the bypass tube grasped by the user and oriented so that the detent faces up (away from the patient) as shown in FIG. 14. This ensures that the anchor member is located towards the patient.
  • the bypass tube is then inserted into the sheath through the hemostasis valve 28 A.
  • the rigid nature of the bypass tube facilitates the passage of the carrier 100 through the hemostasis valve and also protects the closure device from damage.
  • the instrument is then pushed fully down the introducer sheath so that a stop surface 110 A on the front (distal) luer fitting 110 (FIG.
  • the position indicator clip 150 is then mounted onto the annular recess 28 F on the introducer sheath 28 as shown in FIG. 17.
  • the clip 150 includes a linear section 150 A from which a yoke 150 B projects perpendicularly.
  • the yoke 150 B includes a circular mouth 150 C for receipt of the annular recess 28 F of the introducer sheath.
  • the free end 150 D of the indicator clip will extend beyond the distal end of the instrument 20 (beyond the tensioner assembly).
  • the system 20 is then operated to determine if the anchor member 32 has been properly deployed. To that end the introducer sheath is then held by the user to prevent axial movement and the instrument 20 is carefully withdrawn from it. This action causes the anchor member 32 to engage or catch on to the distal end of the introducer. As the anchor member catches on the distal end of the introducer, resistance will be felt by the user. This resistance must be noted by the time the luer fitting 112 housing the tensioner assembly reaches the free end 150 D of the indicator clip 150 as shown in FIG. 18. If so, then the anchor member will have caught on the distal end of the introducer at the location of its hemispherical projection 54 (the desired occurrence).
  • the instrument 20 must be withdrawn then reinserted within the introducer sheath and the foregoing procedure retried, this time by turning the instrument 20 about its axis 106 by 1 ⁇ 4turns to each side before it is again withdrawn.
  • the collagen plug is deployed.
  • the introducer sheath 28 and the instrument 20 are held together and withdrawn as a unit from the puncture, whilst swinging the unit toward the vertical as shown in FIG. 19.
  • This action causes the anchor 32 to engage or catch onto the inner surface of the artery 26 contiguous with the puncture 24 .
  • the introducer sheath and the instrument are pulled further outward as shown in FIG. 20.
  • the continued retraction of the introducer sheath and instrument causes the filament 34 to pull the collagen plug out of the carrier tube 102 and into the puncture tract 24 A.
  • the pulley arrangement of the filament 24 connecting the anchor member and the plug member ensures that during the retraction of the introducer and the instrument the plug member is moved into engagement with the exterior of the artery wall contiguous with the puncture 24 . In fact continued retraction causes the filament to somewhat deform the plug, i.e., cause it to deform radially outward.
  • the existence of blood within the puncture tract further contributes to the deformation of the plug member since the collagen foam expands in the presence of blood.
  • the retraction procedure continues to pull the introducer and instrument up the filament until the tag 138 is exposed as shown in FIG. 22. At this point the anchor member and collagen plug member have been deployed. At this time the collagen plug is tamped by the tamping member 130 .
  • the user quickly compacts the collagen of the plug by gently tensioning the filament by pulling on the introducer sheath and instrument in the proximal direction with one hand.
  • the tamping member is then manually slid down the filament by the user's other hand so that it enters the puncture tract 24 A and engages the proximal end of the plug member 32 .
  • the torsion spring 142 is mounted on the filament 34 as shown in FIG. 23. This action is necessary to maintain appropriate tension on the filament while the instrument 20 is removed (the filament severed).
  • the torsion spring is shown.
  • the spring 142 includes a pair of legs 142 A and 142 B projecting outward from a helical central section 142 C. Each leg includes a slot 142 D at its free end.
  • One of the slots is arranged to receive the filament 34 therein and to engage the tag 138 .
  • the other of the slots is arranged to receive the filament 34 therein and to engage the proximal end of the tamping member 130 .
  • the legs 142 A and 142 B are biased by the intermediate section 142 C so that when the spring is mounted on the filament as just described they will bias the tamping means towards the plug member 30 to hold it in place so that the filament can be severed (as is necessary to remove the instrument and the introducer from the closure device).
  • the filament on the proximal side of the tag 138 is cut and the spring applies a light controlled pressure to the collagen plug and anchor.
  • the closure is left in this condition without being disturbed for approximately 30 minutes.
  • the spring 142 is removed and the filament is then severed at the top of the tamping member 130 .
  • the tamping member 130 is then removed and the remaining portion of the filament is taped to the skin at 160 as shown in FIG. 24.
  • the tape (not shown) should be removed and the filament cut subcutaneously prior to the discharge of the patient.
  • the anchor member 32 (the only portion within the artery) does not take up a substantial portion of the interior of the artery and thus does not block off or otherwise impede the flow of blood therethrough. Since the components of the closure are all formed of resorbable materials the closure can be left in place within the body until it is absorbed.
  • FIG. 36 there is shown an alternative embodiment 700 of tamping means constructed in accordance with this invention.
  • the tamping means 700 basically comprises an assembly of two components, whereas the tamping means 130 described earlier is composed of only a single component.
  • the assembly 700 comprises a first tubular component 702 and a second tubular component 704 .
  • the component 702 includes a central passageway 706 and is formed of any suitable material, e.g., the same material as used to form the tamping component 130 described earlier.
  • the second component 704 also includes a central passageway 708 extending therethrough.
  • the component 704 is mounted on the front or distal end of the component 702 . To that end the component 704 includes an annular recess 710 about its periphery at the proximal end thereof. This recess is arranged to receive the distal end 712 of the component 702 , with the two passageways 706 and 708 axially aligned to enable the filament 34 to extend therethrough.
  • the component 704 is preferably formed of a compressed collagen foam, e.g., the same type of material used for the sealing portion or plug 30 of the closure.
  • the distal end 714 of the component 704 is arranged to engage the plug 30 to tamp it down in the same manner as that accomplished by the distal end 134 of tamping member 130 .
  • the torsion spring 142 is mounted on the filament as shown in FIG. 37 so that it is located between the tag 138 and the proximal end of the component 702 (in the same manner as described with respect to tamping member 130 shown in FIG. 23).
  • the filament on the proximal side of the tag 138 can be cut, while the spring applies light controlled pressure to the collagen plug 30 and anchor 32 .
  • the closure is left in this condition in the same manner as described earlier after which time the spring is removed and the filament severed at the top (proximal end) of the tamping component 702 . That component can then be removed, leaving the tamping component 704 within the puncture tract as shown in FIG. 38.
  • the remaining (exteriorly extending) portion of the filament is taped to the skin at 160 as also described earlier.
  • the two sections of the filament 34 between the anchor component 32 and the plug component 30 effectively form a “pulley” arrangement to increase the mechanical advantage of the force applied to the filament to move the two components toward each other. Accordingly, the closure can be properly seated without the application of a high pulling force.
  • the use of the biased ball and associated seat between which the filament passes during the placing of the closure ensures that irrespective of how hard the instrument and the introducer are withdrawn from the puncture during the deployment and seating of the closure, the amount of force applied to the filament 34 , and hence to the closure device, will not exceed a predetermined maximum, e.g., one pound. This feature is of considerable importance to ensure that the anchor portion of the closure is not pulled through the opening (e.g., incision or puncture) once it is in place.
  • the closure device, the instrument for deploying it, and their method of use enables the ready, effective and efficient sealing of a percutaneous puncture in an artery.
  • the hemostatic puncture closure device 20 will be a significant advancement in the fields of cardiology and radiology.
  • the device may allow continuance of anticoagulation post-procedure, more aggressive use of thrombolytic agents and safer use of large bore catheters. It should also reduce discomfort and complication rates for patients; allow many in-patient procedures to be performed safely on an out-patient basis; decrease the time and cost of interventional procedures; and reduce exposure of hospital personnel to human blood.

Abstract

A system, a closure, and method of use for sealing a percutaneous puncture in a blood vessel. The puncture includes an opening in the vessel wall and a tract leading to the opening. The system includes an introducer sheath and associated positioning device, a hemostatic puncture closure, and a deployment instrument. The positioning device enables the introducer sheath to be positioned at a desired position within the vessel. The deployment instrument includes a tubular carrier storing the closure. The closure comprises a rigid, e.g., radio-opaque, anchor, a compressed collagen plug, and a thin filament connecting the two in a pulley-like arrangement. The instrument and introducer are used to introduce the closure into the puncture, with the anchor located within the artery and with the collagen plug within the puncture tract. A locking member is provided to hold the closure in place at its operative position, whereupon hemostasis occurs rapidly, thereby sealing the puncture.

