초록 ▼

Various embodiments of a device are shown and disclosed for closing a vascular access puncture site following percutaneous diagnostic or therapeutic interventional procedures. The vascular closure device includes an improved plug that is configured to be positioned adjacent to the hole in the vascul

Various embodiments of a device are shown and disclosed for closing a vascular access puncture site following percutaneous diagnostic or therapeutic interventional procedures. The vascular closure device includes an improved plug that is configured to be positioned adjacent to the hole in the vasculature. The plug may be shaped to prevent the plug from moving away from the hole in the blood vessel due to pulsatile pressure from the blood. In one embodiment, the plug may include a plurality of projections that extend outward from the plug and contact surrounding tissue in the tissue puncture tract to prevent the plug from moving away from the hole in the blood vessel.

대표청구항 ▼

1. A vascular closure device comprising: a vessel locating member configured to be inserted through a hole in a blood vessel when in a retracted position and being expandable within the blood vessel to locate the position of a wall of the blood vessel that is adjacent to the hole;a plug configured t

1. A vascular closure device comprising: a vessel locating member configured to be inserted through a hole in a blood vessel when in a retracted position and being expandable within the blood vessel to locate the position of a wall of the blood vessel that is adjacent to the hole;a plug configured to be deployed outside of the blood vessel adjacent to the hole and proximal of the vessel locating member within a tissue tract, the plug being shaped to prevent the plug from moving away from the blood vessel within the tissue tract;a sealing material configured to be positioned within the tissue tract proximal of and in contact with the plug, the sealing material having a pre-formed shape;a tamping member positioned proximal of the sealing material and operable to directly contact and compact the sealing material into a compacted position against the plug prior to removal of the vessel locating member;a suture connecting the sealing material to the plug, the suture holding the sealing material in the compacted position;wherein the plug is bioabsorbable and has an appreciably stable shape in the presence of bodily fluids;wherein the vessel locating member extends through the plug and the sealing material. 2. The vascular closure device of claim 1 wherein the plug includes a plurality of projections that are configured to contact surrounding tissue to prevent the plug from moving away from the blood vessel. 3. The vascular closure device of claim 1 wherein the plug includes a plurality of barbs that are configured to contact surrounding tissue to prevent the plug from moving away from the blood vessel. 4. The vascular closure device of claim 1 wherein the plug includes a rod that moves inside a sleeve, wherein the rod includes a plurality of projections that extend through a corresponding plurality of holes in the sleeve to contact surrounding tissue and thereby prevent the plug from moving away from the blood vessel. 5. The vascular closure device of claim 1 wherein the vessel locating member includes a tube having a wall with a plurality of cuts in it, the wall of the tube being configured to expand where the plurality of cuts are located when the tube is compressed. 6. The vascular closure device of claim 1 wherein the vessel locating member includes a balloon. 7. The vascular closure device of claim 1 wherein the sealing material is configured to be deployed adjacent to the plug outside of the blood vessel. 8. The vascular closure device of claim 1, wherein the plug has a first portion configured to be deployed outside of the blood vessel adjacent to the hole, and a second portion configured to be positioned within the hole. 9. The vascular closure device of claim 1, wherein the plug comprises at least one hole sized to receive the suture, and the sealing material includes multiple holes sized to receive the suture. 10. The vascular closure device of claim 1, wherein the plug includes an end surface that is angled to be flush with an interior wall surface of the blood vessel. 11. The vascular closure device of claim 1 wherein the tamping member comprises a tamper tube configured to compact the sealing material distally against a proximal end of the plug. 12. The vascular closure device of claim 1, further comprising a carrier tube defining a lumen sized to retain the plug and sealing material, the carrier tube being retractable to expose the plug and sealing material adjacent to the blood vessel. 13. A vascular closure device comprising: a vessel locating member configured to be insertable through a hole in a blood vessel when in a retracted position and being expandable within an interior of the blood vessel;a plug configured to be positioned outside of the blood vessel interior at least partially positioned in a tissue tract at a location proximal of the vessel locating member, the plug having at least one barb member directed proximally to contact the tissue tract to resist moving away from the blood vessel within the tissue tract;a sealing material configured to be positioned within the tissue tract adjacent to and proximal of the plug, the sealing material having a pre-formed shape;a tamping member positioned proximal of the sealing material and operable to directly contact and compact the sealing material into a compacted position against the plug prior to removal of the vessel locating member;a suture connecting the sealing material to the plug, the suture holding the sealing material in the compacted position;wherein the vessel locating member extends through the plug and the sealing material. 14. The vascular closure device of claim 13, wherein the plug includes a first portion configured to be positioned in the hole, and a second portion configured to be positioned in the tissue tract, the at least one barb member being mounted to the second portion. 15. The vascular closure device of claim 13, wherein the plug has a plurality of barb members arranged in a plurality of parallel rows extending around a circumference of the plug. 16. The vascular closure device of claim 13, wherein the plug includes a rod that moves inside a sleeve, wherein the rod includes a plurality of barbs that extend through a corresponding plurality of holes in the sleeve to contact the tissue tract to resist moving away from the blood vessel. 17. The vascular closure device of claim 13, wherein the plug includes an end surface that is angled to be flush with an interior wall surface of the blood vessel. 18. The vascular closure device of claim 13, wherein the tamping member is configured to compact the sealing material distally against a proximal end of the plug.