Tissue fixation assemblies having a plurality of fasteners ready for serial deployment

• US 20060253130A1
• Filed: 05/03/2005
• Published: 11/09/2006
• Est. Priority Date: 05/03/2005
• Status: Abandoned Application

• Current Assignee: Esophyz, Inc.
• Original Assignee: EsophyX, Inc.
• Inventors: Wolniewicz, Raymond Michael III
• Application Number:
  US11/121,697
• Publication Number:
  US 20060253130A1
• Time in Patent Office: Days
• US Class Current: 606/142
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0419 H-fasteners
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence

Abstract

A plurality of tissue fasteners are carried on a tissue piercing stylet to serially fasten tissue layers of a mammalian body together. The fasteners slide over a latch of the stylet to assume a loaded position ready for deployment. The fasteners may be deployed with a single stroke movement of the stylet. The fasteners have a configuration alterable by the stylet to permit release of the fasteners from the stylet after deployment.

Claims

1. A fastener assembly for use in a mammalian body, comprising:

a plurality of fasteners, each fastener being arranged to fasten tissue when deployed; and

a stylet that guides each fastener into tissue to be fastened, the plurality of fasteners being carried on the stylet prior to deployment.

2. The assembly of claim 1, wherein each of the fasteners includes a through channel that slidingly receives the stylet.

3. The assembly of claim 1, wherein each of the fasteners includes a first member, a second member, and a connecting member connecting the first member to the second member, the first and second members each having first and second ends, and wherein the connecting member connects to the first and second members intermediate the first and second ends of each of the first and second members.

4. The assembly of claim 1, further comprising a drive structure that drives the fasteners into the tissue while the fasteners are carried on the stylet.

5. The assembly of claim 1, wherein the stylet includes a pointed tip that pierces the tissue before the fasteners pierce the tissue.

6. The assembly of claim 1, wherein the fasteners include a driven member that is driven into the tissue while on the stylet during deployment, a second member, and a connecting member connecting the driven member and second member, and wherein the tissue is between the driven member and the second member and the connecting member extends through the tissue when the fasteners are deployed.

7. The assembly of claim 6, wherein the driven member of each fastener is releasable from the stylet.

8. The assembly of claim 7, wherein the driven member of the fasteners includes a through channel that slidingly receives the stylet and that permits the fasteners to be carried on the stylet.

9. The assembly of claim 8, wherein the fasteners include a slit communicating with their through channel and wherein the fasteners are releasable from the stylet by the stylet passing through their slit.

10. The assembly of claim 1, further comprising a guide defining a guide lumen adapted to receive the fasteners and stylet and that guides the stylet and fasteners to the tissue.

11. A fastener assembly for use in a mammalian body, comprising:

a plurality of fasteners, each fastener being arranged to fasten tissue when deployed and including a driven member, a second member, and a connecting member connecting the driven member to the second member, the driven and second members each having first and second ends with the connecting member connecting to the driven and second members intermediate the first and second ends of each of the driven and second members, the driven member including a through channel; and

a stylet that guides each fastener into tissue to be fastened, the plurality of fasteners being carried on the stylet with the through channel of the driven member of each fastener slidingly received on the stylet.

12. The assembly of claim 11, wherein the stylet includes a drive structure that drives each fastener into the tissue.

13. The assembly of claim 12, wherein the stylet includes a pointed tip that pierces the tissue before the fasteners pierce the tissue.

14. The assembly of claim 11, wherein the driven member of each fastener is releasable from the stylet.

15. The assembly of claim 11, wherein each drive member of each fastener includes a slit communicating with its through channel and wherein the fasteners are releasable from the stylet by the stylet passing through the slits.

16. The assembly of claim 11, further comprising a guide defining a guide lumen adapted to receive the fasteners and stylet and that guides the stylet and fasteners to the tissue.