Large bore vascular closure system
A vascular closure system for sealing an opening in a blood vessel may include an introducer sheath extending through the opening, the introducer sheath having a lumen extending through the introducer sheath, wherein partial withdrawal of the introducer sheath from the opening everts tissue of the blood vessel at the opening, and a shaping sheath slidably disposed over the introducer sheath, the shaping sheath having a split distal portion configured to engage the everted tissue.
1. A vascular closure system for sealing an opening in a blood vessel, comprising:
an introducer sheath configured to extend through the opening in the blood vessel the introducer sheath having a lumen extending through the introducer sheath;
wherein partial withdrawal of the introducer sheath from the opening is configured to evert tissue of the blood vessel at the opening in the blood vessel;
a shaping sheath slidably disposed over the introducer sheath, the shaping sheath having a split distal portion configured to engage the everted tissue; and
a dilator configured to be slidably received within the lumen of the introducer sheath,
wherein the dilator includes an enlargeable portion proximate a tapered distal end of the dilator, and
wherein the introducer sheath includes an enlargeable portion proximate a distal end of the introducer sheath.
2. The vascular closure system of claim 1 , wherein the shaping sheath includes a concave distal end configured to engage an outer surface of the blood vessel.
3. The vascular closure system of claim 1 , wherein each side of the split distal portion of the shaping sheath is biased radially inward.
4. The vascular closure system of claim 1 , wherein the split distal portion is configured to engage the everted tissue to form a seam oriented transverse to a longitudinal axis of the blood vessel.
5. The vascular closure system of claim 1 , wherein the shaping sheath includes a suction rim at a distal end of the shaping sheath configured to secure the split distal portion to the everted tissue.
6. The vascular closure system of claim 1 , further comprising a stapler configured to be slidably disposed within the shaping sheath for fastening the everted tissue.
7. The vascular closure system of claim 6 , wherein the stapler comprises multiple parallel staplers each configured to deploy one or more staples into the everted tissue.
8. The vascular closure system of claim 6 , wherein the stapler is configured to deploy multiple staples in series into the everted tissue.
9. The vascular closure system of claim 1 , further comprising a percutaneous medical device configured to be slidably disposed within the lumen to perform an intravascular procedure, wherein withdrawal of the introducer sheath and the percutaneous medical device from within the shaping sheath permits the split distal portion to translate the everted tissue to bring an inner surface of the blood vessel into contact with itself.
10. The vascular closure system of claim 1 , wherein the enlargeable portion of the introducer sheath extends radially outward from the introducer sheath at a maximum outer extent of the enlargeable portion.
11. The vascular closure system of claim 1 , wherein the enlargeable portion of the dilator is configured to extend radially outward from the introducer sheath after the enlargeable portion of the dilator has been passed through the introducer sheath.