Description

  • This application is a Continuation of our earlier filed U.S. patent application Ser. No. 08/992,041 filed on Dec. 17, 1997, entitled Hemostatic Puncture Closure System and Method of Use, which in turn is a Continuation of our earlier filed U.S. patent application Ser. No. 08/604,205 filed on Feb. 21, 1996 entitled Hemostatic Puncture Closure System and Method of Use, now U.S. Pat. No. 5,707,393, which in turn is a Continuation of our earlier filed U.S. patent application Ser. No. 08/426,371 filed on Apr. 21, 1995 entitled Hemostatic Puncture Closure System and Method of Use, which in turn is a Continuation of our earlier filed U.S. patent application Ser. No. 08/154,882 filed on Nov. 18, 1993, entitled Radio-opaque Hemostatic Puncture Closure System and Delivery System Therefore, now U.S. Pat. No. 5,441,517, which in turn is a Continuation of our earlier filed U.S. patent application Ser. No. 07/846,322 filed on Mar. 5, 1992, entitled Hemostatic Puncture Closure System and Method of Use, now U.S. Pat. No. 5,282,827, which in turn is a Continuation-In-Part of our earlier filed U.S. patent application Ser. No. 07/789,704, filed on Nov. 8, 1991, entitled Hemostatic Puncture Closure System and Method of Use, now U.S. Pat. No. 5,222,974, all of whose disclosures are incorporated by reference herein and which are assigned to the same assignee as this invention. [0001]
  • BACKGROUND OF THE INVENTION
  • In U.S. Pat. No. 5,021,059, which has been assigned to the same assignee as this invention, there is disclosed a closure device and method of use for sealing a small incision or puncture in tissue separating one portion of the body of a living being from another portion thereof, e.g., a percutaneous puncture in a artery, to prevent the flow of a body fluid, e.g., blood, through the puncture. The closure device is arranged to be used with (deployed by) an instrument which comprises a carrier in the form of a tubular member. The tubular member has a proximally located portion and a distally located portion. The latter includes an open free end arranged to be introduced through the incision or puncture. The proximately located portion of the tubular member is arranged to be located out of the body of the being when the distally located portion is extended through the incision or puncture. [0002]
  • The closure device comprises three components, namely, an anchor member, a sealing member, and a filament, e.g., suture. The sealing member is formed of a hemostatic material, e.g., compressed collagen foam. The anchor member includes a tissue engaging portion configured to pass through the puncture in one direction but resistant to passage therethrough in the opposite direction. The sealing member includes a tissue engaging portion. The filament is connected between the anchor member and the sealing member in a pulley-like arrangement so that they may be moved relative to each other by the application of a pulling force on the filament. [0003]
  • The instrument is arranged to expel the anchor member through the puncture, e.g., into the artery, and to draw its tissue engaging portion into engagement with the tissue contiguous with the puncture. The filament extends through the instrument to a point outside the body of the being and is arranged to be drawn in the proximal direction, whereupon the portion of the filament connecting the anchor member and the sealing member causes the tissue engaging portion of the sealing member to move with respect to said anchor member and into engagement with the tissue contiguous with the puncture on the opposite side thereof from said anchor member. This action causes the tissue engaging portion of the sealing member to seal the puncture from the flow of fluid therethrough. [0004]
  • The closure device and deploying instrument in that patent leave something to be desired from the standpoints of effectiveness and efficiency of use. [0005]
  • OBJECTS OF THE INVENTION
  • Accordingly, it is a general object of this invention to provide a closure device and methods of use which overcomes the disadvantages of the prior art. [0006]
  • It is a further object of this invention to provide a system including a closure, a deploying instrument, and method of use for quickly, easily, safely and effectively sealing a percutaneous puncture in a blood vessel within the body of a living being from another portion. [0007]
  • It is still a further object of this invention to provide devices and methods for enabling one to radiographically image the closure during its placement to seal a percutaneous incision or puncture in a blood vessel and after such placement has been accomplished. [0008]
  • SUMMARY OF THE INVENTION
  • These and other objects of this invention are achieved by providing a closure for use in a system for sealing a percutaneous incision or puncture in a blood vessel. The system basically comprises carrier means, introducer means, and closure means. The puncture comprises a tract extending through tissue overlying the blood vessel. The closure means comprises anchoring means, sealing means, and filament means. The filament means is connected between the anchoring means and the sealing means. The introducer means comprises a tubular member having a distal free end arranged to be inserted into the puncture tract and through the puncture. The carrier means is arranged to be inserted through the introducer means to expel the anchoring means therefrom and to draw the anchoring means into engagement with the distal free end of the introducer means. The introducer means and the carrier means are arranged to be moved together to draw the anchoring means into engagement with the interior tissue of the blood vessel contiguous with the puncture. The filament means is arranged to pull the anchoring means and the sealing means relative to each other to cause the sealing means to engage tissue contiguous with the puncture outside of the vessel. [0009]
  • In accordance with one aspect of this invention the system includes means and a method of use to enable one to readily determine the location of the wall of the vessel or lumen by the percutaneous introduction of such means into the vessel or lumen. Such means can be used as a part of the system or method to seal the puncture or incision in a vessel or lumen or may be used for other purposes, e.g., it may be used for any application wherein it is desirable to determine the location of a vessel or lumen wall via a percutaneous incision or puncture. [0010]
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • Other objects and many of the attendant advantages of this invention will readily be appreciated as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings wherein: [0011]
  • FIG. 1 is a side elevational view, partially in section, showing a deploying instrument and a closure device of the system of the subject invention; [0012]
  • FIG. 2 is an enlarged top plan view of the closure device shown in FIG. 1, with the sealing component shown in an uncompressed state; [0013]
  • FIG. 3 is a top plan view, like that of FIG. 2, but showing the sealing component in its compressed state ready for deployment by the instrument of FIG. 1; [0014]
  • FIG. 4 is an enlarged top plan view of the anchor component of the closure device; [0015]
  • FIG. 5 is an enlarged side elevational view of the anchor component of closure device; [0016]
  • FIG. 6 is a greatly enlarged plan view showing the knot used to effect the securement of a filament component of the closure device to the sealing component thereof; [0017]
  • FIG. 7 is a top plan view of one embodiment of a introducer sheath position indicating device forming a portion of the system of this invention; [0018]
  • FIG. 8 is an enlarged sectional view taken along line [0019] 8-8 of FIG. 7;
  • FIG. 9 is a front elevational view of a torsion spring used with the deployment instrument; [0020]
  • FIG. 10 is a side elevational view of the spring shown in FIG. 9; [0021]
  • FIG. 11 is an isometric view of the deployment instrument shown in FIG. 1; [0022]
  • FIG. 12 is an illustration showing a preliminary step in the positioning of a conventional introducer sheath through a percutaneous puncture in an artery using the position indicating device shown in FIG. 7; [0023]
  • FIG. 13 is an illustration similar to that of FIG. 12 showing desired position of the introducer sheath within the artery as established by the use of the position indicating device shown in FIG. 7; [0024]
  • FIG. 14 is an illustration showing the introduction of the deployment instrument into the properly located introducer sheath; [0025]
  • FIGS. [0026] 15-23 are illustrations, similar to FIGS. 11 and 12, but showing the sequential steps in the use of the instrument to deploy the closure device to seal the percutaneous puncture in the artery;
  • FIG. 24 is an enlarged illustration showing the closure device in place after it has sealed the percutaneous puncture in the artery; [0027]
  • FIG. 25 is an isometric view of a position indicating clip of the system of this invention; [0028]
  • FIG. 26 is an isometric view of a second embodiment of a introducer sheath position indicating device forming a portion of the system of this invention; [0029]
  • FIG. 27 is an illustration similar to that of FIG. 12 showing desired position of a conventional introducer sheath within the artery as established by the use of the second embodiment of the position indicating device shown in FIG. 26; [0030]
  • FIG. 28 is an isometric view of a third embodiment of a introducer sheath position indicating device forming a portion of the system of this invention; [0031]
  • FIG. 29 is an illustration similar to that of FIG. 12 showing desired position of a conventional introducer sheath within the artery as established by the use of the third embodiment of the position indicating device shown in FIG. 28; [0032]
  • FIG. 30 is an isometric view of a conventional dilator; [0033]
  • FIG. 31 is an isometric view of a modified introducer sheath forming a position indicating device of the system of this invention; [0034]
  • FIG. 32 is an enlarged sectional view taken along line [0035] 32-32 of FIG. 31;
  • FIG. 33 is an illustration similar to that of FIG. 12 showing desired position of the modified introducer sheath of FIG. 32 located within the artery; [0036]
  • FIG. 34 is an enlarged top plan view of an alternative anchor component to that shown in FIG. 4; [0037]
  • FIG. 35 is an enlarged side elevational view of the alternative anchor shown in FIG. 34; [0038]
  • FIG. 36 is an enlarged sectional view of an alternative tamping means to that shown in FIG. 1; [0039]
  • FIG. 37 is an enlarged illustration similar to FIG. 23 but showing the use of the alternative tamping means of FIG. 36; and [0040]
  • FIG. 38 is an enlarged illustration similar to FIG. 24 but showing the closure device in place after it has sealed the percutaneous puncture in the artery using the alternative tamping means. [0041]
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
  • Referring now in greater detail to the various figures of the drawings wherein like reference characters refer to like parts, there is shown at [0042] 20 an instrument forming a portion of a system for deploying a closure device 22 to seal a percutaneous puncture 24 within a blood vessel 26, e.g., the femoral artery, constructed in accordance with this invention. The puncture 24 includes not only the opening in the wall of the vessel but also the tract 24A, i.e., the passageway in the tissue located between the vessel and the skin of the being formed when the vessel is punctured.
  • The [0043] instrument 20 and closure device 22 have particular utility when used in connection with intravascular procedures, such as angiographic dye injection, cardiac catheterization, balloon angioplasty and other types of recanalizing of atherosclerotic arteries, etc. since the closure 22 is designed to cause immediate hemostasis of the blood vessel, e.g., arterial, puncture. However, it is to be understood that while the description of the preferred embodiment instrument and closure contained herein is directed to the closing off of percutaneous incisions or punctures in arteries, they have much more wide-spread applications. Thus, the sealing of a percutaneous opening in an artery shown herein is merely exemplary.
  • Before describing the [0044] closure 22 and the instrument 20 for inserting it to seal the opening, a brief description of a typical, conventional, intravascular surgical procedure, e.g., catheter instrumentation of an artery, utilizing a percutaneous opening will be given to best appreciate the features of the invention. In such a procedure a cannula of an instrument, such as an angiographic needle (not shown), is inserted percutaneously through the skin into the artery, such as the femoral artery, at the situs for the instrument's insertion. The needle cannula is held in place and the flexible end of a mini-guidewire (not shown) is then passed through the cannula into the artery to the desired depth (i.e., longitudinal position therealong). Once the mini-guide wire is in place the needle cannula is removed, leaving the guidewire in place. An introducer sheath 28 (FIGS. 12 and 13) and an arterial dilator (not shown) are then passed over the guidewire, through the puncture or incision and into the artery. The guidewire and then the dilator are removed leaving the introducer sheath in place. A catheter, or other intravascular instrument (not shown) is then inserted through the introducer sheath 28 and threaded down the artery 26 to the desired intravascular location, e.g., the situs of the atherosclerotic occlusion.
  • Once the intravascular procedure (e.g., angioplasty) has been completed, the catheter is removed. Thereafter, the sheath is removed and the surgeon or other trained person applies manual, digital pressure to the percutaneous puncture until hemostasis has occurred. In particular, the current standard of care for puncture hemostasis is to apply digital or mechanical pressure on the puncture site for twenty minutes to an hour, depending on the puncture size and the degree of hemolytic therapy. Obviously this results in wasted time for the physicians and other catheter lab personnel, and causes inconvenience and discomfort for the patient. In addition serious complications arise from persistent bleeding and hematom a formation in approximately five percent of the patients. [0045]
  • In accordance with the method of this invention the [0046] introducer sheath 28 is left in place within the artery (although it is moved so that its distal end is at a desired position therein, as will be described later). The deployment instrument 20 having the closure device 22 therein is inserted into the introducer sheath. The closure device is then deployed (ejected) and operated to immediately seal the arterial puncture site 24 and plug the tract 24A. Moreover, as will be appreciated from the description to follow the closure device 22 is designed to reduce post-procedure puncture complications, cause minimal inflammatory reaction and resorb completely within a relatively short period of time, e.g., sixty to ninety days.
  • The details of the [0047] closure 22 and instrument 20 for introducing it will be described in detail later. Suffice it for now to briefly describe the closure and its method of deployment and use. Thus, as will be seen later the closure has three basic components, namely, a sealing member 30, an intraarterial anchor member 32, and a positioning member 34. The sealing member is in the form of an elongated rod-like plug, e.g., a hemostatic, resorbable collagen sponge or foam. This member is arranged for sealing the puncture. The anchor member 34 is an elongated, stiff, low-profile, resorbable member which is arranged to be seated inside the artery against the artery wall contiguous with the puncture 24. The anchor member 32 is made of non-hemostatic resorbable polymer similar to resorbable suture. The positioning member 34 comprises a filament, e.g., a resorbable suture. The suture connects the anchor member and the collagen plug (sealing member) via a pulley-like arrangement which serves to move the anchor and plug together, to sandwich and lock the artery wall between the anchor and plug.
  • The [0048] closure device 22 is used after the interventional procedure is finished. In particular, the physician inserts the delivery or deployment instrument 20 containing the closure device 22 into the patients' introducer sheath 28. On insertion, the anchor member 32 passes out of the distal end of the introducer sheath and deploys into the artery lumen. The deployment instrument 20 is then withdrawn from the introducer sheath until resistance is felt when the anchor member catches on the distal end thereof. Once this occurs (and assuming that the anchor is in the correct orientation when it catches on the end of the introducer sheath, as will be described later) the deployment instrument and the introducer sheath are then immediately withdrawn together. This withdrawing action causes the anchor member 32 to engage (catch) on the artery wall contiguous with the puncture. Continued withdrawal of the instrument and introducer sheath causes the pulley-like configuration of the filament to pull the collagen plug 30 toward the anchor member 32, thereby depositing the plug in the puncture tract 24A against the exterior of the artery contiguous with the puncture. The pulling on the filament to bring the plug into engagement with the puncture site also has the effect of deforming the plug into a larger diameter body to aid in holding it in place. Moreover, since the plug is formed of a compressed collagen it also expands automatically in the presence of blood within the puncture tract when deployed, thereby further contributing to the plug's enlargement. The instrument 20 also includes a tamper (to be described later) which is mounted on the suture and which is slidable thereon. The deployment of the plug member also effects the deployment of the tamper into the puncture tract proximally of the plug member. The tamper is then used to gently compress and lock the collagen plug on the outside of the artery.
  • The closure is now locked in place through the clotting of the hemostatic collagen plug and by spring tension (to be described later) on the [0049] filament 34 attached to the intraarterial anchor 32. Thus the artery wall is sandwiched between the collagen plug 30 and anchor 32. Within a few hours after deployment, the anchor 32 will be coated with fibrin and thus attached firmly to the arterial wall, thereby eliminating the possibility of distal embolization. After approximately thirty days, only a small deposit of anchor material will remain. In fact, resorption of all components will have occurred after approximately sixty days.
  • The [0050] anchor member 32 is non-hemostatic and is sized to be hemodynamically insignificant in comparison to the size of the femoral artery. Thus, the resorbable anchor has an insignificant hemodynamic effect on blood flow.
  • As will be appreciated by the description to follow deployment of the [0051] closure device 22 by the instrument 20 is easy, quick and reliable. Anchoring is repeatable, safe, and effective to deploy the collagen plug. Hemostasis occurs almost instantaneously, e.g., in 15 seconds or less, when the closure device is deployed properly.
  • Referring now to FIGS. [0052] 2-5 the details of the closure device 22 will now be described. As can be seen in FIG. 2 the sealing member or plug 30 comprises a cylindrical member formed of a compressible, resorbable, collagen foam, such as that sold by Collatec, Inc. of Plainsboro, N.J. The plug 30 is arranged to be compressed from the large diameter configuration shown in FIG. 2 to the small diameter, elongated configuration shown in FIG. 3. In the configuration of FIG. 3 the diameter of the plug is very small, e.g., 1.32 mm, and therefor suitable for disposition within the instrument 20 as will be described later. The plug 30 includes an annular recess 40 extending about its outer periphery adjacent its proximal end. Three apertures 42, 44, and 46 extend through the plug. In particular, the aperture 42 is located close to the recess 40 and diametrically through the centerline of the plug. The aperture 46 is located close to the distal end of the plug and extends transversely through the plug on one side of the centerline. The aperture 44 is located between apertures 42 and 44 and extends transversely through the plug on the other side of the centerline. These apertures serve as passageways through which the filament 34 extends to connect the anchor member to the plug and are spaced apart to preclude tearing of the plug.
  • The manner of connection of the plug to the anchor will be described later Suffice it for now to state that the [0053] filament 34 of the closure device 22 serves to couple the plug component to the anchor component in an arrangement to effect the movement of the plug component toward the anchor component, once the anchor component is in its desired position in the artery at the puncture or incision. In particular the coupling of the plug component to the anchor component simulates a pulley to achieve a desired mechanical advantage.
  • In accordance with a preferred embodiment of this invention the filament is formed of resorbable, flexible, strong material, e.g., a resorbable suture. [0054]
  • As can be seen in FIGS. 4 and 5 the [0055] anchor member 32 basically comprises a thin, narrow, strip or bar of material, such as a resorbable lactide/glycolide polymer sold by Medisorb Technologies International L.P. under the trade designation MEDISORB. The strip is sufficiently rigid such that once it is in position within the artery (as will be described later) it is resistant to deformation to preclude it from bending to pass back through the puncture through which it was first introduced. The member 32 has a generally planar top surface 48, a generally planar bottom surface 50 and a peripheral side surface 52. Each end of the member 32 is rounded. The side surface 52 of the anchor member 32 tapers inward from its top surface to its bottom surface as shown in FIG. 5 to facilitate the removal of the plug from the mold for making it. A hemispherical projection 54 is located at the center of the top surface 48. The hemispherical projection 54 includes a longitudinally extending slot 56 disposed perpendicularly to the top surface 48 of the member 32. The bottom 58 of the slot 56 is arcuate (FIG. 5). A cylindrical opening 60 extends transversely across the member 32 through the projection 54. A loop 62 of suture material extends through the opening 60. The loop 62 is closed by a knot 64. The portion of the loop 62 extending through the opening 60 overlies the bottom 58 of the slot and forms a “pin” about which the filament 34 extends. In particular the filament 34 is threaded through the slot 56, under the “pin” of the loop 60 and back out the slot 56 on the other side thereof as shown clearly in FIG. 5 to connect the plug member 30 to the anchor member 32.
  • In this regard the pulley-like connection between the anchor member and the plug member is effected by threading the [0056] filament 34 from a remote point (which is located outside the deployment instrument 20 when the closure device is in place in that instrument) through the transverse aperture 42, down the plug to the aperture 46, through that aperture to the opposite side of the plug and from there to the anchor member where it is threaded through the slot 56 and about the “pin” as described earlier. From there the filament 34 extends back to the plug where it enters into aperture 44, passes through the aperture to the opposite side of the plug, where it terminates in a loop 66 extending around the annular recess 40. The loop is secured by a knot 68, whose details are shown in FIG. 6.
  • In FIGS. 34 and 35 there is shown an [0057] alternative anchor member 32′. That anchor member is virtually identical to the anchor member 32 except that member 32′ includes means to enable it to be imaged radiographically to facilitate the placement of the closure at the desired situs within the patient's body. Thus, as can be seen therein the alternative anchor member 32′ includes a pair of wells 32A in the top surface 48 adjacent the respective ends of the anchor member. A plug or powder of a conventional radio-opaque material, which is preferably biocompatible and which is excretable, e.g., solid agents of sodium diatrizoate, iohexal, etc., is located within each well 32A. A respective cover or cap 32B, preferably formed of a thin disk of a bioresorbable material, e.g., PGA, is disposed over each well to seal the material within the well. Each cover is secured to the top surface 48 of the anchor 32′ by a seal line extending about the periphery of the well. That seal line can be formed in various ways, e.g., by heat sealing.
  • Referring now to FIGS. 1 and 11 the details of the [0058] deployment instrument 20 will now be described. As can be seen the instrument basically comprises a carrier 100 in the form of an elongated tube 102 formed of a somewhat flexible material, such as polyethylene or polyvinyl chloride, so that the carrier may be freely passed through the introducer sheath into an operative position within the patient's artery, notwithstanding any curvature of the introducer sleeve which may exist.
  • In accordance with a preferred embodiment of this invention the outside diameter of the [0059] tubular carrier 100 is 8 French. The distal end of the tube 102 includes a rigid, e.g., stainless steel, sleeve or bypass tube 104 mounted thereon, to enable it to be inserted through a conventional hemostasis valve 28A (FIGS. 12-14) forming a portion of the introducer sheath 28, through the sheath, and out the distal end thereof into the artery 26. The distal end of the flexible tube 102 necks down into a generally hemicylindrical configuration (See FIG. 1) which includes a longitudinally extending slit (not shown) therein to enable it to be fit within the bypass tube 104 without buckling.
  • As can be seen in FIG. 11, the [0060] closure device 22 is located within the distal end of the tubular carrier 100. In particular the anchor member 32 is disposed longitudinally within the bypass tube 104 laterally of the central longitudinal axis 106 of the carrier. The plug member 30 is located within the tube 102 just behind (proximally) of the anchor member and on the opposite side of the central longitudinal axis. In fact the distal end of the plug member overlies the proximal end of the anchor member. The bypass tube 104 includes a reference detent 108 in its periphery located diametrically opposite to the position of the anchor member. The detent 108 serves as a visual guide to help the user orient the instrument to a proper yaw angle with respect to the central longitudinal axis for insertion within the introducer sheath as will be described later.
  • As can be seen in FIGS. 1 and 11, the [0061] instrument 20 includes a conventional luer fitting 110. The proximal end of the carrier tube 102 extends into an opening in the fitting 110 and is secured in place therein by any suitable means. Another conventional luer fitting 112 is threadedly secured to the threaded distal end 114 of the fitting 110. The fittings 110 and 112 together form a hollow body through which the proximal end of the filament 34 extends. A tensioning assembly is located within that body and basically comprises a ball 116, a cup shaped ball seat 118, a compression spring 120, and a spring seat 122. The spring seat is a disk-like member located within an annular recess within the center of the luer fitting 110. The ball seat includes a conical inner surface 124 having a central opening 126. The spring is a helical member interposed between the spring seat 122 and the ball 116 to bias the ball toward the conical surface 124 of the ball seat 118. The proximally located portion of the filament 34 extends through the space between the ball 116 and its seat. The amount of force applied to the ball is established by a spacer sleeve 128 located between the luer fittings 110 and 112. By appropriate selection of the width of the sleeve 128 any desired preload can be applied to the spring.
  • As will be appreciated by those skilled in the art the tensioning assembly just described will tend to hold the filament in place with respect thereto until the force applied to the filament exceeds the preload force applied by the compression spring, whereupon the filament will be freed to slide through the instrument. [0062]
  • The [0063] carrier 100 also includes a tamping member 130. This member is an elongated rod-like member formed of any suitable material, e.g., polyethylene, and is disposed within the carrier tube 102 immediately proximally of the plug 32. The tamping member 130 includes a central passageway 132 extending down its length from its distal end 134 to its proximal end 136. The filament 34 portion extending from the anchor member 32 passes through the passageway 132 in the tamping member and from there into the luer fittings 110 and 112, past the tensioning assembly, and out through the hole 126 at the proximal end of the instrument 20. A holding sleeve or tag 138, e.g., a stainless steel tube, is crimped onto the filament so that it engages the proximal end of the tamping member 130 to hold that member in place. The tag 138 is arranged to cooperate with a torsion spring 142 (FIGS. 9 and 10) to apply tension onto the filament 34 after the closure device is in place to enable the instrument 20 to be removed and the filament severed (as will be described later).
  • As mentioned earlier the [0064] instrument 20 is arranged to be inserted into a conventional introducer sheath 28 to effect the deployment of the closure device 20. Before describing that operation a brief description of the introducer sleeve and its method of location with respect to the percutaneous puncture is in order. As can be seen in FIGS. 12-14 the sheath 28 includes a body portion in which a conventional hemostasis valve 28A is located and a tubular portion 28B extending from the body. The tubular portion 28B terminates in an open distal or free end 28C. The body portion of the sheath 28 includes a sideport 28D having a conventional stopcock 28E located therein. The distal end of the body of the sheath includes an annular groove 28F which is arranged to receive a position indicator clip 150 forming a portion of the system of this invention, for reasons to be described later.
  • Before the instrument can be inserted into the [0065] introducer sheath 28, the sheath itself must be properly located within the artery. This action is accomplished via a positioning device 200. That device forms a portion of the system of this invention and is shown in FIGS. 7 and 8. As can be seen the device 200 basically comprises a conventional dilator whose outer periphery has been modified to include a longitudinally extending flat 202. The device 200 is arranged to be fully inserted within the introducer sheath 28 like shown in FIG. 12. The insertion of the device 200 within the introducer sheath 28 forms a passageway between the flatted surface 202 of the device 200 and the interior surface of the tubular portion 28B of the sheath disposed thereover. The length of the flatted portion 202 is selected so that when the device 200 is fully with the introducer sheath, and the distal end of the sheath within the interior of the artery, the distal end of the flatted surface extends just beyond the distal end 28C of the introducer sheath to form a window 204 into which blood may flow, while the proximal end of the surface 202 is in fluid communication with the interior of the introducer body and the sideport 28D. Accordingly, blood may flow into the window 204 through the passageway formed by the flatted surface, into the sideport 28D and from there to the stopcock 28E when the window 204 is within the interior of the artery.
  • In order to correctly position the introducer sheath the location of the artery wall must be established. This is accomplished by inserting the [0066] device 200 within the introducer sheath as just described and then opening the stopcock 28E to observe the flow of blood therefrom. The blood will normally flow out of the opened stopcock by virtue of the pressure differential across the lumen wall. If however, there is insufficient pressure to cause such a flow of blood some means (not shown) can be used to create the desired differential pressure, e.g., suction can be used. In any event once the flow of blood is observed the introducer sheath with the device therein is then retracted (moved proximally) until the blood flow through the stopcock just stops, a position shown in FIG. 13. This indicates that the distal end 28C of the introducer sheath has just left the artery lumen. The introducer sheath with the device therein is then reinserted approximately 10 mm into the puncture to ensure that the distal end of introducer sheath is at the desired position within the artery. Blood flow should be reestablished through the stopcock at this time. Then the stopcock is closed. From this point the introducer sheath must be kept fixed, i.e., it must not move axially relative to the patient. To achieve that end the user of the system should provide a continuous grasp on the introducer sheath, with the patient's groin as a position reference. The position indicating device 200 is then removed from the introducer sheath to ready the introducer sheath for receipt of the deployment instrument 20 carrying the closure device 22 as will be described later.
  • In FIG. 26 there is shown a second embodiment of a [0067] positioning device 300 for effecting the proper positioning of the introducer sheath 28 within the artery. As can be seen the device 300 basically comprises a conventional obturator whose outer periphery has been modified to include an annular recess 302 extending thereabout. Like the device 200, the device 300 is arranged to be fully inserted within the introducer sheath 28 as shown in FIG. 27. The insertion of the device 300 within the introducer sheath 28 forms an annular passageway between the annular recess 302 of the device 300 and the interior surface of the tubular portion 28B of the sheath 28. A side opening or port 304 is provided in the sidewall 28B of the introducer sheath 28 closely adjacent its open distal end 28C.
  • The length of the [0068] annular recess 302 is selected so that when the device 300 is fully with the introducer sheath 28, and the port 304 in the distal end of the sheath is located within the interior of the artery, the distal end of the annular recess 302 extends just beyond the port 304 while the proximal end of the recess 302 is in fluid communication with the interior of the introducer's sideport 28D.
  • The [0069] port 304 forms a window into which blood in the artery may flow when the distal end 28C of the introducer is located therein. In particular, blood may flow into the window 304 through the annular passageway formed between the recess 302 and the inner surface of the tubular portion 28A of the introducer, into the sideport 28D and from there to the stopcock 28E when the window 304 is within the interior of the artery.
  • In FIG. 28 there is shown a third embodiment of a [0070] positioning device 400 for effecting the proper positioning of the introducer sheath 28 within the artery. As can be seen the device 400 basically comprises a conventional obturator having a passageway 402 extending longitudinally down substantially the length of the device. An entrance port 404 extends radially inward into the device communicating with the distal end of the passageway 402, while an outlet port extends radially inward into the device communicating with the proximal end of the passageway 402. Like the devices 200 and 300, the device 400 is arranged to be fully inserted within the introducer sheath 28 as shown in FIG. 29.
  • The length of the [0071] annular passageway 402 is selected so that when the device 400 is fully with the introducer sheath 28 and the distal end of the sheath is located within the interior of the artery, the inlet port 404 of the passageway 402 extends just beyond the free end of the sheath, while the outlet port 406 is in fluid communication with the interior of the introducer's sideport 28D. The port 404 forms a window into which blood in the artery may flow when the distal end 28C of the introducer is located therein.
  • In FIG. 31 there is shown [0072] alternative embodiment 28′ of an introducer sheath. The sheath is similar to sheath 28 described earlier except that its tubular portion 28B includes a second passageway 502 (FIG. 31) extending therethrough. The passageway 502 serves as the passageway for blood to flow therethrough so that the sheath 28′, itself, can act as a positioning device for effecting its proper positioning within the artery. As can be seen in FIG. 31 the passageway 502 extends longitudinally down the sheath 28′ within its wall and parallel to the central passageway 504 (the central passageway receives the deployment instrument 20—to be described later). The distal end of the passageway 502 includes a radially extending port 506. The proximal end of the passageway 502 (not shown) is in fluid communication with the interior of the introducer's sideport 28D. The introducer sheath 28′ is arranged to be used with a conventional obturator 600 (shown in FIG. 30).
  • The positioning of the [0073] introducer sheath 28 utilizing either of the devices 300 or 400 or the positioning of the introducer sheath 28′ utilizing the obturator 600 is similar to that described with reference to the device 200. Thus, after the introducer sheath is positioned as described earlier the stopcock 28E is opened to observe the flow of blood therefrom (thereby indicating that the inlet port or window is within the artery). The introducer sheath is then retracted (moved proximally) until the blood flow through the stopcock just stops, thereby indicating that the distal end 28C of the introducer sheath has just left the artery lumen. The introducer sheath with the device therein is then reinserted approximately 10 mm into the puncture to ensure that the distal end of introducer sheath is at the desired position within the artery. Blood flow should be reestablished through the stopcock at this time. Then the stopcock is closed. From this point the introducer sheath must be kept fixed (as described earlier) and the position indicating device 300 or 400 (or the conventional obturator 600) removed to ready the introducer sheath for receipt of the deployment instrument 20 carrying the closure device 22 through the central passageway in the particular introducer sheath (that passageway is denoted by the reference number 504 in the embodiment 28′).
  • The deployment of the closure will now be described with reference to FIGS. [0074] 14-23 and is as follows: The reference detent 108 on the bypass tube is identified by the user and the bypass tube grasped by the user and oriented so that the detent faces up (away from the patient) as shown in FIG. 14. This ensures that the anchor member is located towards the patient. The bypass tube is then inserted into the sheath through the hemostasis valve 28A. The rigid nature of the bypass tube facilitates the passage of the carrier 100 through the hemostasis valve and also protects the closure device from damage. The instrument is then pushed fully down the introducer sheath so that a stop surface 110A on the front (distal) luer fitting 110 (FIG. 11) engages the body of the introducer sheath housing the hemostasis valve. At this time the distal end of the carrier will be in the position shown in FIG. 16 and the anchor member 32 will be located in the artery 26 beyond the distal end of the introducer sheath. The bypass tube 104 remains within the portion of the introducer sheath housing the hemostasis valve 28A.
  • The [0075] position indicator clip 150 is then mounted onto the annular recess 28F on the introducer sheath 28 as shown in FIG. 17. As can be seen in FIG. 25 the clip 150 includes a linear section 150A from which a yoke 150B projects perpendicularly. The yoke 150B includes a circular mouth 150C for receipt of the annular recess 28F of the introducer sheath. When mounted in place on the introducer sheath the free end 150D of the indicator clip will extend beyond the distal end of the instrument 20 (beyond the tensioner assembly).
  • The [0076] system 20 is then operated to determine if the anchor member 32 has been properly deployed. To that end the introducer sheath is then held by the user to prevent axial movement and the instrument 20 is carefully withdrawn from it. This action causes the anchor member 32 to engage or catch on to the distal end of the introducer. As the anchor member catches on the distal end of the introducer, resistance will be felt by the user. This resistance must be noted by the time the luer fitting 112 housing the tensioner assembly reaches the free end 150D of the indicator clip 150 as shown in FIG. 18. If so, then the anchor member will have caught on the distal end of the introducer at the location of its hemispherical projection 54 (the desired occurrence).
  • If, however, no resistance is noted by the time that the luer fitting [0077] 1 12 passes (extends proximally of) the free end of the indicator clip, this will indicate that the anchor has re-entered the introducer sheath, and that the anchor will not catch onto the artery as required. Thus, if no resistance is felt at this point, the instrument 20 must be reinserted within the introducer sheath and the foregoing procedure retried, this time by turning the instrument 20 about its axis 106 by ¼turns to each side before it is again withdrawn.
  • If the resistance is felt before the luer fitting reaches the free end of the indicator clip this will indicate that one of the curved ends of the anchor member has caught on the free end of the introducer sheath, an undesired occurrence. Accordingly, the [0078] instrument 20 must be withdrawn then reinserted within the introducer sheath and the foregoing procedure retried, this time by turning the instrument 20 about its axis 106 by ¼turns to each side before it is again withdrawn.
  • Once the anchor member has been properly deployed, as shown in FIG. 18, the collagen plug is deployed. To that end the [0079] introducer sheath 28 and the instrument 20 are held together and withdrawn as a unit from the puncture, whilst swinging the unit toward the vertical as shown in FIG. 19. This action causes the anchor 32 to engage or catch onto the inner surface of the artery 26 contiguous with the puncture 24. The introducer sheath and the instrument are pulled further outward as shown in FIG. 20. Inasmuch as the anchor member is trapped against the interior of the artery wall the continued retraction of the introducer sheath and instrument causes the filament 34 to pull the collagen plug out of the carrier tube 102 and into the puncture tract 24A. As the introducer and instrument come out of the puncture tract, continuous steady resistance will be felt as the tensioner assembly described heretofore controls the force on the filament 34 during the retraction procedure. Continued retraction of the introducer and the instrument brings the tamping member 130 out of the free end of the instrument.
  • Moreover the pulley arrangement of the [0080] filament 24 connecting the anchor member and the plug member ensures that during the retraction of the introducer and the instrument the plug member is moved into engagement with the exterior of the artery wall contiguous with the puncture 24. In fact continued retraction causes the filament to somewhat deform the plug, i.e., cause it to deform radially outward. The existence of blood within the puncture tract further contributes to the deformation of the plug member since the collagen foam expands in the presence of blood.
  • The retraction procedure continues to pull the introducer and instrument up the filament until the [0081] tag 138 is exposed as shown in FIG. 22. At this point the anchor member and collagen plug member have been deployed. At this time the collagen plug is tamped by the tamping member 130. In particular the user quickly compacts the collagen of the plug by gently tensioning the filament by pulling on the introducer sheath and instrument in the proximal direction with one hand. The tamping member is then manually slid down the filament by the user's other hand so that it enters the puncture tract 24A and engages the proximal end of the plug member 32. A few gentle compactions are adequate to achieve the desired result, i.e., to assist the plug member 30 to conform to the artery contiguous with the puncture and to assist to lock the plug in place until hemostasis occurs (which happens very quickly, thereby locking the closure in place). It should be noted that during the tamping action care must be taken to maintain tension on the filament 34 at a load greater than that used on the tamping member 130 to ensure that the tamping action doesn't propel the plug member 30 into the interior of the artery.
  • After the tamping action is completed the [0082] torsion spring 142 is mounted on the filament 34 as shown in FIG. 23. This action is necessary to maintain appropriate tension on the filament while the instrument 20 is removed (the filament severed). In FIGS. 9 and 10 the torsion spring is shown. As can be seen therein the spring 142 includes a pair of legs 142A and 142B projecting outward from a helical central section 142C. Each leg includes a slot 142D at its free end. One of the slots is arranged to receive the filament 34 therein and to engage the tag 138. The other of the slots is arranged to receive the filament 34 therein and to engage the proximal end of the tamping member 130. The legs 142A and 142B are biased by the intermediate section 142C so that when the spring is mounted on the filament as just described they will bias the tamping means towards the plug member 30 to hold it in place so that the filament can be severed (as is necessary to remove the instrument and the introducer from the closure device). Thus, once the spring is in place the filament on the proximal side of the tag 138 is cut and the spring applies a light controlled pressure to the collagen plug and anchor. The closure is left in this condition without being disturbed for approximately 30 minutes. After that time the spring 142 is removed and the filament is then severed at the top of the tamping member 130. The tamping member 130 is then removed and the remaining portion of the filament is taped to the skin at 160 as shown in FIG. 24. The tape (not shown) should be removed and the filament cut subcutaneously prior to the discharge of the patient.
  • With the closure in final position as shown in FIG. 24 the anchor member [0083] 32 (the only portion within the artery) does not take up a substantial portion of the interior of the artery and thus does not block off or otherwise impede the flow of blood therethrough. Since the components of the closure are all formed of resorbable materials the closure can be left in place within the body until it is absorbed.
  • In FIG. 36 there is shown an [0084] alternative embodiment 700 of tamping means constructed in accordance with this invention. The tamping means 700 basically comprises an assembly of two components, whereas the tamping means 130 described earlier is composed of only a single component. Thus, as can be seen in FIG. 36 the assembly 700 comprises a first tubular component 702 and a second tubular component 704. The component 702 includes a central passageway 706 and is formed of any suitable material, e.g., the same material as used to form the tamping component 130 described earlier. The second component 704 also includes a central passageway 708 extending therethrough.
  • The [0085] component 704 is mounted on the front or distal end of the component 702. To that end the component 704 includes an annular recess 710 about its periphery at the proximal end thereof. This recess is arranged to receive the distal end 712 of the component 702, with the two passageways 706 and 708 axially aligned to enable the filament 34 to extend therethrough.
  • The [0086] component 704 is preferably formed of a compressed collagen foam, e.g., the same type of material used for the sealing portion or plug 30 of the closure. The distal end 714 of the component 704 is arranged to engage the plug 30 to tamp it down in the same manner as that accomplished by the distal end 134 of tamping member 130. Once the tamping action is completed the torsion spring 142 is mounted on the filament as shown in FIG. 37 so that it is located between the tag 138 and the proximal end of the component 702 (in the same manner as described with respect to tamping member 130 shown in FIG. 23). Thus, the filament on the proximal side of the tag 138 can be cut, while the spring applies light controlled pressure to the collagen plug 30 and anchor 32. The closure is left in this condition in the same manner as described earlier after which time the spring is removed and the filament severed at the top (proximal end) of the tamping component 702. That component can then be removed, leaving the tamping component 704 within the puncture tract as shown in FIG. 38. The remaining (exteriorly extending) portion of the filament is taped to the skin at 160 as also described earlier.
  • As should be appreciated by those skilled in the art the two sections of the [0087] filament 34 between the anchor component 32 and the plug component 30 effectively form a “pulley” arrangement to increase the mechanical advantage of the force applied to the filament to move the two components toward each other. Accordingly, the closure can be properly seated without the application of a high pulling force. The use of the biased ball and associated seat between which the filament passes during the placing of the closure ensures that irrespective of how hard the instrument and the introducer are withdrawn from the puncture during the deployment and seating of the closure, the amount of force applied to the filament 34, and hence to the closure device, will not exceed a predetermined maximum, e.g., one pound. This feature is of considerable importance to ensure that the anchor portion of the closure is not pulled through the opening (e.g., incision or puncture) once it is in place.
  • As should also be appreciated from the foregoing, the closure device, the instrument for deploying it, and their method of use enables the ready, effective and efficient sealing of a percutaneous puncture in an artery. Thus, it is expected that the hemostatic [0088] puncture closure device 20 will be a significant advancement in the fields of cardiology and radiology. The device may allow continuance of anticoagulation post-procedure, more aggressive use of thrombolytic agents and safer use of large bore catheters. It should also reduce discomfort and complication rates for patients; allow many in-patient procedures to be performed safely on an out-patient basis; decrease the time and cost of interventional procedures; and reduce exposure of hospital personnel to human blood.
  • Without further elaboration the foregoing will so fully illustrate our invention that others may, by applying current or future knowledge, adopt the same for use under various conditions of service. [0089]

