Abstract: A medical apparatus (100; 200; 300) is provided, comprising a closure device (21; 102; 202; 302) comprising a first or distal member or portion adapted to be placed on one side of an opening in a wall of a bodily organ, and a second or proximal member or portion adapted to be placed on the opposite side of the opening in the wall of the bodily organ, an insertion assembly (101; 201; 301) comprising at least one actuator operatively connected to at least one of said first or second members, wherein the insertion assembly further comprises at least one motor (105; 106; 205; 306) adapted to maneuver said at least one actuator.

Abstract: A medical closure device (1; 20) comprising an inner member (2; 23), which is adapted to be positioned against an inner surface of a tissue wall, and a retaining member (3; 13; 21), which is attached to the inner member, wherein the retaining member is in the form of a loop made up by multiple coils of at least one filament, the coils lying side-by-side one another such that when increasing tension is applied in the loop, at least one of the at least one filament breaks apart before side-by-side portions of the at least one filament slide readily with respect to one another.

Abstract: A method for sealing a hole in a bodily organ includes introducing a first member and a second member into the bodily organ, the first and second members being connected by an elongated member. The first and second members are retracted proximally until the first member abuts an inner surface of the bodily organ and the second member is retracted out of the hole in the bodily organ. Then, the second member is pushed distally into abutment with an outer surface of the bodily organ. A sealing device for sealing a puncture in tissue is also described.

Abstract: A medical apparatus (100) is provided, comprising a closure device (102), which comprises a locking member (130) and a tubular member (121) having two sets of struts (122, 123) being provided with a hinge section, and an insertion assembly (101), which comprises a holder (106) and an actuator (107), the holder being releasably engaged in the locking member and the actuator being releasably engaged with the tubular member. The insertion assembly further comprises a spring (105) which effectuates a relative movement between the holder and the actuator, which causes the closure device to move from a first elongated introduction configuration via a second positioning configuration to the third closed configuration, during which the tubular member is compressed such that the hinge sections have moved radially away from a longitudinal central axis of the closure device.

Abstract: A medical closure device (20) is provided, comprising a tubular member (21) provided with first struts (22) that extend between a first end portion (24) and a central portion (25) and second struts (23) that extend between said central portion and a second end portion (26), each strut being provided with a hinge section (27, 28), such that said closure device is movable between a first elongated introduction configuration and a second positioning configuration in which the first and/or second end portions have been moved towards each other such that the first and/or second struts have moved radially away from a longitudinal central axis of the closure device.

Abstract: A medical closure device (20) is provided, which comprises a tubular member (21) provided with a first set of struts (22) that extend between a first end portion (24) and a central portion (25) and second set of struts (23) that extend between said central portion and a second end portion (26), and each strut being provided with a section (27, 28) that can act as a hinge, such that said closure device being movable between a first elongated tubular configuration and a second configuration in which the first and second end portions have been moved towards each other such that the first and second struts have moved radially away from a longitudinal central axis of the closure device, and wherein the two arms of at least one of the strut sets, in the first configuration, are arranged with positive tilt angle to each other to thereby ensure that the second configuration can be achieved.

Abstract: A medical closure device (20) is provided, which comprises a tubular member (21) provided with a first set of struts (22) that extend between a first end portion (24) and a central portion (25) and second set of struts (23) that extend between said central portion (25) and a second end portion (26), and each strut (22, 23) being provided with a section (27, 28) that can act as a hinge, such that said closure device being movable between a first elongated tubular configuration and a second configuration in which the first and second end portions have been moved towards each other such that the first and second struts have moved radially away from a longitudinal central axis of the closure device. The closure device comprises further a separate locking member which in inserted into the tubular member and with such a shape that the closure device can be locked in the second configuration.

Abstract: An adapter is provided for use in connecting to a percutaneous introducer of arbitrary dimensions, where the adapter comprises a tapered threaded section (4). The tapered threaded section is screwed (and/or inserted) into the introducer and will thereby tightly grip the inner walls of the introducer. In one embodiment the adapter is provided as the distal section of a new introducer (3), required for a subsequent medical procedure. In another embodiment, the adapter is provided as an integral part of a medical device (16), such as an insertion tool for a closure device. In a further embodiment the distal end (30) of the tapered threaded section (24) is extended beyond the distal end of the introducer.

Abstract: A medical closure device (20) is provided, which comprises a tubular member (21) provided with a first set of struts (22) that extend between a first end portion (24) and a central portion (25) and second set of struts (23) that extend between said central portion (25) and a second end portion (26), and each strut (22, 23) being provided with a section (27, 28) that can act as a hinge, such that said closure device (20) being movable between a first elongated tubular configuration and a second configuration in which the first and second end portions (24, 26) have been moved towards each other such that the first and second struts (22, 23) have moved radially away from a longitudinal central axis of the closure device, and wherein the two arms of at least one of the strut sets, in the first configuration, are arranged with positive tilt angle to each other to thereby ensure that the second configuration can be achieved.

Abstract: A medical closure device (20) is provided, comprising a tubular member (21) provided with first struts (22) that extend between a first end portion (24) and a central portion (25) and second struts (23) that extend between said central portion (25) and a second end portion (26), each strut being provided with a hinge section (27, 28), such that said closure device is movable between a first elongated introduction configuration and a second positioning configuration in which the first and/or second end portions have been moved towards each other such that the first and/or second struts have moved radially away from a longitudinal central axis of the closure device.

