# US 12,213,656 B2 · Balloon closure device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,213,656 B2 - Document ID: US12213656B2 - Status: Granted - Kind: B2 - Application number: 17/147,341 - Filed: 2021-01-12 - Published: 2021-07-08 - Granted: 2025-02-04 - Earliest claimed: 2017-07-16 - Applicants: Steven Jay Blumenthal - Inventors: Steven Jay Blumenthal - Web page: https://patentgrep.com/patent/US12213656B2 ## 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 2017/00336: {with a protective sleeve, e.g. retractable or slidable} - A61B 2017/00557: {inflatable (A61B2017/22051 takes precedence)} - A61B 2017/00592: {Elastic or resilient implements} - A61B 2017/00619: {Locking means for locking the implement in expanded state} - A61B 2017/00623: {Introducing or retrieving devices therefor} - A61B 2017/00646: {Type of implements} - A61B 2017/00654: {entirely comprised between the two sides of the opening} - A61B 2017/00672: {Locating means therefor, e.g. bleed back lumen} - A61B 2017/00676: {promotion of self-sealing of the puncture} - A61B 2017/00884: {enhancing wound closure} - A61B 2090/0811: {for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A puncture sealing system for sealing a vascular puncture comprises an inner member and an outer member comprising a lumen sized and shaped to allow the inner member to slide therein, an occlusion balloon at an outer member distal end, and an inflation lumen that extends from an outer member proximal end to the interior of the occlusion balloon. The occlusion balloon can be inflated by fluid flowing through the outer member inflation lumen so that the occlusion balloon can enable the occlusion of a vascular puncture and contact and apply pressure to a puncture tract extending from the vascular puncture. In one version, the inner member further comprises a vessel locator system. In one version, the puncture sealing system further comprises an obturator slidably receivable within the outer member and having a distal end adapted to at least partially cover the puncture. ## Claims ### Claim 1 A puncture sealing system for sealing a vascular puncture, the system comprising: an inner member comprising an expandable member at an inner member distal end and an inflation lumen that extends from an inner member proximal end to an interior of the expandable member, wherein the inner member further comprises a vessel locator system comprising a lumen extending from one or more vessel locator distal holes to a vessel locator proximal hole, wherein the one or more vessel locator distal holes are positioned on the inner member proximal to the expandable member and within about 3 mm of the expandable member; and an outer member comprising a lumen sized and shaped to allow the inner member to slide therein, an occlusion balloon at an outer member distal end, and an inflation lumen that extends from an outer member proximal end to the interior of the occlusion balloon, wherein the expandable member can be inflated by fluid flowing through the inner member inflation lumen so that the expandable member can inflate in a subcutaneous vessel of a living being, and wherein the occlusion balloon can be inflated by fluid flowing through the outer member inflation lumen so that the occlusion balloon can apply pressure to at least a puncture tract extending from the vascular puncture. ### Claim 2 (depends on 1) A system according to claim 1 wherein the vessel locator system allows for back-bleeding from the vessel to provide a perceptible signal indicative of the location of the inner member with respect to the vessel. ### Claim 3 (depends on 1) A system according to claim 1 wherein the one or more vessel locator distal holes are positioned on the inner member proximal to the expandable member. ### Claim 4 (depends on 1) A system according to claim 1 wherein the vessel locator system further comprises one or more second distal locator holes spaced proximally from the one or more vessel locator distal holes. ### Claim 5 (depends on 1) A system according to claim 1 further comprising a vessel locator port wherein the vessel locator proximal hole allows spontaneous flow to emanate when the puncture sealing system is being used in an artery that's under pressure, and wherein the vessel locator port can be aspirated to locate positioning when the puncture sealing system is being used in a vein. ### Claim 6 (depends on 1) A system according to claim 1 wherein the system comprises a hub connector that biases the inner member relative to the outer member. ### Claim 7 (depends on 1) A system according to claim 1 wherein the inner member is an anchor catheter or a dilator catheter. ### Claim 8 (depends on 1) A system according to claim 1 wherein the inner member is removeable from the outer member while the occlusion balloon is inflated and wherein the occlusion balloon can then enable the occlusion of the puncture. ### Claim 9 (depends on 8) A system according to claim 8 wherein the occlusion balloon when inflated extends beyond and wraps around a distal end of the outer member so that the occlusion balloon can cover at least a portion of the puncture in addition to contacting and applying pressure to the puncture tract. ### Claim 10 (depends on 8) A system according to claim 8 wherein the occlusion balloon does not wrap around a