Claims (11)

What is claimed is:
1. A closure device for sealing a percutaneous incision or puncture formed in the body of a living being wherein the incision or puncture comprises an opening in the wall of a vessel, duct, lumen, or thin walled organ and a tract contiguous with the opening and extending through tissue to the surface of the skin of the being, the tract having an inner surface, said closure comprising:
(a) a filament arranged to be extended through the tract and the wall of the vessel, duct, lumen, or hollow organ adjacent the opening in the wall thereof so that a portion of said filament is within the interior of the vessel, duct, lumen or hollow organ; and
(b) a mass of material adapted be inserted into the tract and movable along said filament within the tract to a predetermined position without entering into the vessel, duct, lumen or hollow organ and being movable along said filament within the tract relative to said portion of said filament located within the interior of said vessel, duct, lumen or hollow organ, said mass of material in said predetermined position extending proximally of the outer surface of the wall of the vessel, duct, lumen, or hollow organ to engage the inner surface of the tract along a substantial length of the tract to fill a substantial portion of the tract, said mass of material being coupled to the filament member within the tract and being alterable within the tract to change to another state within the tract after insertion therein to inhibit the flow of fluid from the vessel, duct, lumen, or hollow organ through the tract.
2. The closure device of
claim 1
wherein said mass of material changes to said other state in response to conditions within the tract.
3. The closure device of
claim 2
wherein said mass of material changes to said other state in response to fluid within the tract.
4. The closure device of
claim 2
wherein said mass of material changes to said other state in response to blood within the tract.
5. The closure device of
claim 1
wherein said mass of material is resorbable.
6. The closure device of
claim 5
wherein said mass of material is formed of collagen.
7. The closure device of
claim 1
wherein said mass of material is hemostatic.
8. The closure device of
claim 1
wherein said mass of material is alterable to another state in response to the application of a tamping force thereto.
9. The closure device of
claim 1
wherein said mass of material is alterable to another state in response to conditions within the tract.
10. The closure device of
claim 9
wherein said mass of material is alterable to said other state in response to fluid within the tract.
11. The closure device of
claim 9
wherein said mass of material is alterable to said other state in response to blood within the tract.
US09/754,606 1991-11-08 2001-01-04 Hemostatic puncture closure system and method of use Abandoned US20010003158A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US09/754,606 US20010003158A1 (en) 1991-11-08 2001-01-04 Hemostatic puncture closure system and method of use

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US07/789,704 US5222974A (en) 1991-11-08 1991-11-08 Hemostatic puncture closure system and method of use
US07/846,322 US5282827A (en) 1991-11-08 1992-03-05 Hemostatic puncture closure system and method of use
US08/154,882 US5441517A (en) 1991-11-08 1993-11-18 Hemostatic puncture closure system and method of use
US42637195A 1995-04-21 1995-04-21
US08/604,205 US5707393A (en) 1991-11-08 1996-02-21 Hemostatic puncture closure system and method of use
US08/992,041 US5935147A (en) 1991-11-08 1997-12-17 Hemostatic puncture closure system and method of use
US09/294,154 US6179863B1 (en) 1991-11-08 1999-04-19 Hemostatic puncture closure system and method of use
US09/754,606 US20010003158A1 (en) 1991-11-08 2001-01-04 Hemostatic puncture closure system and method of use

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09/294,154 Continuation US6179863B1 (en) 1991-11-08 1999-04-19 Hemostatic puncture closure system and method of use

Publications (1)

Publication Number Publication Date
US20010003158A1 true US20010003158A1 (en) 2001-06-07

Family

ID=27120940

Family Applications (7)

Application Number Title Priority Date Filing Date
US07/846,322 Expired - Lifetime US5282827A (en) 1991-11-08 1992-03-05 Hemostatic puncture closure system and method of use
US08/154,882 Expired - Lifetime US5441517A (en) 1991-11-08 1993-11-18 Hemostatic puncture closure system and method of use
US08/604,205 Expired - Lifetime US5707393A (en) 1991-11-08 1996-02-21 Hemostatic puncture closure system and method of use
US08/992,041 Expired - Lifetime US5935147A (en) 1991-11-08 1997-12-17 Hemostatic puncture closure system and method of use
US09/168,429 Expired - Lifetime US6007563A (en) 1991-11-08 1998-10-07 Method of deploying percutaneous puncture closure
US09/294,154 Expired - Fee Related US6179863B1 (en) 1991-11-08 1999-04-19 Hemostatic puncture closure system and method of use
US09/754,606 Abandoned US20010003158A1 (en) 1991-11-08 2001-01-04 Hemostatic puncture closure system and method of use

Family Applications Before (6)

Application Number Title Priority Date Filing Date
US07/846,322 Expired - Lifetime US5282827A (en) 1991-11-08 1992-03-05 Hemostatic puncture closure system and method of use
US08/154,882 Expired - Lifetime US5441517A (en) 1991-11-08 1993-11-18 Hemostatic puncture closure system and method of use
US08/604,205 Expired - Lifetime US5707393A (en) 1991-11-08 1996-02-21 Hemostatic puncture closure system and method of use
US08/992,041 Expired - Lifetime US5935147A (en) 1991-11-08 1997-12-17 Hemostatic puncture closure system and method of use
US09/168,429 Expired - Lifetime US6007563A (en) 1991-11-08 1998-10-07 Method of deploying percutaneous puncture closure
US09/294,154 Expired - Fee Related US6179863B1 (en) 1991-11-08 1999-04-19 Hemostatic puncture closure system and method of use

Country Status (11)

Country Link
US (7) US5282827A (en)
EP (7) EP0766947B1 (en)
JP (3) JP2506561B2 (en)
AT (6) ATE410958T1 (en)
AU (3) AU675777B2 (en)
CA (1) CA2122994C (en)
DE (5) DE69233621T2 (en)
DK (1) DK1695667T3 (en)
ES (1) ES2117059T3 (en)
HK (2) HK1011276A1 (en)
WO (1) WO1993008746A2 (en)

Cited By (79)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003049598A2 (en) * 2001-12-07 2003-06-19 Biopsy Sciences, Llc Bioabsorbable sealant
EP1440661A1 (en) * 2003-01-14 2004-07-28 Radi Medical Systems Ab Closure device and method
US20040153054A1 (en) * 2003-02-04 2004-08-05 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US20040204741A1 (en) * 2003-01-14 2004-10-14 Radi Medical Systems Ab Closure device and method for sealing a puncture in a blood vessel
US20050049637A1 (en) * 2001-06-08 2005-03-03 Morris Edward J. Method and apparatus for sealing access
US20060004408A1 (en) * 2001-06-08 2006-01-05 Morris Edward J Method and apparatus for sealing access
US20060047313A1 (en) * 2004-08-27 2006-03-02 Accessclosure, Inc. Apparatus and methods for facilitating hemostasis within a vascular puncture
US20070198058A1 (en) * 2006-02-21 2007-08-23 Daniel Gelbart Method and device for closing holes in tissue
WO2007121747A1 (en) 2006-04-20 2007-11-01 Cardio Capacity A/S A vascular access closure device
US20080004534A1 (en) * 2006-06-28 2008-01-03 Daniel Gelbart Intra-cardiac mapping and ablation method
US20080045778A1 (en) * 2006-08-02 2008-02-21 Samuel Victor Lichtenstein System for improving diastolic dysfunction
US20080065121A1 (en) * 2006-09-07 2008-03-13 Terumo Kabushiki Kaisha Tissue closing device
US20080071297A1 (en) * 2006-08-31 2008-03-20 Thomas Kohl Device For Inserting At Least One Anchor Piece Into A Hollow Space Of A Living Being
US20090125056A1 (en) * 2007-08-15 2009-05-14 Cardiodex Ltd. Systems and methods for puncture closure
US20090143817A1 (en) * 2007-11-30 2009-06-04 Radi Medical Systems Ab Insertion tool for a medical closure device
US20090216267A1 (en) * 2008-02-26 2009-08-27 Boston Scientific Scimed, Inc. Closure device with rapidly dissolving anchor
WO2009155236A1 (en) * 2008-06-16 2009-12-23 Morris Innovative Research, Inc. Method and apparatus for sealing access
US20100042144A1 (en) * 2008-08-12 2010-02-18 Steven Bennett Medical Device for Wound Closure and Method of Use
US20100087837A1 (en) * 2008-10-07 2010-04-08 Kardium Inc. Surgical Instrument and Method for Tensioning and Securing a Flexible Suture
US20100087836A1 (en) * 2008-10-07 2010-04-08 Kardium Inc. Surgical Instrument and Method for Tensioning and Securing a Flexible Suture
US20100087854A1 (en) * 2008-08-12 2010-04-08 Joshua Stopek Medical device for wound closure and method of use
US7753933B2 (en) 2000-12-14 2010-07-13 Ensure Medical, Inc. Plug with detachable guidewire element and methods for use
US20100280546A1 (en) * 2009-05-04 2010-11-04 Patrick Campbell Biomaterials for track and puncture closure
US20100312259A1 (en) * 2001-04-24 2010-12-09 Houser Russell A Tissue closure devices, device and systems for delivery, kits and methods therefor
US20110009901A1 (en) * 2009-07-13 2011-01-13 Tom Holman Metal vascular aperture closure device
US20110046665A1 (en) * 2007-09-12 2011-02-24 Transluminal Technologies, Llc Closure Device, Deployment Apparatus, and Method of Deploying a Closure Device
US8057510B2 (en) 2000-12-14 2011-11-15 Ensure Medical, Inc. Plug with collet and apparatus and method for delivering such plugs
US8075587B2 (en) 2000-12-14 2011-12-13 Ensure Medical, Inc. Apparatus and methods for sealing vascular punctures
WO2011156498A1 (en) * 2010-06-08 2011-12-15 Essential Medical, Llc. Self-locking closure device for percutaneously sealing punctures
US8083768B2 (en) 2000-12-14 2011-12-27 Ensure Medical, Inc. Vascular plug having composite construction
US8088144B2 (en) 2005-05-04 2012-01-03 Ensure Medical, Inc. Locator and closure device and method of use
WO2012006375A1 (en) * 2010-07-06 2012-01-12 Pavilion Medical Innovations Endoscopic fascial closure devices and methods for using same
US8137380B2 (en) 2007-09-12 2012-03-20 Transluminal Technologies, Llc Closure device, deployment apparatus, and method of deploying a closure device
US8150499B2 (en) 2006-05-19 2012-04-03 Kardium Inc. Automatic atherectomy system
US8372072B2 (en) 2003-02-04 2013-02-12 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US8435236B2 (en) 2004-11-22 2013-05-07 Cardiodex, Ltd. Techniques for heat-treating varicose veins
US8449605B2 (en) 2006-06-28 2013-05-28 Kardium Inc. Method for anchoring a mitral valve
US20130138149A1 (en) * 2011-11-28 2013-05-30 St. Jude Medical Puerto Rico Llc Large bore anchor device
US8489172B2 (en) 2008-01-25 2013-07-16 Kardium Inc. Liposuction system
US8579934B2 (en) 2003-10-17 2013-11-12 Ensure Medical, Inc. Locator and delivery device and method of use
US8852229B2 (en) * 2003-10-17 2014-10-07 Cordis Corporation Locator and closure device and method of use
US8906011B2 (en) 2007-11-16 2014-12-09 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US8926654B2 (en) 2005-05-04 2015-01-06 Cordis Corporation Locator and closure device and method of use
US8940002B2 (en) 2010-09-30 2015-01-27 Kardium Inc. Tissue anchor system
US8961541B2 (en) 2007-12-03 2015-02-24 Cardio Vascular Technologies Inc. Vascular closure devices, systems, and methods of use
US8992567B1 (en) 2001-04-24 2015-03-31 Cardiovascular Technologies Inc. Compressible, deformable, or deflectable tissue closure devices and method of manufacture
US9011423B2 (en) 2012-05-21 2015-04-21 Kardium, Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US9050066B2 (en) 2010-06-07 2015-06-09 Kardium Inc. Closing openings in anatomical tissue
US9072511B2 (en) 2011-03-25 2015-07-07 Kardium Inc. Medical kit for constricting tissue or a bodily orifice, for example, a mitral valve
US9119633B2 (en) 2006-06-28 2015-09-01 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US9155530B2 (en) 2010-11-09 2015-10-13 Transluminal Technologies, Llc Specially designed magnesium-aluminum alloys and medical uses thereof in a hemodynamic environment
US20150327843A1 (en) * 2014-05-16 2015-11-19 Silk Road Medical, Inc. Vessel access and closure assist system and method
US9198592B2 (en) 2012-05-21 2015-12-01 Kardium Inc. Systems and methods for activating transducers
US9204964B2 (en) 2009-10-01 2015-12-08 Kardium Inc. Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US9452016B2 (en) 2011-01-21 2016-09-27 Kardium Inc. Catheter system
US9456816B2 (en) 2007-09-12 2016-10-04 Transluminal Technologies, Llc Closure device, deployment apparatus, and method of deploying a closure device
US9480525B2 (en) 2011-01-21 2016-11-01 Kardium, Inc. High-density electrode-based medical device system
US9492148B2 (en) 2000-12-14 2016-11-15 CARDINAL HEALTH SWITZERLAND 515 GmbH Apparatus and methods for sealing vascular punctures
US9492227B2 (en) 2011-01-21 2016-11-15 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US9498209B2 (en) 2011-12-23 2016-11-22 Pavilion Medical Innovations, Llc Endoscopic fascial closure devices and methods for using same
USD777926S1 (en) 2012-01-20 2017-01-31 Kardium Inc. Intra-cardiac procedure device
USD777925S1 (en) 2012-01-20 2017-01-31 Kardium Inc. Intra-cardiac procedure device
US9744038B2 (en) 2008-05-13 2017-08-29 Kardium Inc. Medical device for constricting tissue or a bodily orifice, for example a mitral valve
US9757104B2 (en) 2012-07-19 2017-09-12 Essential Medical, Inc. Multi-lumen tamper tube
WO2018119309A1 (en) 2016-12-21 2018-06-28 Hemotek Medical Incorporated Needle safety systems
US10028783B2 (en) 2006-06-28 2018-07-24 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US10154835B2 (en) 2013-05-09 2018-12-18 Essential Medical, Inc. Vascular closure device with conforming plug member
US10368936B2 (en) 2014-11-17 2019-08-06 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
WO2019213598A1 (en) * 2018-05-03 2019-11-07 Hemotek Medical Incorporated Needle safety systems
US10722184B2 (en) 2014-11-17 2020-07-28 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10827977B2 (en) 2012-05-21 2020-11-10 Kardium Inc. Systems and methods for activating transducers
US10994075B2 (en) 2014-04-11 2021-05-04 Hemotek Medical Incorporated Systems and methods for automatic termination of flow due to needle dislodgement
US11259867B2 (en) 2011-01-21 2022-03-01 Kardium Inc. High-density electrode-based medical device system
US11364024B2 (en) 2013-12-23 2022-06-21 Teleflex Life Sciences Limited Vascular closure device
US11389232B2 (en) 2006-06-28 2022-07-19 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US11419592B2 (en) 2013-03-15 2022-08-23 Teleflex Life Sciences Limited Vascular closure devices and methods of use
CN115252039A (en) * 2022-09-28 2022-11-01 苏州美创医疗科技有限公司 Vascular closure device and method
US11576663B2 (en) 2015-06-26 2023-02-14 Teleflex Life Sciences Limited Vascular closure device with removable guide member
US11589855B2 (en) 2011-10-25 2023-02-28 Teleflex Life Sciences Limited Instrument and methods for surgically closing percutaneous punctures

