US6277140B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Vascular sheath with puncture site closure apparatus and methods of use
Assignee: Abbott Vascular Systems Inc
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Filing: 2001-01-16
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Granted: 2001-08-21
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Expires: 2021-01-16
Abstract
Abstract Apparatus and methods are provided for use in sealing a vascular puncture site. The invention comprises an introducer sheath with an integrated closure component. The closure component includes an advanceable resilient spring clip with an expanded delivery configuration in which opposing sides do not contact one another, and an unstressed deployed configuration, in which opposing sides close towards one another. The clip is advanced along the sheath until it pierces opposing sides of a vessel wall at a puncture site. The sheath then is withdrawn, thereby causing the clip to resiliently return to its unstressed deployed configuration and draw opposing sides of the puncture together to seal the wound.
Inventors
- 👤 Richard S. Ginn
- 👤 William N. Aldrich
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-24 03:22
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/10; A61B17/0057; A61B17/08; A61B17/083; A61B17/12; A61B17/128; A61B17/00491; A61B17/064; A61B2017/00637; A61B2017/00646; A61B2017/00663; A61B2017/00668; A61B2017/00831; A61B2017/00862; A61B2017/0641; A61M; A61M25/00; A61M25/01; A61M25/06; A61M25/0662
Claims Analysis
Total Claims: 39
Claim 1
Independent Claim
88 words
An apparatus for closing a puncture communicating between a patient's skin and a vessel, comprising: a tubular member having proximal and distal regions and an exterior surface; a housing slidably disposed on the exterior surface of the tubular member, the housing including a portion defining a chamber; and a clip releasably disposed within the chamber, the clip being expandable from a deployed configuration wherein opposing sides of the clip are directed inwards towards one another, and a delivery configuration, in which the clip is accepted within the chamber.
Claim 2
Independent Claim
88 words
An apparatus for closing a puncture communicating between a patient's skin and a vessel, comprising: a tubular member having proximal and distal regions and an exterior surface; a housing slidably disposed on the exterior surface of the tubular member, the housing including a portion defining a chamber; and a clip releasably disposed within the chamber, the clip being expandable from a deployed configuration wherein opposing sides of the clip are directed inwards towards one another, and a delivery configuration, in which the clip is accepted within the chamber.
Claim 3
Dependent Claim
28 words
The apparatus of claim 1 , further comprising an actuator for deploying the clip from the chamber into engagement with tissue surrounding the puncture to close the puncture.
Claim 4
Dependent Claim
17 words
The apparatus of claim 2 , wherein the actuator comprises an elongated member coupled to the housing.
Claim 5
Dependent Claim
27 words
The apparatus of claim 2 , wherein the actuator is configured for advancing the housing from the proximal region to the distal region of the tubular member.
Claim 6
Dependent Claim
15 words
The apparatus of claim 2 , wherein the actuator is detachably coupled to the housing.
Claim 7
Dependent Claim
26 words
The apparatus of claim 1 , further comprising a backbleed indicator port on the housing for indicating a position of the housing relative to the vessel.
Claim 8
Dependent Claim
21 words
The apparatus of claim 1 , further comprising a side port for introducing fluids into a lumen of the tubular member.
Claim 9
Dependent Claim
27 words
The apparatus of claim 1 , wherein the tubular member comprises an introducer sheath comprising a lumen for advancing therapeutic or diagnostic instruments therethrough into the vessel.
Claim 10
Dependent Claim
23 words
The apparatus of claim 1 , wherein the clip is biased to the deployed configuration and is resiliently expandable to the delivery configuration.
Claim 11
Dependent Claim
22 words
The apparatus of claim 1 , wherein the clip comprises a tubular member from which a plurality of elongated tissue-engaging elements extend.
Claim 12
Dependent Claim
13 words
The apparatus of claim 10 , further comprising barbs on the tissue-engaging elements.
Claim 13
Dependent Claim
63 words
The apparatus of claim 10 , wherein the tubular member further comprises a plurality of elongated legs having proximal and distal ends, a plurality of upper members connecting respective proximal ends of the elongated legs, and a plurality of lower members interconnecting respective alternating distal ends of the elongated legs, wherein the plurality of tissue-engaging members project from the plurality of lower members.
Claim 14
Dependent Claim
11 words
The apparatus of claim 1 , wherein the clip is bioabsorbable.
Claim 15
Dependent Claim
50 words
The apparatus of claim 1 , further comprising an expander having an exterior surface, the expander slidably and coaxially disposed on the exterior surface of the introducer sheath, the housing coaxially disposed on and cammingly engaged with the expander for expanding the clip when it is deployed from the chamber.
Claim 16
Independent Claim
86 words
A method for closing a puncture communicating between a patient's skin and a vessel, the method comprising: advancing a tubular member through the puncture into the vessel, the tubular member comprising a housing disposed on an exterior surface of the tubular member; advancing the housing distally along the exterior surface of the tubular member into the puncture, the housing having a clip therein; engaging tissue adjacent the puncture with tissue-engaging elements on the clip; and drawing the tissue-engaging elements towards one another to close the puncture.
