Wound closure device
A wound closure device for positioning within a wound gap defined between at least two tissue segments has an effect of drawing the at least two tissue segments to a state of proximity that closes the wound gap. The wound closure device includes a tubular collapsible member having an expanded configuration and a collapsed configuration. The wound closure device further includes tissue engaging structure for attaching the tissue segments to the tubular collapsible member.
1. A wound closure device for closing a wound gap, the wound closure device comprising:
a unitary collapsible member defining a longitudinal axis and a bore and having an outer wall with an outer surface; and
tissue engaging structure extending radially outwardly from the outer surface of the outer wall of the collapsible member along the length of the collapsible member, the tissue engaging structure being configured to engage tissue to anchor the collapsible member to the tissue;
wherein the collapsible member is dimensioned to be received within the wound gap such that the tissue engaging structure engages the tissue defining the wound gap, the collapsible member defining a first configuration in which the bore is open and a second configuration in which the bore is closed, the collapsible member being collapsible from the first configuration to the second configuration to close the wound gap.
2. The wound closure device according to claim 1 , wherein the wound closure device is fabricated from a shape memory material.
3. The wound closure device according to claim 2 , wherein the collapsible member is formed from material that transitions from the first configuration to the second configuration at a predetermined temperature.
4. The wound closure device according to claim 2 , wherein the collapsible member is formed of material that transitions from the first configuration to the second configuration when contacting a predetermined fluid.
5. The wound closure device according to claim 1 , wherein the tissue engaging structure comprises a plurality of barbs configured to penetrate the tissue.
6. The wound closure device according to claim 5 , wherein the plurality of barbs are configured to flex upon contacting the tissue during movement of the collapsible member in an insertion direction into the wound gap.
7. The wound closure device according to claim 5 , wherein the plurality of barbs define a first angle with respect to the longitudinal axis of the collapsible member before contacting the tissue.
8. The wound closure device according to claim 7 , wherein the plurality of barbs define a second angle with respect to the longitudinal axis upon contacting the tissue when the collapsible member enters the wound gap and is advanced in an insertion direction.
9. The wound closure device according to claim 8 , wherein the first angle is different from the second angle.
10. The wound closure device according to claim 8 , wherein the plurality of barbs return to the first angle with respect to the longitudinal axis upon an application of force in a direction opposite to the insertion direction.
11. The wound closure device according to claim 1 , wherein the tubular collapsible member is operatively connected to a vacuum such that the vacuum facilitates the transition of the collapsible member from the first configuration to the second configuration.
12. The wound closure device according to claim 1 , further comprising a suture disposed in the collapsible member.
13. The wound closure device according to claim 12 , wherein the collapsible member defines a helical passage extending from a distal end of the collapsible member to a proximal end, and the suture is accommodated within the helical passage.
14. The wound closure device according to claim 13 , wherein the suture is movable within the helical passage upon an application of force on the suture to effect movement of the collapsible member from the first configuration to the second configuration.
15. The wound closure device according to claim 1 , wherein the collapsible member is tubular.
16. The wound closure device according to claim 15 , wherein the bore is hollow.