Families Citing this family (793)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5330445A (en) * 1988-05-26 1994-07-19 Haaga John R Sheath for wound closure caused by a medical tubular device
US5620461A (en) * 1989-05-29 1997-04-15 Muijs Van De Moer; Wouter M. Sealing device
US6764500B1 (en) * 1989-05-29 2004-07-20 Kensey Nash Corporation Sealing device
NL8901350A (en) * 1989-05-29 1990-12-17 Wouter Matthijs Muijs Van De M CLOSURE ASSEMBLY.
US5108421A (en) * 1990-10-01 1992-04-28 Quinton Instrument Company Insertion assembly and method of inserting a vessel plug into the body of a patient
US20070135842A1 (en) * 1991-10-22 2007-06-14 Kensey Nash Corporation Sealing device
US5810810A (en) 1992-04-23 1998-09-22 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US6063085A (en) 1992-04-23 2000-05-16 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
WO1993021844A1 (en) 1992-04-23 1993-11-11 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US6350274B1 (en) * 1992-05-11 2002-02-26 Regen Biologics, Inc. Soft tissue closure systems
US5326350A (en) * 1992-05-11 1994-07-05 Li Shu Tung Soft tissue closure systems
JPH06233792A (en) * 1993-01-08 1994-08-23 Keisuke Hirata Drum membrane performation prosthetic material and prum membrane rear surface cutting means
US5292309A (en) * 1993-01-22 1994-03-08 Schneider (Usa) Inc. Surgical depth measuring instrument and method
US5624669A (en) * 1993-03-31 1997-04-29 Tri-Point Medical Corporation Method of hemostatic sealing of blood vessels and internal organs
US5328687A (en) * 1993-03-31 1994-07-12 Tri-Point Medical L.P. Biocompatible monomer and polymer compositions
US5868778A (en) * 1995-10-27 1999-02-09 Vascular Solutions, Inc. Vascular sealing apparatus and method
AU7099994A (en) * 1993-06-04 1995-01-03 Kensey Nash Corporation Hemostatic vessel puncture closure with filament lock
US5507755A (en) * 1993-08-03 1996-04-16 Origin Medsystems, Inc. Apparatus and method for closing puncture wounds
US5391182A (en) * 1993-08-03 1995-02-21 Origin Medsystems, Inc. Apparatus and method for closing puncture wounds
US5354271A (en) * 1993-08-05 1994-10-11 Voda Jan K Vascular sheath
US5431639A (en) * 1993-08-12 1995-07-11 Boston Scientific Corporation Treating wounds caused by medical procedures
NL9301526A (en) * 1993-09-03 1995-04-03 Cordis Europ Device for hemostasis treatment after catheter surgery.
US5653730A (en) * 1993-09-28 1997-08-05 Hemodynamics, Inc. Surface opening adhesive sealer
US5759194A (en) * 1993-09-28 1998-06-02 Hemodynamics, Inc. Vascular patch applicator
US5383899A (en) * 1993-09-28 1995-01-24 Hammerslag; Julius G. Method of using a surface opening adhesive sealer
US5843124A (en) 1993-09-28 1998-12-01 Hemodynamics, Inc. Surface opening adhesive sealer
US5437292A (en) * 1993-11-19 1995-08-01 Bioseal, Llc Method for sealing blood vessel puncture sites
US5728122A (en) * 1994-01-18 1998-03-17 Datascope Investment Corp. Guide wire with releaseable barb anchor
AU1609195A (en) * 1994-02-01 1995-08-21 Kensey Nash Corporation Percutaneous drug dosing closure system
WO1995026683A1 (en) * 1994-03-31 1995-10-12 Boston Scientific Corporation Vascular plug with vessel locator
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
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
US6302898B1 (en) 1994-06-24 2001-10-16 Advanced Closure Systems, Inc. Devices for sealing punctures in body vessels
US6033401A (en) * 1997-03-12 2000-03-07 Advanced Closure Systems, Inc. Vascular sealing device with microwave antenna
BR9508139A (en) 1994-06-28 1999-11-30 Tri Point Medical Corp Process, process of regulating a biodegradation rate in vivo of a polymer and of joining together two surfaces in vivo, biocompatible composition, adhesive, sealant and surgical implant and delivery system for a therapeutic agent
US5547458A (en) * 1994-07-11 1996-08-20 Ethicon, Inc. T-shaped abdominal wall lift with telescoping member
US5549633A (en) * 1994-08-24 1996-08-27 Kensey Nash Corporation Apparatus and methods of use for preventing blood seepage at a percutaneous puncture site
US5662675A (en) * 1995-02-24 1997-09-02 Intervascular, Inc. Delivery catheter assembly
US5846253A (en) * 1995-07-14 1998-12-08 C. R. Bard, Inc. Wound closure apparatus and method
US5700273A (en) * 1995-07-14 1997-12-23 C.R. Bard, Inc. Wound closure apparatus and method
US5810846A (en) * 1995-08-03 1998-09-22 United States Surgical Corporation Vascular hole closure
US6162192A (en) 1998-05-01 2000-12-19 Sub Q, Inc. System and method for facilitating hemostasis of blood vessel punctures with absorbable sponge
US6183497B1 (en) * 1998-05-01 2001-02-06 Sub-Q, Inc. Absorbable sponge with contrasting agent
US6071300A (en) * 1995-09-15 2000-06-06 Sub-Q Inc. Apparatus and method for percutaneous sealing of blood vessel punctures
US5674231A (en) * 1995-10-20 1997-10-07 United States Surgical Corporation Apparatus and method for vascular hole closure
US6004341A (en) * 1996-12-05 1999-12-21 Loma Linda University Medical Center Vascular wound closure device
US6524326B1 (en) 1995-12-07 2003-02-25 Loma Linda University Medical Center Tissue opening locator and everter and method
US6287322B1 (en) 1995-12-07 2001-09-11 Loma Linda University Medical Center Tissue opening locator and everter and method
US5662681A (en) * 1996-04-23 1997-09-02 Kensey Nash Corporation Self locking closure for sealing percutaneous punctures
ES2296313T3 (en) 1996-08-06 2008-04-16 St. Jude Medical Puerto Rico B.V. INSERTION ASSEMBLY FOR A HEMOSTATIC CLOSURE DEVICE IN AN INCISION.
US5810884A (en) * 1996-09-09 1998-09-22 Beth Israel Deaconess Medical Center Apparatus and method for closing a vascular perforation after percutaneous puncture of a blood vessel in a living subject
US5676146B1 (en) * 1996-09-13 2000-04-18 Osteotech Inc Surgical implant containing a resorbable radiopaque marker and method of locating such within a body
GB2318295A (en) * 1996-10-17 1998-04-22 Malachy Gleeson Wire-guided surgical stapler for closure of a puncture site in a blood vessel
US6261315B1 (en) * 1997-10-28 2001-07-17 St. Jude Medical Cardiovascular Group, Inc. Tubular body structure marking methods and apparatus
US5976178A (en) * 1996-11-07 1999-11-02 Vascular Science Inc. Medical grafting methods
US6036702A (en) * 1997-04-23 2000-03-14 Vascular Science Inc. Medical grafting connectors and fasteners
US6010714A (en) * 1996-11-22 2000-01-04 Closure Medical Corporation Non-thermogenic heat dissipating biomedical adhesive compositions
US6743248B2 (en) 1996-12-18 2004-06-01 Neomend, Inc. Pretreatment method for enhancing tissue adhesion
WO1998031286A1 (en) 1997-01-21 1998-07-23 Quinton Instrument Company Hemostasis promoting device for sealing a puncture in a patient
JP3134288B2 (en) * 1997-01-30 2001-02-13 株式会社ニッショー Endocardial suture surgery tool
US5827321A (en) * 1997-02-07 1998-10-27 Cornerstone Devices, Inc. Non-Foreshortening intraluminal prosthesis
US6045570A (en) * 1997-02-11 2000-04-04 Biointerventional Corporation Biological sealant mixture and system for use in percutaneous occlusion of puncture sites and tracts in the human body and method
US20030191496A1 (en) * 1997-03-12 2003-10-09 Neomend, Inc. Vascular sealing device with microwave antenna
US6475182B1 (en) 1997-03-12 2002-11-05 Olexander Hnojewyj Fluidic media introduction apparatus
EP0969769A2 (en) 1997-03-12 2000-01-12 Advanced Closure Systems, Inc. Vascular sealing device
US20040176801A1 (en) * 1997-03-12 2004-09-09 Neomend, Inc. Pretreatment method for enhancing tissue adhesion
US6371975B2 (en) 1998-11-06 2002-04-16 Neomend, Inc. Compositions, systems, and methods for creating in situ, chemically cross-linked, mechanical barriers
US6733515B1 (en) 1997-03-12 2004-05-11 Neomend, Inc. Universal introducer
US6174330B1 (en) * 1997-08-01 2001-01-16 Schneider (Usa) Inc Bioabsorbable marker having radiopaque constituents
US6340367B1 (en) 1997-08-01 2002-01-22 Boston Scientific Scimed, Inc. Radiopaque markers and methods of using the same
US6245103B1 (en) 1997-08-01 2001-06-12 Schneider (Usa) Inc Bioabsorbable self-expanding stent
US5980564A (en) * 1997-08-01 1999-11-09 Schneider (Usa) Inc. Bioabsorbable implantable endoprosthesis with reservoir
US6267761B1 (en) 1997-09-09 2001-07-31 Sherwood Services Ag Apparatus and method for sealing and cutting tissue
US6270464B1 (en) * 1998-06-22 2001-08-07 Artemis Medical, Inc. Biopsy localization method and device
US7135020B2 (en) 1997-11-12 2006-11-14 Sherwood Services Ag Electrosurgical instrument reducing flashover
US7435249B2 (en) 1997-11-12 2008-10-14 Covidien Ag Electrosurgical instruments which reduces collateral damage to adjacent tissue
US6726686B2 (en) 1997-11-12 2004-04-27 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US6228083B1 (en) 1997-11-14 2001-05-08 Sherwood Services Ag Laparoscopic bipolar electrosurgical instrument
US6159232A (en) 1997-12-16 2000-12-12 Closys Corporation Clotting cascade initiating apparatus and methods of use and methods of closing wounds
US6478808B2 (en) 1997-12-17 2002-11-12 Closys Corporation Clotting cascade initiating apparatus and methods of use and methods of closing wounds
US6626939B1 (en) 1997-12-18 2003-09-30 Boston Scientific Scimed, Inc. Stent-graft with bioabsorbable structural support
US6626919B1 (en) 1997-12-29 2003-09-30 Lee L. Swanstrom Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall
US6033427A (en) * 1998-01-07 2000-03-07 Lee; Benjamin I. Method and device for percutaneous sealing of internal puncture sites
US6010514A (en) * 1998-03-17 2000-01-04 Burney; Bryan T. Suturing assembly and method of use
US20010045575A1 (en) * 1998-05-01 2001-11-29 Mark Ashby Device and method for facilitating hemostasis of a biopsy tract
US6610026B2 (en) 1998-05-01 2003-08-26 Sub-Q, Inc. Method of hydrating a sponge material for delivery to a body
US7625352B1 (en) 1998-05-01 2009-12-01 Sub-Q, Inc. Depth and puncture control for system for hemostasis of blood vessel
US6315753B1 (en) 1998-05-01 2001-11-13 Sub-Q, Inc. System and method for facilitating hemostasis of blood vessel punctures with absorbable sponge
EP1083835A4 (en) 1998-05-29 2004-06-02 By Pass Inc Methods and devices for vascular surgery
US7396359B1 (en) 1998-05-29 2008-07-08 Bypass, Inc. Vascular port device
US6726704B1 (en) 1998-05-29 2004-04-27 By-Pass, Inc. Advanced closure device
US20050283188A1 (en) * 1998-05-29 2005-12-22 By-Pass, Inc. Vascular closure device
US6979338B1 (en) 1998-05-29 2005-12-27 By-Pass Inc. Low profile anastomosis connector
US7063711B1 (en) 1998-05-29 2006-06-20 By-Pass, Inc. Vascular surgery
US20040073247A1 (en) * 1998-05-29 2004-04-15 By-Pass, Inc. Method and apparatus for forming apertures in blood vessels
US20040087985A1 (en) * 1999-03-19 2004-05-06 Amir Loshakove Graft and connector delivery
US7060084B1 (en) 1998-05-29 2006-06-13 By-Pass, Inc. Vascular closure device
US20050101983A1 (en) * 1998-05-29 2005-05-12 By-Pass,Inc. Method and apparatus for forming apertures in blood vessels
US5910155A (en) * 1998-06-05 1999-06-08 United States Surgical Corporation Vascular wound closure system
US6669707B1 (en) 1998-07-21 2003-12-30 Lee L. Swanstrom Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall
US20020015724A1 (en) * 1998-08-10 2002-02-07 Chunlin Yang Collagen type i and type iii hemostatic compositions for use as a vascular sealant and wound dressing
US6605294B2 (en) * 1998-08-14 2003-08-12 Incept Llc Methods of using in situ hydration of hydrogel articles for sealing or augmentation of tissue or vessels
US7790192B2 (en) 1998-08-14 2010-09-07 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US6458147B1 (en) 1998-11-06 2002-10-01 Neomend, Inc. Compositions, systems, and methods for arresting or controlling bleeding or fluid leakage in body tissue
US6994686B2 (en) 1998-08-26 2006-02-07 Neomend, Inc. Systems for applying cross-linked mechanical barriers
US7118570B2 (en) 2001-04-06 2006-10-10 Sherwood Services Ag Vessel sealing forceps with disposable electrodes
US7267677B2 (en) 1998-10-23 2007-09-11 Sherwood Services Ag Vessel sealing instrument
US7364577B2 (en) 2002-02-11 2008-04-29 Sherwood Services Ag Vessel sealing system
CA2347633C (en) * 1998-10-23 2011-01-04 Sherwood Services Ag Endoscopic bipolar electrosurgical forceps
US7582087B2 (en) 1998-10-23 2009-09-01 Covidien Ag Vessel sealing instrument
US7279001B2 (en) * 1998-11-06 2007-10-09 Neomend, Inc. Systems, methods, and compositions for achieving closure of vascular puncture sites
US7044134B2 (en) 1999-11-08 2006-05-16 Ev3 Sunnyvale, Inc Method of implanting a device in the left atrial appendage
US6949114B2 (en) 1998-11-06 2005-09-27 Neomend, Inc. Systems, methods, and compositions for achieving closure of vascular puncture sites
US7128073B1 (en) 1998-11-06 2006-10-31 Ev3 Endovascular, Inc. Method and device for left atrial appendage occlusion
US6830756B2 (en) * 1998-11-06 2004-12-14 Neomend, Inc. Systems, methods, and compositions for achieving closure of vascular puncture sites
US6899889B1 (en) 1998-11-06 2005-05-31 Neomend, Inc. Biocompatible material composition adaptable to diverse therapeutic indications
EP1051116B8 (en) 1998-12-01 2009-06-10 Washington University Embolization device
US20030069601A1 (en) * 1998-12-15 2003-04-10 Closys Corporation Clotting cascade initiating apparatus and methods of use
US9669113B1 (en) 1998-12-24 2017-06-06 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US6371904B1 (en) * 1998-12-24 2002-04-16 Vivant Medical, Inc. Subcutaneous cavity marking device and method
US6356782B1 (en) 1998-12-24 2002-03-12 Vivant Medical, Inc. Subcutaneous cavity marking device and method
US6126675A (en) * 1999-01-11 2000-10-03 Ethicon, Inc. Bioabsorbable device and method for sealing vascular punctures
JP4271375B2 (en) * 1999-02-10 2009-06-03 サブ−キュー・インコーポレーテッド Device and method for facilitating hemostasis in a biopsy duct
US20070038231A1 (en) 1999-05-28 2007-02-15 Ferree Bret A Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft
US7273497B2 (en) * 1999-05-28 2007-09-25 Anova Corp. Methods for treating a defect in the annulus fibrosis
US6482179B1 (en) 1999-05-28 2002-11-19 Cohesion Technologies, Inc. Apparatuses, methods and compositions for closing tissue puncture openings
US20060247665A1 (en) 1999-05-28 2006-11-02 Ferree Bret A Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft
WO2000074575A1 (en) 1999-06-01 2000-12-14 Closys Corporation Clotting cascade initiating apparatus and methods of use
US7416554B2 (en) * 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US7744613B2 (en) * 1999-06-25 2010-06-29 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7637905B2 (en) * 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
US7618426B2 (en) * 2002-12-11 2009-11-17 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
EP1196093B1 (en) 1999-07-02 2006-06-14 Quickpass, Inc. Suturing device
US7892246B2 (en) * 1999-07-28 2011-02-22 Bioconnect Systems, Inc. Devices and methods for interconnecting conduits and closing openings in tissue
JP4108882B2 (en) 1999-08-04 2008-06-25 オリンパス株式会社 Endoscope wall fixture
US6110184A (en) * 1999-08-04 2000-08-29 Weadock; Kevin S. Introducer with vascular sealing mechanism
US7717961B2 (en) 1999-08-18 2010-05-18 Intrinsic Therapeutics, Inc. Apparatus delivery in an intervertebral disc
US7507243B2 (en) 1999-08-18 2009-03-24 Gregory Lambrecht Devices and method for augmenting a vertebral disc
EP1328221B1 (en) * 1999-08-18 2009-03-25 Intrinsic Therapeutics, Inc. Devices for nucleus pulposus augmentation and retention
US7972337B2 (en) 2005-12-28 2011-07-05 Intrinsic Therapeutics, Inc. Devices and methods for bone anchoring
WO2004100841A1 (en) * 1999-08-18 2004-11-25 Intrinsic Therapeutics, Inc. Devices and method for augmenting a vertebral disc nucleus
US7998213B2 (en) 1999-08-18 2011-08-16 Intrinsic Therapeutics, Inc. Intervertebral disc herniation repair
US8323341B2 (en) 2007-09-07 2012-12-04 Intrinsic Therapeutics, Inc. Impaction grafting for vertebral fusion
US7553329B2 (en) * 1999-08-18 2009-06-30 Intrinsic Therapeutics, Inc. Stabilized intervertebral disc barrier
WO2009033100A1 (en) 2007-09-07 2009-03-12 Intrinsic Therapeutics, Inc. Bone anchoring systems
US6425919B1 (en) 1999-08-18 2002-07-30 Intrinsic Orthopedics, Inc. Devices and methods of vertebral disc augmentation
US7220281B2 (en) * 1999-08-18 2007-05-22 Intrinsic Therapeutics, Inc. Implant for reinforcing and annulus fibrosis
US7662161B2 (en) * 1999-09-13 2010-02-16 Rex Medical, L.P Vascular hole closure device
US7942888B2 (en) * 1999-09-13 2011-05-17 Rex Medical, L.P. Vascular hole closure device
EP1211983B1 (en) 1999-09-13 2007-03-07 Rex Medical, LP Vascular closure
US8083766B2 (en) * 1999-09-13 2011-12-27 Rex Medical, Lp Septal defect closure device
US7341595B2 (en) * 1999-09-13 2008-03-11 Rex Medical, L.P Vascular hole closure device
US7267679B2 (en) * 1999-09-13 2007-09-11 Rex Medical, L.P Vascular hole closure device
US6231561B1 (en) 1999-09-20 2001-05-15 Appriva Medical, Inc. Method and apparatus for closing a body lumen
US7695492B1 (en) * 1999-09-23 2010-04-13 Boston Scientific Scimed, Inc. Enhanced bleed back system
US6984219B2 (en) 1999-09-23 2006-01-10 Mark Ashby Depth and puncture control for blood vessel hemostasis system
US20030228288A1 (en) 1999-10-15 2003-12-11 Scarborough Nelson L. Volume maintaining osteoinductive/osteoconductive compositions
US7887535B2 (en) 1999-10-18 2011-02-15 Covidien Ag Vessel sealing wave jaw
US6592625B2 (en) * 1999-10-20 2003-07-15 Anulex Technologies, Inc. Spinal disc annulus reconstruction method and spinal disc annulus stent
US8128698B2 (en) 1999-10-20 2012-03-06 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7004970B2 (en) 1999-10-20 2006-02-28 Anulex Technologies, Inc. Methods and devices for spinal disc annulus reconstruction and repair
US8632590B2 (en) * 1999-10-20 2014-01-21 Anulex Technologies, Inc. Apparatus and methods for the treatment of the intervertebral disc
US20030153976A1 (en) * 1999-10-20 2003-08-14 Cauthen Joseph C. Spinal disc annulus reconstruction method and spinal disc annulus stent
US7935147B2 (en) 1999-10-20 2011-05-03 Anulex Technologies, Inc. Method and apparatus for enhanced delivery of treatment device to the intervertebral disc annulus
US7052516B2 (en) 1999-10-20 2006-05-30 Anulex Technologies, Inc. Spinal disc annulus reconstruction method and deformable spinal disc annulus stent
US7951201B2 (en) * 1999-10-20 2011-05-31 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US7615076B2 (en) * 1999-10-20 2009-11-10 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US20020123807A1 (en) * 1999-10-20 2002-09-05 Cauthen Joseph C. Spinal disc annulus reconstruction method and spinal disc annulus stent
US20030109875A1 (en) 1999-10-22 2003-06-12 Tetzlaff Philip M. Open vessel sealing forceps with disposable electrodes
US6652555B1 (en) * 1999-10-27 2003-11-25 Atritech, Inc. Barrier device for covering the ostium of left atrial appendage
US6551303B1 (en) 1999-10-27 2003-04-22 Atritech, Inc. Barrier device for ostium of left atrial appendage
US6689150B1 (en) 1999-10-27 2004-02-10 Atritech, Inc. Filter apparatus for ostium of left atrial appendage
US6994092B2 (en) * 1999-11-08 2006-02-07 Ev3 Sunnyvale, Inc. Device for containing embolic material in the LAA having a plurality of tissue retention structures
US6387104B1 (en) 1999-11-12 2002-05-14 Scimed Life Systems, Inc. Method and apparatus for endoscopic repair of the lower esophageal sphincter
US8758400B2 (en) 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
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
US6197042B1 (en) 2000-01-05 2001-03-06 Medical Technology Group, Inc. Vascular sheath with puncture site closure apparatus and methods of use
US6780197B2 (en) 2000-01-05 2004-08-24 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a vascular closure device to a body lumen
US6942674B2 (en) * 2000-01-05 2005-09-13 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
US7842068B2 (en) * 2000-12-07 2010-11-30 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US6461364B1 (en) * 2000-01-05 2002-10-08 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US9579091B2 (en) * 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US6547806B1 (en) 2000-02-04 2003-04-15 Ni Ding Vascular sealing device and method of use
AU2001243291A1 (en) * 2000-02-24 2001-09-03 Loma Linda University Medical Center Patch and glue delivery system for closing tissue openings during surgery
JP2003527189A (en) * 2000-03-20 2003-09-16 バイ−パス・インク. Graft transfer system
US6805695B2 (en) 2000-04-04 2004-10-19 Spinalabs, Llc Devices and methods for annular repair of intervertebral discs
US6402750B1 (en) * 2000-04-04 2002-06-11 Spinlabs, Llc Devices and methods for the treatment of spinal disorders
US6786915B2 (en) 2000-04-19 2004-09-07 Radi Medical Systems Ab Reinforced absorbable medical sealing device
DE60022475T2 (en) 2000-04-19 2006-06-14 Radi Medical Systems Ab Uppsal Intra-arterial occlusion device
JP3844661B2 (en) 2000-04-19 2006-11-15 ラディ・メディカル・システムズ・アクチェボラーグ Intra-arterial embolus
US6438412B2 (en) 2000-05-10 2002-08-20 Cardiac Evaluation Center, Inc. Memory loop ECG recorder with continuous recording
US6540735B1 (en) 2000-05-12 2003-04-01 Sub-Q, Inc. System and method for facilitating hemostasis of blood vessel punctures with absorbable sponge
DE10027186C2 (en) * 2000-05-31 2002-06-27 Aesculap Ag & Co Kg Device for closing an opening in a fabric layer
US6355275B1 (en) 2000-06-23 2002-03-12 Carbon Medical Technologies, Inc. Embolization using carbon coated microparticles
WO2002005865A2 (en) * 2000-07-14 2002-01-24 Sub-Q, Inc. Sheath-mounted arterial plug delivery device
US9387094B2 (en) 2000-07-19 2016-07-12 Warsaw Orthopedic, Inc. Osteoimplant and method of making same
US6890342B2 (en) * 2000-08-02 2005-05-10 Loma Linda University Method and apparatus for closing vascular puncture using hemostatic material
US6394965B1 (en) 2000-08-15 2002-05-28 Carbon Medical Technologies, Inc. Tissue marking using biocompatible microparticles
US20020022860A1 (en) * 2000-08-18 2002-02-21 Borillo Thomas E. Expandable implant devices for filtering blood flow from atrial appendages
WO2002015795A2 (en) * 2000-08-25 2002-02-28 Sutura, Inc. Suture cutter
US6533762B2 (en) * 2000-09-01 2003-03-18 Angiolink Corporation Advanced wound site management systems and methods
US6755842B2 (en) 2000-09-01 2004-06-29 Angiolink Corporation Advanced wound site management systems and methods
US6348064B1 (en) * 2000-09-01 2002-02-19 Angiolink Corporation Wound site management and wound closure device
US6582452B2 (en) * 2000-09-08 2003-06-24 James Coleman Surgical stapler
JP2004508879A (en) 2000-09-21 2004-03-25 アトリテック, インコーポレイテッド Apparatus for implanting a device in the atrial appendage
US7201725B1 (en) 2000-09-25 2007-04-10 Sub-Q, Inc. Device and method for determining a depth of an incision
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
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
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
US6719777B2 (en) 2000-12-07 2004-04-13 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7211101B2 (en) 2000-12-07 2007-05-01 Abbott Vascular Devices Methods for manufacturing a clip and clip
US7323193B2 (en) 2001-12-14 2008-01-29 Osteotech, Inc. Method of making demineralized bone particles
US20020099410A1 (en) 2001-01-11 2002-07-25 Bio-Seal Tech Inc. Device and method for sealing a puncture in a blood vessel
US6632237B2 (en) 2001-01-11 2003-10-14 Bio-Seal Tech, Inc. Device and method for sealing a puncture in a blood vessel
ATE303100T1 (en) * 2001-01-12 2005-09-15 Radi Medical Systems ARTERY WALL CLOSURE DEVICE PROVIDED WITH A POSITION INDICATOR
US7285097B2 (en) * 2001-01-12 2007-10-23 Radi Medical System Ab Technique to confirm correct positioning with respect to arterial wall
JP2005508201A (en) * 2001-03-08 2005-03-31 アトリテック, インコーポレイテッド Atrial filter implant
WO2002087636A1 (en) * 2001-03-12 2002-11-07 Sub-Q, Inc. Methods for sterilizing cross-linked gelatin compositions
US8187625B2 (en) 2001-03-12 2012-05-29 Boston Scientific Scimed, Inc. Cross-linked gelatin composition comprising a wetting agent
US7083618B2 (en) 2001-04-06 2006-08-01 Sherwood Services Ag Vessel sealer and divider
US7101373B2 (en) 2001-04-06 2006-09-05 Sherwood Services Ag Vessel sealer and divider
US7118587B2 (en) 2001-04-06 2006-10-10 Sherwood Services Ag Vessel sealer and divider
US7101371B2 (en) 2001-04-06 2006-09-05 Dycus Sean T Vessel sealer and divider
US7090673B2 (en) 2001-04-06 2006-08-15 Sherwood Services Ag Vessel sealer and divider
AU2001249932B8 (en) 2001-04-06 2006-05-04 Covidien Ag Electrosurgical instrument which reduces collateral damage to adjacent tissue
EP1372512B1 (en) 2001-04-06 2005-06-22 Sherwood Services AG Molded insulating hinge for bipolar instruments
US7101372B2 (en) 2001-04-06 2006-09-05 Sherwood Sevices Ag Vessel sealer and divider
JP4499992B2 (en) 2001-04-06 2010-07-14 コヴィディエン アクチェンゲゼルシャフト Vascular sealing machine and splitting machine having non-conductive stop member
US10849681B2 (en) 2001-04-06 2020-12-01 Covidien Ag Vessel sealer and divider
ES2202269T3 (en) 2001-05-03 2004-04-01 Radi Medical Systems Ab GUIDE TOOL FOR WOUND CLOSURE.
JP4267867B2 (en) 2001-05-03 2009-05-27 ラディ・メディカル・システムズ・アクチェボラーグ Wound occlusion element guide device
US6863680B2 (en) * 2001-11-08 2005-03-08 Sub-Q, Inc. System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure
US7029489B1 (en) 2001-05-18 2006-04-18 Sub-Q, Inc. System and method for delivering hemostasis promoting material to a blood vessel puncture site
US7008440B2 (en) 2001-11-08 2006-03-07 Sub-Q, Inc. System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure
US6941169B2 (en) * 2001-06-04 2005-09-06 Albert Einstein Healthcare Network Cardiac stimulating apparatus having a blood clot filter and atrial pacer
IES20010547A2 (en) * 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
US20070038244A1 (en) * 2001-06-08 2007-02-15 Morris Edward J Method and apparatus for sealing access
ITTO20010583A1 (en) 2001-06-15 2002-12-15 Gambro Dasco Spa BLOOD CIRCULATION CIRCUIT FOR A DIALYSIS MACHINE AND RELATED DIALYSIS MACHINE.
JP4159805B2 (en) * 2001-06-15 2008-10-01 ラディ・メディカル・システムズ・アクチェボラーグ Pushing mechanism for closing method
US7011671B2 (en) * 2001-07-18 2006-03-14 Atritech, Inc. Cardiac implant device tether system and method
WO2003009764A1 (en) * 2001-07-26 2003-02-06 Oregon Health Sciences University Vessel closure member and delivery apparatus
US8465516B2 (en) * 2001-07-26 2013-06-18 Oregon Health Science University Bodily lumen closure apparatus and method
IES20010748A2 (en) * 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device and Method
IES20010749A2 (en) * 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device
US7125421B2 (en) * 2001-08-31 2006-10-24 Mitral Interventions, Inc. Method and apparatus for valve repair
US20070112358A1 (en) * 2001-09-06 2007-05-17 Ryan Abbott Systems and Methods for Treating Septal Defects
US20070129755A1 (en) * 2005-12-05 2007-06-07 Ovalis, Inc. Clip-based systems and methods for treating septal defects
US20060052821A1 (en) * 2001-09-06 2006-03-09 Ovalis, Inc. Systems and methods for treating septal defects
US20050267495A1 (en) * 2004-05-17 2005-12-01 Gateway Medical, Inc. Systems and methods for closing internal tissue defects
US6776784B2 (en) * 2001-09-06 2004-08-17 Core Medical, Inc. Clip apparatus for closing septal defects and methods of use
US20090054912A1 (en) * 2001-09-06 2009-02-26 Heanue Taylor A Systems and Methods for Treating Septal Defects
US6702835B2 (en) * 2001-09-07 2004-03-09 Core Medical, Inc. Needle apparatus for closing septal defects and methods for using such apparatus
SE523902C2 (en) * 2001-09-07 2004-06-01 Jan Otto Solem Apparatus for closing a puncture in a body vessel
US7892247B2 (en) 2001-10-03 2011-02-22 Bioconnect Systems, Inc. Devices and methods for interconnecting vessels
US7094245B2 (en) * 2001-10-05 2006-08-22 Scimed Life Systems, Inc. Device and method for through the scope endoscopic hemostatic clipping
WO2003030956A2 (en) 2001-10-12 2003-04-17 Osteotech, Inc. Improved bone graft
US7037323B2 (en) * 2001-11-08 2006-05-02 Sub-Q, Inc. Pledget-handling system and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure
US7192436B2 (en) * 2001-11-08 2007-03-20 Sub-Q, Inc. Pledget-handling system and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure
US7037322B1 (en) 2001-11-08 2006-05-02 Sub-Q, Inc. System and method for delivering hemostasis promoting material to a blood vessel puncture with a staging tube
US7025748B2 (en) * 2001-11-08 2006-04-11 Boston Scientific Scimed, Inc. Sheath based blood vessel puncture locator and depth indicator
AU2002360695A1 (en) * 2001-12-19 2003-07-09 Nmt Medical, Inc. Septal occluder and associated methods
US7318833B2 (en) 2001-12-19 2008-01-15 Nmt Medical, Inc. PFO closure device with flexible thrombogenic joint and improved dislodgement resistance
JP2005525843A (en) * 2002-01-14 2005-09-02 エヌエムティー メディカル インコーポレイテッド Patent foramen ovale (PFO) occlusion method and apparatus
CA2474324C (en) 2002-01-25 2011-09-20 Atritech, Inc. Atrial appendage blood filtration systems
WO2003082076A2 (en) * 2002-03-25 2003-10-09 Nmt Medical, Inc. Patent foramen ovale (pfo) closure clips
US8603110B2 (en) * 2002-04-25 2013-12-10 Terumo Kabushiki Kaisha Organism tissue suturing apparatus
WO2003094740A1 (en) * 2002-05-08 2003-11-20 Radi Medical Systems Ab Dissolvable medical sealing device
WO2003099350A2 (en) * 2002-05-27 2003-12-04 Shlomo Ben-David Apparatus for sealing a puncture in a blood vessel
AU2003253620A1 (en) 2002-06-03 2003-12-19 Nmt Medical, Inc. Device with biological tissue scaffold for intracardiac defect closure
WO2003101310A1 (en) * 2002-06-04 2003-12-11 Christy Cummins Blood vessel closure clip and delivery device
EP1538994A4 (en) 2002-06-05 2008-05-07 Nmt Medical Inc Patent foramen ovale (pfo) closure device with radial and circumferential support
US7274876B2 (en) * 2002-06-06 2007-09-25 At&T Corp. Integrated electrical/optical hybrid communication system with revertive hitless switch
US7101395B2 (en) * 2002-06-12 2006-09-05 Mitral Interventions, Inc. Method and apparatus for tissue connection
CN1306910C (en) * 2002-06-14 2007-03-28 洛马林达大学医学中心 Vascular wound closure device and method
US7033393B2 (en) * 2002-06-27 2006-04-25 Raymedica, Inc. Self-transitioning spinal disc anulus occulsion device and method of use
DE60326397D1 (en) * 2002-07-03 2009-04-09 Abbott Vascular Inc Surgical stapling device
DE60317909T2 (en) * 2002-09-23 2008-11-13 NMT Medical, Inc., Boston DEVICE FOR PUNCTING A SEPTUMS
US20060025788A1 (en) * 2002-09-25 2006-02-02 By-Pass, Inc. Anastomotic leg arrangement
US7270664B2 (en) 2002-10-04 2007-09-18 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7931649B2 (en) 2002-10-04 2011-04-26 Tyco Healthcare Group Lp Vessel sealing instrument with electrical cutting mechanism
US7276068B2 (en) 2002-10-04 2007-10-02 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US20040102730A1 (en) * 2002-10-22 2004-05-27 Davis Thomas P. System and method for facilitating hemostasis of blood vessel punctures with absorbable sponge
US7766820B2 (en) 2002-10-25 2010-08-03 Nmt Medical, Inc. Expandable sheath tubing
US8398675B2 (en) 2002-10-25 2013-03-19 Radi Medical Systems Ab Absorbable medical sealing device with retaining assembly having at least two loops
US8317821B1 (en) 2002-11-04 2012-11-27 Boston Scientific Scimed, Inc. Release mechanism
US7955353B1 (en) 2002-11-04 2011-06-07 Sub-Q, Inc. Dissolvable closure device
US7455680B1 (en) 2002-11-04 2008-11-25 Boston Scientific Scimed, Inc. Apparatus and method for inhibiting blood loss
WO2004043508A1 (en) * 2002-11-06 2004-05-27 Nmt Medical, Inc. Medical devices utilizing modified shape memory alloy
AU2003287689A1 (en) * 2002-11-07 2004-06-03 Nmt Medical, Inc. Patent foramen ovale (pfo) closure with magnetic force
US7799026B2 (en) 2002-11-14 2010-09-21 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
US7108710B2 (en) 2002-11-26 2006-09-19 Abbott Laboratories Multi-element biased suture clip
US9017373B2 (en) * 2002-12-09 2015-04-28 W.L. Gore & Associates, Inc. Septal closure devices
US7942884B2 (en) * 2002-12-11 2011-05-17 Usgi Medical, Inc. Methods for reduction of a gastric lumen
US7942898B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
DE60324089D1 (en) * 2003-01-14 2008-11-27 Radi Medical Systems introducer sheath
US8382793B2 (en) * 2003-01-14 2013-02-26 Radi Medical Systems Ab Introducer sheath
US7008442B2 (en) * 2003-01-20 2006-03-07 Medtronic Vascular, Inc. Vascular sealant delivery device and sheath introducer and method
US7857828B2 (en) * 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
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
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
US7658747B2 (en) * 2003-03-12 2010-02-09 Nmt Medical, Inc. Medical device for manipulation of a medical implant
AU2003223284C1 (en) 2003-03-13 2010-09-16 Covidien Ag Bipolar concentric electrode assembly for soft tissue fusion
GB0307826D0 (en) * 2003-04-04 2003-05-07 Univ London A device for transfixing and joining tissue
CA2509720C (en) * 2003-04-22 2012-10-16 Sub-Q, Inc. Puncture closure system with pin and pull technique
US7850654B2 (en) * 2003-04-24 2010-12-14 St. Jude Medical Puerto Rico B.V. Device and method for positioning a closure device
EP1628702B1 (en) * 2003-04-28 2013-05-01 Erwin De Winter Anchoring screw device
US7753909B2 (en) 2003-05-01 2010-07-13 Covidien Ag Electrosurgical instrument which reduces thermal damage to adjacent tissue
US7160299B2 (en) 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
US8128624B2 (en) 2003-05-01 2012-03-06 Covidien Ag Electrosurgical instrument that directs energy delivery and protects adjacent tissue
US20040225301A1 (en) * 2003-05-05 2004-11-11 St. Jude Medical, Daig Division, Inc. Loop closure apparatus and method
USD499181S1 (en) 2003-05-15 2004-11-30 Sherwood Services Ag Handle for a vessel sealer and divider
ES2368488T3 (en) 2003-05-15 2011-11-17 Covidien Ag FABRIC SEALER WITH VARIABLE BUMPER MEMBERS SELECTIVELY AND NON-DRIVING.
US7488340B2 (en) * 2003-06-02 2009-02-10 Vascular Solutions, Inc. Vascular access closure system
US7331979B2 (en) * 2003-06-04 2008-02-19 Access Closure, Inc. Apparatus and methods for sealing a vascular puncture
US20040249412A1 (en) * 2003-06-04 2004-12-09 Snow Brent W. Apparatus and methods for puncture site closure
US9289195B2 (en) * 2003-06-04 2016-03-22 Access Closure, Inc. Auto-retraction apparatus and methods for sealing a vascular puncture
NZ544050A (en) 2003-06-11 2009-03-31 Osteotech Inc Osteoimplants and methods for their manufacture
USD956973S1 (en) 2003-06-13 2022-07-05 Covidien Ag Movable handle for endoscopic vessel sealer and divider
US7156846B2 (en) 2003-06-13 2007-01-02 Sherwood Services Ag Vessel sealer and divider for use with small trocars and cannulas
US7150749B2 (en) 2003-06-13 2006-12-19 Sherwood Services Ag Vessel sealer and divider having elongated knife stroke and safety cutting mechanism
US7857812B2 (en) 2003-06-13 2010-12-28 Covidien Ag Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism
DK1638485T3 (en) * 2003-06-20 2011-05-02 Intrinsic Therapeutics Inc Device for delivery of an implant through an annular defect in an intervertebral disc
US20040260300A1 (en) * 2003-06-20 2004-12-23 Bogomir Gorensek Method of delivering an implant through an annular defect in an intervertebral disc
US20060173492A1 (en) * 2003-07-03 2006-08-03 Radi Medical Systems Ab Wound closure and sealing device
SE526597C2 (en) * 2003-07-03 2005-10-11 Radi Medical Systems Medical sealing device for sealing puncture in vessel, e.g. blood vessel, comprises elongated component having diameter that is small, in comparison to diameter of sealing component, and comprises haemostatic material
US9861346B2 (en) 2003-07-14 2018-01-09 W. L. Gore & Associates, Inc. Patent foramen ovale (PFO) closure device with linearly elongating petals
CA2532112C (en) * 2003-07-14 2012-09-18 Nmt Medical, Inc. Tubular patent foramen ovale (pfo) closure device with catch system
US8480706B2 (en) 2003-07-14 2013-07-09 W.L. Gore & Associates, Inc. Tubular patent foramen ovale (PFO) closure device with catch system
US20050049634A1 (en) * 2003-08-07 2005-03-03 Scimed Life Systems, Inc. Medical closure device
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
WO2005016152A2 (en) 2003-08-14 2005-02-24 Loma Linda University Medical Center Vascular wound closure device
DE602004017750D1 (en) * 2003-08-19 2008-12-24 Nmt Medical Inc Expandable lock hose
US8187627B2 (en) * 2003-09-05 2012-05-29 Loma Linda University Medical Center Dressing delivery system for internal wounds
US7691112B2 (en) * 2003-09-11 2010-04-06 Nmt Medical, Inc. Devices, systems, and methods for suturing tissue
IL157981A (en) 2003-09-17 2014-01-30 Elcam Medical Agricultural Cooperative Ass Ltd Auto-injector
IL157984A (en) * 2003-09-17 2015-02-26 Dali Medical Devices Ltd Autoneedle
US20050085853A1 (en) * 2003-10-15 2005-04-21 Forsberg Andrew T. Collagen delivery assembly with blood perfusion holes
US8337522B2 (en) 2003-10-15 2012-12-25 St. Jude Medical Puerto Rico Llc Vascular sealing device with locking hub
US7931670B2 (en) * 2003-10-15 2011-04-26 St. Jude Medical Puerto Rico Llc Tissue puncture closure device with automatic tamping
US20050085773A1 (en) * 2003-10-15 2005-04-21 Forsberg Andrew T. Method and apparatus for locating vascular punctures
JP4594319B2 (en) * 2003-10-16 2010-12-08 メデイカル コンポーネンツ,インコーポレーテツド Lure clip
US8007514B2 (en) * 2003-10-17 2011-08-30 St. Jude Medical Puerto Rico Llc Automatic suture locking device
US7419498B2 (en) * 2003-10-21 2008-09-02 Nmt Medical, Inc. Quick release knot attachment system
US20050090860A1 (en) * 2003-10-23 2005-04-28 Paprocki Loran J. Segmented plug for tissue tracts
US20050096696A1 (en) * 2003-11-04 2005-05-05 Forsberg Andrew T. Arteriotomy closure device with anti-roll anchor
US20050096697A1 (en) * 2003-11-04 2005-05-05 Forsberg Andrew T. Vascular insertion sheath with stiffened tip
US8292910B2 (en) 2003-11-06 2012-10-23 Pressure Products Medical Supplies, Inc. Transseptal puncture apparatus
WO2005046487A1 (en) 2003-11-06 2005-05-26 Nmt Medical, Inc. Transseptal puncture apparatus
US20050107820A1 (en) 2003-11-13 2005-05-19 Forsberg Andrew T. Vascular puncture depth locator
US8128652B2 (en) * 2003-11-13 2012-03-06 St. Jude Medical Puerto Rico Llc Method and apparatus for sealing an internal tissue puncture incorporating a block and tackle
US9848938B2 (en) 2003-11-13 2017-12-26 Covidien Ag Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion
US7367976B2 (en) 2003-11-17 2008-05-06 Sherwood Services Ag Bipolar forceps having monopolar extension
US7811283B2 (en) 2003-11-19 2010-10-12 Covidien Ag Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety
US7500975B2 (en) 2003-11-19 2009-03-10 Covidien Ag Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument
US7131970B2 (en) 2003-11-19 2006-11-07 Sherwood Services Ag Open vessel sealing instrument with cutting mechanism
US20050113868A1 (en) * 2003-11-20 2005-05-26 Devellian Carol A. Device, with electrospun fabric, for a percutaneous transluminal procedure, and methods thereof
US7442193B2 (en) 2003-11-20 2008-10-28 Covidien Ag Electrically conductive/insulative over-shoe for tissue fusion
WO2005051176A2 (en) * 2003-11-25 2005-06-09 Boston Scientific Limited Hemostatic pressure plug
US7731726B2 (en) * 2003-12-03 2010-06-08 St. Jude Medical Puerto Rico Llc Suture based vascular closure apparatus and method incorporating a pre-tied knot
US7621937B2 (en) * 2003-12-03 2009-11-24 St. Jude Medical Puerto Rico LC Vascular sealing device with high surface area sealing plug
US7597705B2 (en) * 2003-12-03 2009-10-06 St. Jude Medical Puerto Rico Llc Vascular puncture seal anchor nest
US20050124970A1 (en) * 2003-12-05 2005-06-09 Medical Components, Inc. Luer cap with antibacterial property
US20050273119A1 (en) * 2003-12-09 2005-12-08 Nmt Medical, Inc. Double spiral patent foramen ovale closure clamp
US7875043B1 (en) 2003-12-09 2011-01-25 Sub-Q, Inc. Cinching loop
US7347863B2 (en) * 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US20050251189A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. Multi-position tissue manipulation assembly
US20050149117A1 (en) * 2003-12-24 2005-07-07 Farhad Khosravi Apparatus and methods for delivering sealing materials during a percutaneous procedure to facilitate hemostasis
US20070060950A1 (en) * 2003-12-24 2007-03-15 Farhad Khosravi Apparatus and methods for delivering sealing materials during a percutaneous procedure to facilitate hemostasis
US20050192626A1 (en) * 2004-01-30 2005-09-01 Nmt Medical, Inc. Devices, systems, and methods for closure of cardiac openings
JP2007519489A (en) * 2004-01-30 2007-07-19 エヌエムティー メディカル, インコーポレイティッド Welding system for closure of cardia
US7780662B2 (en) 2004-03-02 2010-08-24 Covidien Ag Vessel sealing system using capacitive RF dielectric heating
JP2007526087A (en) 2004-03-03 2007-09-13 エヌエムティー メディカル, インコーポレイティッド Delivery / recovery system for septal occluder
US7703459B2 (en) * 2004-03-09 2010-04-27 Usgi Medical, Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
US20050203488A1 (en) * 2004-03-09 2005-09-15 Usgi Medical Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
IL160891A0 (en) 2004-03-16 2004-08-31 Auto-mix needle
US20050234509A1 (en) * 2004-03-30 2005-10-20 Mmt Medical, Inc. Center joints for PFO occluders
US7572274B2 (en) * 2004-05-27 2009-08-11 Cardiva Medical, Inc. Self-tensioning vascular occlusion device and method for its use
US20050267524A1 (en) * 2004-04-09 2005-12-01 Nmt Medical, Inc. Split ends closure device
US7648493B2 (en) * 2004-04-20 2010-01-19 St. Jude Medical Puerto Rico Llc Method and apparatus for locating vascular punctures
US8361110B2 (en) * 2004-04-26 2013-01-29 W.L. Gore & Associates, Inc. Heart-shaped PFO closure device
US8308760B2 (en) * 2004-05-06 2012-11-13 W.L. Gore & Associates, Inc. Delivery systems and methods for PFO closure device with two anchors
US7842053B2 (en) * 2004-05-06 2010-11-30 Nmt Medical, Inc. Double coil occluder
US20060135971A1 (en) * 2004-05-07 2006-06-22 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US7390329B2 (en) * 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors
