Systems for applying cross-linked mechanical barriers
A delivery device applies a biocompatible and biodegradable barrier material to a tissue region, e.g., to seal a vascular puncture site. The material comprises two liquid components, which are pre-packaged in individual dispensers. Upon mixing, the liquid components cross-link to create a barrier matrix. A holder attaches to the delivery device. The holder mutually supports the first and second dispensers while the protein solution and polymer solution are conveyed from the dispensers into a fluid delivery channel. The protein and polymer solutions mix as a result of flow through the channel.
1. A system for applying a biocompatible, non-liquid barrier matrix to seal a vascular puncture site comprising
a catheter device defining a catheter tube movable into association with the vascular puncture site, the catheter tube including a distal end with an outlet, the catheter device including a positioner comprising an expandable structure on the distal end of the catheter tube to locate the outlet with respect to the vascular puncture site
a first dispenser containing a protein component,
a second dispenser containing a polymer component comprising poly(ethylene) glycol (PEG) with a functionality of at least three, and
an introducer attachable in communication with the catheter tube and including a holder to mutually support the first and second dispensers while conveying the protein and polymer components from the dispensers into the catheter tube for mixing as a result of flow through the catheter tube toward the outlet, wherein, upon mixing, the protein and polymer components chemically cross-link to form the non-liquid harder matrix at the vascular puncture site without the use of a photo initiator and ultraviolet light.
2. A system according to claim 1
wherein the structure expands in response to fluid pressure.
3. A system according to claim 1
wherein the structure expands in response to axial compression.
4. A system according to claim 1
wherein the expandable structure comprises a balloon.
5. A system according to claim 1 ,
wherein the catheter device includes a deformable region on the distal end located proximal to the outlet.
6. A system claim according to 1 ,
wherein the catheter tube includes an interior lumen to accommodate passage of a guide wire.
7. A system according to claim 1
wherein the introducer includes an actuator to mechanically link the dispensers to convey the protein and polymer components simultaneously into the catheter tube for mixing.
8. A system according to claim 1
wherein the protein component includes recombinant or natural serum albumin.
9. A system according to claim 1
wherein the PEG comprises a multi-armed polymer.
10. A system according to claim 1
wherein the dispensers comprise syringes.
11. A system according to claim 10
wherein the dispensers each include a piston advanceable to convey contents from the dispenser, and
wherein the introducer includes an actuator to mechanically link the pistons together for simultaneously advancement.
12. A system according to claim 1
and further including a kit for holding the dispensers prior to use.
13. A system according to claim 1 or 12
and further including a kit holding at least one of the catheter device and introducer prior to use.