US6517553B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Device and method for suturing of internal puncture sites
Assignee: Abbott Laboratories
•
Filing: 2001-01-24
•
Granted: 2003-02-11
•
Expires: 2021-01-24
Abstract
Abstract A suture applying device comprises a shaft having a nose piece attached at its distal end. The shaft and the nose piece are separated by a transition region, and a needle entry lumen in the shaft permits a flexible needle to be introduced in the distal direction. The needle is able to cross the transition region and penetrate tissue held therein and enter into a return lumen in the nose piece. The return lumen is U-shaped and acts to bend the flexible needle as it is advanced. In this way, the needle passes from the nose piece through the transition region in a proximal direction, and is able to pass through tissue within the transition region generally on the opposite side of a tissue puncture from the first suture passage. The needle then exits from the device, permitting the suture attached to the needle to be drawn fully through the device. The suture may then be tied in order to close and seal the tissue penetration.
Inventors
- 👤 Enrique J. Klein
- 👤 Bernard H. Andreas
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 13:11
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/04; A61B17/0482; A61B17/0057; A61B17/0469; A61B17/06; A61B17/06066; A61B2017/00637; A61B2017/00641; A61B2017/00646; A61B2017/00663; A61B2017/0472; A61B17/22; A61B2017/22038; A61B17/28; A61B17/29; A61B2017/2926; A61B2017/2927; A61F; A61F2/00; A61F2/02; A61F2/30; A61F2002/30001; A61F2002/30003; A61F2002/3006; A61F2002/30092; A61F2210/00; A61F2210/0014; A61F2210/0019
Claims Analysis
Total Claims: 17
Claim 1
Independent Claim
131 words
A method of closing a puncture in a blood vessel wall, the method comprising: positioning a suture placement device in a tissue tract and into a puncture in the blood vessel wall; advancing a length of suture in a distal direction from the device through a first penetration in the blood vessel wall adjacent to the puncture; guiding the suture length from the first penetration across a proximal side of the puncture to a second penetration adjacent to the puncture opposite the first penetration; advancing the suture length in a proximal direction through the second penetration and the device so that the two ends of the suture length are accessible external to the tissue tract; and securing the suture length across an anterior side of the puncture to close the puncture.
Claim 2
Independent Claim
131 words
A method of closing a puncture in a blood vessel wall, the method comprising: positioning a suture placement device in a tissue tract and into a puncture in the blood vessel wall; advancing a length of suture in a distal direction from the device through a first penetration in the blood vessel wall adjacent to the puncture; guiding the suture length from the first penetration across a proximal side of the puncture to a second penetration adjacent to the puncture opposite the first penetration; advancing the suture length in a proximal direction through the second penetration and the device so that the two ends of the suture length are accessible external to the tissue tract; and securing the suture length across an anterior side of the puncture to close the puncture.
Claim 3
Dependent Claim
28 words
The method of claim 1 , wherein advancing a length of suture in a distal direction comprises pushing a needle which carries the suture through the first penetration.
Claim 4
Dependent Claim
27 words
The method of claim 2 , wherein guiding the suture length comprises elastically bending the needle as it tracks within the blood vessel to the second penetration.
Claim 5
Dependent Claim
30 words
The method of claim 3 , wherein advancing the suture in a proximal direction comprises pushing the needle so that a needle tip passes proximally out through the tissue tract.
Claim 6
Independent Claim
93 words
A method for suturing a puncture site in a wall of a blood vessel, said method comprising: providing a suturing device having a pair of axially advanceable penetrating elements; advancing the penetrating elements to form two penetrations in the blood vessel wall on opposite sides of the puncture site; advancing suture distally through the suture device distally through one of the two penetrations into a lumen of the blood vessel, proximally through the other of the two penetrations, and proximally through the suturing device; and securing the suture to close the puncture site.
Claim 7
Independent Claim
93 words
A method for suturing a puncture site in a wall of a blood vessel, said method comprising: providing a suturing device having a pair of axially advanceable penetrating elements; advancing the penetrating elements to form two penetrations in the blood vessel wall on opposite sides of the puncture site; advancing suture distally through the suture device distally through one of the two penetrations into a lumen of the blood vessel, proximally through the other of the two penetrations, and proximally through the suturing device; and securing the suture to close the puncture site.
Claim 8
Dependent Claim
13 words
The method of claim 5 , wherein the penetrating elements are needle guides.
Claim 9
Dependent Claim
35 words
The method of claim 6 , wherein advancing the suture comprises pushing the suture distally through a lumen of a first needle guide tube and pulling the suture proximally through a second needle guide tube.
Claim 10
Dependent Claim
44 words
The method of claim 7 , wherein advancing the suture comprises providing a needle having the suture attached thereto and pushing the needle distally through the lumen of the first needle guide tube and pulling the needle proximally through the second needle guide tube.
Claim 11
Independent Claim
81 words
A method of suturing a puncture site in a wall of a blood vessel, said method comprising: providing a length of suture; pushing the suture distally through a tissue tract over the puncture site through a penetration on one side of the puncture site into a lumen of the blood vessel; pulling the suture proximally through a second penetration on another side of the puncture site and proximally through the tissue tract; and securing the suture to close the puncture site.
