WO1998040017A3 - Vascular sealing device - Google Patents

Vascular sealing device Download PDF

Info

Publication number
WO1998040017A3
WO1998040017A3 PCT/US1998/004709 US9804709W WO9840017A3 WO 1998040017 A3 WO1998040017 A3 WO 1998040017A3 US 9804709 W US9804709 W US 9804709W WO 9840017 A3 WO9840017 A3 WO 9840017A3
Authority
WO
WIPO (PCT)
Prior art keywords
vessel
dilator
sealer
closure
adjacent
Prior art date
Application number
PCT/US1998/004709
Other languages
French (fr)
Other versions
WO1998040017A2 (en
Inventor
Stuart D Edwards
Thomas Wehman
Theodore L Parker
Eugene V Skalnyi
Theodore Kucklick
John Evans
Ronald Lax
Original Assignee
Advanced Closure Systems Inc
Stuart D Edwards
Thomas Wehman
Theodore L Parker
Eugene V Skalnyi
Theodore Kucklick
John Evans
Ronald Lax
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US08/963,408 external-priority patent/US6033401A/en
Application filed by Advanced Closure Systems Inc, Stuart D Edwards, Thomas Wehman, Theodore L Parker, Eugene V Skalnyi, Theodore Kucklick, John Evans, Ronald Lax filed Critical Advanced Closure Systems Inc
Priority to EP98910295A priority Critical patent/EP0969769A2/en
Priority to AU64572/98A priority patent/AU6457298A/en
Publication of WO1998040017A2 publication Critical patent/WO1998040017A2/en
Publication of WO1998040017A3 publication Critical patent/WO1998040017A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0662Guide tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1487Trocar-like, i.e. devices producing an enlarged transcutaneous opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • A61B2017/00495Surgical glue applicators for two-component glue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • A61B2017/005Surgical glue applicators hardenable using external energy source, e.g. laser, ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/0065Type of implements the implement being an adhesive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00672Locating means therefor, e.g. bleed back lumen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B2017/348Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3492Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Abstract

A closure device is provided for sealing a puncture in a body vessel. The closure device includes an energy delivery device for delivering energy to tissue adjacent the vessel puncture which enhances an adhesiveness of the tissue to a closure composition precursor. The closure device includes a sealer/dilator for dilating tissue adjacent a vessel puncture, at least one closure composition precursor lumen within the sealer/dilator having an entrance port adjacent the proximal end of the sealer/dilator through which one or more fluent closure composition precursors can be delivered into the closure composition precursor lumen and an exit port adjacent the distal end of the sealer/dilator through which the one or more fluent closure composition precursors can be delivered outside the vessel adjacent the vessel puncture, and a plugging catheter for positioning within the vessel puncture, the plugging catheter extending distally from the sealer/dilator and including at least one position sensing mechanism such that the exit port of the closure composition precursor lumen is outside the vessel when the at least one position sensing mechanism is detected to be outside the vessel.
PCT/US1998/004709 1997-03-12 1998-03-11 Vascular sealing device WO1998040017A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP98910295A EP0969769A2 (en) 1997-03-12 1998-03-11 Vascular sealing device
AU64572/98A AU6457298A (en) 1997-03-12 1998-03-11 Vascular sealing device

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US3629997P 1997-03-12 1997-03-12
US60/036,299 1997-03-12
US96308297A 1997-11-03 1997-11-03
US96303397A 1997-11-03 1997-11-03
US08/963,408 US6033401A (en) 1997-03-12 1997-11-03 Vascular sealing device with microwave antenna
US08/963,082 1997-11-03
US08/963,033 1997-11-03
US08/963,408 1997-11-03

Publications (2)

Publication Number Publication Date
WO1998040017A2 WO1998040017A2 (en) 1998-09-17
WO1998040017A3 true WO1998040017A3 (en) 1998-10-22

Family

ID=27488355

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/004709 WO1998040017A2 (en) 1997-03-12 1998-03-11 Vascular sealing device

Country Status (3)