US8057511B2 (en) * 2004-05-07 2011-11-15 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US20050251176A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US7704268B2 (en) * 2004-05-07 2010-04-27 Nmt Medical, Inc. Closure device with hinges
US7918869B2 (en) 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US8257394B2 (en) * 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
CA2563298A1 (en) * 2004-05-07 2005-11-24 Nmt Medical, Inc. Catching mechanisms for tubular septal occluder
US7736374B2 (en) * 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US20050250984A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. Multiple removable apparatus and methods for manipulating and securing tissue
US20050251208A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. Linear anchors for anchoring to tissue
US20050267521A1 (en) * 2004-05-13 2005-12-01 St. Jude Medical Puerto Rico B.V. Collagen sponge for arterial sealing
IES20040368A2 (en) * 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US7736379B2 (en) * 2004-06-09 2010-06-15 Usgi Medical, Inc. Compressible tissue anchor assemblies
US7678135B2 (en) 2004-06-09 2010-03-16 Usgi Medical, Inc. Compressible tissue anchor assemblies
US7695493B2 (en) * 2004-06-09 2010-04-13 Usgi Medical, Inc. System for optimizing anchoring force
US8206417B2 (en) * 2004-06-09 2012-06-26 Usgi Medical Inc. Apparatus and methods for optimizing anchoring force
US20050283193A1 (en) * 2004-06-18 2005-12-22 Radi Medical Systems Ab Introducer guide
US20060020269A1 (en) * 2004-07-20 2006-01-26 Eric Cheng Device to aid in stone removal and laser lithotripsy
US20060020276A1 (en) * 2004-07-23 2006-01-26 Usgi Medical Inc. Apparatus and methods for achieving prolonged maintenance of gastrointestinal tissue folds
US7195631B2 (en) 2004-09-09 2007-03-27 Sherwood Services Ag Forceps with spring loaded end effector assembly
US20060058844A1 (en) * 2004-09-13 2006-03-16 St. Jude Medical Puerto Rico B.V. Vascular sealing device with locking system
US7540872B2 (en) 2004-09-21 2009-06-02 Covidien Ag Articulating bipolar electrosurgical instrument
CA2581677C (en) * 2004-09-24 2014-07-29 Nmt Medical, Inc. Occluder device double securement system for delivery/recovery of such occluder device
US20090326578A1 (en) * 2004-09-30 2009-12-31 Usgi Medical, Inc. Interlocking tissue anchor apparatus and methods
US7955332B2 (en) 2004-10-08 2011-06-07 Covidien Ag Mechanism for dividing tissue in a hemostat-style instrument
US7686827B2 (en) 2004-10-21 2010-03-30 Covidien Ag Magnetic closure mechanism for hemostat
US8262693B2 (en) 2004-11-05 2012-09-11 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US20060135946A1 (en) * 2004-12-21 2006-06-22 C. R. Bard, Inc. Hemostasis cuff for catheter securement
US20060142798A1 (en) * 2004-12-27 2006-06-29 Holman Thomas J Device and method for closing an opening in a body cavity or lumen
US7909823B2 (en) 2005-01-14 2011-03-22 Covidien Ag Open vessel sealing instrument
US7686804B2 (en) 2005-01-14 2010-03-30 Covidien Ag Vessel sealer and divider with rotating sealer and cutter
ES2402056T3 (en) * 2005-01-14 2013-04-26 Warsaw Orthopedic, Inc. Expandable Osteoimplant
US10064540B2 (en) * 2005-02-02 2018-09-04 Intuitive Surgical Operations, Inc. Visualization apparatus for transseptal access
US7930016B1 (en) 2005-02-02 2011-04-19 Voyage Medical, Inc. Tissue closure system
US8137333B2 (en) 2005-10-25 2012-03-20 Voyage Medical, Inc. Delivery of biological compounds to ischemic and/or infarcted tissue
US8078266B2 (en) 2005-10-25 2011-12-13 Voyage Medical, Inc. Flow reduction hood systems
US8050746B2 (en) * 2005-02-02 2011-11-01 Voyage Medical, Inc. Tissue visualization device and method variations
US7860556B2 (en) * 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue imaging and extraction systems
US7860555B2 (en) * 2005-02-02 2010-12-28 Voyage Medical, Inc. Tissue visualization and manipulation system
US9510732B2 (en) 2005-10-25 2016-12-06 Intuitive Surgical Operations, Inc. Methods and apparatus for efficient purging
US20080015569A1 (en) * 2005-02-02 2008-01-17 Voyage Medical, Inc. Methods and apparatus for treatment of atrial fibrillation
US7918787B2 (en) * 2005-02-02 2011-04-05 Voyage Medical, Inc. Tissue visualization and manipulation systems
US11478152B2 (en) 2005-02-02 2022-10-25 Intuitive Surgical Operations, Inc. Electrophysiology mapping and visualization system
US8109945B2 (en) * 2005-02-04 2012-02-07 St. Jude Medical Puerto Rico Llc Percutaneous suture path tracking device with cutting blade
WO2006102213A1 (en) 2005-03-18 2006-09-28 Nmt Medical, Inc. Catch member for pfo occluder
US7491202B2 (en) 2005-03-31 2009-02-17 Covidien Ag Electrosurgical forceps with slow closure sealing plates and method of sealing tissue
US7713283B2 (en) * 2005-04-11 2010-05-11 St. Jude Medical Puerto Rico, Llc Tissue puncture closure device with magazine fed tamping system
US7988706B2 (en) 2005-04-11 2011-08-02 St. Jude Medical Puerto Rico Llc Tissue puncture closure device with automatic torque sensing 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
US7806856B2 (en) * 2005-04-22 2010-10-05 Accessclosure, Inc. Apparatus and method for temporary hemostasis
US8740934B2 (en) * 2005-04-22 2014-06-03 Rex Medical, L.P. Closure device for left atrial appendage
WO2006117766A2 (en) * 2005-04-29 2006-11-09 Zerusa Limited An interventional medical closure device
US7622628B2 (en) 2005-05-04 2009-11-24 Innovasa Corporation Hemostatic wire guided bandage and method of use
US8273094B2 (en) * 2005-05-17 2012-09-25 St. Jude Medical Puerto Rico Llc Puncture locating device
US7837705B2 (en) * 2005-05-17 2010-11-23 St. Jude Medical Puerto Rico Llc Tissue puncture closure system with retractable sheath
US7618438B2 (en) * 2005-05-17 2009-11-17 St. Jude Medical Puerto Rico Llc Tissue puncture closure device with disengagable automatic tamping system
US8038687B2 (en) 2005-05-17 2011-10-18 St. Jude Medical Puerto Rico Llc Suture loop closure device
JP4744191B2 (en) * 2005-05-18 2011-08-10 テルモ株式会社 In vivo tissue closure device
US9585651B2 (en) * 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US8298291B2 (en) * 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US8197497B2 (en) * 2005-06-20 2012-06-12 Medtronic Vascular, Inc. Method and apparatus for applying a knot to a suture
WO2007002185A2 (en) 2005-06-21 2007-01-04 Cardiomems, Inc. Method of manufacturing implantable wireless sensor for in vivo pressure measurement
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US20080312686A1 (en) * 2005-07-01 2008-12-18 Abbott Laboratories Antimicrobial closure element and closure element applier
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US8579936B2 (en) * 2005-07-05 2013-11-12 ProMed, Inc. Centering of delivery devices with respect to a septal defect
US7837685B2 (en) 2005-07-13 2010-11-23 Covidien Ag Switch mechanisms for safe activation of energy on an electrosurgical instrument
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
US7628791B2 (en) 2005-08-19 2009-12-08 Covidien Ag Single action tissue sealer
US9456811B2 (en) * 2005-08-24 2016-10-04 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
US7846179B2 (en) * 2005-09-01 2010-12-07 Ovalis, Inc. Suture-based systems and methods for treating septal defects
WO2007030433A2 (en) * 2005-09-06 2007-03-15 Nmt Medical, Inc. Removable intracardiac rf device
US9259267B2 (en) 2005-09-06 2016-02-16 W.L. Gore & Associates, Inc. Devices and methods for treating cardiac tissue
US7972359B2 (en) 2005-09-16 2011-07-05 Atritech, Inc. Intracardiac cage and method of delivering same
US20070088388A1 (en) * 2005-09-19 2007-04-19 Opolski Steven W Delivery device for implant with dual attachment sites
JP4955328B2 (en) 2005-09-29 2012-06-20 テルモ株式会社 In vivo tissue closure device
EP2308406B1 (en) 2005-09-30 2012-12-12 Covidien AG Insulating boot for electrosurgical forceps
US7922953B2 (en) 2005-09-30 2011-04-12 Covidien Ag Method for manufacturing an end effector assembly
US7879035B2 (en) 2005-09-30 2011-02-01 Covidien Ag Insulating boot for electrosurgical forceps
US7722607B2 (en) 2005-09-30 2010-05-25 Covidien Ag In-line vessel sealer and divider
CA2561034C (en) 2005-09-30 2014-12-09 Sherwood Services Ag Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue
US7789878B2 (en) 2005-09-30 2010-09-07 Covidien Ag In-line vessel sealer and divider
US8088145B2 (en) * 2005-10-05 2012-01-03 Loma Linda University Medical Center Vascular wound closure device and method
JP2009512521A (en) * 2005-10-24 2009-03-26 エヌエムティー メディカル, インコーポレイティッド Radiopaque bioabsorbable occluder
US8221310B2 (en) * 2005-10-25 2012-07-17 Voyage Medical, Inc. Tissue visualization device and method variations
WO2007056671A1 (en) 2005-11-02 2007-05-18 Osteotech, Inc. Hemostatic bone graft
US8911472B2 (en) 2005-12-13 2014-12-16 Cardiva Medical, Inc. Apparatus and methods for delivering hemostatic materials for blood vessel closure
US7691127B2 (en) * 2005-12-13 2010-04-06 Cardiva Medical, Inc. Drug eluting vascular closure devices and methods
US9179897B2 (en) 2005-12-13 2015-11-10 Cardiva Medical, Inc. Vascular closure devices and methods providing hemostatic enhancement
US8317822B2 (en) * 2005-12-22 2012-11-27 Ethicon, Inc. Systems and methods for closing a vessel wound
EP1962695A1 (en) * 2005-12-22 2008-09-03 NMT Medical, Inc. Catch members for occluder devices
US8267942B2 (en) * 2005-12-23 2012-09-18 Ethicon, Inc. Systems and methods for closing a vessel wound
US9427216B2 (en) * 2005-12-23 2016-08-30 CARDINAL HEALTH SWITZERLAND 515 GmbH Systems and methods for closing a vessel wound
US8382794B2 (en) * 2006-01-04 2013-02-26 St. Jude Medical Puerto Rico Llc Balloon insertion apparatus and method of sealing a tissue puncture
US8241282B2 (en) 2006-01-24 2012-08-14 Tyco Healthcare Group Lp Vessel sealing cutting assemblies
US8298232B2 (en) 2006-01-24 2012-10-30 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider for large tissue structures
US8734443B2 (en) 2006-01-24 2014-05-27 Covidien Lp Vessel sealer and divider for large tissue structures
US7766910B2 (en) 2006-01-24 2010-08-03 Tyco Healthcare Group Lp Vessel sealer and divider for large tissue structures
US8882766B2 (en) 2006-01-24 2014-11-11 Covidien Ag Method and system for controlling delivery of energy to divide tissue
US8726909B2 (en) * 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US8551135B2 (en) * 2006-03-31 2013-10-08 W.L. Gore & Associates, Inc. Screw catch mechanism for PFO occluder and method of use
EP2004068B1 (en) * 2006-03-31 2018-08-15 W.L. Gore & Associates, Inc. Deformable flap catch mechanism for occluder device
US8870913B2 (en) 2006-03-31 2014-10-28 W.L. Gore & Associates, Inc. Catch system with locking cap for patent foramen ovale (PFO) occluder
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
US7846158B2 (en) 2006-05-05 2010-12-07 Covidien Ag Apparatus and method for electrode thermosurgery
US7850710B2 (en) * 2006-05-23 2010-12-14 St. Jude Medical Puerto Rico Llc Puncture closure apparatuses, sealing plugs, and related methods
WO2010062971A1 (en) 2008-11-26 2010-06-03 Anova Corporation Methods and apparatus for anulus repair
US9232938B2 (en) 2006-06-13 2016-01-12 Anova Corp. Method and apparatus for closing fissures in the annulus fibrosus
US8834496B2 (en) 2006-06-13 2014-09-16 Bret A. Ferree Soft tissue repair methods and apparatus
US8764835B2 (en) * 2006-06-13 2014-07-01 Bret A. Ferree Intervertebral disc treatment methods and apparatus
US9055906B2 (en) 2006-06-14 2015-06-16 Intuitive Surgical Operations, Inc. In-vivo visualization systems
USD611144S1 (en) 2006-06-28 2010-03-02 Abbott Laboratories Apparatus for delivering a closure element
US8556930B2 (en) 2006-06-28 2013-10-15 Abbott Laboratories Vessel closure device
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
US7744615B2 (en) 2006-07-18 2010-06-29 Covidien Ag Apparatus and method for transecting tissue on a bipolar vessel sealing instrument
US20080033241A1 (en) * 2006-08-01 2008-02-07 Ruey-Feng Peh Left atrial appendage closure
US8864809B2 (en) * 2006-08-09 2014-10-21 Coherex Medical, Inc. Systems and devices for reducing the size of an internal tissue opening
US8979941B2 (en) 2006-08-09 2015-03-17 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US8529597B2 (en) 2006-08-09 2013-09-10 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US8597297B2 (en) 2006-08-29 2013-12-03 Covidien Ag Vessel sealing instrument with multiple electrode configurations
US20080097476A1 (en) * 2006-09-01 2008-04-24 Voyage Medical, Inc. Precision control systems for tissue visualization and manipulation assemblies
JP2010502313A (en) * 2006-09-01 2010-01-28 ボエッジ メディカル, インコーポレイテッド Method and apparatus for the treatment of atrial fibrillation
US10004388B2 (en) 2006-09-01 2018-06-26 Intuitive Surgical Operations, Inc. Coronary sinus cannulation
US7789893B2 (en) * 2006-09-12 2010-09-07 Boston Scientific Scimed, Inc. Method and apparatus for promoting hemostasis of a blood vessel puncture
US8617204B2 (en) * 2006-09-13 2013-12-31 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US7749248B2 (en) 2006-09-18 2010-07-06 St. Jude Medical Puerto Rico Llc Flexible tamping device
WO2008042311A1 (en) * 2006-09-28 2008-04-10 Nmt Medical. Inc. Perforated expandable implant recovery sheath
US8992545B2 (en) * 2006-09-28 2015-03-31 W.L. Gore & Associates, Inc. Implant-catheter attachment mechanism using snare and method of use
US8070746B2 (en) 2006-10-03 2011-12-06 Tyco Healthcare Group Lp Radiofrequency fusion of cardiac tissue
US7951149B2 (en) 2006-10-17 2011-05-31 Tyco Healthcare Group Lp Ablative material for use with tissue treatment device
US10335131B2 (en) 2006-10-23 2019-07-02 Intuitive Surgical Operations, Inc. Methods for preventing tissue migration
US20100152828A1 (en) * 2006-11-02 2010-06-17 Pakbaz R Sean Devices and methods for accessing and treating an aneurysm
US20080183036A1 (en) * 2006-12-18 2008-07-31 Voyage Medical, Inc. Systems and methods for unobstructed visualization and ablation
US20080154326A1 (en) * 2006-12-21 2008-06-26 Clyne Christopher A Method and apparatus for providing a radiopaque anchoring sleeve
US8758229B2 (en) * 2006-12-21 2014-06-24 Intuitive Surgical Operations, Inc. Axial visualization systems
US8131350B2 (en) * 2006-12-21 2012-03-06 Voyage Medical, Inc. Stabilization of visualization catheters
WO2008010738A2 (en) * 2007-01-24 2008-01-24 Uros Babic Patent foramen ovale occluder with suture based anchor
US8894582B2 (en) * 2007-01-26 2014-11-25 Endotronix, Inc. Cardiac pressure monitoring device
USD649249S1 (en) 2007-02-15 2011-11-22 Tyco Healthcare Group Lp End effectors of an elongated dissecting and dividing instrument
US8493187B2 (en) * 2007-03-15 2013-07-23 Endotronix, Inc. Wireless sensor reader
US10003862B2 (en) 2007-03-15 2018-06-19 Endotronix, Inc. Wireless sensor reader
US8154389B2 (en) * 2007-03-15 2012-04-10 Endotronix, Inc. Wireless sensor reader
WO2008115456A1 (en) * 2007-03-15 2008-09-25 Nunez Anthony I Transseptal monitoring device
US8570186B2 (en) 2011-04-25 2013-10-29 Endotronix, Inc. Wireless sensor reader
US8080034B2 (en) * 2007-03-29 2011-12-20 St. Jude Medical, Inc. Vascular hemostasis device and deployment apparatus
US8246636B2 (en) 2007-03-29 2012-08-21 Nobles Medical Technologies, Inc. Suturing devices and methods for closing a patent foramen ovale
US8267935B2 (en) 2007-04-04 2012-09-18 Tyco Healthcare Group Lp Electrosurgical instrument reducing current densities at an insulator conductor junction
US9005242B2 (en) 2007-04-05 2015-04-14 W.L. Gore & Associates, Inc. Septal closure device with centering mechanism
US9138562B2 (en) 2007-04-18 2015-09-22 W.L. Gore & Associates, Inc. Flexible catheter system
WO2008134457A1 (en) * 2007-04-27 2008-11-06 Voyage Medical, Inc. Complex shape steerable tissue visualization and manipulation catheter
US8657805B2 (en) * 2007-05-08 2014-02-25 Intuitive Surgical Operations, Inc. Complex shape steerable tissue visualization and manipulation catheter
JP2010526598A (en) 2007-05-11 2010-08-05 ボエッジ メディカル, インコーポレイテッド Visual electrode ablation system
ES2696538T3 (en) 2007-06-15 2019-01-16 Vivasure Medical Ltd Closing device
US8226681B2 (en) * 2007-06-25 2012-07-24 Abbott Laboratories Methods, devices, and apparatus for managing access through tissue
WO2009011751A1 (en) * 2007-07-13 2009-01-22 Rex Medical, Lp Vascular hole closure device
US20090024106A1 (en) * 2007-07-17 2009-01-22 Morris Edward J Method and apparatus for maintaining access
US20090030276A1 (en) * 2007-07-27 2009-01-29 Voyage Medical, Inc. Tissue visualization catheter with imaging systems integration
US8690816B2 (en) * 2007-08-02 2014-04-08 Bioconnect Systems, Inc. Implantable flow connector
US9282967B2 (en) 2007-08-02 2016-03-15 Bioconnect Systems, Inc. Implantable flow connector
US8568445B2 (en) * 2007-08-21 2013-10-29 St. Jude Medical Puerto Rico Llc Extra-vascular sealing device and method
US8333787B2 (en) 2007-12-31 2012-12-18 St. Jude Medical Puerto Rico Llc Vascular closure device having a flowable sealing material
US8235985B2 (en) * 2007-08-31 2012-08-07 Voyage Medical, Inc. Visualization and ablation system variations
US20090062790A1 (en) * 2007-08-31 2009-03-05 Voyage Medical, Inc. Direct visualization bipolar ablation systems
US7877853B2 (en) 2007-09-20 2011-02-01 Tyco Healthcare Group Lp Method of manufacturing end effector assembly for sealing tissue
US7877852B2 (en) 2007-09-20 2011-02-01 Tyco Healthcare Group Lp Method of manufacturing an end effector assembly for sealing tissue
US8235992B2 (en) 2007-09-28 2012-08-07 Tyco Healthcare Group Lp Insulating boot with mechanical reinforcement for electrosurgical forceps
US8251996B2 (en) 2007-09-28 2012-08-28 Tyco Healthcare Group Lp Insulating sheath for electrosurgical forceps
US9023043B2 (en) 2007-09-28 2015-05-05 Covidien Lp Insulating mechanically-interfaced boot and jaws for electrosurgical forceps
US20090088723A1 (en) * 2007-09-28 2009-04-02 Accessclosure, Inc. Apparatus and methods for treating pseudoaneurysms
AU2008221509B2 (en) 2007-09-28 2013-10-10 Covidien Lp Dual durometer insulating boot for electrosurgical forceps
US8235993B2 (en) 2007-09-28 2012-08-07 Tyco Healthcare Group Lp Insulating boot for electrosurgical forceps with exohinged structure
US8236025B2 (en) 2007-09-28 2012-08-07 Tyco Healthcare Group Lp Silicone insulated electrosurgical forceps
US8221416B2 (en) 2007-09-28 2012-07-17 Tyco Healthcare Group Lp Insulating boot for electrosurgical forceps with thermoplastic clevis
US7993367B2 (en) * 2007-09-28 2011-08-09 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US8267936B2 (en) 2007-09-28 2012-09-18 Tyco Healthcare Group Lp Insulating mechanically-interfaced adhesive for electrosurgical forceps
US8790684B2 (en) * 2007-10-31 2014-07-29 Cordis Corporation Vascular closure device
US8858591B2 (en) * 2007-10-31 2014-10-14 Radi Medical Systems Ab Method and device for sealing a puncture hole in a bodily organ
EP2209426A4 (en) * 2007-11-02 2015-04-22 Incept Llc Apparatus and methods for sealing a vascular puncture
EP2207485A1 (en) * 2007-11-07 2010-07-21 Ovalis, Inc. Systems devices and methods for achieving transverse orientation in the treatment of septal defects
US20090125022A1 (en) * 2007-11-12 2009-05-14 Voyage Medical, Inc. Tissue visualization and ablation systems
US20090143640A1 (en) * 2007-11-26 2009-06-04 Voyage Medical, Inc. Combination imaging and treatment assemblies
US8858608B2 (en) * 2007-12-10 2014-10-14 Cook Medical Technologies Llc Lubrication apparatus for a delivery and deployment 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
US20090187215A1 (en) * 2007-12-19 2009-07-23 Abbott Laboratories Methods and apparatus to reduce a dimension of an implantable device in a smaller state
US8840640B2 (en) 2007-12-31 2014-09-23 St. Jude Medical Puerto Rico Llc Vascular closure device having an improved plug
US9282953B2 (en) * 2007-12-31 2016-03-15 St. Jude Medical Puerto Rico Llc Systems and methods for locating and closing a tissue puncture
US8764748B2 (en) 2008-02-06 2014-07-01 Covidien Lp End effector assembly for electrosurgical device and method for making the same
US8858609B2 (en) 2008-02-07 2014-10-14 Intuitive Surgical Operations, Inc. Stent delivery under direct visualization
US8070772B2 (en) 2008-02-15 2011-12-06 Rex Medical, L.P. Vascular hole closure device
US8623276B2 (en) 2008-02-15 2014-01-07 Covidien Lp Method and system for sterilizing an electrosurgical instrument
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
US20110029013A1 (en) 2008-02-15 2011-02-03 Mcguckin James F Vascular Hole Closure Device
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
US20090228002A1 (en) * 2008-03-04 2009-09-10 Rioux Robert F Electromagnetic energy assisted tissue penetration device and method
US20130165967A1 (en) 2008-03-07 2013-06-27 W.L. Gore & Associates, Inc. Heart occlusion devices
US20090234377A1 (en) * 2008-03-14 2009-09-17 Radi Medical Systems Ab Medical closure device
WO2009121001A1 (en) * 2008-03-28 2009-10-01 Coherex Medical, Inc. Delivery systems for a medical device and related methods
US8029533B2 (en) 2008-04-04 2011-10-04 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US9364206B2 (en) 2008-04-04 2016-06-14 Access Closure, Inc. Apparatus and methods for sealing a vascular puncture
JP5547712B2 (en) * 2008-04-04 2014-07-16 クラシール,インコーポレイティド Implantable fistula closure device
EP2291125B1 (en) 2008-05-09 2021-04-21 Nobles Medical Technologies, Inc. Suturing devices for suturing an anatomic valve
US9282965B2 (en) 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
US20090318956A1 (en) * 2008-05-20 2009-12-24 Belef W Martin Wire-Like And Other Devices For Treating Septal Defects And Systems And Methods For Delivering The Same
US8409228B2 (en) * 2008-06-06 2013-04-02 Duane D. Blatter Tissue management methods, apparatus, and systems
US20090326572A1 (en) * 2008-06-27 2009-12-31 Ruey-Feng Peh Apparatus and methods for rapid tissue crossing
US9101735B2 (en) 2008-07-07 2015-08-11 Intuitive Surgical Operations, Inc. Catheter control systems
WO2010005436A1 (en) * 2008-07-10 2010-01-14 Sachasin Rachadip S Minimally invasive percutaneous restrictive bariatric procedure and related device
DE102008034533A1 (en) 2008-07-18 2010-01-21 Aesculap Ag Puncture closure for closing puncture opening in wall of hollow organ e.g. blood vessel, has strip section provided with width that is smaller than length of opening, and inner contact element inserted along strip parallel to wall
DE102008034534A1 (en) 2008-07-18 2010-01-21 Aesculap Ag Puncture closure for closing a hollow organ having a puncture opening, in particular a blood vessel
US8469956B2 (en) 2008-07-21 2013-06-25 Covidien Lp Variable resistor jaw
US8162973B2 (en) 2008-08-15 2012-04-24 Tyco Healthcare Group Lp Method of transferring pressure in an articulating surgical instrument
US8257387B2 (en) 2008-08-15 2012-09-04 Tyco Healthcare Group Lp Method of transferring pressure in an articulating surgical instrument
US9603652B2 (en) 2008-08-21 2017-03-28 Covidien Lp Electrosurgical instrument including a sensor
US7954688B2 (en) * 2008-08-22 2011-06-07 Medtronic, Inc. Endovascular stapling apparatus and methods of use
EP2430982B1 (en) 2008-08-26 2020-06-24 St. Jude Medical, Inc. System for sealing percutaneous punctures
US8317787B2 (en) 2008-08-28 2012-11-27 Covidien Lp Tissue fusion jaw angle improvement
US8795274B2 (en) 2008-08-28 2014-08-05 Covidien Lp Tissue fusion jaw angle improvement
US8784417B2 (en) 2008-08-28 2014-07-22 Covidien Lp Tissue fusion jaw angle improvement
CA2735748C (en) 2008-09-04 2017-08-29 Curaseal Inc. Inflatable devices for enteric fistula treatment
US8303582B2 (en) 2008-09-15 2012-11-06 Tyco Healthcare Group Lp Electrosurgical instrument having a coated electrode utilizing an atomic layer deposition technique
US8535312B2 (en) 2008-09-25 2013-09-17 Covidien Lp Apparatus, system and method for performing an electrosurgical procedure
US9375254B2 (en) 2008-09-25 2016-06-28 Covidien Lp Seal and separate algorithm
US8968314B2 (en) 2008-09-25 2015-03-03 Covidien Lp Apparatus, system and method for performing an electrosurgical procedure
US8142473B2 (en) 2008-10-03 2012-03-27 Tyco Healthcare Group Lp Method of transferring rotational motion in an articulating surgical instrument
US8469957B2 (en) 2008-10-07 2013-06-25 Covidien Lp Apparatus, system, and method for performing an electrosurgical procedure
US8016827B2 (en) 2008-10-09 2011-09-13 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8636761B2 (en) 2008-10-09 2014-01-28 Covidien Lp Apparatus, system, and method for performing an endoscopic electrosurgical procedure
US8894643B2 (en) 2008-10-10 2014-11-25 Intuitive Surgical Operations, Inc. Integral electrode placement and connection systems
US8333012B2 (en) 2008-10-10 2012-12-18 Voyage Medical, Inc. Method of forming electrode placement and connection systems
US8163022B2 (en) 2008-10-14 2012-04-24 Anulex Technologies, Inc. Method and apparatus for the treatment of the intervertebral disc annulus
US8486107B2 (en) 2008-10-20 2013-07-16 Covidien Lp Method of sealing tissue using radiofrequency energy
WO2010048610A2 (en) 2008-10-24 2010-04-29 Osteotech, Inc. Compositions and methods for promoting bone formation
US8398676B2 (en) * 2008-10-30 2013-03-19 Abbott Vascular Inc. Closure device
CA2962054C (en) 2008-11-12 2019-08-06 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US9468364B2 (en) 2008-11-14 2016-10-18 Intuitive Surgical Operations, Inc. Intravascular catheter with hood and image processing systems
US8197479B2 (en) 2008-12-10 2012-06-12 Tyco Healthcare Group Lp Vessel sealer and divider
US8517979B2 (en) * 2008-12-22 2013-08-27 Abbott Laboratories Carriers for hemostatic tract treatment
US8323312B2 (en) * 2008-12-22 2012-12-04 Abbott Laboratories Closure device
US8858594B2 (en) * 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
US9486191B2 (en) 2009-01-09 2016-11-08 Abbott Vascular, Inc. Closure devices
US9414820B2 (en) * 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US9089311B2 (en) * 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US20100179589A1 (en) * 2009-01-09 2010-07-15 Abbott Vascular Inc. Rapidly eroding anchor
US8114122B2 (en) 2009-01-13 2012-02-14 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US20100185234A1 (en) 2009-01-16 2010-07-22 Abbott Vascular Inc. Closure devices, systems, and methods
EP2391413A4 (en) 2009-01-29 2015-04-01 Vital Access Corp Vascular access ports and related methods
US9179901B2 (en) * 2009-01-29 2015-11-10 Vital Access Corporation Vascular access ports and related methods
US11197952B2 (en) 2009-01-29 2021-12-14 Advent Access Pte. Ltd. Vascular access ports and related methods
US20100217309A1 (en) * 2009-02-20 2010-08-26 Boston Scientific Scimed, Inc. Plug for arteriotomy closure and method of use
US8052914B2 (en) * 2009-02-20 2011-11-08 Boston Scientific Scimed, Inc. Modified plug for arteriotomy closure
US8292918B2 (en) 2009-02-20 2012-10-23 Boston Scientific Scimed, Inc. Composite plug for arteriotomy closure and method of use
US8529598B2 (en) 2009-02-20 2013-09-10 Boston Scientific Scimed, Inc. Tissue puncture closure device
US8375553B2 (en) * 2009-02-20 2013-02-19 Boston Scientific Scimed, Inc. Locking element for vascular closure device
US8317824B2 (en) * 2009-02-20 2012-11-27 Boston Scientific Scimed, Inc. Tissue puncture closure device
US9913634B2 (en) * 2009-02-20 2018-03-13 Boston Scientific Scimed, Inc. Locking element for vascular closure device
JP5448533B2 (en) * 2009-03-31 2014-03-19 テルモ株式会社 In vivo tissue closure device
US20100256629A1 (en) * 2009-04-06 2010-10-07 Voyage Medical, Inc. Methods and devices for treatment of the ostium
US8187273B2 (en) 2009-05-07 2012-05-29 Tyco Healthcare Group Lp Apparatus, system, and method for performing an electrosurgical procedure
US8162975B2 (en) * 2009-05-08 2012-04-24 Medtronic Vascular, Inc. Systems and methods for closing a percutaneous vascular puncture
US9636094B2 (en) 2009-06-22 2017-05-02 W. L. Gore & Associates, Inc. Sealing device and delivery system
US20120029556A1 (en) 2009-06-22 2012-02-02 Masters Steven J Sealing device and delivery system
US9205244B2 (en) 2009-06-29 2015-12-08 Cook Medical Technologies Llc Haemostatic valve device
US8591451B2 (en) * 2009-07-07 2013-11-26 Marwan Tabbara Surgical methods, devices, and kits
US20140155804A1 (en) * 2009-07-07 2014-06-05 Marwan Tabbara Surgical devices and kits
US8246618B2 (en) 2009-07-08 2012-08-21 Tyco Healthcare Group Lp Electrosurgical jaws with offset knife
US9078631B2 (en) * 2009-07-28 2015-07-14 St. Jude Medical Puerto Rico Llc Dual hypotube suture cutting device and methods
WO2011014244A1 (en) * 2009-07-28 2011-02-03 St. Jude Medical Puerto Rico Llc Vascular closure device with automatic suture cutter
EP2464296B1 (en) * 2009-08-14 2018-09-19 Terumo Puerto Rico L.L.C. Carrier tube for vascular closure device
US9820726B2 (en) 2009-08-24 2017-11-21 St. Jude Medical Puerto Rico Llc Polymer membrane locator with built-in stress relief structure
US20110054492A1 (en) 2009-08-26 2011-03-03 Abbott Laboratories Medical device for repairing a fistula
WO2011025543A2 (en) 2009-08-31 2011-03-03 St. Jude Medical Puerto Rico Llc Monorail system for vascular closure device and methods
US8133254B2 (en) 2009-09-18 2012-03-13 Tyco Healthcare Group Lp In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor
US9282994B2 (en) * 2009-09-25 2016-03-15 St. Jude Medical Puerto Rico Llc Vascular access to closure sheath and methods
US8112871B2 (en) 2009-09-28 2012-02-14 Tyco Healthcare Group Lp Method for manufacturing electrosurgical seal plates
US8845682B2 (en) * 2009-10-13 2014-09-30 E-Pacing, Inc. Vasculature closure devices and methods
WO2011057131A1 (en) 2009-11-09 2011-05-12 Spotlight Technology Partners Llc Polysaccharide based hydrogels
US9179900B2 (en) * 2009-12-08 2015-11-10 Phillips Medical Llc Hemostatic device and its methods of use
US9993236B2 (en) 2009-12-08 2018-06-12 Phillips Medical, LLC Hemostatic device and its methods of use
EP2519161B1 (en) 2009-12-30 2020-04-29 Vivasure Medical Limited Closure system
US8652153B2 (en) * 2010-01-11 2014-02-18 Anulex Technologies, Inc. Intervertebral disc annulus repair system and bone anchor delivery tool
US8500776B2 (en) 2010-02-08 2013-08-06 Covidien Lp Vacuum patch for rapid wound closure
EP2533698B1 (en) * 2010-02-11 2018-03-28 Boston Scientific Scimed, Inc. Automatic vascular closure deployment devices
US8694071B2 (en) 2010-02-12 2014-04-08 Intuitive Surgical Operations, Inc. Image stabilization techniques and methods
US8303624B2 (en) * 2010-03-15 2012-11-06 Abbott Cardiovascular Systems, Inc. Bioabsorbable plug
US9814522B2 (en) 2010-04-06 2017-11-14 Intuitive Surgical Operations, Inc. Apparatus and methods for ablation efficacy
US8876862B2 (en) 2011-04-14 2014-11-04 Phillips Medical Llc Hemostatic device and its methods of use
US20110276087A1 (en) * 2010-05-10 2011-11-10 Morris Edward J Method and apparatus for sealing access with an anti-inflammatory infused member
WO2011146729A2 (en) * 2010-05-19 2011-11-24 Cook Incorporated Devices and methods useful for sealing bodily openings
US10231721B2 (en) 2010-06-24 2019-03-19 St. Croix Surgical Systems, Llc Failsafe percutaneous wound barrier
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US8603116B2 (en) 2010-08-04 2013-12-10 Abbott Cardiovascular Systems, Inc. Closure device with long tines
US8597340B2 (en) 2010-09-17 2013-12-03 Boston Scientific Scimed, Inc. Torque mechanism actuated bioabsorbable vascular closure device
US8758402B2 (en) 2010-12-17 2014-06-24 Boston Scientific Scimed, Inc. Tissue puncture closure device
EP2658453B1 (en) 2010-12-30 2020-04-29 Vivasure Medical Limited Surgical closure systems
US9113940B2 (en) 2011-01-14 2015-08-25 Covidien Lp Trigger lockout and kickback mechanism for surgical instruments
CA2824964C (en) 2011-01-19 2019-01-08 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US9820728B2 (en) 2011-01-19 2017-11-21 Access Closure, Inc. Apparatus and methods for sealing a vascular puncture
US8617184B2 (en) 2011-02-15 2013-12-31 Abbott Cardiovascular Systems, Inc. Vessel closure system
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
EP2697721B1 (en) 2011-04-15 2019-09-18 Heartstitch, Inc. Suturing devices for suturing an anatomic valve
US9386968B2 (en) 2011-05-11 2016-07-12 Access Closure, Inc. Apparatus and methods for sealing a vascular puncture
US8556932B2 (en) 2011-05-19 2013-10-15 Abbott Cardiovascular Systems, Inc. Collapsible plug for tissue closure
JP6122424B2 (en) 2011-06-16 2017-04-26 キュラシール インコーポレイテッド Device for fistula treatment and related method
WO2012174468A1 (en) 2011-06-17 2012-12-20 Curaseal Inc. Fistula treatment devices and methods
US9549715B2 (en) 2011-08-09 2017-01-24 Cook Regentec Llc Vial useable in tissue extraction procedures
US9770232B2 (en) 2011-08-12 2017-09-26 W. L. Gore & Associates, Inc. Heart occlusion devices
CA2855003C (en) 2011-11-08 2019-01-15 Boston Scientific Scimed, Inc. Handle assembly for a left atrial appendage occlusion device
US9332976B2 (en) 2011-11-30 2016-05-10 Abbott Cardiovascular Systems, Inc. Tissue closure device
SE1151240A1 (en) 2011-12-21 2013-06-22 St Jude Medical Systems Ab Biocompatible X-ray polymers for medical devices
USD680220S1 (en) 2012-01-12 2013-04-16 Coviden IP Slider handle for laparoscopic device
US9662099B2 (en) 2012-02-29 2017-05-30 Vivasure Medical Limited Percutaneous perforation closure systems, devices, and methods
US8721680B2 (en) 2012-03-23 2014-05-13 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US9757105B2 (en) 2012-03-23 2017-09-12 Accessclosure, Inc. Apparatus and methods for sealing a vascular puncture
US9821145B2 (en) 2012-03-23 2017-11-21 Pressure Products Medical Supplies Inc. Transseptal puncture apparatus and method for using the same
US9642604B2 (en) 2012-04-12 2017-05-09 Phillips Medical Llc Hemostatic system and its methods of use
US10434293B2 (en) 2012-04-15 2019-10-08 Tva Medical, Inc. Implantable flow connector
US9314600B2 (en) 2012-04-15 2016-04-19 Bioconnect Systems, Inc. Delivery system for implantable flow connector
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
EP2852332B1 (en) 2012-05-11 2019-06-26 Heartstitch, Inc. Suturing devices for suturing an anatomic structure
US9468428B2 (en) 2012-06-13 2016-10-18 Phillips Medical Llc Hemostatic device and its methods of use
EP2895059B1 (en) 2012-09-14 2019-11-06 Endotronix, Inc. Delivery system
US9364209B2 (en) 2012-12-21 2016-06-14 Abbott Cardiovascular Systems, Inc. Articulating suturing device
US9554785B2 (en) 2012-12-21 2017-01-31 Essential Medical, Inc. Vascular locating systems and methods of use
US10828019B2 (en) 2013-01-18 2020-11-10 W.L. Gore & Associates, Inc. Sealing device and delivery system
EP2948068A4 (en) 2013-01-28 2016-09-28 Cartiva Inc Systems and methods for orthopedic repair
US9737294B2 (en) 2013-01-28 2017-08-22 Cartiva, Inc. Method and system for orthopedic repair
US9131932B2 (en) * 2013-02-01 2015-09-15 St. Jude Medical Puerto Rico Llc Dual lumen carrier tube with retractable sleeve and methods
US20140277111A1 (en) * 2013-03-12 2014-09-18 St. Jude Medical Puerto Rico Llc Oval vascular closure device and methods
US20140277467A1 (en) 2013-03-14 2014-09-18 Spinal Stabilization Technologies, Llc Prosthetic Spinal Disk Nucleus
US9850013B2 (en) 2013-03-15 2017-12-26 Vivasure Medical Limited Loading devices and methods for percutaneous perforation closure systems
US9724081B2 (en) 2013-06-04 2017-08-08 Phillips Medical Llc Hemostatic system and its methods of use
EP3473189A1 (en) 2013-07-02 2019-04-24 Med-venture Investments, LLC Suturing devices for suturing an anatomic structure
US10085730B2 (en) 2013-07-12 2018-10-02 Phillips Medical, LLC Hemostatic device and its methods of use
US9839416B2 (en) 2013-07-12 2017-12-12 Phillips Medical, LLC Hemostatic device and its methods of use
WO2015009634A2 (en) 2013-07-15 2015-01-22 E-Pacing, Inc. Vasculature closure devices and methods
WO2015017992A1 (en) 2013-08-07 2015-02-12 Covidien Lp Surgical forceps
WO2015085145A1 (en) 2013-12-06 2015-06-11 Med-Venture Investments, Llc Suturing methods and apparatuses
US9730701B2 (en) 2014-01-16 2017-08-15 Boston Scientific Scimed, Inc. Retrieval wire centering device
US9808230B2 (en) 2014-06-06 2017-11-07 W. L. Gore & Associates, Inc. Sealing device and delivery system
DK2962721T3 (en) 2014-07-04 2019-07-15 Abiomed Europe Gmbh SHELTERS FOR CLOSED ACCESS TO AN YEAR
EP3789054A1 (en) * 2014-07-04 2021-03-10 Abiomed Europe GmbH Sheath for sealed access to a vessel
US10178993B2 (en) 2014-07-11 2019-01-15 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US10231777B2 (en) 2014-08-26 2019-03-19 Covidien Lp Methods of manufacturing jaw members of an end-effector assembly for a surgical instrument
PL3215067T3 (en) 2014-11-04 2020-11-02 Spinal Stabilization Technologies Llc Percutaneous implantable nuclear prosthesis
EP3215069B1 (en) 2014-11-04 2023-03-08 Spinal Stabilization Technologies LLC Percutaneous implantable nuclear prosthesis
MA40946A (en) 2014-11-14 2017-09-19 Access Closure Inc APPARATUS AND METHODS FOR MAKING A VASCULAR PUNCTURE WATERTIGHT
WO2016096932A1 (en) 2014-12-15 2016-06-23 Vivasure Medical Limited Closure apparatus with flexible sealable member and flexible support member
US11141142B2 (en) 2014-12-15 2021-10-12 Vivasure Medical Limited Implantable sealable member with mesh layer
CN104586457B (en) * 2015-01-15 2017-02-22 李国庆 Blood vessel plugging device for coronary perforation and application
US10016188B2 (en) * 2015-02-10 2018-07-10 Teleflex Innovation S.à.r.l. Closure device for sealing percutaneous opening in a vessel
US9987078B2 (en) 2015-07-22 2018-06-05 Covidien Lp Surgical forceps
US10631918B2 (en) 2015-08-14 2020-04-28 Covidien Lp Energizable surgical attachment for a mechanical clamp
WO2017031712A1 (en) 2015-08-26 2017-03-02 Covidien Lp Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread
KR102607758B1 (en) 2015-09-01 2023-11-29 스파이널 스태빌라이제이션 테크놀로지스, 엘엘씨 Implantable nuclear prosthesis
US9996712B2 (en) 2015-09-02 2018-06-12 Endotronix, Inc. Self test device and method for wireless sensor reader
US10213250B2 (en) 2015-11-05 2019-02-26 Covidien Lp Deployment and safety mechanisms for surgical instruments
US9486323B1 (en) 2015-11-06 2016-11-08 Spinal Stabilization Technologies Llc Nuclear implant apparatus and method following partial nuclectomy
USD843573S1 (en) 2015-11-13 2019-03-19 Access Closure, Inc. Vascular closure apparatus
USD865166S1 (en) 2015-11-13 2019-10-29 Access Closure, Inc. Sheath adapter
USD847988S1 (en) 2015-11-13 2019-05-07 Access Closure, Inc. Handle grip
WO2017083660A1 (en) 2015-11-13 2017-05-18 Cardiac Pacemakers, Inc. Bioabsorbable left atrial appendage closure with endothelialization promoting surface
WO2017102941A1 (en) 2015-12-15 2017-06-22 Vivasure Medical Limited Arteriotomy closure apparatus with slotted shoe for advantageous pressure distribution
WO2017180092A1 (en) 2016-04-11 2017-10-19 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
US10299795B2 (en) 2016-04-28 2019-05-28 Mayo Foundation For Medical Education And Research Devices and methods for esophageal lengthening and anastomosis formation
US10856933B2 (en) 2016-08-02 2020-12-08 Covidien Lp Surgical instrument housing incorporating a channel and methods of manufacturing the same
US10918407B2 (en) 2016-11-08 2021-02-16 Covidien Lp Surgical instrument for grasping, treating, and/or dividing tissue
US11615257B2 (en) 2017-02-24 2023-03-28 Endotronix, Inc. Method for communicating with implant devices
EP3585252A1 (en) 2017-02-24 2020-01-01 Endotronix, Inc. Wireless sensor reader assembly
EP3612084A1 (en) 2017-04-20 2020-02-26 Endotronix, Inc. Anchoring system for a catheter delivered device
WO2018200891A1 (en) 2017-04-27 2018-11-01 Boston Scientific Scimed, Inc. Occlusive medical device with fabric retention barb
US11166759B2 (en) 2017-05-16 2021-11-09 Covidien Lp Surgical forceps
EP3641660A1 (en) 2017-06-19 2020-04-29 Heartstitch, Inc. Suturing devices and methods for suturing an opening in the apex of the heart
WO2019018644A1 (en) 2017-07-19 2019-01-24 Endotronix, Inc. Physiological monitoring system
WO2019035095A1 (en) 2017-08-18 2019-02-21 Nobles Medical Technologies Ii, Inc. Apparatus for applying a knot to a suture
AU2018325456B2 (en) 2017-09-02 2022-09-08 Precision Drone Services Intellectual Property, Llc Seed distribution assembly for an aerial vehicle
US10952741B2 (en) 2017-12-18 2021-03-23 Boston Scientific Scimed, Inc. Occlusive device with expandable member
US11413048B2 (en) 2018-01-19 2022-08-16 Boston Scientific Scimed, Inc. Occlusive medical device with delivery system
EP3787484A1 (en) 2018-05-02 2021-03-10 Boston Scientific Scimed Inc. Occlusive sealing sensor system
US11241239B2 (en) 2018-05-15 2022-02-08 Boston Scientific Scimed, Inc. Occlusive medical device with charged polymer coating
WO2019237022A1 (en) 2018-06-08 2019-12-12 Boston Scientific Scimed, Inc. Occlusive device with actuatable fixation members
EP3801300A1 (en) 2018-06-08 2021-04-14 Boston Scientific Scimed, Inc. Medical device with occlusive member
WO2020010201A1 (en) 2018-07-06 2020-01-09 Boston Scientific Scimed, Inc. Occlusive medical device
CN112714632A (en) 2018-08-21 2021-04-27 波士顿科学医学有限公司 Barbed protruding member for cardiovascular devices
AU2019384660A1 (en) 2018-09-04 2021-03-25 Spinal Stabilization Technologies, Llc Implantable nuclear prosthesis, kits, and related methods
US11737745B2 (en) 2018-10-24 2023-08-29 Mayo Foundation For Medical Education And Research Medical devices and methods for body conduit lengthening and anastomosis formation
US11504105B2 (en) 2019-01-25 2022-11-22 Rex Medical L.P. Vascular hole closure device
US11350919B2 (en) 2019-02-19 2022-06-07 Teleflex Life Sciences Limited Puncture locating system with blood pulsation indicator
WO2021041831A1 (en) 2019-08-30 2021-03-04 Boston Scientific Scimed, Inc. Left atrial appendage implant with sealing disk
US11090050B2 (en) 2019-09-03 2021-08-17 Covidien Lp Trigger mechanisms for surgical instruments and surgical instruments including the same
US11903589B2 (en) 2020-03-24 2024-02-20 Boston Scientific Scimed, Inc. Medical system for treating a left atrial appendage
CN113509224B (en) * 2021-04-19 2022-08-05 东莞市松山湖中心医院(东莞市石龙人民医院、东莞市第三人民医院、东莞市心血管病研究所) Meniscus stitching instrument and positioning tube thereof

