Linkage driven compaction device
View Patent ↗Methods and apparatus are disclosed for sealing a puncture or incision formed percutaneously in tissue separating two internal portions of the body of a living being with an anchor, a sealing plug and a filament connecting the anchor and sealing plug. The methods and apparatus provide for a compaction mechanism that is expandable and tamps the sealing plug into place.
1. A tissue puncture closure device comprising:
a handle disposed at a first end of the closure device, the handle including a handle housing;
a filament, a first end extending from the first end at the handle to a second end;
a carrier tube extending from the handle;
a sealing plug assembly disposed in the carrier tube and coupled to a second end of the filament; and
an automatic compaction mechanism, wherein a proximal end of the automatic compaction mechanism is coupled to the handle housing and the automatic compaction mechanism extends through the carrier tube, the automatic compaction mechanism comprising at least one linkage, wherein the at least one linkage comprises a plurality of arms and the arms are interconnected by way of pivot points.
2. The tissue puncture closure device of claim 1 , comprising a plurality of linkages.
3. The tissue puncture closure device of claim 2 , wherein the linkages are interconnected in series by pivot points.
4. The tissue puncture closure device of claim 3 , the automatic compaction mechanism further comprising a tamping member, the tamping member at least partially disposed within the carrier tube, a distal end of a distal-most linkage coupled to a proximal end of the tamping member.
5. The tissue puncture closure device of claim 4 , wherein a proximal portion of the automatic compaction mechanism comprises a plurality of proximal linkages wherein one pivot point connecting two proximal linkages is also coupled to the handle housing.
6. The tissue puncture closure device of claim 5 , further comprising a spool, wherein the spool is coupled to the handle housing proximate of the proximal end of the automatic compaction mechanism.
7. The tissue puncture closure device of claim 6 , wherein the first end of the filament is coupled to a proximate-most pivot point of the proximate-most linkage of the automatic compaction mechanism and passes over the spool.
8. The tissue puncture closure device of claim 7 , the sealing plug assembly comprising a sealing plug and an anchor wherein the second end of the filament is connected to the anchor and the sealing plug for slidably cinching the anchor and sealing plug together about a tissue puncture wherein the sealing plug is slidably disposed on the filament proximal to the anchor.
9. The tissue puncture closure device of claim 7 , the linkages adapted to expand distally or longitudinally upon application of a tensioning force supplied by the filament upon retraction of the closure device, the tamping member coupled to the distal pivot point of the distal-most linkage and adapted to tamp the sealing plug towards the anchor.
10. A tissue puncture closure device comprising:
a handle disposed at a first end of the closure device, the handle including a handle housing;
a carrier tube extending from the handle;
a sealing plug assembly disposed in the carrier tube;
a tamping member slidingly disposed at least partially in the carrier tube and proximate of the sealing plug assembly; and
an automatic compaction mechanism, wherein a proximal end of the automatic compaction mechanism is coupled to the tamping member, the automatic compaction mechanism comprising at least one linkage, the at least one linkage comprising a plurality of arms, and pairs of arms of the plurality of arms are interconnected by way of pivot points.
11. The tissue puncture closure device of claim 10 , the distal-most end of the automatic compaction mechanism comprising a pivot point and coupled to the handle housing.
12. The tissue puncture closure device of claim 11 , comprising one linkage comprising of four arms.
13. The tissue puncture closure device of claim 11 , further comprising two filaments, each filament first end coupled to a respective pivot point of one linkage, the pivot points positioned substantially along a horizontal axis, the filaments passing along a plurality of rollers, and extending from the first end at the handle to a second end.
14. The tissue puncture closure device of claim 12 , further comprising four spool guides, the spool guides disposed equally on either side of the tamping member, wherein the tamping member comprises a plurality of apertures, at least one aperture on each side of the tamping member, the apertures adapted to accommodate the two filaments.
15. The tissue puncture closure device of claim 14 , a second end of each filament coupled to the sealing assembly, the sealing assembly comprising a sealing plug and an anchor.
16. The tissue puncture closure device of claim 15 , wherein the second end of each filament is connected to the anchor and the sealing plug for slidably cinching the anchor and sealing plug together about a tissue puncture wherein the sealing plug is slidably disposed on the filaments proximal to the anchor.
17. The tissue puncture closure device of claim 16 , the linkage adapted to expand horizontally upon application of a tensioning force supplied by the filaments upon retraction of the closure device, the tamping member coupled to the proximal pivot point of the proximal-most linkage and urged to slidingly pass distally through the carrier tube and tamp the sealing plug towards the anchor.