Systems and methods for closing a vessel wound

摘要

Vessel wound closure systems and method for sealing a puncture wound in a target vessel, such as those puncture wounds that occur from prior interventional procedures. A sealing member is deployed intravascularly into the target vessel, and an anchor member is deployed extravacularly of the target vessel. The sealing member and the anchor member are connected by a suture that may be drawn to tighten the sealing member and the anchor member relative to one another in order to effect the seal of the puncture wound. After tightening, the suture is secured to maintain the sealing member and the anchor member relative to one another in order to maintain the seal. Preferably, the anchor member, the suture and the sealing member are comprised of biocompatible, bioresorbable materials that are absorbed into the body after the sealing of the puncture wound has been achieved. The sealing member, suture and the anchor member are delivered by a delivery rod or other components over a guidewire or through an introducer already in place from the preceding interventional procedure.

主权项

1. A system for closing a wound of a vessel, comprising:
an introducer; an outer sheath slidably disposed through the introducer, the outer sheath having a proximal end and a distal end; an inner sheath slidably disposed through the outer sheath, the inner sheath having a proximal end and a distal end; a support rod within the inner sheath and comprising a tamper, a recessed portion and a cutting member disposed in the recessed portion; a plunger connected to the support rod, the plunger having a proximal end disposed externally of the outer sheath and the inner sheath; a sealing member configured to deploy from the distal end of the outer sheath again an inner wall of the vessel; an anchor member received in the inner sheath and configured to deploy from the distal end of the inner sheath against an outer wall of the vessel by depression of the proximal end of the plunger; and a suture extending within the inner sheath and connecting the sealing member with the anchor member, the suture comprising a proximal end which extends proximal of the anchor member and is configured to tighten the sealing member and the anchor member by reducing the distance between the sealing member and the anchor member while the tamper is maintaining the anchor member against the outer wall of the vessel, wherein the proximal end of the suture is accessible to be cut by the cutting member when pulled through the recessed portion of the support rod, wherein, prior to the deployment of the sealing member, the sealing member and the distal end of the inner sheath are received in the distal end of the outer sheath, the sealing member being distal with respect to the distal end of the inner sheath, such that the partial withdrawal of the outer sheath permits deployment of the sealing member.