A vascular closure device assembly, comprises a sheath comprising: a sheath main body defining a channel therethrough, a sheath engagement portion, and a sheath mounting portion located at a proximal end of the sheath main body. The assembly comprises a housing within which the sheath mounting portion is secured such that the sheath is rotatable relative to the housing, and such that the housing inhibits axial displacement of the sheath relative to the housing. The assembly also includes a dilator comprising a dilator main body, and a dilator engagement portion extending from the dilator main body towards the sheath. The dilator engagement portion is configured to engage the sheath engagement portion such that axial displacement of the dilator relative to the sheath causes the sheath to rotate relative to the housing, and wherein the housing is configured to inhibit axial displacement of the sheath during rotation.

A vascular closure device (20) having a proximal end and a distal end is described. The vascular closure device may include an insertion sheath (28), a handle, and a locator anchor (38) positionable distally outside a distal end of the insertion sheath when the handle is in a first position. The handle may be movable from the first position to a second position located proximally relative to the first position, the locator anchor being configured to expand laterally when the handle is moved from the first position to the second position. Additionally, the handle may be movable from the second position to a third position located proximally relative to the second position to deploy a vascular closure implant in a puncture tract. A vascular closure method is also disclosed.

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 suture is positioned between the sealing plug and the anchor. The compaction member assembly is structured and arranged to apply an 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.

A sheath for use in performing surgical vascular anastomotic procedures, and applications thereof. Sheath includes a sheath main portion (tubular member) having a sheath main portion distal end, and a (cylindrical or conical) sheath main portion proximal open end, and also includes a sheath distal end portion, continuous with sheath main portion distal end, and having at least one intra-sheath fluid (blood, water, air) flow passageway (tunnel), each extending and passing entirely through inside of the sheath distal end portion, via two differently located parts thereof. Sheath distal end portion further includes an intra-sheath control wire anchoring and fixing pocket (cavity), and a sheath control wire passageway. Each intra-sheath fluid flow passageway facilitates continuous flow of blood vessel lumen fluids (blood, water, air) through the overall sheath. Particularly applicable for use in ‘clampless’ types of (end-to-side) surgical vascular anastomotic procedures, for performing coronary artery bypass grafting (CABG).

Disclosed herein are embodiments of devices and methods for forming a seal covering an incision in tissue. In some embodiments, a deformable member can be loaded into a catheter and inserted into the tissue incision. The deformable member can unfold into a cup-shape which can form a seal around the incision during a procedure. Once the procedure is finished, the deformable member can be drawn back into the tube.

A device and a method for sealing an opening in the wall of a blood vessel is provided. The device includes pushing mechanism, a shaft fixedly connected to the pushing mechanism, a seal assembly attached to the distal end of the shaft, and a pushing rod also engaging the seal assembly, the pushing mechanism moving the pushing rod from a first position to a second position.

Methods, apparatuses and systems are described for delivering a stent through an access hole of a body lumen and covering up the access hole after deploying the stent, Stents are described that include a stent body defining a body lumen contact surface area and a deployable member configured to deploy from the stent body and increase the body lumen contact surface area of the stent. Deployable members that hinge, unroll, extend, expand, and coaxially translate with respect to the stent body are described. A system for delivering a stent into a body lumen are described that may include a coverage member configured to at least partially cover the hole in the wall of the stent upon withdrawing a tubular member through the hole in the wall of the stent. Coverage members may include a self-sealing membrane, a flap valve, or a hinged valve.

A device for sealing an aperture in a tissue includes: a foot including a distal portion configured to be disposed distal to the tissue when the device is implanted in a position to seal the aperture; and a flexible wing positionable against a distal surface of the tissue adjacent the aperture such that the flexible wing is disposed between the distal portion of the foot and the distal surface adjacent the aperture.

An in-situ non-reversed femoral-popliteal bypass procedure is provided, the procedural method embodies harvesting a portion of a saphenofemoral junction as the anastomosis for said in-situ non-reversed femoral-popliteal bypass, wherein a portion of the common femoral vein is the patch of the proximal end of the anastomosis. The practitioner may intubate the anastomosis through its distal end with an expandable balloon- prior to grafting said proximal end to the femoral artery; and selectively expanding the expandable balloon at or near said proximal end.

A device for reducing retraction of edges of an opened fascia of a patient having an open soft-tissue defect. The device includes a holding element and an attachment element. The holding element is configured to be fixed with respect to the patient at a first distance from the patient. The attachment element has a plurality of attachment points configured for attaching tensioning means, which is configured to be connected to an edge of the fascia. The attachment element being connected to the holding element so as to be arranged at a second distance from the patient, which is less than the first distance. The attachment element is connected to the holding element via exactly one tensile force transmission element.