Tissue and vascular closure devices and methods of use thereof
Devices and methods for closing access points in tissue are described. The devices include a tubular element fabricated form, for example, biologic material, a biologic tubular structure, or synthetic material. Using minimally invasive procedures, the devices and methods described herein allow implantation of the tubular element through the access point or wound such that it traverses the tissue. The tube has a sealed end which prevents leakage of fluid from, for example, the heart or a vessel upon securing the tube to the tissue.
1. A vascular closure assembly comprising:
a sealing tube, wherein said sealing tube comprises a proximal end portion and a distal end portion;
a sheath which encases at least a portion of the sealing tube in a folded configuration;
a tubing member positioned within the sealing tube, wherein the tubing member comprises proximal and distal sections, the distal section of the tubing member having longitudinal slits extending therealong to form a plurality of force application elements from a plurality of tubing contact members, the force application elements being movable from a radially collapsed configuration to a radially expanded configuration for expanding the distal end portion of the sealing tube from the folded configuration; and
a wire positioned within the tubing member and comprising a distal end fixed to the tubing member distal section, the wire being retractable relative to the tubing member proximal section to radially expand the force application elements and the sealing tube, wherein the distal end portion of the sealing tube is configured to radially flare out for flattening against surrounding tissue at a surgical access site upon actuation of the force application elements.
2. The closure assembly of claim 1 , wherein the sealing tube comprises pericardial tissue.
3. The vascular closure assembly of claim 1 , wherein the plurality of tubing contact members comprises three tubing contact members.
4. The vascular closure assembly of claim 1 , wherein the tubing member comprises three of said longitudinal slits.
5. The vascular closure assembly of claim 4 , wherein the longitudinal slits extend parallel relative to a longitudinal axis of the tubing member.
6. The vascular closure assembly of claim 1 , wherein distal advancement of the wire permits the tubing contact members to move to the radially collapsed configuration.
7. The vascular closure assembly of claim 1 , wherein the sheath is proximally retractable relative to the tubing member to permit expansion of the tubing member distal section.
8. The vascular closure assembly of claim 1 , wherein upon expansion and contraction of the tubing member distal section, the tubing member is proximally retractable from within the sealing tube.
9. The vascular closure assembly of claim 1 , wherein the proximal end portion of the sealing tube is open.
10. The vascular closure assembly of claim 1 , wherein the distal end portion of the sealing tube is closed.
11. The vascular closure assembly of claim 1 , wherein the distal end portion of the sealing tube includes a guidewire aperture.
12. The vascular closure assembly of claim 11 , wherein the distal end portion of the sealing tube flares out and converges at the guidewire aperature formed in the distal end portion.
13. A vascular closure assembly comprising:
a sealing tube having an open end, a closed end, and a lumen extending therebetween; and
a tubing member positioned within the sealing tube lumen, the tubing member having proximal and distal sections and a split-tube expansion mechanism at the distal section, the split-tube expansion mechanism comprising a wire coupled to the tubing member distal section and a plurality of force application elements formed from a plurality of tubing contact members that are expandable from a radially collapsed configuration to cause radial flaring of the sealing tube closed end from a folded configuration for contacting the sealing tube closed end against surrounding tissue at a surgical access site upon actuation of the wire.
14. The vascular closure assembly of claim 13 , wherein the closed end of the sealing tube includes a guidewire aperture.
15. The vascular closure assembly of claim 13 , further comprising a sheath, the sealing tube and the tubing member being positioned within the sheath to facilitate delivery of the assembly to an access site for a surgical procedure, wherein the sheath is proximally retractable relative to the tubing member to permit expansion of the tubing member distal section.
16. The vascular closure assembly of claim 13 , wherein the plurality of tubing contact members comprises three tubing contact members.
17. The vascular closure assembly of claim 13 , wherein the split-tube expansion mechanism comprises three longitudinal slits extending along the tubing member.
18. The vascular closure assembly of claim 17 , wherein the longitudinal slits extend parallel relative to a longitudinal axis of the tubing member.
19. The vascular closure assembly of claim 13 , wherein distal advancement of the wire permits the tubing contact members to move to the radially collapsed configuration.
20. A vascular closure assembly comprising:
a sealing tube having proximal and distal end portions and a lumen extending therebetween; and
a tubing member positioned within the sealing tube lumen, the tubing member having proximal and distal sections and a split-tube expansion mechanism at the distal section, the split-tube expansion mechanism comprising a wire coupled to the tubing member distal section and a plurality of force application elements formed from a plurality of tubing contact members, the plurality of force application elements being radially expandable, upon actuation of the wire, for urging the sealing tube distal end portion radially outwardly from a folded configuration to permit sealing of the distal end portion against surrounding tissue at a surgical access site.
21. The vascular closure assembly of claim 20 , wherein the distal end portion of the sealing tube is closed.
22. The vascular closure assembly of claim 20 , wherein the distal end portion of the sealing tube includes a guidewire aperture.