Abstract: A bioadhesive sealant storage and preparation system may comprise a plurality of containers and an adapter. The plurality of containers may comprise a first container having a first bioadhesive sealant component therein, and a second container having a second bioadhesive sealant component therein. The adapter may comprise a manifold comprising a plurality of channels formed therein, an inlet region sized and configured to receive the plurality of containers and facilitate fluid communication between each container of the plurality of containers and a respective channel of the plurality of channels, and an outlet region sized and configured to receive a syringe and provide fluid communication between the syringe and the plurality of channels.

Abstract: A bioadhesive delivery catheter includes a manifold, a dual lumen tube, and a mixing member. The manifold includes a delivery device passage and an injection port. The tube is insertable into the delivery device passage and includes first and second lumens positioned side-by-side. The first lumen extends proximal of the second lumen within the delivery device passage, and the second lumen is in flow communication with the injection port. The mixing member is positioned between a proximal inlet of the injection port and the second lumen and is configured to help mix a bioadhesive material that is delivered through the injection port into the second lumen.

Abstract: A method and apparatus for sealing a puncture or incision formed percutaneously in a tissue. The apparatus includes an anchor, a sealing plug, a suture, a compaction member assembly, a spool assembly, and a release member. The compaction member assembly is structured and arranged to apply a compressive force to compact the sealing plug toward the anchor. The spool assembly includes a plurality of post members, and the suture is wound about the post members to define a suture cam path. Unspooling the suture along the suture cam path provides driving of the compaction member assembly. The release member is operable to move the post members to release the suture member from the spool assembly.

Abstract: A vascular closure assembly configured to seal a puncture in a vessel that is accessible through a tissue tract. The vascular closure assembly includes a vascular closure device comprising a handle assembly, an insertion shaft, an anchor assembly, and at least one suture member. The insertion shaft extends distally from the handle assembly and carries a plurality of needles. The needles are operable to position at least one suture across the vessel puncture. The anchor assembly is positioned distal of the insertion shaft. The at least one suture member is positioned distal of the insertion shaft. The insertion shaft extends into the tissue tract to position the anchor assembly through the puncture and into the vessel and includes a first depth indicator on an outer surface thereof that indicates a depth of the tissue tract.

Abstract: Various embodiments of a device are shown and disclosed for closing a vascular access puncture site following percutaneous diagnostic or therapeutic interventional procedures. The vascular closure device is configured to safely and accurately deploy a sealing material that undergoes a phase change when deployed inside the tissue tract. The sealing material may be a solid at room temperature and a liquid or gel at body temperature. Also, the sealing material may change from a liquid or gel to a cubic phase when it comes into contact with bodily fluids.

Abstract: A vascular closure device includes a vessel locating device, a sealant delivery device, a detachable sealing tip, and a suture. The vessel locating device includes an expandable portion configured to extend through and temporarily seal a vessel puncture from within a vessel. The sealant delivery device is configured to deliver a first volume of flowable sealant to the vessel puncture along an exterior of the vessel. The detachable sealing tip is carried at a distal end of the vessel locating device. The suture is connected to and extends proximally from the detachable sealing tip. The detachable sealing tip is configured for release within the first volume of flowable sealant upon withdrawal of the vessel locating device through the first volume of flowable sealant. The suture is anchored at a location proximal of the detachable sealing tip.

Abstract: A bioresorbable anchor for deployment in a live body, in one embodiment the anchor comprises an inner anchor made of a first bioresorbable material and an outer anchor made of a second bioresorbable material, wherein the outer anchor envelops the inner anchor. In another embodiment, the anchor comprises a base anchor made of a first bioresorbable material and a second bioresorbable material overlays at least a portion of the base anchor. The first bioresorbable material has a faster resorption rate than the second bioresorbable material. Further, the second bioresorbable material can provide additional strength to the anchor structure. A tissue puncture closure device comprising a filament extending from a first end of the closure device to a second end of the closure device; an anchor comprising a plurality of bioresorbable materials; a sealing plug slidingly attached to the filament adjacent to the anchor; and a tamping assembly.

Abstract: Methods and apparatus are disclosed for sealing a puncture or incision formed percutaneously in tissue separating two internal portions of the body of a living being with an anchor, a sealing plug and a filament connecting the anchor and sealing plug. The methods and apparatus provide for a compaction mechanism that is expandable and tamps the sealing plug into place.

Abstract: Methods and apparatus for sealing a puncture or incision formed percutaneously in tissue separating two internal portions of the body of a living being with an anchor, a sealing plug and a filament connecting the anchor and sealing plug are disclosed. The methods and apparatus provide for automatic tamping of the sealing plug. In addition, torque required to tamp the sealing plug is automatically sensed and gear ratios of an automatic tamping device are automatically changed in response to sensed changes in torque. A planetary transmission may be used to automatically change gear ratios in response to the changes in torque.

Abstract: An insertion sheath and related methods include a tube member and a shape memory feature. The tube member defines an insertion lumen. The shape memory feature is positioned at a distal end portion of the tube member. The shape memory feature provides a monofold shape in the tube member when in a first state, and a radially expanded shape in the tube member in a second state upon application of an expansion force. The shape memory feature returns the monofold shape after removal of the expansion force. The insertion sheath may function as an access to closure sheath that is suitable for use as a procedural insertion sheath when treating the patient and a closure insertion sheath when sealing closed the vascular puncture.

