INTEGRATED HANDLE ASSEMBLY FOR ANCHOR DELIVERY SYSTEM

• US 20070142846A1
• Filed: 02/06/2007
• Published: 06/21/2007
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Nagpurkar, Amik, Collinson, Michael, McLean, Matt, Vidal, Claude, Merrick, Daniel, Makower, Joshua, West, Scott, Barham, Mitchell, Lamson, Theodore, Catanese, Joseph, Redmond, Russell
• Granted Patent: US 8,157,815 B2
• Time in Patent Office: Days
• US Class Current: 606/142
• 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 for prosthetic joint-implanting tools A61F2/4603
• 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 for applying suture clamps, clips or locks A61B2017/0488
• 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 for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• 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 hollow suture needles A61B2017/061
• 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 anchor devices for such purposes.

Claims

1. A system for implanting an anchor assembly, comprising:

at least one anchor assembly, the anchor assembly including a first anchor member, a second anchor member, and a connector joining the first and second anchor members; and

an anchor delivery device, the anchor delivery device including a first actuator that accomplishes implanting the first anchor and at least one of a second actuator that accomplishes assembly of the second anchor and a third actuator that cuts the connector to a desired length;

wherein actuation of the first actuator accomplishes gaining access to a first site and deployment of the first anchor member independently of the second anchor member.

2. The system of claim 1, wherein the anchor delivery device is configured to implant anchor assemblies having variable length connectors.

3. The system of claim 1, wherein the anchor delivery device accomplishes affixing the second anchor member at a desired position on the connector.

4. The system of claim 1, wherein the anchor delivery device is configured to deliver at least four variable length anchor assemblies.

5. The system of claim 1, further comprising a scope.

6. The system of claim 5, wherein the scope extends to a point to provide a view of a terminal end of the anchor delivery device.

7. The system of claim 6, wherein the scope provides remote viewing of deployment and assembly of the at least one anchor assembly.

8. The system of claim 1, further comprising a tension mechanism that applies a desired tension to the connector.

9. The system of claim 8, wherein the tension mechanism is configured to supply approximately a one pound force on the connector.

10. The system of claim 8, wherein the tension mechanism is configured to supply approximately a half pound to five pounds of force on the connector.

11. The system of claim 8, wherein the tension mechanism is configured to apply a selectable tension between approximately a half pound to five pounds of force on the connector.

12. The system of claim 8, wherein the tension mechanism is configured to create a one pound force between the first and second anchor members.

13. The system of claim 8, wherein the tension mechanism applies the desired tension before assembly of second anchor.

14. The system of claim 8, wherein the tension mechanism applies the desired tension while assembling the second anchor.

15. The system of claim 8, wherein the tension mechanism applies a half pound to a five pound force between the first and second anchors.

16. The system of claim 1, further comprising a retractable needle assembly, the retractable needle assembly being operatively associated with the first actuator.

17. The system of claim 16, wherein the retractable needle can be advanced to varying selectable depths within a patient.

18. The system of claim 16, further comprising a first pusher assembly configured within the needle assembly, the pusher assembly being operatively associated with the first actuator.

19. The system of claim 18, wherein the first anchor member and connector are housed within the needle assembly and placed into engagement with the pusher assembly.

20. The system of claim 1, further comprising a second pusher assembly operatively associated with the second actuator.

21. The system of claim 20, wherein the second anchor member includes a first part that is placed into engagement with the second pusher assembly.

22. The system of claim 1, further comprising an outer tube assembly operatively associated with the third actuator.

23. The system of claim 22, wherein the connector is severed by the outer tube assembly when the third actuator is manipulated.

24. The system of claim 1, further comprising cutting structure configured to sever the connector before or after assembly of the second anchor.

25. The system of claim 1, further comprising a safety mechanism that prohibits incorrect actuator sequencing.

26. The system of claim 1, wherein the third actuator releases the second anchor member or the anchor assembly from the anchor delivery device.

27. A system including an anchor assembly for assembly within a patient'"'"'s body, comprising:

a first anchor member;

a second anchor member including a first part and a second part;

a connector joining the first and second anchor members;

wherein the first and second parts are configured to be joined with the connector and each other within a patient'"'"'s body;

wherein the anchor delivery device is configured to accomplish the assembly of the anchor assembly within a patient'"'"'s body and to accomplish the implantation of an assembled anchor assembly and wherein the anchor delivery device includes a system that applies a tensile load to the connector.