Abstract: A medical closure device (20) is provided, which comprises a tubular member (21) provided with a first set of struts (22) that extend between a first end portion (24) and a central portion (25) and a second set of struts (23) that extend between said central portion (25) and a second end portion (26), and each strut (22, 23) being provided with a section (27, 28) that can act as a hinge, such that said closure device (20) being movable between a first elongated tubular configuration and a second configuration in which the first and second end portions (24, 26) have been moved towards each other such that the first and second struts (22, 23) have moved radially away from a longitudinal central axis of the closure device. The closure device (20) comprises further a separate locking member (30) with such a shape that the closure device can be locked in the second configuration.

Abstract: A medical apparatus (100) is provided, comprising a closure device (102), which comprises a locking member (130) and a tubular member (121) having a distal set of struts (122) and a proximal set of struts (123), said struts being provided with a hinge section, and an insertion assembly (101), which comprises a holder (106) and an actuator (107), the holder being releasably engaged in the locking member and the actuator being releasably engaged with the tubular member, wherein, in response to a relative movement between the holder and the actuator, the closure device is movable between a first elongated tubular introduction configuration and a second positioning configuration in which the tubular member is compressed such that the distal and proximal sets of struts have moved radially away from a longitudinal central axis of the closure device.

Abstract: The invention provides a method for replacing a first introducer, whose distal end is inside a vessel and whose proximal end is outside the skin of a patient, with a second introducer. The method comprises the steps of inserting a guide rod into the first introducer, removing the first introducer, passing the second introducer over the guide rod, and removing the guide rod. The guide rod to be used according to the method has preferably a flexible distal portion with a blunt distal end and a stiff proximal portion with a tapered proximal end.

Abstract: The invention provides a method for replacing a first introducer, whose distal end is inside a vessel and whose proximal end is outside the skin of a patient, with a second introducer. The method comprises the steps of inserting a guide rod into the first introducer, removing the first introducer, passing the second introducer over the guide rod, and removing the guide rod. The guide rod to be used according to the method has preferably a flexible distal portion with a blunt distal end and a stiff proximal portion with a tapered proximal end.

Abstract: The invention relates to a loading device provided with a tamping mechanism with which two or three functional operations needed in the sealing of punctures in blood vessels can be sequentially executed in one single manual operation. In a preferred embodiment of the tamping mechanism, a cam curve (15) transforms the single manual operation of a tamping button (8) being the one end of a plunger (14) into the retraction of a pusher (5), which has been used to insert an inner seal (1) into the vessel, and, then, the advancement of a tamping tube (10), which pushes an outer seal (2) into engagement with the outer vessel wall. In the end position of the tamping button (8), a recess (23) in the plunger (14) releases a thread (3), which tamps the inner and outer seals (1, 2) together around the intermediate vessel wall, from a retainer (16), thereby completing the third operation step.

Abstract: A tool (101) is provided for inserting and mating two plug members (2, 3) of a sealing device (1) for closing a wound in the wall of a vessel by placing the distal plug member (2) of the sealing device inside the vessel and the proximal plug member (3) on the outside of the vessel. The distal plug member is provided with an elongated retracting means (6) extending from the distal plug member. The tool comprises a gear mechanism (32) coupled to the retracting means for converting a movement of the tool in a proximal direction away from the wound (22), when the distal plug member is anchored in the vessel (20), to a pushing movement for moving the proximal plug member in a direction towards the distal plug member in response to a stretching force in the retracting means.

Abstract: A closure device for sealing a percutaneous puncture in the wall of a blood vessel includes: an insertion tool having an actuator which is operable in a first mode in which the actuator is configured for deployment of an inner seal inside the vessel and operable in a second mode in which the actuator is configured for tamping a locking member on an outside of the vessel, where the actuator is arranged to be set into the second mode in response to a pulling force acting on a filament connecting the inner seal and the locking member.

Abstract: An indicator device for visually indicating a pressure of blood inside a blood vessel includes: a body, the body comprising a duct extending in the body and having a sealed proximal end; a distal end portion adapted to be positioned inside the blood vessel and including a liquid inlet opening in fluid communication with the duct; and a window including an at least semi-transparent section configured to enable visual observation of blood entering into the duct via the inlet opening when the inlet opening is located inside the blood vessel.

Abstract: The present invention provides a medical sealing device having a decreased risk that a fastening means, such as a suture or a multifilament, ruptures through the sealing device. An absorbable medical sealing device (3; 10; 15) according to the present invention is provided with one or more recesses (6, 7; 13; 18) for fastening means (5; 14; 17) and is characterized in that the sealing device (3; 10; 15) comprises a base portion (8; 11; 16), which is made of a first material having a lower modulus, and a reinforcement portion (9; 12; 19), which is made of second material having a higher modulus, the reinforcement portion (9; 12; 19) being provided to reinforce said recesses (6, 7; 13; 18).

Abstract: The invention provides a method for replacing a first introducer, whose distal end is inside a vessel and whose proximal end is outside the skin of a patient, with a second introducer. The method comprises the steps of inserting a guide rod into the first introducer, removing the first introducer, passing the second introducer over the guide rod, and removing the guide rod. The guide rod to be used according to the method has preferably a flexible distal portion with a blunt distal end and a stiff proximal portion with a tapered proximal end.