# US 10,245,013 B2 · Closure device and methods for making and using them

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- Number: US 10,245,013 B2
- Document ID: US10245013B2
- Status: Granted
- Kind: B2
- Application number: 15/419,335
- Filed: 2017-01-30
- Published: 2017-05-18
- Granted: 2019-04-02
- Earliest claimed: 2000-12-07
- Assignees: Integrated Vascular Systems, Inc.
- Applicants: Integrated Vascular Systems, Inc.
- Inventors: Michael T. Carley; Javier Sagastegui; Richard S. Ginn; William N. Aldrich; W. Martin Belef; Steven N. Roe; Ronald J. Jabba
- Web page: https://patentgrep.com/patent/US10245013B2

## CPC

- A61B 17/0057: {Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect (sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009)}
- A61B 17/064: Surgical staples, {i.e. penetrating the tissue}
- A61B 17/068: Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00})
- A61B 17/0644: {penetrating the tissue, deformable to closed position}
- A61B 90/39: {Markers, e.g. radio-opaque or breast lesions markers}
- A61B 2017/00004: {(bio)absorbable, (bio)resorbable or resorptive}
- A61B 2017/00579: {Barbed implements}
- A61B 2017/00584: {Clips}
- A61B 2017/00592: {Elastic or resilient implements}
- A61B 2017/0061: {Implements located only on one side of the opening}
- A61B 2017/00659: {located only on one side of the opening}
- A61B 2017/00668: {the implement being a tack or a staple}
- A61B 2017/00867: {shape memory effect}
- A61B 2017/0641: {having at least three legs as part of one single body}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A medical device that includes a plurality of members forming a body that can transition from a delivery configuration to a deployed configuration. The plurality of members form a plurality of openings each with a long axis extending substantially longitudinally relative to a longitudinal axis of the medical device in a delivery configuration. A plurality of end portions are associated with a distal portion of the medical device, the end portions extending towards the longitudinal axis in a deployed configuration.

## Claims

### Claim 1

A medical device comprising:
a plurality of members forming a body, the body being configured to transition from a delivery configuration to a deployed configuration, the plurality of members forming a plurality of openings each with a long axis extending substantially longitudinally relative to a longitudinal axis of the medical device in the delivery configuration, wherein each opening has a mid-portion having a width in a direction transverse to the long axis of the opening greater than widths of a remainder of the opening in the deployed configuration; and
a plurality of end portions disposed at a distal portion of the medical device, each end portion extending towards the longitudinal axis in the deployed configuration.

### Claim 2 (depends on 1)

The medical device of claim 1, wherein each end portion extends away from the opening to engage tissue disposed adjacent to the tissue engaging portion.

### Claim 3 (depends on 1)

The medical device of claim 1, wherein the plurality of end portions are disposed substantially symmetrically about the longitudinal axis.

### Claim 4 (depends on 1)

The medical device of claim 1, wherein the openings are biased toward an expanded, deployed configuration.

### Claim 5 (depends on 1)

The medical device of claim 1, wherein the plurality of members comprises a first member adjacent to a second member, the first member and the second member being coupled together at a hinged region.

### Claim 6 (depends on 1)

The medical device of claim 1, wherein the plurality of end portions extend distally from a proximal end of the plurality of openings.

### Claim 7 (depends on 1)

The medical device of claim 1, wherein the body is formed of a shape memory material.

### Claim 8

A method comprising:
locating an opening in tissue; and
following locating the opening, deploying a medical device near the opening so that a portion of the medical device engages tissue, the medical device comprising:
a plurality of members forming a body, the body being configured to transition from a delivery configuration to a deployed configuration, the plurality of members forming a plurality of openings with a long axis extending substantially longitudinally relative to a longitudinal axis of the medical device in the delivery configuration, wherein each opening has a mid-portion having a width in a direction transverse to the long axis of the opening greater than widths of a remainder of the opening in the deployed configuration; and
a plurality of end portions disposed at a distal portion of the medical device, each end portion extending towards the longitudinal axis in the deployed configuration.

### Claim 9 (depends on 8)

The method of claim 8, wherein deploying the medical device further comprises advancing the medical device along an elongate member until the medical device disengages from the elongate member.

### Claim 10 (depends on 9)

The method of claim 9, further comprising removing the elongate member from the opening in tissue.

### Claim 11 (depends on 8)

The method of claim 8, wherein deploying the medical device further comprises advancing the medical device to move the plurality of end portions with the plurality of members, the plurality of members forming a plurality of spring elements.

### Claim 12 (depends on 8)

The method of claim 8, wherein locating the tissue further comprises positioning a locator through the opening in tissue.

### Claim 13 (depends on 8)

The method of claim 8, further comprising monitoring a position of the medical device.

### Claim 14 (depends on 13)

The method of claim 13, wherein monitoring the position of the medical device comprising monitoring one or more radiopaque markers using fluoroscopy.

### Claim 15 (depends on 14)

The method of claim 14, further comprising monitoring a relative position of the medical device to a distal tip of a locator locating the opening in tissue.