distal end of the outer member and covers less than the entire puncture when inflated. ### Claim 11 (depends on 8) A system according to claim 8 further comprising an obturator slidably receivable within the outer member after the inner member has been removed from the outer member. ### Claim 12 (depends on 11) A system according to claim 11 wherein the obturator comprises a distal end having a surface adapted to cover the puncture in a region not covered by the inflated occlusion balloon to enable the occlusion of the puncture. ### Claim 13 (depends on 12) A system according to claim 12 wherein the obturator distal end comprises an expandable member. ### Claim 14 (depends on 12) A system according to claim 12 wherein the obturator distal end has at least one surface coated with a procoagulant material to enhance coagulation and hemostasis. ### Claim 15 A puncture sealing system for sealing a vascular puncture, the system comprising: an inner catheter system comprising a first catheter comprising a vessel locator system and a second catheter comprising an expandable member, wherein the vessel locator system comprises a lumen extending from one or more vessel locator distal holes in the first catheter to a vessel locator proximal hole in the first catheter; an outer member comprising a lumen sized and shaped to receive the inner catheter system therein, an occlusion balloon at an outer member distal end, and an inflation lumen that extends from an outer member proximal end to the interior of the occlusion balloon; and an obturator slidably receivable within the outer member following removal of the inner catheter system from the outer member, the obturator comprising a distal end positionable in proximity to the vascular puncture, wherein the first catheter of the inner catheter system can be positioned within a vessel having a puncture, wherein the position of the first catheter of the inner catheter system within the vessel can be determined by back-bleeding from the vessel through the vessel locator system to provide a perceptible signal indicative of the location of the first catheter of the inner catheter system with respect to the vessel, wherein the second catheter can then be inserted within the outer member so the expandable member can be inflated, wherein the occlusion balloon can then be inflated by fluid flowing through the outer member inflation lumen so that the occlusion balloon can contact and apply pressure to at least a puncture tract extending from the vascular puncture, and wherein the obturator can then be received within the outer member following removal of the inner catheter system from the outer member so that the distal end of the obturator covers at least a portion of the vascular puncture to enable occlusion of the vascular puncture. ### Claim 16 (depends on 15) A puncture sealing system according to claim 15 wherein the occlusion balloon when inflated also contacts and covers a portion of the vascular puncture so that the occlusion balloon in combination with the obturator distal end enable occlusion of the vascular puncture. ### Claim 17 (depends on 15) A puncture sealing system according to claim 15 wherein the obturator distal end is expandable. ### Claim 18 (depends on 15) A puncture sealing system according to claim 15 wherein the second catheter is insertable after insertion of the first catheter. ### Claim 19 (depends on 15) A puncture sealing system according to claim 15 wherein the second catheter is advanceable within a lumen of the first catheter. ### Claim 20 A puncture sealing system for sealing a vascular puncture, the system comprising: an inner member comprising a vessel locator system comprising a lumen extending from one or more vessel locator distal holes to a vessel locator proximal hole; an outer member comprising a lumen sized and shaped to allow the inner member to slide therein, an occlusion balloon at an outer member distal end, and an inflation lumen that extends from an outer member proximal end to the interior of the occlusion balloon; and an obturator slidably receivable within the outer member following removal of the inner member from the outer member, the obturator comprising a distal end positionable in proximity to the vascular puncture, wherein the inner member can be positioned within a vessel having a puncture, wherein the position of the inner member within the vessel can be determined by back-bleeding from the vessel through the vessel locator system to provide a perceptible signal indicative of the location of the inner member with respect to the vessel, wherein the occlusion balloon can then be inflated by fluid flowing through the outer member inflation lumen so that the occlusion balloon can contact and apply pressure to at least a puncture tract extending from the vascular puncture, wherein the inner member can be removed from the outer member, wherein the obturator can then be received within the outer member so that the distal end covers at least a portion of the vascular puncture to enable occlusion of the vascular puncture, wherein the inner member is an inner catheter system comprising a first catheter comprising the vessel locator system and a second catheter comprising an expandable member, and wherein the second catheter is advanceable within a lumen of the first catheter.