Claim 17
Independent Claim
86 words
A method for closing a puncture communicating between a patient's skin and a vessel, the method comprising: advancing a tubular member through the puncture into the vessel, the tubular member comprising a housing disposed on an exterior surface of the tubular member; advancing the housing distally along the exterior surface of the tubular member into the puncture, the housing having a clip therein; engaging tissue adjacent the puncture with tissue-engaging elements on the clip; and drawing the tissue-engaging elements towards one another to close the puncture.
Claim 18
Dependent Claim
33 words
The method of claim 15 , wherein the tubular member comprises an introducer sheath, and wherein the method further comprises introducing one or more devices through the introducer sheath into the blood vessel.
Claim 19
Dependent Claim
30 words
The method of claim 16 , wherein the one or more devices are selected from the group consisting of an angioplasty balloon, an atherectomy device, and a stent delivery device.
Claim 20
Dependent Claim
30 words
The method of claim 16 , further comprising performing an interventional procedure within the patient's body using the one or more devices introduced through the introducer sheath into the vessel.
Claim 21
Dependent Claim
25 words
The method of claim 15 , wherein the step of drawing the tissue-engaging elements towards one another comprises withdrawing the tubular member from the puncture.
Claim 22
Dependent Claim
35 words
The method of claim 19 , wherein the tissue-engaging elements are biased to resiliently move towards one another from a delivery configuration to a deployed configuration when the tubular member is withdrawn from the puncture.
Claim 23
Dependent Claim
26 words
The method of claim 15 , wherein an actuator is used to advance the housing along the exterior surface of the tubular member into the puncture.
Claim 24
Dependent Claim
18 words
The method of claim 21 , wherein the actuator is coupled to the housing before advancing the housing.
Claim 25
Dependent Claim
35 words
The method of claim 22 , wherein the tubular member comprises a hub having a bore, and wherein a portion of the actuator is inserted into the bore of the hub before advancing the housing.
Claim 26
Dependent Claim
19 words
The method of claim 15 , wherein the step of engaging tissue comprises deploying the clip from the housing.
Claim 27
Dependent Claim
38 words
The method of claim 15 , wherein the housing comprises an expander for expanding the clip, and wherein the step of engaging tissue comprises advancing the clip relative to the expander to deploy the clip from the housing.
Claim 28
Dependent Claim
15 words
The method of claim 15 , further comprising delivering a tissue sealant into the puncture.
Claim 29
Dependent Claim
43 words
The method of claim 15 , wherein the housing comprises backbleed indicator ports, and wherein the housing is advanced distally along the tubular member until blood from the vessel flows through the backbleed indicator ports to a proximal region of the tubular member.
Claim 30
Dependent Claim
23 words
The method of claim 15 , wherein the step of engaging tissue comprises engaging a wall of the vessel with the tissue-engaging elements.
Claim 31
Dependent Claim
27 words
The method of claim 28 , wherein the step of engaging a wall of the vessel comprises piercing the wall of the vessel with the tissue-engaging elements.
Claim 32
Independent Claim
86 words
A method for closing a puncture communicating between a patient's skin and a vessel, the method comprising: advancing a tubular member through the puncture into the vessel, the tubular member comprising a housing disposed on an exterior surface of the tubular member, the housing having a clip therein; advancing the housing distally along the exterior surface of the tubular member into the puncture until tissue-engaging elements on the clip engage tissue adjacent the vessel; and drawing the tissue-engaging elements towards one another to close the puncture.
Claim 33
Independent Claim
86 words
A method for closing a puncture communicating between a patient's skin and a vessel, the method comprising: advancing a tubular member through the puncture into the vessel, the tubular member comprising a housing disposed on an exterior surface of the tubular member, the housing having a clip therein; advancing the housing distally along the exterior surface of the tubular member into the puncture until tissue-engaging elements on the clip engage tissue adjacent the vessel; and drawing the tissue-engaging elements towards one another to close the puncture.
Claim 34
Dependent Claim
33 words
The method of claim 30 , wherein the tubular member comprises an introducer sheath, and wherein the method further comprises introducing one or more devices through the introducer sheath into the blood vessel.
Claim 35
Dependent Claim
25 words
The method of claim 30 , wherein the step of drawing the tissue-engaging elements towards one another comprises withdrawing the tubular member from the puncture.
Claim 36
Dependent Claim
35 words
The method of claim 32 , wherein the tissue-engaging elements are biased to resiliently move towards one another from a delivery configuration to a deployed configuration when the tubular member is withdrawn from the puncture.
Claim 37
Dependent Claim
21 words
The method of claim 30 , wherein the housing is advanced until the tissue-engaging elements engage a wall of the vessel.
Claim 38
Dependent Claim
21 words
The method of claim 30 , wherein the housing is advanced until the tissue-engaging elements pierce a wall of the vessel.
Claim 39
Dependent Claim
20 words
The method of claim 30 , wherein the step of advancing the housing comprises deploying the clip from the housing.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2004-08-20 | 2005-02-19 | 2005-08-21 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2008-08-20 | 2009-02-19 | 2009-08-21 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2012-08-20 | 2013-02-19 | 2013-08-21 | $7700.00 | Window Closed / Lapsed |