Apparatus for sealing a puncture communicating with a blood vessel
includes a porous carrier formed from lyophilized hydrogel or other
material. The plug may include at least first and second hydrogel
precursors and a pH adjusting agent carried by the porous carrier in an
unreactive state prior to exposure to an aqueous physiological
environment. Once exposed to bodily fluids, the carrier expands as the
lyophilized material hydrates to enhance and facilitate rapid hemostasis
of the puncture. When the plug is placed into the puncture, the natural
wetting of the plug by bodily fluids (e.g., blood) causes the first and
second precursors to react and cross-link into an adhesive or "sticky"
hydrogel that aids in retaining the plug in place within the puncture.