Abstract: A vascular closure device includes a main body and an expandable portion that can be selectively expanded and contracted. The vascular closure device may be used to close the hole in a wall of a vessel after a medical procedure. For example, the vascular closure device may be used to close the hole in an artery after a medical procedure that required access to the artery. In one embodiment, the expandable portion may be oriented at an oblique angle relative to the main body. This may be desirable in situations where the vessel puncture is oriented at an angle relative to the vessel. Orienting the expandable portion at an oblique angle relative to the main body may help the expandable portion to cover the hole in the wall of the vessel.

Abstract: Various embodiments of a device are shown and disclosed for closing a vascular access puncture site following percutaneous diagnostic or therapeutic interventional procedures. The vascular closure device is configured to safely and accurately deploy a sealing material that undergoes a phase change when deployed inside the tissue tract. The sealing material may be a solid at room temperature and a liquid or gel at body temperature. Also, the sealing material may change from a liquid or gel to a cubic phase when it comes into contact with bodily fluids.

Abstract: A vascular closure system includes a body portion, an anchor, a suture carrying portion, and a plurality of needles. The body portion has a distal end surface. The anchor is positionable through a vessel puncture in a vessel wall of a vessel. The anchor defines a vessel contact surface, wherein withdrawal of the anchor captures a portion of the vessel wall between the vessel contact surface and the distal end surface. The suture carrying portion is positionable through the vessel puncture and carries at least one suture member. The plurality of needles extend through the portion of the vessel wall adjacent to the vessel puncture and are configured to connect to the at least one suture member. Withdrawal of the plurality of needles through the portion of the vessel wall positions the at least one suture member through the portion of the vessel wall.

Abstract: A vascular closure system includes a balloon location device, a bioadhesive delivery device, and a sealing tip. The balloon location device includes a balloon for temporarily sealing a vessel puncture internally and at least one lumen for delivering inflation fluid to the balloon. The bioadhesive delivery device includes at least one lumen for delivery of the balloon location device to the vessel puncture. One of the balloon location device and the bioadhesive delivery device includes a first lumen for delivery of a first volume of bioadhesive to the vessel puncture. The sealing tip is releasable within a channel formed in the first volume of bioadhesive upon withdrawal of the balloon. One of the balloon location device and the bioadhesive delivery device is configured for delivery of a second volume of bioadhesive to the vessel puncture after the sealing tip is released in the channel.

Abstract: A vascular closure device includes a vessel locating device, a sealant delivery device, a detachable sealing tip, and a suture. The vessel locating device includes an expandable portion configured to extend through and temporarily seal a vessel puncture from within a vessel. The sealant delivery device is configured to deliver a first volume of flowable sealant to the vessel puncture along an exterior of the vessel. The detachable sealing tip is carried at a distal end of the vessel locating device. The suture is connected to and extends proximally from the detachable sealing tip. The detachable sealing tip is configured for release within the first volume of flowable sealant upon withdrawal of the vessel locating device through the first volume of flowable sealant. The suture is anchored at a location proximal of the detachable sealing tip.

Abstract: A method and apparatus for sealing a puncture or incision formed percutaneously in a tissue. The apparatus including an anchor, a sealing plug, a filament secured to the sealing plug and the anchor, a compaction member assembly, a spool, a driving plate, and a follower. The compaction member assembly is disposed adjacent the sealing plug and structured and arranged to apply an axially directed compressive force to automatically compact the sealing plug toward the anchor. The spool has a portion of the filament wound thereon. The driving plate is connected to the spool and arranged to contact and apply a force to a proximal end of the compaction member assembly upon rotation of the driving plate to advance the compaction member assembly. The follower is operable between the spool and driving plate to releasably connect the spool and driving plate to provide a clutch action.

Abstract: A tissue puncture closure device includes an anchor, a suture connected to the anchor at a distal end of the suture, a sealing plug positioned proximal of the anchor, and a compaction assembly. The compaction assembly includes a compaction tube having a distal end and a proximal end, and a pivot arm having first and second ends and being rotatable about a pivot axis. The proximal end of the compaction tube is connected to the first end of the pivot arm and a proximal end of the suture is connected to the second end of the pivot arm. The compaction assembly also includes a release member operable to release the pivot arm to rotate between a first position wherein the compaction tube is withdrawn, and a second position wherein tension is applied in the suture and the compaction tube is advanced to compact the sealing plug.

Abstract: A tissue puncture closure device includes a delivery member, a handle assembly, and a sealant cartridge. The delivery member includes a sealant lumen and is insertable into a tissue puncture. The handle assembly is mounted to a proximal end of the delivery member and includes a cartridge chamber and a plunger member. The sealant cartridge is insertable into the cartridge chamber. The sealant cartridge has at least first and second sealant chambers carrying at least first and second sealant components, respectively. Operation of the handle assembly ejects the first and second sealant components into the sealant lumen for delivery to the tissue puncture.

Abstract: A method and apparatus for sealing a puncture or incision formed percutaneously in a tissue. The apparatus including an anchor, a sealing plug, a filament connected between the sealing plug and the anchor, a compaction member assembly, a spool and a driving plate. The compaction member assembly being disposed adjacent the sealing plug and structured and arranged to apply an axially directed compressive force to automatically compact the sealing plug toward the anchor. The spool has a portion of the filament wound thereon. The driving plate being connected to the spool and having a cam surface portion. The cam surface portion is arranged to contact a proximal end of the compaction member assembly upon rotation of the spool to advance a distal end of the compaction member assembly.

Abstract: A vascular closure device includes a carrier tube and a sleeve. The carrier tube includes at least first and second lumens, the first lumen being configured to hold a sealing member, the second lumen being configured to provide blood flow from a distal opening thereof to a proximal opening thereof. The sleeve is positioned on the carrier tube and movable from a first position wherein blood flow through the second lumen is unobstructed, and a second position covering the distal and proximal openings to block blood flow through the second lumen.