Multiple-firing crimp device and methods for using and manufacturing same
First Claim
1. A multiple-firing suture fixation system, comprising:
- a plurality of suture fixation clips each having an internal opening shaped to receive therein at least one suture;
a hollow shaft having a distal fixation location, an exterior surface, and an interior;
the plurality of suture fixation clips stacked in the interior and configured to move along a longitudinal axis;
the shaft defining a lateral opening proximal to the distal fixation location;
the lateral opening communicating between the interior and an environment outside the exterior surface;
an elongated device movement carriage within the interior of the shaft;
the plurality of suture fixation clips movably mounted on the device movement carriage, the device movement carriage being configured to deliver one suture fixation clip to the distal fixation location by moving the one suture fixation clip longitudinally from a proximal position into the distal fixation location;
a user-movable shuttle having a snare, the snare configured to laterally pass into the interior of the shaft through the lateral opening from the environment outside the exterior surface, the snare configured to pass through the internal opening of the one suture fixation clip when the one suture fixation clip is at the distal fixation location, and the snare configured to laterally pass out from the interior of the shaft through the lateral opening into the environment outside the exterior surface; and
the shuttle comprising a body defining a lumen surrounding the shaft, the shuttle configured to longitudinally translate on the shaft, the shuttle configured to move the snare from proximal of the one suture fixation clip through the one suture fixation clip to a position distal of the one suture fixation clip, wherein in the position distal of the one suture fixation clip the at least one suture is temporarily secured in the snare;
the shuttle configured to pull a portion of the at least one suture temporarily secured in the snare proximally through the one suture fixation clip and out a side of the shaft through the lateral opening to present at least some of the portion of the at least one suture out from the lateral opening for access by a user.
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Accused Products
Abstract
A multiple-firing crimp device comprises crimps, a shaft, a crimp movement assembly, and a snare. Each crimp has an internal hollow. The shaft has a distal crimping location, an exterior surface, and an interior with the clips stacked therein, the crimps moving therein along a longitudinal axis. The shaft defines a lateral opening proximal to the crimping location and communicates the interior to the environment outside the exterior surface. The crimp movement assembly within the shaft delivers the first crimp to the distal crimping location by moving the first crimp longitudinally from a first proximal position into the distal crimping location and returning to a second proximal position without the first crimp. The snare pulls at least one cord from distal of the first crimp through the first crimp and through a portion of the shaft and out the side of the shaft through the lateral opening.
343 Citations
20 Claims
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1. A multiple-firing suture fixation system, comprising:
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a plurality of suture fixation clips each having an internal opening shaped to receive therein at least one suture; a hollow shaft having a distal fixation location, an exterior surface, and an interior;
the plurality of suture fixation clips stacked in the interior and configured to move along a longitudinal axis;
the shaft defining a lateral opening proximal to the distal fixation location;
the lateral opening communicating between the interior and an environment outside the exterior surface;an elongated device movement carriage within the interior of the shaft;
the plurality of suture fixation clips movably mounted on the device movement carriage, the device movement carriage being configured to deliver one suture fixation clip to the distal fixation location by moving the one suture fixation clip longitudinally from a proximal position into the distal fixation location;a user-movable shuttle having a snare, the snare configured to laterally pass into the interior of the shaft through the lateral opening from the environment outside the exterior surface, the snare configured to pass through the internal opening of the one suture fixation clip when the one suture fixation clip is at the distal fixation location, and the snare configured to laterally pass out from the interior of the shaft through the lateral opening into the environment outside the exterior surface; and the shuttle comprising a body defining a lumen surrounding the shaft, the shuttle configured to longitudinally translate on the shaft, the shuttle configured to move the snare from proximal of the one suture fixation clip through the one suture fixation clip to a position distal of the one suture fixation clip, wherein in the position distal of the one suture fixation clip the at least one suture is temporarily secured in the snare;
the shuttle configured to pull a portion of the at least one suture temporarily secured in the snare proximally through the one suture fixation clip and out a side of the shaft through the lateral opening to present at least some of the portion of the at least one suture out from the lateral opening for access by a user. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 20)
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19. A multiple-firing suture fixation system, comprising:
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a plurality of suture fixation clips each having an internal opening shaped to receive therein at least one suture; a hollow shaft having a distal fixation location, an exterior surface, and an interior;
the plurality of suture fixation clips stacked in the interior and configured to move along a longitudinal axis;
the shaft defining a lateral opening proximal to the distal fixation location;
the lateral opening communicating between the interior and an environment outside the exterior surface;an elongated device movement carriage within the interior of the shaft;
the plurality of suture fixation clips movably mounted on the device movement carriage, the device movement carriage being configured to deliver one suture fixation clip to the distal fixation location by moving the one suture fixation clip longitudinally from a proximal position into the distal fixation location, the one suture fixation clip having a proximal end;a user-movable shuttle having a snare;
the snare configured to laterally pass into the interior of the shaft through the lateral opening from the environment outside the exterior surface, the snare configured to pass through the internal opening of the one suture fixation clip when the one suture fixation clip is at the distal fixation location, and the snare configured to laterally pass out from the interior of the shaft through the lateral opening into the environment outside the exterior surface;the shuttle comprising a body and a hollow snare guide, at least a distal portion of the snare being disposed in the snare guide, the snare guide being disposed external to the shaft and configured to move distally through the lateral opening to a position adjacent the proximal end of the one suture fixation clip; and the body defining a lumen surrounding the shaft;
the shuttle configured to longitudinally translate on the shaft, the shuttle configured to move the snare in a distal direction through the snare guide from proximal of the one suture fixation clip through the one suture fixation clip to a position distal of the one suture fixation clip, wherein in the position distal of the one suture fixation clip the at least one suture is temporarily secured in the snare;
the shuttle configured to pull a portion of the at least one suture temporarily secured in the snare proximally through the one suture fixation clip and out a side of the shaft through the lateral opening to present at least some of the portion of the at least one suture out from the lateral opening for access by a user.
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Specification