Family Cites Families (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1794221A (en) * 1929-09-09 1931-02-24 Lack Mfg Company Applicator
US2386590A (en) * 1940-10-12 1945-10-09 Calhoun Vernon Catamenial device
GB587251A (en) * 1944-10-24 1947-04-18 Herbert Hammond Ogburn Improvements in or relating to surgical suturing instruments
US2931353A (en) * 1957-05-31 1960-04-05 Harry D Kitzul Colostomy appliance
US2953290A (en) * 1958-02-04 1960-09-20 Western Electric Co Wire control for wire feeding machine
US3459189A (en) * 1965-07-28 1969-08-05 Brunswick Corp Trocar catheter
US3570489A (en) * 1965-07-29 1971-03-16 James Graham Brown Hygienic guarding device
US3638653A (en) * 1969-07-31 1972-02-01 H Lee Berry Suturing device
US3675639A (en) * 1970-05-11 1972-07-11 Hugo S Cimber Device for and method of temporary sterilizing a female
DE2117014A1 (en) * 1971-04-02 1972-10-26 Schering Ag, 1000 Berlin Und 4619 Bergkamen Salts of iodomethanesulfonic acid with organic bases
US3800792A (en) * 1972-04-17 1974-04-02 Johnson & Johnson Laminated collagen film dressing
US3859998A (en) * 1972-06-05 1975-01-14 Johnson & Johnson Intravenous needle assembly
US3874388A (en) * 1973-02-12 1975-04-01 Ochsner Med Found Alton Shunt defect closure system
US4020835A (en) * 1973-08-16 1977-05-03 Boehringer Ingelheim Gmbh Catheter placement assembly
US4007743A (en) * 1975-10-20 1977-02-15 American Hospital Supply Corporation Opening mechanism for umbrella-like intravascular shunt defect closure device
US4031569A (en) * 1976-03-15 1977-06-28 Jacob H John Nasal septum plug
DE2717607C3 (en) * 1977-04-20 1981-06-25 Coloplast A/S, Espergaerde Magnetic stopper for an anus
US4235238A (en) * 1978-05-11 1980-11-25 Olympus Optical Co., Ltd. Apparatus for suturing coeliac tissues
US4207870A (en) * 1978-06-15 1980-06-17 Becton, Dickinson And Company Blood sampling assembly having porous vent means vein entry indicator
IT1107513B (en) * 1978-10-26 1985-11-25 Pal Di Dona Alessandro & C S N SELF-LOCKING DEVICE FOR ROPES, BRAIDS, CABLES AND SIMILAR PARTICULARLY INVITED TO TRACTION
JPS5753566Y2 (en) * 1979-02-20 1982-11-19
US4317445A (en) * 1980-03-31 1982-03-02 Baxter Travenol Laboratories, Inc. Catheter insertion unit with separate flashback indication for the cannula
US4468224A (en) * 1982-01-28 1984-08-28 Advanced Cardiovascular Systems, Inc. System and method for catheter placement in blood vessels of a human patient
US4741330A (en) * 1983-05-19 1988-05-03 Hayhurst John O Method and apparatus for anchoring and manipulating cartilage
US4519392A (en) * 1982-10-12 1985-05-28 Lingua Robert W Hemostasing muscle clips for needleless surgery
US4493323A (en) * 1982-12-13 1985-01-15 University Of Iowa Research Foundation Suturing device and method for using same
DE3302932C2 (en) * 1983-01-28 1986-04-24 Johnson & Johnson GmbH, 4000 Düsseldorf Tampon pack
ES533509A1 (en) * 1983-07-18 1985-09-01 Abbott Lab Catheter flashback indicator.
US4525157A (en) * 1983-07-28 1985-06-25 Manresa, Inc. Closed system catheter with guide wire
US4774091A (en) * 1983-10-14 1988-09-27 Sumitomo Pharmaceuticals Company, Ltd. Long-term sustained-release preparation
US4602635A (en) * 1983-11-14 1986-07-29 Mulhollan James S Remote surgical knot tier and method of use
US4650488A (en) * 1984-05-16 1987-03-17 Richards Medical Company Biodegradable prosthetic device
JPS61122222A (en) * 1984-11-19 1986-06-10 Koken:Kk Hemostatic agent composed of collagen or gelatin and protamine
US4587969A (en) * 1985-01-28 1986-05-13 Rolando Gillis Support assembly for a blood vessel or like organ
US4750492A (en) * 1985-02-27 1988-06-14 Richards Medical Company Absorbable suture apparatus, method and installer
US4610671A (en) * 1985-03-28 1986-09-09 Luther Medical Products, Inc. Assembly of stylet and catheter
US4654031A (en) * 1985-04-15 1987-03-31 Warner-Lambert Company Flash chamber
US4787391A (en) * 1985-06-17 1988-11-29 Elefteriades John A Anastomotic marking device and related method
US4669473A (en) * 1985-09-06 1987-06-02 Acufex Microsurgical, Inc. Surgical fastener
US4705040A (en) * 1985-11-18 1987-11-10 Medi-Tech, Incorporated Percutaneous fixation of hollow organs
US4655750A (en) * 1985-11-22 1987-04-07 Manresa, Inc. Closed system catheter with guide wire
DE3541744A1 (en) * 1985-11-26 1987-05-27 Heraeus Gmbh W C GAS LASER
GB2188237B (en) * 1986-02-27 1989-11-08 Samir I Hakki Suturing device
US4721507A (en) * 1986-06-05 1988-01-26 Thomas J. Fogarty Shear force gauge and method and apparatus for limiting embolectomy shear force
US4772264A (en) * 1986-06-23 1988-09-20 Regents Of The University Of Minnesota Catheter introduction set
US4770183A (en) * 1986-07-03 1988-09-13 Advanced Magnetics Incorporated Biologically degradable superparamagnetic particles for use as nuclear magnetic resonance imaging agents
US4890612A (en) * 1987-02-17 1990-01-02 Kensey Nash Corporation Device for sealing percutaneous puncture in a vessel
US4744364A (en) * 1987-02-17 1988-05-17 Intravascular Surgical Instruments, Inc. Device for sealing percutaneous puncture in a vessel
US4852568A (en) * 1987-02-17 1989-08-01 Kensey Nash Corporation Method and apparatus for sealing an opening in tissue of a living being
US4792326A (en) * 1987-03-30 1988-12-20 Kimberly-Clark Corporation Rapidly disintegrating paper tubes
US4820283A (en) * 1988-01-13 1989-04-11 Baxter Travenol Laboratories, Inc. Shear force gauge
US4863431A (en) * 1988-03-03 1989-09-05 Vaillancourt Vincent L Catheter assembly
FR2628964B1 (en) * 1988-03-22 1990-11-30 Roux Martial DEVICES FOR PLACING AND FIXING CANNULAS ON THE HEART OR LARGE VESSELS IN ORDER TO CONDUCT EXTRACORPOREAL CIRCULATION FOR CARDIAC SURGERY
GB8808305D0 (en) * 1988-04-08 1988-05-11 Nycomed As Compositions
US4904240A (en) * 1988-06-09 1990-02-27 Hoover Rocklin L Method and apparatus for starting intravenous solutions
US5074840A (en) * 1990-07-24 1991-12-24 Inbae Yoon Packing device and method of packing for endoscopic procedures
US5053046A (en) * 1988-08-22 1991-10-01 Woodrow W. Janese Dural sealing needle and method of use
US4961729A (en) * 1988-12-13 1990-10-09 Vaillancourt Vincent L Catheter insertion assembly
DE3920171A1 (en) * 1988-12-21 1990-07-05 Escher Wyss Ag ROLLER WITH A ROTATABLE ROLL SHELL AND METHOD FOR OPERATING THE SAME
FR2640870A1 (en) * 1988-12-26 1990-06-29 Kabbara Jamil
US4950283A (en) * 1988-12-29 1990-08-21 John Lezdey Surgical clip
FR2641692A1 (en) * 1989-01-17 1990-07-20 Nippon Zeon Co Plug for closing an opening for a medical application, and device for the closure plug making use thereof
NL8901350A (en) * 1989-05-29 1990-12-17 Wouter Matthijs Muijs Van De M CLOSURE ASSEMBLY.
DE3918431C1 (en) * 1989-06-06 1990-07-26 B. Braun Melsungen Ag, 3508 Melsungen, De
US5120527A (en) * 1989-10-19 1992-06-09 King Chuen Peter Li Paramagnetic oil emulsions as mri contrast agents
WO1991015155A1 (en) * 1990-04-02 1991-10-17 Kanji Inoue Device for closing shunt opening by nonoperative method
US5021059A (en) * 1990-05-07 1991-06-04 Kensey Nash Corporation Plug device with pulley for sealing punctures in tissue and methods of use
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5041129A (en) * 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5236445A (en) * 1990-07-02 1993-08-17 American Cyanamid Company Expandable bone anchor and method of anchoring a suture to a bone
US5269809A (en) * 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5176691A (en) * 1990-09-11 1993-01-05 Pierce Instruments, Inc. Knot pusher
US5108421A (en) * 1990-10-01 1992-04-28 Quinton Instrument Company Insertion assembly and method of inserting a vessel plug into the body of a patient
US5108420A (en) * 1991-02-01 1992-04-28 Temple University Aperture occlusion device
US5254133A (en) * 1991-04-24 1993-10-19 Seid Arnold S Surgical implantation device and related method of use
US5258015A (en) * 1991-05-03 1993-11-02 American Cyanamid Company Locking filament caps
CA2078530A1 (en) * 1991-09-23 1993-03-24 Jay Erlebacher Percutaneous arterial puncture seal device and insertion tool therefore
EP0545091B1 (en) * 1991-11-05 1999-07-07 The Children's Medical Center Corporation Occluder for repair of cardiac and vascular defects
US5376376A (en) * 1992-01-13 1994-12-27 Li; Shu-Tung Resorbable vascular wound dressings
US5810810A (en) * 1992-04-23 1998-09-22 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures

