Applicator and method for deploying a surgical fastener

• US 20050288689A1
• Filed: 06/25/2004
• Published: 12/29/2005
• Est. Priority Date: 06/25/2004
• Status: Abandoned Application

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Knodel, Bryan D., Kammerer, Gene W., Howansky, Mark
• Application Number:
  US10/877,669
• Publication Number:
  US 20050288689A1
• Time in Patent Office: Days
• US Class Current: 606/142
• 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 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 2017/0472 Multiple-needled, e.g. double-needled, instruments
• 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

Abstract

An applicator for deploying a fastener having two legs into tissue. The applicator has two elongated hollow needle members, slotted portions at the distal ends of the hollow needle members for releasably retaining the legs of the fastener, two push rods adapted to move lengthwise in the two needle members, and an actuator for moving the two push rods in the needle members so as to eject the leg portions of the fastener from the slotted portion of the two needle members. A method for deploying the fastener in tissue is also disclosed.

Claims

1. An applicator for deploying a fastener into tissue, the fastener including first and second legs generally parallel to each other, said applicator comprising:

a first elongated hollow needle member having a first distal end for penetrating tissue and a first slotted portion at the first distal end for releasably retaining said first leg of the fastener in said first slotted portion of said first elongated hollow needle member;

a second elongated hollow needle member generally parallel to said first elongated hollow needle member, said second elongated hollow needle member having a second distal end for penetrating tissue and a second slotted portion at the second distal end for releasably retaining said second leg of the fastener in said second slotted portion of said second elongated hollow needle member;

first and second push rods adapted to move axially from rearward to forward positions within said first and second elongated hollow needle members; and

an actuator engageable with said first and second push rods for moving said first and second push rods in said first and second elongated hollow needle members from the rearward to the forward positions so as to eject the first and second legs of the fastener from said first and second slotted portions of said first and second elongated hollow needle members.

2. An applicator according to claim 1 wherein said first and second elongated hollow needle members are curved.

3. An applicator according to claim 1 wherein said actuator further comprises a spring-biased trigger coupled to said first and second push rods.

4. An applicator according to claim 1 wherein said distal end portion of said push rods each comprise a flexible spring which is substantially incompressible.

5. An applicator according to claim 1 further comprising a shield which at least partially covers said first and second elongated hollow needle members.

6. An applicator according to claim 1 wherein the applicator has an applicator distal end, and the applicator further comprises a wing on the applicator distal end.

7. A method for deploying a fastener having first and second legs into mammalian tissue at a targeted surgical site, said method comprising the steps of:

providing an applicator having an applicator distal end, first and second elongated hollow needle members each having a needle distal end for penetrating tissue, first and second slotted portions at the needle distal ends, and first and second push rods engageable with the first and second legs of the fastener and adapted to move axially from rearward to forward positions within said first and second needle members;

inserting the first and second legs of the fastener within the first and second slotted portions of the hollow needle members;

positioning the first and second legs of the fastener into first and second receptacles at the applicator distal end so as to releasably fix the legs of the fastener within the slotted portions of the needle members;

advancing said needle members wherein the first and second slotted portions are adjacent the targeted surgical site; and

actuating the first and second push rods from the rearward to forward positions so as to engage the first and second legs of the fastener and eject the fastener from the slotted portions of said first and second needle members into the tissue at the targeted surgical site.

8. The method of claim 7 further comprising the step of placing the distal ends of the needle members through a weave of a mesh prior to advancing said needle members so as to fasten the mesh to tissue when the push rods are actuated to eject the fastener from the slotted portions of the needle members into the tissue.

9. The method of claim 7 further comprising the step of placing a suture between the first and second legs of the fastener prior to advancing said needle members so as to fasten the suture to tissue when the push rods are actuated to eject the fastener from the slotted portions of the needle members into the tissue.

10. The method of claim 9 further comprising the step of tying a mesh to the fastened suture.