Apparatus and methods for sealing a vascular puncture

Inventors

Bagaoisan, Celso J. • Duong, Sieu

Assignees

Access Closure Inc

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Publication Number

US-10595838-B2

Patent

Publication Date

2020-03-24

Expiration Date


Abstract

An apparatus for sealing a puncture includes a positioning member including a proximal end, a distal end sized for insertion into a puncture, an expandable element on the distal end, and a tension indicator on the proximal end. The tension indicator includes a distal housing portion fixed relative to the proximal end, and a proximal housing portion or handle movable proximally relative to the distal housing portion. The handle is biased towards the distal housing portion such that, when sufficient tensile force is applied between the expandable element and the handle, the handle moves away from the distal housing portion. During use, the distal end is introduced through a puncture into a vessel, the expandable element is expanded, and the positioning member is partially withdrawn until the expanded element contacts a wall of the vessel and the handle separates from the distal housing portion, indicating that sufficient tension is applied.

Core Innovation

The disclosure relates to a system for sealing a puncture extending through tissue. The system includes an elongate positioning member having a proximal end, a distal end sized for insertion into a puncture extending through tissue, and a positioning element on the distal end. A sealant is disposed near the distal end of the elongate positioning member and proximal to the positioning element.

The disclosure provides a single housing on the positioning member proximal end that includes a first portion substantially fixed to the proximal end and a second portion movable relative to the first portion from a first position to a second position. The movable second portion is biased towards the first position and provides a visual indicator that indicates that a force being applied to a blood vessel by the positioning element is within a predetermined range when the second portion is in the second position.

The disclosure further describes a cartridge-based delivery of sealant using a tubular member with a lumen and a pusher that deploys sealant distally when the cartridge is retracted relative to the pusher. The positioning element is described as an expandable member for introduction into a puncture in a collapsed condition, including an expandable member comprising a balloon.

Claims Coverage

The partial content includes three independent claims. Across these independent claims, the coverage centers on an elongate positioning member with a distal positioning element, a tension indicator with a movable biased portion providing a visual marker or indicator of applied force within a predetermined or desired range, and sealant disposed near the distal end proximal to the positioning element.

Single-housing tension-indicator puncture-sealing system with visual force range indication

A system for sealing a puncture extending through tissue, comprising an elongate positioning member with a proximal end, a distal end sized for insertion into a puncture, and a positioning element on the distal end; a single housing on the positioning member proximal end with a first portion substantially fixed to the proximal end and a second portion movable from a first position to a second position upon contact to a blood vessel and biased towards the first position, and a visual indicator that indicates that a force being applied to a blood vessel by the positioning element is within a predetermined range when the second portion is in the second position; and a sealant disposed near the distal end of the elongate positioning member and proximal to the positioning element.

Introducer-sheath tension-indicator system with desired-force visual marker

A system for sealing a puncture extending through tissue, comprising an introducer sheath with a proximal end, a distal end sized for insertion through a puncture, and a lumen extending between the proximal and distal ends; an elongate positioning member sized for insertion into the introducer sheath lumen and having a proximal end, a distal end, and a positioning element on the distal end; and a tension indicator comprising a first portion substantially fixed to the positioning member proximal end, a second portion slideable from a first position to a second position along the first portion upon contact to a blood vessel by the positioning element and biased towards the first position, and a marker that provides a visual indication that a desired force is being applied to a blood vessel by the positioning element when the second portion is in the second position.

Temporary hemostasis tension indicator apparatus with slideable biased portion and visual indicator

A tension indicator apparatus for providing temporary hemostasis within a puncture extending through tissue to a body lumen, comprising an elongate member comprising a proximal end and a distal end sized for introduction into a puncture; a positioning element on the distal end sized for introduction into a puncture in a collapsed condition; and a tension indicator comprising a first portion substantially fixed to the elongate member proximal end, a second portion slideable from a first position to a second position along the first portion upon contact to a vessel by the positioning element and biased towards the first position, and a visual indicator that indicates that a desired force is being applied to the blood vessel by the positioning element when the second portion is in the second position.

Across the independent claims, the central inventive concept is a tension indicator integrated with an elongate positioning member such that, upon contact to a blood vessel by a distal positioning element, a biased slideable portion moves from a first position to a second position and provides a visual indicator or marker that the applied force is within a predetermined or desired range. Where claimed as a system, sealant is disposed near the distal end proximal to the positioning element, and in the sheath-based system an introducer sheath with a lumen is included.

Stated Advantages

Provides a visual indication that a force being applied to a blood vessel by the positioning element is within a predetermined range when the second portion is in the second position.

Provides a visual indication that a desired force is being applied to a blood vessel by the positioning element when the second portion is in the second position.

Provides temporary hemostasis within a puncture extending through tissue to a body lumen.

Documented Applications

Temporary hemostasis within a puncture extending through tissue to a body lumen.

Sealing a puncture extending through tissue.

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