Locking element for vascular closure device
In one illustrative example, a device for sealing an opening in a vessel wall and/or tissue tract may include an anchor, a filament, a plug, and a knot. The anchor may be configured to be disposed adjacent to an interior surface of the vessel wall adjacent the opening in the vessel wall. The filament may have a distal end coupled to the anchor and may be configured to extend proximally through the vessel opening and/or tissue tract. The plug may be disposed about at least a portion of the filament member. The knot may be disposed about the filament proximal of the plug and may be configured to move over the filament and secure the plug relative to the anchor. The knot may be independent of the filament member.
1. A device for sealing an opening in a vessel wall and/or tissue tract, the device comprising:
an anchor member configured to be disposed adjacent to an interior surface of the vessel wall adjacent the opening in the vessel wall;
a filament member having a distal end coupled to the anchor member and configured to extend proximally through the vessel opening and/or tissue tract;
a plug member disposed about at least a portion of the filament member and in direct contact with the anchor member; and
a knot member disposed and tightened about the filament member proximal of the plug member, wherein the tightened knot member is configured to move over the filament member and axially compress the plug member against the anchor member, wherein the knot member is independent of the filament member;
wherein the knot member includes a first suture having a diameter larger than a diameter of the filament member.
2. The device of claim 1 , wherein the filament member includes a second suture.
3. The device of claim 1 wherein the knot member exerts a compressive force on the filament member.
4. The device of claim 3 wherein the compressive force of the knot member on the filament member correlates to a friction force that is greater than a rebound force of the plug member, wherein the rebound force of the plug is a force of the plug trying to expand in the axial direction after compression.
5. The device of claim 3 wherein the knot member has a friction force of at least 0.5 pounds.
6. The device of claim 3 wherein the knot member has a friction force of at least two pounds.
7. A device for sealing an opening in a vessel wall and/or tissue tract, the device comprising:
a biodegradable anchor member configured to be disposed adjacent to an interior surface of the vessel wall adjacent the opening in the vessel wall;
a first suture member having a distal end coupled to the anchor member and configured to extend proximally through the vessel opening and/or tissue tract;
a plug member disposed about at least a portion of the first suture member adjacent to and in direct contact with the anchor member; and
a second suture member includes a first end, a second end, and an intermediate portion having a number of turns defining a lumen, wherein the first end and second end are passed through the lumen, wherein the second suture member is disposed and tightened about the first suture member proximal of the plug member, wherein the second suture member exerts a compressive force on the first suture member, wherein the second suture member is independent of the first suture member;
wherein the second suture member has a diameter that is larger than the first suture member;
wherein the second suture member is configured to move over the first suture member and axially compress the plug member against the anchor member.
8. The device of claim 7 wherein the compressive force of the second suture member on the first suture member is related to a friction force of the second suture, wherein the friction force of the second suture is greater than a rebound force of the plug member, wherein the rebound force of the plug is a force of the plug trying to expand in the axial direction after compression.
9. The device of claim 8 wherein the second suture member has a friction force of at least two pounds.
10. The device of claim 8 further comprising a push rod configured to exert a force on the second suture member greater than the friction force of the second suture member on the first suture member.