Apparatus and Method for Manipulating or Retracting Tissue and Anatomical Structure

• US 20110152607A1
• Filed: 01/07/2011
• Published: 06/23/2011
• 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, Welch, Jacqueline Nerney, Vidal, Claude, Catanese, Joseph III, Vecchiotti, Richard G., Redmond, Russell J., Merrick, Daniel, Makower, Joshua, West, Scott, Lamson, Theodore C.
• Granted Patent: US 8,211,118 B2
• Time in Patent Office: Days
• US Class Current: 600/37
• 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
• 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
• 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
• 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
• 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 anchoring devices for such purposes.

Claims

1-73. -73. (canceled)

74. An anchor delivery apparatus, comprising:

a handle assembly; and

an elongate member extending from the handle assembly, the elongate member including a feeder assembly configured to releasably retain a plurality of ring components of an anchor assembly;

wherein the feeder includes a biasing member that biases the ring components into a position for assembly with a second component of the anchoring assembly.

75. The apparatus of claim 74, wherein the plurality of ring components are stacked vertically.

76. The apparatus of claim 74, wherein the biasing member is positioned beneath the vertically stacked ring components.

77. The apparatus of claim 76, wherein the feeder forms a distal end portion of the elongate member.

78. The apparatus of claim 76, wherein the biasing member is a leaf spring.

79. The apparatus of claim 77, wherein the distal end portion is shaped to accomplish testing the position of the ring component prior to releasing the ring component from the anchor delivery apparatus.

80. The apparatus of claim 74, wherein the anchor delivery apparatus further includes a needle assembly having a terminal end and the anchor delivery apparatus is configured to deliver first and second components of an anchor assembly.

81. The apparatus of claim 80, wherein the first component is positioned distal to the terminal end of the needle and the second component is positioned proximal to the terminal end of the needle.

82. The apparatus of claim 74, wherein the anchor delivery apparatus includes structure housing a pin component sized to mate with the ring component and an assembly that accomplishes the in-line delivery of the pin into engagement with the ring component.

83. An anchor assembly for use in tissue retention, comprising:

a first portion, the first portion including a cylindrical end portion, a semi-cylindrical end portion, and a midpoint;

a second portion including a first end and a second end, the first end connected to the midpoint of the first portion, the second portion defining a spring member; and

a third portion connected to the second end of the second portion.

84. The anchor assembly of claim 83, wherein the third portion defines a cylinder.

85. The anchor assembly of claim 83, wherein the second portion defines a semi-cylinder.

86. The anchor assembly of claim 83, wherein the second portion defines a bar arm.

87. The anchor assembly of claim 83, wherein the second portion biases the first portion to assume an angled configuration with respect to the third portion.

88. The anchor assembly of claim 83, wherein the third portion defines a collar.

89. The anchor assembly of claim 83, wherein the anchor assembly has a first generally straight configuration and a second configuration defining a generally T-shape.

90. The anchor assembly of claim 89, wherein the anchor assembly is biased to the T-shape.

91. The anchor assembly of claim 83, further comprising a connector, wherein the first portion, second portion and third portion are configured about or adjacent the connector.

92. The anchor assembly of claim 91, wherein the first, second and third portions define a body, further comprising a plurality of bodies attached to the connector.

93. The anchor assembly of claim 83, further comprising a connector and a plurality of engaging structure attached to the connector, wherein the first portion, second portion and third portion are configured about the anchor assembly or adjacent the connector.

94. The anchor assembly of claim 83, wherein the third portion defines an extension.

95. The anchor assembly of claim 94, wherein the extension is biased away from the connector.

96. The anchor assembly of claim 94, wherein the extension is folded adjacent the connector.

97. The anchor assembly of claim 94, wherein the extension defines a beaver tail structure.

98. The anchor assembly of claim 83, further comprising a diagnostic or therapeutic substance formed on a portion of the anchor assembly.

99. The anchor assembly of claim 98, wherein the substance is a bacteriostatic coating.

100. An anchor assembly for use in tissue retention, comprising:

a first part, the first part defining a generally tubular shape and including an internal bore; and

a second part, the second part defining a generally solid cylinder including a pair of spaced arms extending therefrom;

wherein the spaced arms are sized and shaped to be inserted within the bore of the first portion.

101. The anchor assembly of claim 100, wherein the second portion is sized to lockingly engage with the first part.

102. The anchor assembly of claim 100, further comprising a connector.

103. The anchor assembly of claim 102, wherein the connector is sized and shaped to be received between the spaced arms.

104. The anchor assembly of claim 103, wherein the connector lockingly engages the first part and second part when the second part is inserted within the first part.

105. The anchor assembly of claim 103, further comprising a diagnostic or therapeutic substance formed on a portion of the anchor assembly.

106. The anchor assembly of claim 105, wherein the substance is a bacteriostatic coating.