Apical puncture access and closure system

A method for providing access through an organ wall, comprising:

• providing a hemostatic sealing device comprising a main body having a distal portion with a distal lumen and a proximal portion with a proximal lumen, where the distal lumen is sized to receive the proximal lumen to create a continuous lumen through the main body, the sealing device further comprising a plurality of prongs extending from a distal end of the distal portion of the main body, wherein the main body lumen has a first diameter, and the plurality of prongs are radially retracted with respect to the main body;
• forming a hole in an organ wall of an organ, wherein the organ is a hemi, and forming the hole in the organ wall comprises forming a hole in the apex of the hemi;
• advancing the hemostatic sealing device into the hole in the organ wall until the distal end of the main body is advanced at least partially into an interior space of the organ;
• adjusting the overall length of the device by sliding the proximal lumen into or out of the distal lumen such that the distal portion of the main body is within the interior space of the organ and the proximal portion of the main body is positioned outside the organ wall;
• extending the prongs so that the prong tips are extended radially away from the main body;
• securing the hemostatic sealing device in the organ wall by retracting the distal portion of the main body at least partially out of the interior space of the organ and embedding the prong tips into the organ wall from an interior surface thereof, wherein securing the hemostatic device in the organ wall comprises securing the hemostatic device in the apex of the heart;
• after securing the hemostatic sealing device to the organ wall, radially expanding the main body lumen from the first diameter to a second diameter, wherein the second diameter is larger than the first diameter;
• and
• advancing an access sheath into the sealing device;
• wherein the first diameter is in the range of 3 to 5 millimeters, wherein the second diameter of the main body is in the range of 10 to 20 millimeters, wherein the main body has a length of about 6 to 15 millimeters, and wherein the prongs have a length of about 6 to 22 millimeters.

A method for providing access through an organ wall, comprising:

• providing a hemostatic sealing device comprising a main body having a distal portion with a distal lumen and a proximal portion with a proximal lumen, where the distal lumen is sized to receive the proximal lumen to create a continuous lumen through the main body, the sealing device further comprising a plurality of prongs extending from a distal end of the distal portion of the main body, and the plurality of prongs are radially retracted with respect to the main body, wherein the main body has a length of about 6 to 15 millimeters, and wherein the prongs have a length of about 6 to 22 millimeters;
• forming a hole in an organ wall of an organ;
• advancing the hemostatic sealing device into the hole in the organ wall until the distal end of the main body is advanced at least partially into an interior space of the organ;
• adjusting the overall length of the device by sliding the proximal lumen into or out of the distal lumen such that the distal portion of the main body is within the interior space of the organ and the proximal portion of the main body is positioned outside the organ wall;
• extending the prongs so that the prong tips are extended radially away from the main body;
• and
• securing the hemostatic sealing device to the organ wall by retracting the distal portion of the main body at least partially out of the interior space of the organ and embedding the prong tips into the organ wall from an interior surface thereof.