Cited By (208)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8888812B2 (en) 2000-12-14 2014-11-18 Cordis Corporation Plug with collet and apparatus and methods for delivering such plugs
US9492148B2 (en) 2000-12-14 2016-11-15 CARDINAL HEALTH SWITZERLAND 515 GmbH Apparatus and methods for sealing vascular punctures
US9655602B2 (en) 2000-12-14 2017-05-23 CARDINAL HEALTH SWITZERLAND 515 GmbH Vascular plug having composite construction
US8409248B2 (en) 2000-12-14 2013-04-02 Core Medical, Inc. Plug with detachable guidewire element and methods for use
US7753933B2 (en) 2000-12-14 2010-07-13 Ensure Medical, Inc. Plug with detachable guidewire element and methods for use
US8057510B2 (en) 2000-12-14 2011-11-15 Ensure Medical, Inc. Plug with collet and apparatus and method for delivering such plugs
US8075587B2 (en) 2000-12-14 2011-12-13 Ensure Medical, Inc. Apparatus and methods for sealing vascular punctures
US8083768B2 (en) 2000-12-14 2011-12-27 Ensure Medical, Inc. Vascular plug having composite construction
US9345460B2 (en) * 2001-04-24 2016-05-24 Cardiovascular Technologies, Inc. Tissue closure devices, device and systems for delivery, kits and methods therefor
US20100312259A1 (en) * 2001-04-24 2010-12-09 Houser Russell A Tissue closure devices, device and systems for delivery, kits and methods therefor
US8992567B1 (en) 2001-04-24 2015-03-31 Cardiovascular Technologies Inc. Compressible, deformable, or deflectable tissue closure devices and method of manufacture
US20050049637A1 (en) * 2001-06-08 2005-03-03 Morris Edward J. Method and apparatus for sealing access
US20070038245A1 (en) * 2001-06-08 2007-02-15 Morris Edward J Dilator
US20060004408A1 (en) * 2001-06-08 2006-01-05 Morris Edward J Method and apparatus for sealing access
US7993365B2 (en) 2001-06-08 2011-08-09 Morris Innovative, Inc. Method and apparatus for sealing access
WO2003049598A2 (en) * 2001-12-07 2003-06-19 Biopsy Sciences, Llc Bioabsorbable sealant
EP1450725A4 (en) * 2001-12-07 2005-03-23 Biopsy Sciences Llc Bioabsorbable sealant
US6685727B2 (en) * 2001-12-07 2004-02-03 Bio-Seal, Llc Bioabsorbable sealant
WO2003049598A3 (en) * 2001-12-07 2004-04-29 Biopsy Sciences Llc Bioabsorbable sealant
EP1450725A2 (en) * 2001-12-07 2004-09-01 Biopsy Sciences, Llc. Bioabsorbable sealant
AU2004200121B2 (en) * 2003-01-14 2009-01-15 St. Jude Medical Coordination Center Bvba Closure device and method
US8512372B2 (en) 2003-01-14 2013-08-20 Radi Medical Systems Ab Closure device and method for sealing a puncture in a blood vessel
US20040204741A1 (en) * 2003-01-14 2004-10-14 Radi Medical Systems Ab Closure device and method for sealing a puncture in a blood vessel
US8118831B2 (en) * 2003-01-14 2012-02-21 Radi Medical Systems Ab Closure device and method for sealing a puncture in a blood vessel
EP1440661A1 (en) * 2003-01-14 2004-07-28 Radi Medical Systems Ab Closure device and method
US7115127B2 (en) * 2003-02-04 2006-10-03 Cardiodex, Ltd. Methods and apparatus for hemostasis following arterial catheterization
US8372072B2 (en) 2003-02-04 2013-02-12 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US20040153054A1 (en) * 2003-02-04 2004-08-05 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US8579934B2 (en) 2003-10-17 2013-11-12 Ensure Medical, Inc. Locator and delivery device and method of use
US8852229B2 (en) * 2003-10-17 2014-10-07 Cordis Corporation Locator and closure device and method of use
WO2006026116A1 (en) 2004-08-27 2006-03-09 Accessclosure, Inc. Apparatus for facilitating hemostasis within a vascular puncture
US20060047313A1 (en) * 2004-08-27 2006-03-02 Accessclosure, Inc. Apparatus and methods for facilitating hemostasis within a vascular puncture
US8348971B2 (en) 2004-08-27 2013-01-08 Accessclosure, Inc. Apparatus and methods for facilitating hemostasis within a vascular puncture
US8435236B2 (en) 2004-11-22 2013-05-07 Cardiodex, Ltd. Techniques for heat-treating varicose veins
US8926654B2 (en) 2005-05-04 2015-01-06 Cordis Corporation Locator and closure device and method of use
US8088144B2 (en) 2005-05-04 2012-01-03 Ensure Medical, Inc. Locator and closure device and method of use
US9289198B2 (en) 2005-05-04 2016-03-22 Cordis Corporation Locator and closure device and method of use
US20070198058A1 (en) * 2006-02-21 2007-08-23 Daniel Gelbart Method and device for closing holes in tissue
US7749249B2 (en) 2006-02-21 2010-07-06 Kardium Inc. Method and device for closing holes in tissue
US9572557B2 (en) 2006-02-21 2017-02-21 Kardium Inc. Method and device for closing holes in tissue
US8337524B2 (en) 2006-02-21 2012-12-25 Kardium Inc. Method and device for closing holes in tissue
WO2007121747A1 (en) 2006-04-20 2007-11-01 Cardio Capacity A/S A vascular access closure device
US8532746B2 (en) 2006-05-19 2013-09-10 Kardium Inc. Automatic atherectomy system
US8150499B2 (en) 2006-05-19 2012-04-03 Kardium Inc. Automatic atherectomy system
US9119634B2 (en) 2006-06-28 2015-09-01 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US9987083B2 (en) 2006-06-28 2018-06-05 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US11389232B2 (en) 2006-06-28 2022-07-19 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US11399890B2 (en) 2006-06-28 2022-08-02 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US20080004534A1 (en) * 2006-06-28 2008-01-03 Daniel Gelbart Intra-cardiac mapping and ablation method
US10028783B2 (en) 2006-06-28 2018-07-24 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US9192468B2 (en) 2006-06-28 2015-11-24 Kardium Inc. Method for anchoring a mitral valve
US8920411B2 (en) 2006-06-28 2014-12-30 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US9119633B2 (en) 2006-06-28 2015-09-01 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US10828094B2 (en) 2006-06-28 2020-11-10 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US10828093B2 (en) 2006-06-28 2020-11-10 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US8672998B2 (en) 2006-06-28 2014-03-18 Kardium Inc. Method for anchoring a mitral valve
US10820941B2 (en) 2006-06-28 2020-11-03 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US11389231B2 (en) 2006-06-28 2022-07-19 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US9987084B2 (en) 2006-06-28 2018-06-05 Kardium Inc. Apparatus and method for intra-cardiac mapping and ablation
US8449605B2 (en) 2006-06-28 2013-05-28 Kardium Inc. Method for anchoring a mitral valve
US11033392B2 (en) 2006-08-02 2021-06-15 Kardium Inc. System for improving diastolic dysfunction
US7837610B2 (en) 2006-08-02 2010-11-23 Kardium Inc. System for improving diastolic dysfunction
US20080045778A1 (en) * 2006-08-02 2008-02-21 Samuel Victor Lichtenstein System for improving diastolic dysfunction
US20080071297A1 (en) * 2006-08-31 2008-03-20 Thomas Kohl Device For Inserting At Least One Anchor Piece Into A Hollow Space Of A Living Being
US8142449B2 (en) * 2006-08-31 2012-03-27 Karl Storz Gmbh & Co. Kg Device for inserting at least one anchor piece into a hollow space of a living being
US20080065121A1 (en) * 2006-09-07 2008-03-13 Terumo Kabushiki Kaisha Tissue closing device
US8241323B2 (en) * 2006-09-07 2012-08-14 Terumo Kabushiki Kaisha Tissue closing device
US20090125056A1 (en) * 2007-08-15 2009-05-14 Cardiodex Ltd. Systems and methods for puncture closure
US8366706B2 (en) 2007-08-15 2013-02-05 Cardiodex, Ltd. Systems and methods for puncture closure
US9456816B2 (en) 2007-09-12 2016-10-04 Transluminal Technologies, Llc Closure device, deployment apparatus, and method of deploying a closure device
US8137380B2 (en) 2007-09-12 2012-03-20 Transluminal Technologies, Llc Closure device, deployment apparatus, and method of deploying a closure device
US20110046665A1 (en) * 2007-09-12 2011-02-24 Transluminal Technologies, Llc Closure Device, Deployment Apparatus, and Method of Deploying a Closure Device
US8876861B2 (en) 2007-09-12 2014-11-04 Transluminal Technologies, Inc. Closure device, deployment apparatus, and method of deploying a closure device
US11304751B2 (en) 2007-11-16 2022-04-19 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US9585717B2 (en) 2007-11-16 2017-03-07 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US10828097B2 (en) 2007-11-16 2020-11-10 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US8932287B2 (en) 2007-11-16 2015-01-13 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US9750569B2 (en) 2007-11-16 2017-09-05 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US10828096B2 (en) 2007-11-16 2020-11-10 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US10828095B2 (en) 2007-11-16 2020-11-10 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US8906011B2 (en) 2007-11-16 2014-12-09 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11751940B2 (en) 2007-11-16 2023-09-12 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11076913B2 (en) 2007-11-16 2021-08-03 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11633231B2 (en) 2007-11-16 2023-04-25 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US9877779B2 (en) 2007-11-16 2018-01-30 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US9839474B2 (en) 2007-11-16 2017-12-12 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US9603661B2 (en) 2007-11-16 2017-03-28 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11801091B2 (en) 2007-11-16 2023-10-31 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US9820810B2 (en) 2007-11-16 2017-11-21 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11331141B2 (en) 2007-11-16 2022-05-17 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11413091B2 (en) 2007-11-16 2022-08-16 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US10828098B2 (en) 2007-11-16 2020-11-10 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US10499986B2 (en) 2007-11-16 2019-12-10 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US11432874B2 (en) 2007-11-16 2022-09-06 Kardium Inc. Medical device for use in bodily lumens, for example an atrium
US8652166B2 (en) * 2007-11-30 2014-02-18 Radi Medical Systems Ab Insertion tool for a medical closure device
US20090143817A1 (en) * 2007-11-30 2009-06-04 Radi Medical Systems Ab Insertion tool for a medical closure device
US10390809B2 (en) 2007-11-30 2019-08-27 Terumo Europe N.V. Insertion tool for a medical closure device
US9585645B2 (en) 2007-11-30 2017-03-07 St. Jude Medical Coordination Center Bvba Insertion tool for a medical closure device
US8961541B2 (en) 2007-12-03 2015-02-24 Cardio Vascular Technologies Inc. Vascular closure devices, systems, and methods of use
US8489172B2 (en) 2008-01-25 2013-07-16 Kardium Inc. Liposuction system
WO2009108750A1 (en) * 2008-02-26 2009-09-03 Boston Scientific Scimed, Inc. Closure device with rapidly dissolving anchor
US20090216267A1 (en) * 2008-02-26 2009-08-27 Boston Scientific Scimed, Inc. Closure device with rapidly dissolving anchor
US9744038B2 (en) 2008-05-13 2017-08-29 Kardium Inc. Medical device for constricting tissue or a bodily orifice, for example a mitral valve
US8118832B1 (en) 2008-06-16 2012-02-21 Morris Innovative, Inc. Method and apparatus for sealing access
US8974493B2 (en) 2008-06-16 2015-03-10 Morris Innovative, Inc. Method and apparatus for sealing access
WO2009155236A1 (en) * 2008-06-16 2009-12-23 Morris Innovative Research, Inc. Method and apparatus for sealing access
US10722224B2 (en) 2008-08-12 2020-07-28 Covidien Lp Medical device for wound closure and method of use
US11013504B2 (en) 2008-08-12 2021-05-25 Covidien Lp Medical device for wound closure and method of use
US20100042144A1 (en) * 2008-08-12 2010-02-18 Steven Bennett Medical Device for Wound Closure and Method of Use
US9271706B2 (en) 2008-08-12 2016-03-01 Covidien Lp Medical device for wound closure and method of use
US20100087854A1 (en) * 2008-08-12 2010-04-08 Joshua Stopek Medical device for wound closure and method of use
US9943302B2 (en) 2008-08-12 2018-04-17 Covidien Lp Medical device for wound closure and method of use
US9700363B2 (en) 2008-10-07 2017-07-11 Kardium Inc. Surgical instrument and method for tensioning and securing a flexible suture
US20100087836A1 (en) * 2008-10-07 2010-04-08 Kardium Inc. Surgical Instrument and Method for Tensioning and Securing a Flexible Suture
US20100087837A1 (en) * 2008-10-07 2010-04-08 Kardium Inc. Surgical Instrument and Method for Tensioning and Securing a Flexible Suture
US8888791B2 (en) 2008-10-07 2014-11-18 Kardium Inc. Surgical instrument and method for tensioning and securing a flexible suture
US9023058B2 (en) 2008-10-07 2015-05-05 Kardium Inc. Surgical instrument and method for tensioning and securing a flexible suture
US20100280546A1 (en) * 2009-05-04 2010-11-04 Patrick Campbell Biomaterials for track and puncture closure
US9463004B2 (en) * 2009-05-04 2016-10-11 Incept, Llc. Biomaterials for track and puncture closure
US8192456B2 (en) 2009-07-13 2012-06-05 Vascular Solutions, Inc. Metal vascular aperture closure device
US20110009901A1 (en) * 2009-07-13 2011-01-13 Tom Holman Metal vascular aperture closure device
US20110009900A1 (en) * 2009-07-13 2011-01-13 Tom Holman Metal vascular aperture closure device
US8252022B2 (en) 2009-07-13 2012-08-28 Vascular Solutions, Inc. Metal vascular aperture closure device
US10687941B2 (en) 2009-10-01 2020-06-23 Kardium Inc. Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US10813758B2 (en) 2009-10-01 2020-10-27 Kardium Inc. Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US9204964B2 (en) 2009-10-01 2015-12-08 Kardium Inc. Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US9867703B2 (en) 2009-10-01 2018-01-16 Kardium Inc. Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US10603022B2 (en) 2010-06-07 2020-03-31 Kardium Inc. Closing openings in anatomical tissue
US9918706B2 (en) 2010-06-07 2018-03-20 Kardium Inc. Closing openings in anatomical tissue
US9050066B2 (en) 2010-06-07 2015-06-09 Kardium Inc. Closing openings in anatomical tissue
US9839417B2 (en) 2010-06-08 2017-12-12 Essential Medical, Inc. Deployment instrument for closure device for percutaneously sealing punctures
US10835224B2 (en) 2010-06-08 2020-11-17 Arrow International, Inc. Deployment instrument for closure device for percutaneously sealing punctures
EP4169455A1 (en) * 2010-06-08 2023-04-26 Teleflex Life Sciences Limited Self-locking closure device for percutaneously sealing punctures
US8685059B2 (en) 2010-06-08 2014-04-01 Essential Medical Llc Self-locking closure device for percutaneously sealing punctures
WO2011156498A1 (en) * 2010-06-08 2011-12-15 Essential Medical, Llc. Self-locking closure device for percutaneously sealing punctures
US8870917B2 (en) 2010-06-08 2014-10-28 Essential Medical, Llc Deployment instrument for closure device for percutaneously sealing punctures
WO2012006375A1 (en) * 2010-07-06 2012-01-12 Pavilion Medical Innovations Endoscopic fascial closure devices and methods for using same
US8940002B2 (en) 2010-09-30 2015-01-27 Kardium Inc. Tissue anchor system
US9155530B2 (en) 2010-11-09 2015-10-13 Transluminal Technologies, Llc Specially designed magnesium-aluminum alloys and medical uses thereof in a hemodynamic environment
US9480525B2 (en) 2011-01-21 2016-11-01 Kardium, Inc. High-density electrode-based medical device system
US11399881B2 (en) 2011-01-21 2022-08-02 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US11896295B2 (en) 2011-01-21 2024-02-13 Kardium Inc. High-density electrode-based medical device system
US9675401B2 (en) 2011-01-21 2017-06-13 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US9492228B2 (en) 2011-01-21 2016-11-15 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US9492227B2 (en) 2011-01-21 2016-11-15 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US11607261B2 (en) 2011-01-21 2023-03-21 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US11596463B2 (en) 2011-01-21 2023-03-07 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US9486273B2 (en) 2011-01-21 2016-11-08 Kardium Inc. High-density electrode-based medical device system
US10485608B2 (en) 2011-01-21 2019-11-26 Kardium Inc. Catheter system
US11259867B2 (en) 2011-01-21 2022-03-01 Kardium Inc. High-density electrode-based medical device system
US9526573B2 (en) 2011-01-21 2016-12-27 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US11350989B2 (en) 2011-01-21 2022-06-07 Kardium Inc. Catheter system
US9452016B2 (en) 2011-01-21 2016-09-27 Kardium Inc. Catheter system
US11298173B2 (en) 2011-01-21 2022-04-12 Kardium Inc. Enhanced medical device for use in bodily cavities, for example an atrium
US9072511B2 (en) 2011-03-25 2015-07-07 Kardium Inc. Medical kit for constricting tissue or a bodily orifice, for example, a mitral valve
US10058318B2 (en) 2011-03-25 2018-08-28 Kardium Inc. Medical kit for constricting tissue or a bodily orifice, for example, a mitral valve
US11589855B2 (en) 2011-10-25 2023-02-28 Teleflex Life Sciences Limited Instrument and methods for surgically closing percutaneous punctures
US20130138149A1 (en) * 2011-11-28 2013-05-30 St. Jude Medical Puerto Rico Llc Large bore anchor device
US10285677B2 (en) 2011-11-28 2019-05-14 St. Jude Medical Puerto Rico Llc Large bore anchor device
US9492156B2 (en) * 2011-11-28 2016-11-15 St. Jude Medical Puerto Rico Llc Large bore anchor device
US9498209B2 (en) 2011-12-23 2016-11-22 Pavilion Medical Innovations, Llc Endoscopic fascial closure devices and methods for using same
USD777925S1 (en) 2012-01-20 2017-01-31 Kardium Inc. Intra-cardiac procedure device
USD777926S1 (en) 2012-01-20 2017-01-31 Kardium Inc. Intra-cardiac procedure device
US9693832B2 (en) 2012-05-21 2017-07-04 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US9259264B2 (en) 2012-05-21 2016-02-16 Kardium Inc. Systems and methods for activating transducers
US9532831B2 (en) 2012-05-21 2017-01-03 Kardium Inc. Systems and methods for activating transducers
US9572509B2 (en) 2012-05-21 2017-02-21 Kardium Inc. Systems and methods for activating transducers
US10918446B2 (en) 2012-05-21 2021-02-16 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11805974B2 (en) 2012-05-21 2023-11-07 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US9011423B2 (en) 2012-05-21 2015-04-21 Kardium, Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11690684B2 (en) 2012-05-21 2023-07-04 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11672485B2 (en) 2012-05-21 2023-06-13 Kardium Inc. Systems and methods for activating transducers
US9017321B2 (en) 2012-05-21 2015-04-28 Kardium, Inc. Systems and methods for activating transducers
US9017320B2 (en) 2012-05-21 2015-04-28 Kardium, Inc. Systems and methods for activating transducers
US11633238B2 (en) 2012-05-21 2023-04-25 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10827977B2 (en) 2012-05-21 2020-11-10 Kardium Inc. Systems and methods for activating transducers
US10470826B2 (en) 2012-05-21 2019-11-12 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11154248B2 (en) 2012-05-21 2021-10-26 Kardium Inc. Systems and methods for activating transducers
US11589821B2 (en) 2012-05-21 2023-02-28 Kardium Inc. Systems and methods for activating transducers
US10568576B2 (en) 2012-05-21 2020-02-25 Kardium Inc. Systems and methods for activating transducers
US9888972B2 (en) 2012-05-21 2018-02-13 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US9445862B2 (en) 2012-05-21 2016-09-20 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US9980679B2 (en) 2012-05-21 2018-05-29 Kardium Inc. Systems and methods for activating transducers
US9198592B2 (en) 2012-05-21 2015-12-01 Kardium Inc. Systems and methods for activating transducers
US9439713B2 (en) 2012-05-21 2016-09-13 Kardium Inc. Systems and methods for activating transducers
US11123053B2 (en) 2012-07-19 2021-09-21 Arrow International Llc Multi-lumen tamper tube
US10390810B2 (en) 2012-07-19 2019-08-27 Essential Medical, Inc. Multi-lumen tamper tube
US9757104B2 (en) 2012-07-19 2017-09-12 Essential Medical, Inc. Multi-lumen tamper tube
US11419592B2 (en) 2013-03-15 2022-08-23 Teleflex Life Sciences Limited Vascular closure devices and methods of use
US10154835B2 (en) 2013-05-09 2018-12-18 Essential Medical, Inc. Vascular closure device with conforming plug member
US11364024B2 (en) 2013-12-23 2022-06-21 Teleflex Life Sciences Limited Vascular closure device
US11779320B2 (en) 2013-12-23 2023-10-10 Teleflex Life Sciences Limited Vascular closure device
US10994075B2 (en) 2014-04-11 2021-05-04 Hemotek Medical Incorporated Systems and methods for automatic termination of flow due to needle dislodgement
US20150327843A1 (en) * 2014-05-16 2015-11-19 Silk Road Medical, Inc. Vessel access and closure assist system and method
US10182801B2 (en) * 2014-05-16 2019-01-22 Silk Road Medical, Inc. Vessel access and closure assist system and method
US10973502B2 (en) 2014-05-16 2021-04-13 Silk Road Medical, Inc. Vessel access and closure assist system and method
US20210290213A1 (en) * 2014-05-16 2021-09-23 Silk Road Medical, Inc. Vessel access and closure assist system and method
US10722184B2 (en) 2014-11-17 2020-07-28 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10751006B2 (en) 2014-11-17 2020-08-25 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10758191B2 (en) 2014-11-17 2020-09-01 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11026637B2 (en) 2014-11-17 2021-06-08 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11026638B2 (en) 2014-11-17 2021-06-08 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US10368936B2 (en) 2014-11-17 2019-08-06 Kardium Inc. Systems and methods for selecting, activating, or selecting and activating transducers
US11576663B2 (en) 2015-06-26 2023-02-14 Teleflex Life Sciences Limited Vascular closure device with removable guide member
US11446110B2 (en) 2016-12-21 2022-09-20 Hemotek Medical Incorporated Needle safety systems
WO2018119309A1 (en) 2016-12-21 2018-06-28 Hemotek Medical Incorporated Needle safety systems
WO2019213598A1 (en) * 2018-05-03 2019-11-07 Hemotek Medical Incorporated Needle safety systems
CN115252039A (en) * 2022-09-28 2022-11-01 苏州美创医疗科技有限公司 Vascular closure device and method