28. The system of claim 27, further comprising a scope.

29. The system of claim 28, wherein the scope extends substantially toward a terminal end of the anchor delivery device and provides a view of deployment and assembly of the anchor assembly.

30. The system of claim 27, further comprising a safety mechanism that prohibits incorrect actuator sequencing.

31. The system of claim 27, further comprising a first actuator operatively associated with deployment of the first anchor member.

32. The system of claim 31, further comprising a needle assembly, the needle assembly configured to house the first anchor member, the needle assembly being operatively associated with the first actuator.

33. The system of claim 32, further comprising a first pusher assembly, the first pusher assembly being operatively associated with the first actuator and being placed into engagement with the first anchor member.

34. The system of claim 33, further comprising a relative movement assembly operatively associated with the first actuator, wherein actuation of the first actuator accomplishes the relative movement between the pusher assembly and needle assembly.

35. The system of claim 34, further comprising a second actuator operatively associated with the assembly of the first and second parts of the second anchor member to the connector.

36. The system of claim 35, further comprising a second pusher assembly, the second pusher assembly being operatively associated with the second actuator and being placed into engagement with one part of the second anchor assembly.

37. The system of claim 36, further comprising a third actuator configured to accomplish severing the connector.

38. The system of claim 37, wherein the third actuator releases the second anchor member or the anchor assembly from the anchor delivery device.

39. The system of claim 37, further comprising an outer tube assembly, the outer tube assembly being operatively associated with the third actuator and configured to engage and sever the connector.

40. The system of claim 38, wherein the tension mechanism is configured to apply an approximately one pound of force on the connector.

41. The system of claim 38, wherein the tension mechanism is configured to apply an approximately one half to five pounds force on the connector.

42. The system of claim 38, wherein the tension mechanism is configured to apply a selectable tension between approximately a half pound to five pounds of force on the connector.

43. The system of claim 27, wherein the anchor delivery device includes a penetrating member which is extendable from the anchor delivery device.

44. The system of claim 43, wherein the first anchor member is delivered through the penetrating member.

45. The system of claim 44, wherein the second anchor member is delivered without employing the penetrating member.

46. The system of claim 44, wherein the penetrating member is operatively associated with the tensile load system to thereby produce a load on the first anchor member when the penetrating member is retracted.

47. A method for treating a prostate involving an anchor delivery device including an extendable terminal end and at least one anchor assembly including a first anchor component, a connector and a second anchor component, comprising:

placing the terminal end at a first site;

advancing the first anchor component through the terminal end;

employing the anchor delivery device to apply a pre-determined tension on the connector;

assembling the second anchor component to the connector; and

placing the second anchor component at the second site.

48. The method of claim 47, further comprising:

extending the extendable terminal end from an original position; and

retracting the extendable terminal end to the original position.

49. The method of claim 47, wherein the anchor delivery device includes a scope, further comprising employing the scope to remotely view prostate treatment.

50. The method of claim 47, wherein the anchor delivery device further includes a first actuator operatively associated with the first anchor component, comprising actuating the first actuator to deploy the first anchor.

51. The method of claim 48, wherein the anchor delivery device further includes a second actuator operatively associated with the second anchor component, comprising actuating the second actuator to assemble the second anchor component.

52. The method of claim 49, wherein the anchor delivery device further includes a third actuator operatively associated with an outer tube assembly, comprising actuating the third actuator to cause the outer tube assembly to sever the connector.

53. The method of claim 52, wherein manipulation of the third actuator releases the second anchor member from the anchor delivery device.

54. The method of claim 47, further comprising assembling the anchor assembly to a desired length.

55. The method of claim 47, further comprising assembling a plurality of anchor assemblies.

56. The method of claim 47, wherein each of the anchor assemblies can have a unique length.

57. The method of claim 47, further comprising severing the connector to a selected length.

58. The method of claim 47, wherein the anchor delivery device includes a needle assembly operatively associated with the first actuator.

59. The method of claim 58, wherein the needle assembly can be advanced to variable, selectable depths within a patient.

60. The method of claim 58, wherein placing the terminal end at a desired second site involves varying a depth to which the needle assembly is placed within a patient.

61. The method of claim 47, wherein one or a series of first anchors are initially attached to the connector, an initial engagement between the first anchor and connector being generally coaxial.

62. The method of claim 61, wherein the second anchor member initially engages the connector at a generally perpendicular angle to the connector.