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EP0941698A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Suturing device for sealing an opening in a blood vessel

Assignee: Sutura Inc
•
Filing: 1999-03-01
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Granted: —
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Expires: 2019-03-01
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Abstract

Abstract A suturing device (520) allows a physician to remotely seal an incision (26) in a blood vessel (16) or other biological tissue. The device (520) comprises an elongated tubular body (514, 515) having a distal portion (515, 522) which is adapted to be inserted percutaneously through the incision (26) and into the blood vessel (16). The distal portion (515, 522) has at least first and second retractable arms (524, 525, 525', 630, 630', 660, 662) which extend from the distal portion (515, 522) of the body (514, 515) and releasably hold a suture (40) within the blood vessel (16). First and second retractable needles (546, 650), each of which is configured to catch the suture (40) from a respective arm (524, 525, 525', 630, 630', 660, 662), are provided along the body (514, 515) proximal to the retractable arms (524, 525, 525', 630, 630', 660, 662). The arms (524, 525, 525', 630, 630', 660, 662) and the needles (546, 650) are remotely movable by the physician using a handle (550, 600, 700) or other control mechanism provided at a distal portion of the device (520). In operation, the arms (524, 525, 525', 630, 630', 660, 662) are initially deployed within the blood vessel (16) to hold the ends of the suture (40) beyond the circumference of the tubular body (514, 515). The needles (546, 650) are then deployed from and then retracted into the body (514, 515), during which time the needles (546, 650) pierce the wall (22) of the vessel (16) on substantially opposite sides of the incision (26), release the suture ends from the retractable arms (524, 525, 525', 630, 630', 660, 662), and pull the suture (40) through the vessel wall (22). The device (520) is particularly useful for closing an incision (22) in an artery following a catheterization procedure. In one embodiment, the catheter sheath introducer (6) used to perform the catheterization procedure is left in place during the suturing procedure.

Inventors

  • 👤 Anthony Nobles
  • 👤 Steven E Decker
  • 👤 Benjamin G Brosh

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-05 06:12
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/0057; A61B17/04; A61B17/0469; A61B17/0482; A61B17/0483; A61B17/0491; A61B2017/00637; A61B2017/00646; A61B2017/00663; A61B2017/00672; A61B2017/00831; A61B2017/00867; A61B2017/0472; A61B17/06; A61B17/06004; A61B2017/06042; A61B17/28; A61B17/29; A61B17/2909; A61B2017/2911

Claims Analysis

Total Claims: 19
Claim 1
Independent Claim 250 words
A suturing device for remotely sealing an incision in a wall of a blood vessel or other biological structure, comprising: an elongated body having a distal portion which is adapted to be inserted through the incision and into the blood vessel, the distal portion having an outer wall with first and second apertures formed therein, the elongated body further comprising first and second needle ports positioned proximal to the distal portion such that the needle ports remain outside the blood vessel when the distal portion is positioned within the blood vessel; first and second arms which retract into and extend out from the first and second apertures, respectively, and which releasably hold a suture, the arms remotely movable to a deployed position in which the arms extend outward from the body to hold the suture away from the body; and first and second needles which extend from the first and second needle ports, respectively, to capture the suture, the needles remotely movable between a retracted position in which the needles are housed within the body and an extended position in which the needles extend distally from the needle ports and outwardly from the body; wherein movement of the needles from the retracted position to the extended position, and back to the retracted position, with the arms deployed within the blood vessel and holding the suture, causes the needles to pierce the blood vessel, release the suture from the arms, and withdraw a portion of the suture from the blood vessel.
Claim 2
Dependent Claim 65 words
The suturing device of Claim 1, wherein a distal section of the elongated body, including the needles and the needle ports, is configured to be percutaneously introduced into a patient through a standard catheter sheath introducer (CSI) used to perform a catheterization procedure, such that the needles may be extended and retracted to capture and withdraw the suture without removing the CSI from the patient.
Claim 3
Dependent Claim 40 words
The suturing device of Claim 2, wherein a proximal section of the elongated body includes a marker on an outer surface, the marker indicating a longitudinal position to which the CSI may be partially withdrawn to expose the needle ports.
Claim 4
Dependent Claim 31 words
The suturing device of Claim 1, wherein the needles have a substantially straight configuration when in the retracted position, and bend outward away from the body when in the extended position.
Claim 5
Dependent Claim 28 words
The suturing device of Claim 4, wherein the needle ports include needle guides which apply an outward force to the needles to cause the needles to bend outward.
Claim 6
Dependent Claim 30 words
The suturing device of Claim 1, further comprising a handle coupled to a proximal portion of the body, the handle including controls for remotely moving the needles and the arms.
Claim 7
Dependent Claim 37 words
The suturing device of Claim 1, wherein the first and second arms are interconnected by a flexible, resilient hinge, the hinge holding the arms in a partially open position when the hinge is in a relaxed state.
Claim 8
Dependent Claim 73 words
The suturing device of Claim 7, wherein the flexible hinge is coupled to an actuator shaft which extends within a lumen of the body, and wherein application of a proximal force to the actuator shaft causes the arms to move from the partially open position to the deployed position, and application of a distal force to the actuator shaft causes the arms to move from the partially open position to a retracted position.
Claim 9
Dependent Claim 32 words
The suturing device of Claim 1, wherein outer surfaces of the first and second arms are flush with an outer surface of the body when the arms are retracted within the body.
Claim 10
Dependent Claim 23 words
The suturing device of Claim 1, wherein the first and second arms are substantially parallel to the body when retracted within the apertures.
Claim 11
Dependent Claim 30 words
The suturing device of Claim 10, wherein the first and second arms extend radially outward from the body at an angle of approximately 90 degrees when in the deployed position.
Claim 12
Dependent Claim 53 words
The suturing device of Claim 1, wherein the distal portion includes at least one blood port which is fluidly coupled to a lumen within the elongated body, the lumen extending to a proximal portion of the elongated body to allow a physician to determine whether the distal portion is in the blood vessel.
Claim 13
Dependent Claim 30 words
The suturing device of Claim 12, wherein the lumen is coupled to a pressure sensor that provides a visual indication of whether the distal portion is in the blood vessel.
Claim 14
Dependent Claim 38 words
The suturing device of Claim 1, wherein the arms are spaced proximally from a distal tip of the body, so that the arms are inhibited from contacting a wall of the blood vessel opposite the incision during deployment.
Claim 15
Dependent Claim 28 words
The suturing device of Claim 1, wherein each needle includes a groove formed circumferentially therein, the groove configured to engage a loop at an end of the suture.
Claim 16
Dependent Claim 32 words
The suturing device of Claim 1, further comprising third and fourth arms which retract into and extend from third and fourth apertures in the distal portion and releasably hold a second suture.
Claim 17
Dependent Claim 25 words
The suturing device of Claim 1, wherein the body includes at least one marker thereon to visually indicate a rotational orientation of the distal portion.
Claim 18
Dependent Claim 88 words
A suturing device for remotely suturing an incision in the wall of a biological structure, comprising: a body portion (6), and, movably mounted thereto; introducing means (500) for introducing a portion of a suture into said biological structure; at least one needle (248) movably mounted, relative to said introducing means, so as to penetrate said wall to the side of said incision, and to engage said suture portion within said biological structure; and retraction means (50) for withdrawing the needle from the wall together with said suture portion.
Claim 19
Dependent Claim 26 words
The device of claim 18, in which the introducing means (500) is arranged to enter, and introduce said suture portion into, said structure through said incision.

References Cited (Backward Citations)

WO1997007745A1 Cited

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