Also Published As

Publication number Publication date
US5935147A (en) 1999-08-10
EP1532929B1 (en) 2007-08-01
AU5393198A (en) 1998-04-09
HK1021128A1 (en) 2005-02-08
EP1532929A1 (en) 2005-05-25
CA2122994C (en) 2002-12-17
AU675777B2 (en) 1997-02-20
ATE519433T1 (en) 2011-08-15
DE69232446D1 (en) 2002-04-04
EP0766947A3 (en) 1998-03-11
ATE368422T1 (en) 2007-08-15
EP1949859B1 (en) 2011-08-10
WO1993008746A3 (en) 1993-08-05
DE69233621T2 (en) 2007-05-10
EP0766947B1 (en) 2002-02-27
US5282827A (en) 1994-02-01
HK1011276A1 (en) 1999-07-09
EP0797953A3 (en) 2000-01-12
EP1695667B1 (en) 2008-10-15
ATE410958T1 (en) 2008-10-15
JPH06510462A (en) 1994-11-24
ATE213607T1 (en) 2002-03-15
DK1695667T3 (en) 2009-02-23
DE69233705D1 (en) 2007-09-13
EP0662802A1 (en) 1995-07-19
ES2117059T3 (en) 1998-08-01
US5707393A (en) 1998-01-13
US5441517A (en) 1995-08-15
EP1262149A1 (en) 2002-12-04
WO1993008746A2 (en) 1993-05-13
ATE166557T1 (en) 1998-06-15
DE69225720D1 (en) 1998-07-02
JP2904733B2 (en) 1999-06-14
AU3128993A (en) 1993-06-07
JP2506561B2 (en) 1996-06-12
ATE324070T1 (en) 2006-05-15
EP1949859A1 (en) 2008-07-30
EP0797953B1 (en) 2006-04-26
AU704230B2 (en) 1999-04-15
JPH08173438A (en) 1996-07-09
EP0662802B1 (en) 1998-05-27
US6179863B1 (en) 2001-01-30
CA2122994A1 (en) 1993-05-13
DE69233748D1 (en) 2008-11-27
EP1695667A1 (en) 2006-08-30
US6007563A (en) 1999-12-28
DE69232446T2 (en) 2002-10-10
EP0797953A2 (en) 1997-10-01
AU7178896A (en) 1997-01-23
DE69233621D1 (en) 2006-06-01
JPH10305038A (en) 1998-11-17
DE69225720T2 (en) 1998-12-17
EP0766947A2 (en) 1997-04-09

Similar Documents

Publication Publication Date Title
US6179863B1 (en) Hemostatic puncture closure system and method of use
US6045569A (en) Hemostatic puncture closure system including closure locking means and methods of use
US5222974A (en) Hemostatic puncture closure system and method of use
US5411520A (en) Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use
EP0422046B1 (en) Device for sealing percutaneous puncture in a vessel
CA2276731C (en) Hemostatic puncture closure device
US5700277A (en) Hemostatic vessel puncture closure with filament lock
WO1998031286A1 (en) Hemostasis promoting device for sealing a puncture in a patient
AU2121099A (en) Hemostatic puncture closure system and method of use
AU2003235043B2 (en) Hemostatic puncture closure device

Legal Events

Date Code Title Description
AS Assignment

Owner name: KENSEY NASH CORPORATION, PENNSYLVANIA

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:KENSEY, KENNETH;NASH, JOHN;EVANS, DOUGLAS;REEL/FRAME:011691/0566

Effective date: 19911206

STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION