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Method for the percutaneous suturing of a vascular puncture site

Assignee: Abbott Laboratories
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Filing: 1997-08-22
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Granted: 1999-01-19
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Expires: 2017-08-22
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Abstract

Abstract A suture applying device comprises a shaft which carries a pair of needles near its distal end. The needles are joined by a length of suture, and the shaft is used to both introduce the needles into a lumen of a body structure and to push the needles back through tissue on either side of the puncture site. After the needles have passed through the tissue, they are captured on the shaft and drawn outward through the tract, leaving a loop of suture behind to close the puncture site near the body lumen. The suture can then be tied and the knot pushed back through the tract to complete the closure. Alternatively, a locking fastener formed of a resorbable material can be placed into the penetration over the sutures and the sutures tied over the fastener.

Inventors

  • 👤 Enrique J. Klein
  • 👤 T. Daniel Gross
  • 👤 Tomoaki Hinohara
  • 👤 James W. Vetter

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 11:26
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/06; A61B17/062; A61B17/0625; A61B17/0057; A61B17/0469; A61B17/0401; A61B17/0482; A61B17/06066; A61B2017/00004; A61B2017/00637; A61B2017/00641; A61B2017/00646; A61B2017/00663; A61B2017/00831; A61B2017/00867; A61B2017/0446; A61B2017/0458; A61B2017/0464; A61B2017/047; A61B2017/0472; A61B2017/0474; A61B2017/06057; A61F; A61F2/00; A61F2/02; A61F2/30; A61F2002/30001; A61F2002/30003; A61F2002/3006; A61F2002/30092; A61F2210/00; A61F2210/0014; A61F2210/0019; Y; Y10; Y10S; Y10S604/00; Y10S604/90

Claims Analysis

Total Claims: 29
Claim 1
Independent Claim 93 words
A method for suturing a puncture site in a blood vessel wall at the end of a tissue tract, the blood vessel wall having a distal side and a proximal side, said method comprising: forming at least two penetrations in the blood vessel wall at the end of the tissue tract adjacent to the puncture site with at least one needle; passing a suture material through the two penetrations outwardly from the blood vessel wall to span the distal side of the puncture site; and drawing the penetrations together with the suture material.
Claim 2
Independent Claim 93 words
A method for suturing a puncture site in a blood vessel wall at the end of a tissue tract, the blood vessel wall having a distal side and a proximal side, said method comprising: forming at least two penetrations in the blood vessel wall at the end of the tissue tract adjacent to the puncture site with at least one needle; passing a suture material through the two penetrations outwardly from the blood vessel wall to span the distal side of the puncture site; and drawing the penetrations together with the suture material.
Claim 3
Dependent Claim 28 words
The method of claim 1 wherein the step of passing the suture material through the two penetrations occurs simultaneously to span the distal side of the puncture site.
Claim 4
Dependent Claim 24 words
The method of claim 1 wherein the step of passing the suture material through the two penetrations uses only one length of suture material.
Claim 5
Dependent Claim 28 words
The method of claim 1 wherein the step of passing the suture material through the two penetrations includes passing a single strand of suture material through the penetrations.
Claim 6
Dependent Claim 34 words
The method of claim 1 wherein the step of passing the suture material through the two penetrations includes passing the suture material through the penetrations from the distal side of the blood vessel wall.
Claim 7
Dependent Claim 21 words
The method of claim 1 wherein the step of forming the penetrations includes penetrating a needle through the blood vessel wall.
Claim 8
Dependent Claim 41 words
The method of claim 1 wherein the step of passing the suture through the penetrations to span the distal side of the blood vessel opening includes pulling the suture through each penetration with the needle used to form the respective penetration.
Claim 9
Dependent Claim 31 words
The method of claim 7 wherein the needles are passed from the distal side of a membrane to form the penetrations in the blood vessel wall and pull the suture therethrough.
Claim 10
Independent Claim 104 words
A method of suturing a puncture site in a blood vessel wall, the method comprising: positioning a length of suture into a lumen of the blood vessel; forming at least two penetrations in the blood vessel wall at the end of a tissue tract adjacent the puncture site with more than one needle; passing a first end of a length of suture through one of the penetrations outwardly from the lumen and a second end of the length of suture through another penetration outwardly from the lumen with the needles; and securing the first and second ends of the suture to close the aperture.
Claim 11
Independent Claim 104 words
A method of suturing a puncture site in a blood vessel wall, the method comprising: positioning a length of suture into a lumen of the blood vessel; forming at least two penetrations in the blood vessel wall at the end of a tissue tract adjacent the puncture site with more than one needle; passing a first end of a length of suture through one of the penetrations outwardly from the lumen and a second end of the length of suture through another penetration outwardly from the lumen with the needles; and securing the first and second ends of the suture to close the aperture.
Claim 12
Dependent Claim 34 words
The method of claim 9 wherein the passing step includes simultaneously passing the first end and second end of the length of suture through at least two of the penetrations outwardly from the lumen.
Claim 13
Dependent Claim 35 words
The method of claim 9 wherein the step of passing the second end of the suture through the penetrations includes pulling the suture through each penetration with the needle used to form the respective penetration.
Claim 14
Dependent Claim 41 words
The method of claim 11 wherein a first needle is used to form the first penetration and pull through the first suture end and a second needle is used to form the second penetration and pull through the second suture end.
Claim 15
Dependent Claim 29 words
The method of claim 12 wherein both needles are passed from the blood vessel lumen to form the penetrations in the blood vessel wall and pull the suture therethrough.
Claim 16
Independent Claim 87 words
A method for suturing vascular tissue, the method comprising: forming at least two penetrations in one or more layers of vascular tissue at the end of a tissue tract with more than one needle; passing a first end of a length of suture through one of the penetrations and a second end of the length of suture through the other penetration with the needles; and securing the first and second ends of the suture to pull the penetrations in one or more layers of vascular tissue together.
Claim 17
Independent Claim 87 words
A method for suturing vascular tissue, the method comprising: forming at least two penetrations in one or more layers of vascular tissue at the end of a tissue tract with more than one needle; passing a first end of a length of suture through one of the penetrations and a second end of the length of suture through the other penetration with the needles; and securing the first and second ends of the suture to pull the penetrations in one or more layers of vascular tissue together.
Claim 18
Dependent Claim 26 words
The method of claim 14 wherein one of the penetrations is in a first layer and the other penetration is in a second layer of tissue.
Claim 19
Dependent Claim 29 words
The method of claim 14 wherein the step of passing the first and second ends of a length of suture material through the at least two penetrations occurs simultaneously.
Claim 20
Dependent Claim 35 words
The method of claim 14 wherein the step of passing the first and second ends of the length of the suture material through the at least two penetrations uses only one length of suture material.
Claim 21
Dependent Claim 30 words
The method of claim 14 wherein the step of passing the suture material through the at least two penetrations includes passing a single strand of suture material through the penetrations.
Claim 22
Dependent Claim 48 words
The method of claim 14 wherein the blood vessel wall has a distal side and a proximal side and the step of passing the suture material through the at least two penetrations includes passing the suture material through the penetrations from the distal side of blood vessel wall.
Claim 23
Dependent Claim 58 words
The method of claim 14 wherein the one or more layers of tissue have a distal side and a proximal side and the needles are passed from the distal side of the one or more layers of vascular tissue to form the penetrations and pull the first and second ends of the length of the suture material therethrough.
Claim 24
Independent Claim 68 words
A method for suturing vascular tissue having a distal side and a proximal side, the method comprising: penetrating a layer of vascular tissue at the end of a tissue tract with at least one needle; drawing a length of suture proximally through the penetration with the needle; and detaching the length of suture from the needle to free the length of suture for fastening to the same length.
Claim 25
Independent Claim 68 words
A method for suturing vascular tissue having a distal side and a proximal side, the method comprising: penetrating a layer of vascular tissue at the end of a tissue tract with at least one needle; drawing a length of suture proximally through the penetration with the needle; and detaching the length of suture from the needle to free the length of suture for fastening to the same length.
Claim 26
Dependent Claim 19 words
The method of claim 21 wherein the detaching step is performed on the proximal side of the tissue layer.
Claim 27
Dependent Claim 22 words
The method of claim 21 wherein the drawing step further includes retrieving the needle from the proximal side of the tissue layer.
Claim 28
Dependent Claim 27 words
The method of claim 21 wherein the tissue layer includes an aperture, the method includes the step of passing the length of suture distally through the aperture.
Claim 29
Dependent Claim 25 words
The method of claim 21 wherein the step of drawing a length of suture includes passing a single strand of suture material through the penetration.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-01-18 2002-07-20 2003-01-19 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-01-18 2006-07-20 2007-01-19 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-01-18 2010-07-20 2011-01-19 $7700.00 Window Closed / Lapsed

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