Country Link
EP (1) EP0969769A2 (en)
AU (1) AU6457298A (en)
WO (1) WO1998040017A2 (en)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8747435B2 (en) 2005-12-13 2014-06-10 Cardiva Medical, Inc. Drug eluting vascular closure devices and methods
US8888832B2 (en) 2011-09-28 2014-11-18 Zoll Circulation, Inc. System and method for doubled use of patient temperature control catheter
US8911472B2 (en) 2005-12-13 2014-12-16 Cardiva Medical, Inc. Apparatus and methods for delivering hemostatic materials for blood vessel closure
US9179897B2 (en) 2005-12-13 2015-11-10 Cardiva Medical, Inc. Vascular closure devices and methods providing hemostatic enhancement
US9241827B2 (en) 2012-09-28 2016-01-26 Zoll Circulation, Inc. Intravascular heat exchange catheter with multiple spaced apart discrete coolant loops
US9259348B2 (en) 2011-09-28 2016-02-16 Zoll Circulation, Inc. Transatrial patient temperature control catheter
US9283112B2 (en) 2011-09-20 2016-03-15 Zoll Circulation, Inc. Patient temperature control catheter with outer sleeve cooled by inner sleeve
US9314370B2 (en) 2011-09-28 2016-04-19 Zoll Circulation, Inc. Self-centering patient temperature control catheter
US9433528B2 (en) 2012-09-28 2016-09-06 Zoll Circulation, Inc. Intravascular heat exchange catheter with rib cage-like coolant path
US9474644B2 (en) 2014-02-07 2016-10-25 Zoll Circulation, Inc. Heat exchange system for patient temperature control with multiple coolant chambers for multiple heat exchange modalities
US11951035B2 (en) 2017-02-02 2024-04-09 Zoll Circulation, Inc. Devices, systems and methods for endovascular temperature control

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5728132A (en) * 1996-04-08 1998-03-17 Tricardia, L.L.C. Self-sealing vascular access device
US8323305B2 (en) 1997-02-11 2012-12-04 Cardiva Medical, Inc. Expansile device for use in blood vessels and tracts in the body and method
US6045570A (en) * 1997-02-11 2000-04-04 Biointerventional Corporation Biological sealant mixture and system for use in percutaneous occlusion of puncture sites and tracts in the human body and method
US6419643B1 (en) * 1998-04-21 2002-07-16 Alsius Corporation Central venous catheter with heat exchange properties
FR2784296B1 (en) * 1998-09-18 2001-01-05 Imedex Biomateriaux DEVICE FOR FORMULATING AND DELIVERING A MIXTURE, PARTICULARLY FOR THE SURGICAL APPLICATION OF THIS MIXTURE
US7322976B2 (en) 2003-03-04 2008-01-29 Cardiva Medical, Inc. Apparatus and methods for closing vascular penetrations
US9017374B2 (en) 2004-04-09 2015-04-28 Cardiva Medical, Inc. Device and method for sealing blood vessels
US20080154303A1 (en) 2006-12-21 2008-06-26 Cardiva Medical, Inc. Hemostasis-enhancing device and method for its use
US7572274B2 (en) 2004-05-27 2009-08-11 Cardiva Medical, Inc. Self-tensioning vascular occlusion device and method for its use
US7951182B2 (en) 2005-07-14 2011-05-31 Zoll Circulation, Inc. System and method for leak detection in external cooling pad
EP2521493B1 (en) * 2010-01-06 2016-12-14 St. Jude Medical, Inc. System for sealing percutaneous punctures
US10045881B2 (en) 2011-09-28 2018-08-14 Zoll Circulation, Inc. Patient temperature control catheter with helical heat exchange paths
US9717625B2 (en) 2012-09-28 2017-08-01 Zoll Circulation, Inc. Intravascular heat exchange catheter with non-round coiled coolant path
US9801756B2 (en) 2012-09-28 2017-10-31 Zoll Circulation, Inc. Intravascular heat exchange catheter and system with RFID coupling
US11033424B2 (en) 2014-02-14 2021-06-15 Zoll Circulation, Inc. Fluid cassette with tensioned polymeric membranes for patient heat exchange system
US10792185B2 (en) 2014-02-14 2020-10-06 Zoll Circulation, Inc. Fluid cassette with polymeric membranes and integral inlet and outlet tubes for patient heat exchange system
US10500088B2 (en) 2014-02-14 2019-12-10 Zoll Circulation, Inc. Patient heat exchange system with two and only two fluid loops
US11359620B2 (en) 2015-04-01 2022-06-14 Zoll Circulation, Inc. Heat exchange system for patient temperature control with easy loading high performance peristaltic pump
US9784263B2 (en) 2014-11-06 2017-10-10 Zoll Circulation, Inc. Heat exchange system for patient temperature control with easy loading high performance peristaltic pump
US10537465B2 (en) 2015-03-31 2020-01-21 Zoll Circulation, Inc. Cold plate design in heat exchanger for intravascular temperature management catheter and/or heat exchange pad
US11213423B2 (en) 2015-03-31 2022-01-04 Zoll Circulation, Inc. Proximal mounting of temperature sensor in intravascular temperature management catheter
US10022265B2 (en) 2015-04-01 2018-07-17 Zoll Circulation, Inc. Working fluid cassette with hinged plenum or enclosure for interfacing heat exchanger with intravascular temperature management catheter
US11185440B2 (en) 2017-02-02 2021-11-30 Zoll Circulation, Inc. Devices, systems and methods for endovascular temperature control
US11337851B2 (en) 2017-02-02 2022-05-24 Zoll Circulation, Inc. Devices, systems and methods for endovascular temperature control

