Vascular locating systems and methods of use
Disclosed are puncture sealing systems and methods of locating a puncture site within a vessel. The systems can include puncture locating dilators and access sheaths that are configured to locate the puncture site within a vessel so that the position of the puncture site relative to a distal end of the access sheath is known during a puncture sealing procedure.
1. A vascular location system, comprising:
a dilator that is elongate along a first longitudinal direction, the dilator having a distal end, a proximal end spaced from the distal end along the first longitudinal direction, an outer surface, an inlet hole spaced from the distal end of the dilator, an outlet hole in communication with the inlet hole disposed between the proximal end and the inlet hole, and a first plurality of depth markings on the outer surface disposed between the inlet hole and the outlet hole, wherein the plurality of depth markings are spaced from each other along the longitudinal direction; and
an access sheath that is elongate along a second longitudinal direction, the access sheath having a distal end, a proximal end spaced from the distal end of the access sheath along the second longitudinal direction, a sheath inner surface, a sheath outer surface opposite the sheath inner surface, an access channel that extends from the distal end of the access sheath to the proximal end of the access sheath, wherein the access channel is configured to receive the dilator, and a second plurality of depth markings on the outer surface of the access sheath,
wherein a first depth of marking of the first plurality of depth markings on the dilator corresponds to a first depth marking of the second plurality of depth markings, such that, the first plurality of depth markings are indicative of a depth the dilator is inserted into a puncture and the second plurality of marking are indicative of the depth that the access sheath is inserted into the puncture.
2. The system of claim 1 , wherein the first plurality of depth markings along the dilator are a plurality of numbers, and the second plurality of depth markings along the access sheath are a plurality of numbers.
3. The system of claim 1 , further comprising a guide channel that extends from the distal end to the proximal end, wherein the guide channel is configured to receive a guide wire as the dilator is placed along the guidewire into the puncture.
4. The system of claim 3 , wherein the inlet hole is open to the guide channel and the outlet hole is open to the guide channel such a blood entering blood entering the inlet hole travels through the guide channel and out the outlet hole.
5. The system of claim 3 , further comprising a channel that is open to the inlet hole and the outlet hole, wherein the channel is separate and distinct from the guide channel.
6. The system of claim 1 , wherein the plurality of depth markings on the dilator are configured to allow a user to visually note a depth or a puncture in the vessel relative to a patient's skin surface.
7. The system of claim 1 , wherein the access sheath includes a sheath body having an access channel, and a sheath dilator disposed within an access channel of the sheath body.
8. The system of claim 1 , further comprising:
a vascular closure device configured to be inserted into the access channel of the sheath body until a distal portion of the closure device is distal to the distal end of the sheath body, wherein the vascular closed device defines an internal lumen sized to receive and surround a guide wire such that the vascular closure device is slidable along the guidewire.
9. The system of claim 8 , wherein the sheath body includes a hub, and the vascular closure device is configured to be fully seated in access sheath, such that the vascular closure device mechanically coupled to the hub of the access sheath, and a distal portion of the vascular closure device extends out the distal end of the access sheath.
10. The system of claim 8 , wherein the vascular closure device includes a suture, a toggle coupled to the suture, a plug disposed along the suture, and a locking member coupled to the suture and slidable along the suture to secure the plug against the toggle in a compressed configuration.