Claim 12
Independent Claim
81 words
A method of suturing a puncture site in a wall of a blood vessel, said method comprising: providing a length of suture; pushing the suture distally through a tissue tract over the puncture site through a penetration on one side of the puncture site into a lumen of the blood vessel; pulling the suture proximally through a second penetration on another side of the puncture site and proximally through the tissue tract; and securing the suture to close the puncture site.
Claim 13
Independent Claim
117 words
A device for suturing a puncture in a blood vessel wall, said device comprising: a body arranged to be positioned through a tissue tract over the blood vessel puncture, said body having a path for, (a) advancing a suture length in a distal direction past a first gap in the body, (b) advancing the suture laterally on a distal side of the gap, and (c) proximally through a second gap in the body, wherein the gaps are arranged to capture the edges of the blood vessel wall adjacent to the puncture so that the suture advances distally through one edge, laterally across a distal side of the puncture, and proximally through the other edge of the puncture.
Claim 14
Independent Claim
117 words
A device for suturing a puncture in a blood vessel wall, said device comprising: a body arranged to be positioned through a tissue tract over the blood vessel puncture, said body having a path for, (a) advancing a suture length in a distal direction past a first gap in the body, (b) advancing the suture laterally on a distal side of the gap, and (c) proximally through a second gap in the body, wherein the gaps are arranged to capture the edges of the blood vessel wall adjacent to the puncture so that the suture advances distally through one edge, laterally across a distal side of the puncture, and proximally through the other edge of the puncture.
Claim 15
Dependent Claim
37 words
The device according to claim 10 , wherein the body comprises a shaft having a nose piece, wherein the gaps are positioned between a distal end of the shaft and a proximal surface of the nose piece.
Claim 16
Dependent Claim
26 words
The device according to claim 10 , wherein the device further includes a needle, the needle being configured to carry the suture through the suture path.
Claim 17
Dependent Claim
46 words
The device according to claim 12 , wherein the device further comprises a pair of needle guide tubes, said guide tubes arranged to be advanced across the gaps to penetrate the edges of the blood vessel wall to form penetrations prior to advancement of the needle.
References Cited (Backward Citations)
US312408A
Cited
US659422A
Cited
US2127903A
Cited
US2397823A
Cited
US2646045A
Cited
FR1059544A
Cited
US2959172A
Cited
US3104666A
Cited
US3470875A
Cited
US3653388A
Cited
US3665926A
Cited
US3776237A
Cited
US3820544A
Cited
US3939820A
Cited
US3926194A
Cited
US4018228A
Cited
US4109658A
Cited
US4168073A
Cited
US4161951A
Cited
US4182339A
Cited
US4216776A
Cited
US4235177A
Cited
US4437465A
Cited
SU820810A1
Cited
US4317445A
Cited
US4411654A
Cited
US4412832A
Cited
SU993922A1
Cited
US4493323A
Cited
SU1093329A1
Cited
US5562728A
Cited
US4553543A
Cited
SU1174036A1
Cited
US4629450A
Cited
US4651733A
Cited
US4898155A
Cited
US4596559A
Cited
US4587969A
Cited
US4738666A
Cited
US5300085A
Cited
US4723549A
Cited
US4852568A
Cited
US4890612A
Cited
US4744364A
Cited
US5478353A
Cited
US4803984A
Cited
SU1544383A1
Cited
US4957498A
Cited
US4926860A
Cited
US4836205A
Cited
US4911164A
Cited
US4984581A
Cited
US4929246A
Cited
US4983168A
Cited
US5192294A
Cited
SU1648400A1
Cited
US5078721A
Cited
US5009643A
Cited
US4935027A
Cited
US5059201A
Cited
US5192302A
Cited
US5061274A
Cited
US5100432A
Cited
US5002563A
Cited
EP0474887B1
Cited
US5100419A
Cited
US5021059A
Cited
US5037433A
Cited
US5395332A
Cited
US5047039A
Cited
US5080664A
Cited
US5129913A
Cited
US5611794A
Cited
US5242427A
Cited
US5387221A
Cited
US5290297A
Cited
US5489295A
Cited
US5293881A
Cited
US5147373A
Cited
US5486190A
Cited
US5295993A
Cited
US5160339A
Cited
US5109780A
Cited
US5234443A
Cited
US5285945A
Cited
US5219358A
Cited
US5289963A
Cited
US5222974A
Cited
US5320632A
Cited
US5395349A
Cited
US5403338A
Cited
US5312024A
Cited
US5171251A
Cited
US5454834A
Cited
DE9217932U1
Cited
DE4210724C1
Cited
US5411481A
Cited
US5507744A
Cited
US5368601A
Cited
US5507757A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2006-02-10 | 2006-08-12 | 2007-02-11 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2010-02-10 | 2010-08-12 | 2011-02-11 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2014-02-10 | 2014-08-12 | 2015-02-11 | $7700.00 | Window Closed / Lapsed |