Citations (15)

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US5057106A (en) * 1986-02-27 1991-10-15 Kasevich Associates, Inc. Microwave balloon angioplasty
US5100429A (en) * 1989-04-28 1992-03-31 C. R. Bard, Inc. Endovascular stent and delivery system
FR2673502A1 (en) * 1991-01-18 1992-09-04 Choi Jae Chul Tray for microwave ovens
WO1992022252A1 (en) * 1991-06-18 1992-12-23 Ashridge Ag Sealing device for a blood vessel or the like
WO1994024948A1 (en) * 1992-04-23 1994-11-10 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
WO1994028798A1 (en) * 1993-06-16 1994-12-22 White Spot Ag Use of and process for the introduction of fibrin sealant into a puncture channel
WO1995005206A2 (en) * 1993-08-12 1995-02-23 Boston Scientific Corporation Device for placing a hemostatic material adjacent a vessel wall
EP0646350A1 (en) * 1993-09-03 1995-04-05 Cordis Europa N.V. Device for haemostatic treatment following catheterization
WO1995029635A1 (en) * 1994-04-29 1995-11-09 Kensey Nash Corporation System for closing a percutaneous trocar puncture
US5496332A (en) * 1994-10-20 1996-03-05 Cordis Corporation Wound closure apparatus and method for its use
EP0705682A1 (en) * 1994-10-07 1996-04-10 Fraunhofer-Gesellschaft Zur Förderung Der Angewandten Forschung E.V. Process for heat joining of polymeric substrates
WO1996024290A1 (en) * 1995-02-10 1996-08-15 Sherwood Medical Company Assembly for sealing a puncture in a vessel
WO1996033658A1 (en) * 1995-04-27 1996-10-31 Gene Myers A method and apparatus for arteriotomy closure
WO1996036282A2 (en) * 1995-05-15 1996-11-21 Baxter International Inc. Bipolar vascular sealing apparatus and methods
US5728132A (en) * 1996-04-08 1998-03-17 Tricardia, L.L.C. Self-sealing vascular access device

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US5306254A (en) 1992-10-01 1994-04-26 Kensey Nash Corporation Vessel position locating device and method of use
US5415657A (en) 1992-10-13 1995-05-16 Taymor-Luria; Howard Percutaneous vascular sealing method
US5441520A (en) 1993-04-06 1995-08-15 Hewlett-Packard Corporation Defibrillator patient connection system with automatic identification
US5626601A (en) 1995-10-27 1997-05-06 Gary Gershony Vascular sealing apparatus and method

