Gastrocutaneous closure device

A method for insertion of a gastrocutaneous clip device, comprising:

• engaging a central hub of a clip with a plurality of prongs defined by a deformable material, the prongs extending radially from a forward side of the central hub in an inverted shape, the inverted shape of each of the plurality of props converging towards a central point at a distal end the prongs extending in a lateral or forward direction from the central hub, the forward direction opposed from the rearward side, and inverting towards facing a rearward direction defined by the rearward side at the distal end, and an insertion tip on a distal end of an insertion shaft, the central hub retained by a selective linkage responsive to a button on a proximate end of the insertion shaft;
• slideably engaging the central hub with an insertion sleeve, the central hub having a plurality of deformable prongs slideably engaging an inner annular surface of the insertion sleeve for defining a compressed radius of the collective plurality of prongs;
• disposing the insertion sleeve in a surgical pathway to a closure site;
• disposing the central hub through the insertion sleeve by disposing the insertion shaft from the proximate end;
• restoring the plurality of deformable prongs to a rest position from emergence from a distal end of the insertion sleeve;
• disposing the plurality of deformable prongs to an extended position by retracting the central hub via the insertion shaft against an annular lip of the distal end of the insertion sleeve, the extended position defining a larger collective radius than the rest position;
• retracting the insertion shaft and insertion sleeve concurrently for maintaining the extended position of the plurality of prongs during engagement with a closure site;
• retracting the insertion sleeve for implantation of the prongs biased for deformable return to the rest position around the closure site;
• and disengaging the selective linkage for retracting the insertion shaft from the central hub.

A gastrocutaneous closure device comprising:

• a clip having a plurality of prongs defined by a deformable material, the prongs extending radially from a central hub in an arcuate shape, the arcuate shape of each of the plurality of prongs converging towards a central point at a distal end, the proximate end of the prongs extending from the central hub;
• an elongated shaft adapted to selectively engage the central hub, the elongated shaft having a length based on a gastric tract resulting from a gastrostomy tube removal;
• and
• a sleeve having a diameter for insertion into a surgical tract defining a gastrocutaneous fistula for the gastrostomy tube, an inside diameter of the sleeve adapted for passage of the shaft,
• the clip adapted to:
• radially compress for passage through the sleeve for insertion into a stomach lumen;
• radially expand in response to partial retraction of the shaft through the sleeve;
• and
• radially compress against an interior stomach wall for engaging the prongs against the stomach wall and drawing the stomach wall inward toward the hub for closing the fistula.