Systems and methods for attaching a prosthesis within a body lumen or hollow organ
First Claim
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1. A tool for applying an implantation force to a fastener sized and configured for implantation in tissue in response to an implantation force applied according to prescribed conditions, the tool comprising:
- a tool body;
a driven member carried by the tool body and being operable to apply the implantation force;
a mechanism on the driven member to couple the fastener to the driven member to transfer the implantation force from the driven member to the fastener; and
a controller coupled to the driven member, the controller including;
an initial phase operating the driven member to apply the implantation force under conditions than are short of the prescribed conditions;
a lull phase commencing at the end of the initial phase interrupting operation of the driven member;
a final phase operating the driven member under conditions that supplement the conditions of the initial phase to achieve the prescribed conditions,the controller requiring, after the initial phase, a prescribed command to advance from the lull phase to the final phase;
wherein the prescribed conditions are a prescribed time period or a prescribed number of rotations.
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Abstract
Systems and methods introduce and deploy prosthesis into a blood vessel or hollow body organ by intra-vascular access. The prosthesis is secured in place by fasteners which are implanted by an applier that is also deployed by intra-vascular access. The applier is configured to permit controlled, selective release of the fastener in a step that is independent of the step of implantation.
337 Citations
12 Claims
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1. A tool for applying an implantation force to a fastener sized and configured for implantation in tissue in response to an implantation force applied according to prescribed conditions, the tool comprising:
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a tool body; a driven member carried by the tool body and being operable to apply the implantation force; a mechanism on the driven member to couple the fastener to the driven member to transfer the implantation force from the driven member to the fastener; and a controller coupled to the driven member, the controller including; an initial phase operating the driven member to apply the implantation force under conditions than are short of the prescribed conditions; a lull phase commencing at the end of the initial phase interrupting operation of the driven member; a final phase operating the driven member under conditions that supplement the conditions of the initial phase to achieve the prescribed conditions, the controller requiring, after the initial phase, a prescribed command to advance from the lull phase to the final phase; wherein the prescribed conditions are a prescribed time period or a prescribed number of rotations. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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Specification