A vascular closure
delivery system for closing a tissue wall opening is provided. In one embodiment, the vascular closure
delivery system comprises a suturing apparatus and suture delivery unit and a suture knot
system. The suturing apparatus and suture delivery unit comprises at least one tube, at least one leg, a tensioning device, a pusher, a suturing apparatus, and an
actuator. The at least one tube is configured to house the pusher and the suturing apparatus and has an expulsion end. The at least one leg has a first end and a second and is coupled to the at least one tube
proximate the first end of the leg. The tensioning device is coupled to the at least one leg
proximate the second end of the leg. The pusher has a suturing apparatus engaging end and is slidably disposed within the tube. The suturing apparatus has a sharp end and an opposite end and is slidably disposed within the tube. A suture is associated with the suturing apparatus. The
actuator is operatively associated with the pusher. When the at least one leg is in an open position, the tensioning device exerts tension on the leg such that the leg is movably suspended and can move with respect to the tensioning device, and the pusher and suturing apparatus are in an delivery configuration for delivery of the suturing apparatus to the internal tissue wall. Further, actuation of the
actuator moves the pusher towards the expulsion end of the tube such that the suturing apparatus engaging end of the pusher engages the suturing apparatus and expels the suturing apparatus from the tube. The suture knot
system comprises a shaft, an inner tubular member, and an inner rod. The shaft has a proximal end and a distal end. The inner tubular member has a proximal end and a distal end and is provided within the shaft. The inner tubular member is radially translatable with respect to the shaft. The inner rod has a proximal end and a distal end and is provided within the inner tubular member. The inner rod is slidably coupled to the inner tubular member and is axially translatable within the inner tubular member.