Closure device and method

Surgery – Instruments – Sutureless closure

Patent

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Details

606139, 606143, 606149, A61B 1704

Patent

active

059647825

ABSTRACT:
An apparatus is provided for closing a perforation in a wall of a patient's blood vessel or other organs, and a method of introducing the apparatus and causing the closure are described. The apparatus includes an elongated support member having a distal end supporting one or more tissue engaging hooks configured to engage fibrous vessel tissue when moved in a first direction and to disengage the tissue when moved in a second direction, and a proximal end for applying rotational torque to the support member to cause the hooks to engage collagen fibrous tissue in the adventitia of the blood vessel or fibrous tissue in other body organs. The hooks engaging the collagen fiber causes the blood vessel tissue surrounding the perforation to be drawn into close proximity such that the perforation can be closed. The apparatus can be removed by applying reverse rotation of the support member, whereby the hooks are disengaged. The apparatus is deployed in an outer sheath with the hooks encased until a selected engaging location has been achieved. When positioned in the aperture to be closed, the hooks are exposed to allow interaction with the adventitia. Puncture closure can be accomplished by various techniques, including stasis, cauterizing, or by clamping. Various embodiments of the apparatus are described.

REFERENCES:
patent: 3908662 (1975-09-01), Razgulov et al.
patent: 5234447 (1993-08-01), Kaster et al.
patent: 5364408 (1994-11-01), Gordon
patent: 5478353 (1995-12-01), Yoon
patent: 5776152 (1998-07-01), Sekons
patent: 5782861 (1998-07-01), Cragg et al.
patent: 5817110 (1998-10-01), Kronner

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