Patent Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5057106A (en) * 1986-02-27 1991-10-15 Kasevich Associates, Inc. Microwave balloon angioplasty
US5100429A (en) * 1989-04-28 1992-03-31 C. R. Bard, Inc. Endovascular stent and delivery system
FR2673502A1 (en) * 1991-01-18 1992-09-04 Choi Jae Chul Tray for microwave ovens
WO1992022252A1 (en) * 1991-06-18 1992-12-23 Ashridge Ag Sealing device for a blood vessel or the like
WO1994024948A1 (en) * 1992-04-23 1994-11-10 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
WO1994028798A1 (en) * 1993-06-16 1994-12-22 White Spot Ag Use of and process for the introduction of fibrin sealant into a puncture channel
WO1995005206A2 (en) * 1993-08-12 1995-02-23 Boston Scientific Corporation Device for placing a hemostatic material adjacent a vessel wall
EP0646350A1 (en) * 1993-09-03 1995-04-05 Cordis Europa N.V. Device for haemostatic treatment following catheterization
WO1995029635A1 (en) * 1994-04-29 1995-11-09 Kensey Nash Corporation System for closing a percutaneous trocar puncture
EP0705682A1 (en) * 1994-10-07 1996-04-10 Fraunhofer-Gesellschaft Zur Förderung Der Angewandten Forschung E.V. Process for heat joining of polymeric substrates
US5496332A (en) * 1994-10-20 1996-03-05 Cordis Corporation Wound closure apparatus and method for its use
WO1996024290A1 (en) * 1995-02-10 1996-08-15 Sherwood Medical Company Assembly for sealing a puncture in a vessel
WO1996033658A1 (en) * 1995-04-27 1996-10-31 Gene Myers A method and apparatus for arteriotomy closure
WO1996036282A2 (en) * 1995-05-15 1996-11-21 Baxter International Inc. Bipolar vascular sealing apparatus and methods
US5728132A (en) * 1996-04-08 1998-03-17 Tricardia, L.L.C. Self-sealing vascular access device

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8747435B2 (en) 2005-12-13 2014-06-10 Cardiva Medical, Inc. Drug eluting vascular closure devices and methods
US9439637B2 (en) 2005-12-13 2016-09-13 Cardiva Medical, Inc. Apparatus and methods for delivering hemostatic materials for blood vessel closure
US8911472B2 (en) 2005-12-13 2014-12-16 Cardiva Medical, Inc. Apparatus and methods for delivering hemostatic materials for blood vessel closure
US9179897B2 (en) 2005-12-13 2015-11-10 Cardiva Medical, Inc. Vascular closure devices and methods providing hemostatic enhancement
US9283112B2 (en) 2011-09-20 2016-03-15 Zoll Circulation, Inc. Patient temperature control catheter with outer sleeve cooled by inner sleeve
US9283110B2 (en) 2011-09-20 2016-03-15 Zoll Circulation, Inc. Patient temperature control catheter with outer sleeve cooled by inner sleeve
US9259348B2 (en) 2011-09-28 2016-02-16 Zoll Circulation, Inc. Transatrial patient temperature control catheter
US9314370B2 (en) 2011-09-28 2016-04-19 Zoll Circulation, Inc. Self-centering patient temperature control catheter
US8888832B2 (en) 2011-09-28 2014-11-18 Zoll Circulation, Inc. System and method for doubled use of patient temperature control catheter
US9241827B2 (en) 2012-09-28 2016-01-26 Zoll Circulation, Inc. Intravascular heat exchange catheter with multiple spaced apart discrete coolant loops
US9433528B2 (en) 2012-09-28 2016-09-06 Zoll Circulation, Inc. Intravascular heat exchange catheter with rib cage-like coolant path
US9474644B2 (en) 2014-02-07 2016-10-25 Zoll Circulation, Inc. Heat exchange system for patient temperature control with multiple coolant chambers for multiple heat exchange modalities
US11951035B2 (en) 2017-02-02 2024-04-09 Zoll Circulation, Inc. Devices, systems and methods for endovascular temperature control

Also Published As

Publication number Publication date
AU6457298A (en) 1998-09-29
EP0969769A2 (en) 2000-01-12
WO1998040017A2 (en) 1998-09-17

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