Apparatus and methods for sealing a vascular puncture
A sealant is provided for sealing a puncture through tissue that includes an elongate first section including a proximal end, a distal end, and a cross-section sized for delivery into a puncture through tissue, and a second section fused to and extending from the distal end of the first section. The first section may be formed from a freeze-dried hydrogel that expands when exposed to physiological fluid within a puncture. The second section may be formed from a solid mass of non-freeze-dried, non-crosslinked hydrogel precursors, the precursors remaining in an unreactive state until exposed to an aqueous physiological, whereupon the precursors undergo in-situ crosslinking with one another to provide an adhesive layer bonded to the first section. Apparatus and methods for delivering the sealant into a puncture through tissue are also provided.
1. A sealant for sealing a puncture through tissue, comprising:
a freeze-dried hydrogel comprising crosslinked polyethylene glycol (PEG), the freeze-dried hydrogel having pores; and
a solid mass of non-freeze-dried, non-crosslinked hydrogel precursors, wherein the solid mass of hydrogel precursors is substantially distal to the freeze-dried hydrogel;
wherein the pores in a distal end of the freeze-dried hydrogel contain non-freeze-dried, non-crosslinked hydrogel precursors.
2. The sealant of claim 1 , wherein the solid mass of hydrogel precursors further comprises a pH adjusting agent.
3. The sealant of claim 1 , wherein the freeze-dried hydrogel has a length between a proximal end and the distal end thereof and the solid mass of hydrogel precursors has a length between a proximal end and the distal end thereof;
wherein the length of the freeze-dried hydrogel is between about one and twenty millimeters (1-20 mm), and the length of the solid mass of hydrogel precursors is substantially shorter than the length of the freeze-dried hydrogel.
4. The sealant of claim 1 , wherein the solid mass of hydrogel precursors comprises a sintered mass of precursor powders.
5. The sealant of claim 1 , wherein the solid mass of hydrogel precursors includes one or more reinforcement elements.
6. The sealant of claim 1 , wherein the freeze-dried hydrogel comprises a sheet rolled into a tubular shape.
7. The sealant of claim 1 , wherein the sealant comprises a lumen extending from a proximal end of the freeze-dried hydrogel to a distal end of the solid mass of hydrogel precursors.
8. A sealant for sealing a puncture through tissue, comprising:
a freeze-dried hydrogel comprising crosslinked polyethylene glycol (PEG), the freeze-dried hydrogel having pores;
a solid mass of non-freeze-dried, non-crosslinked hydrogel precursors, wherein the solid mass of hydrogel precursors is substantially distal to the freeze-dried hydrogel; and
a transition zone in a distal end of the freeze-dried hydrogel, wherein the pores of the freeze-dried hydrogel at the transition zone contain non-freeze-dried, non-crosslinked hydrogel precursors.
9. The sealant of claim 8 , wherein the solid mass of hydrogel precursors further comprises a pH adjusting agent.
10. The sealant of claim 8 , wherein the freeze-dried hydrogel has a length between a proximal end and the distal end thereof and the solid mass of hydrogel precursors has a length between a proximal end and the distal end thereof;
wherein the length of the freeze-dried hydrogel is between about one and twenty millimeters (1-20 mm), and the length of the solid mass of hydrogel precursors is substantially shorter than the length of the freeze-dried hydrogel.
11. The sealant of claim 8 , wherein the solid mass of hydrogel precursors comprises a sintered mass of precursor powders.
12. The sealant of claim 8 , wherein the solid mass of hydrogel precursors includes one or more reinforcement elements.
13. The sealant of claim 8 , wherein the freeze-dried hydrogel comprises a sheet rolled into a tubular shape.
14. The sealant of claim 8 , wherein the sealant comprises a lumen extending from a proximal end of the freeze-dried hydrogel to a distal end of the solid mass of hydrogel precursors.
15. A sealant for sealing a puncture through tissue, comprising:
a freeze-dried hydrogel comprising crosslinked polyethylene glycol (PEG), the freeze-dried hydrogel having pores; and
a solid mass of non-freeze-dried, non-crosslinked hydrogel precursors, wherein the solid mass of hydrogel precursors is substantially distal to the freeze-dried hydrogel;
wherein the solid mass of hydrogel precursors is formed by melting the hydrogel precursors, drawing the melted hydrogel precursors toward a distal end of the freeze-dried hydrogel such that some of the melted precursors permeate into the pores in the distal end of the freeze-dried hydrogel, and allowing the melted hydrogel precursors to solidify.
16. The sealant of claim 15 , wherein the solid mass of hydrogel precursors further comprises a pH adjusting agent.
17. The sealant of claim 15 , wherein the freeze-dried hydrogel has a length between a proximal end and the distal end thereof and the solid mass of hydrogel precursors has a length between a proximal end and the distal end thereof;
wherein the length of the freeze-dried hydrogel is between about one and twenty millimeters (1-20 mm), and the length of the solid mass of hydrogel precursors is substantially shorter than the length of the freeze-dried hydrogel.
18. The sealant of claim 15 , wherein the solid mass of hydrogel precursors comprises a sintered mass of precursor powders.
19. The sealant of claim 15 , wherein the solid mass of hydrogel precursors includes one or more reinforcement elements.
20. The sealant of claim 15 , wherein the freeze-dried hydrogel comprises a sheet rolled into a tubular shape.
21. The sealant of claim 15 , wherein the sealant comprises a lumen extending from a proximal end of the freeze-dried hydrogel to a distal end of the solid mass of hydrogel precursors.