Apparatus and method for manipulating or retracting tissue and anatomical structure

• US 10,299,780 B2
• Filed: 03/19/2015
• Issued: 05/28/2019
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences LLC (Teleflex Incorporated)
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Catanese, III, Joseph, Lamson, Theodore C., Makower, Joshua, Nagpurkar, Amik, Merrick, Daniel, Welch, Jacqueline Nerney, Vecchiotti, Richard G., West, Scott H., Vidal, Claude, Redmond, Russell J., Collinson, Michael
• Primary Examiner(s): Anderson, Gregory A
• Application Number:
  US14/663,420
• Publication Number:
  US 20160007987A1
• Time in Patent Office: 1,531 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00792 Plastic surgery
• CPC Class Codes: A61B 2017/00796 Breast surgery
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 : Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0417 : T-fasteners
• CPC Class Codes: A61B 2017/0419 : H-fasteners
• CPC Class Codes: A61B 2017/045 : snug fit within the anchor
• CPC Class Codes: A61B 2017/0454 : the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0464 : for soft tissue
• CPC Class Codes: A61B 2017/0488 : Instruments for applying suture clamps, clips or locks
• CPC Class Codes: A61B 2017/06052 : Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
• CPC Class Codes: A61B 2017/06176 : with protrusions, e.g. barbs
• CPC Class Codes: A61B 2017/0688 : Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2018/00547 : Prostate
• CPC Class Codes: A61F 2/0022 : placed deep in the body opening occluding blood vessels by internal devices A61B17/12022
• CPC Class Codes: A61F 2/0045 : Support slings
• CPC Class Codes: A61F 2/0063 : Implantable repair or support meshes, e.g. hernia meshes

Abstract

Integrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for such purposes.

Claims

1. A method for treatment at an interventional site involving an anchor delivery device that delivers a first anchor component and a connector as well as a second anchor component within a patient'"'"'s body, comprising:

supplying the first anchor component and the connector from within the anchor delivery device;

configuring the anchor delivery device within a patient'"'"'s body;

piercing the interventional site with a needle assembly having the first anchor component and connector within the needle assembly;

causing the anchor delivery device to implant the first anchor component, the connector extending from the first anchor component;

separately introducing the second anchor component within the patient'"'"'s body, the second anchor component being initially unattached to the connector; and

bringing the second anchor component into locking contact with the connector in a position that is generally perpendicular to the connector;

wherein the second anchor component is not configured to slide along the connector.

2. The method of claim 1, further comprising advancing the first anchor component out of the needle assembly.

3. The method of claim 1, further comprising advancing the second anchor component out of the needle assembly.

4. The method of claim 1, further comprising advancing the connector out of the needle assembly.

5. The method of claim 1, wherein the first anchor component is delivered outside of an outer surface of a prostate.

6. The method of claim 5, further comprising passing the first anchor component through the prostate in a first orientation and delivering the first anchor component to a second orientation for retention in anatomy adjacent the prostate.

7. The method of claim 1 wherein the anchor delivery device further comprises a positioning member and the first anchor component is delivered via moving the positioning member with respect to the first anchor component.

8. The method of claim 1 further comprising displacing prostatic tissue.

9. The method of claim 8 wherein prostatic tissue is displaced via manipulation of the anchor delivery device.

10. The method of claim 1 further comprising penetrating prostatic capsular tissue with the first anchor component while the first anchor component is in a delivery configuration.

11. The method of claim 1 further comprising penetrating anatomy adjacent a prostate with the first anchor component while the first anchor component is in a delivery configuration.