Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure

• US 20100023025A1
• Filed: 07/25/2008
• Published: 01/28/2010
• Est. Priority Date: 07/25/2008
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Harris, Jason L., Stokes, Michael J., Zeiner, Mark S., Timperman, Eugene L., Holcomb, Matthew D., Kondor, Alex P.
• Application Number:
  US12/179,600
• Publication Number:
  US 20100023025A1
• Time in Patent Office: Days
• US Class Current: 606/144
• 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 17/0493 Protective devices for suturing, i.e. for protecting the patient's organs or the operator
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/0053 Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• 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 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0475 using sutures having a slip knot
• CPC Class Codes: A61B 2017/0477 with pre-tied sutures
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• 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 2017/2916 pins in guiding slots
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: A61B 90/94 : coded with symbols, e.g. text
• CPC Class Codes: A61F 5/0086 : using clamps, folding means or the like

Abstract

A method of deploying fasteners within a body by providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends, and a needle within the hollow housing. The device has a first cartridge containing at least one fastener releasably connectable to the distal end of the hollow housing. The fastener is at least partially housed within the needle and has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The method uses the steps of inserting the distal end of the hollow housing to a target site within a body, attaching tissue together within the body by deploying the fastener, and removing the first cartridge and replacing it with a second cartridge.

Claims

1. A method of deploying fasteners within a body comprising the steps of:

a. providing a device comprising a handle and at least one actuator, said handle connected to an elongated hollow housing having distal and proximal ends, and a needle within said hollow housing, a first cartridge containing at least one fastener releasably connectable to said distal end of said hollow housing, said fastener, at least partially housed within said needle, said fastener comprising at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads;

b. inserting said distal end of said hollow housing to a target site within a body, and attaching tissue together within the body by deploying said fastener;

c. removing said first cartridge said handle and replacing it with a second cartridge.

4. The method of claim 1 further including the step of insufflating said body, and substantially maintaining insufflation while removing said first cartridge and replacing it with a second cartridge.

2. The method of step 1 further including the step of maintaining said distal end of said hollow housing at said target site while removing said first cartridge and replacing it with a second cartridge.

3. The method of claim 2 further including the step of retracting said needle completely within said hollow housing while removing said first cartridge and replacing it with a second cartridge.