Inserting device for a barbed tissue connector

• US 5,342,376 A
• Filed: 05/03/1993
• Issued: 08/30/1994
• Est. Priority Date: 05/03/1993
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson), Ethicon, LLC (Johnson & Johnson)
• Original Assignee: Dermagraphics, Inc.
• Inventors: Ruff, Gregory L.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US08/055,870
• Time in Patent Office: 484 Days
• Field of Search: 606/187, 606/155, 606/215, 606/154, 606/148, 606/151, 606/228, 606/230
• US Class Current: 606/151
• 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 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 2017/06176 with protrusions, e.g. barbs
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks

Abstract

An inserting device is disclosed for positioning a barbed tissue connector in tissue to close a wound. The barbed tissue connector is of a type which includes a generally rigid elongated body having a pointed leading end and a plurality of axially spaced barbs on the elongated body. The inserting device comprises a tubular body which is adapted to receive the connector therein with the pointed leading end of the connector protruding from an open leading end of the tubular body. The inserting device and the connector contained therein are positioned in tissue such that at least one of the barbs on the connector is engaging tissue, and the device is then retracted from the tissue, leaving the connector in place.

Claims

1. A device for insertion into tissue, comprising:

a barbed tissue connector having an elongated body and a plurality of axially spaced barbs projecting from said elongated body, and extending along a substantial portion of the length of said elongated body said barbs being configured such that they are yieldable in the direction of said elongated body and are generally rigid in the opposite direction; and

a tubular body having an interior of a size sufficient to receive the barbed tissue connector, said tubular body having a leading end having an opening therein and a trailing end having an opening therein, and said opening in said leading end being sufficiently large to permit said connector to be extracted therefrom.

2. A inserting device, as recited in claim 1, wherein said tubular body is substantially rigid.

3. An inserting device, as recited in claim 1, wherein said leading end is tapered inwardly to facilitate the insertion of said device in tissue.

4. An inserting device, as recited in claim 1, wherein said trailing end is tapered outwardly to facilitate the insertion of said connector in said tubular body.

5. An inserting device, as recited in claim 1, wherein said tubular body has a generally circular cross section.

6. An inserting device, as recited in claim 5, wherein an inside diameter of said tubular body is slightly less than an outside diameter of said connector.

7. An inserting device, as recited in claim 1, wherein said tubular body is generally arcuate in an axial direction.

8. An inserting device, as recited in claim 1, wherein said device has a handle on said tubular body adjacent said trailing end.

9. An inserting device, as recited in claim 1, wherein at least one barb of said connector protrudes from said opening in the leading end of the tubular body.

10. An inserting device, as recited in claim 1, wherein the body of said connector has a leading end which is of a shape to facilitate penetration into said tissue.

13. An inserting device, as recited in claim 1, wherein the interior diameter of said tubular body is slightly smaller that the outside diameter of said connector so that the barbs of the connector in the tubular body will yieldably press against the interior of the body to facilitate the retention of the connector in the tubular body while being inserted into tissue.

11. A inserting device, as recited in claim 11, wherein the shape of the leading end of said connector forms a point.

12. An inserting device, as recited in claim 12, wherein the body of said connector is formed of a material sufficiently hard for said point to pierce tissue and enable said connector to be inserted in tissue when a substantially axial force is applied to said body.

14. A method of connecting tissue using a barbed tissue connector having an elongated body and a plurality of axially spaced barbs projecting from said elongated body, said elongated body having a pointed end, said barbs being configured such that they are yieldable in the direction of said elongated body and are generally rigid in the opposite direction, said method comprising the steps of:

positioning said connector in an inserting device having a tubular body such that said pointed end and at least one barb protrude from said tubular body;

inserting the device having the connector therein into tissue such that said one barb is engaging tissue; and

moving said device relative to said connector to extract the device from the tissue while leaving the connector in the tissue.

15. A method, as defined in claim 14, wherein said connector includes a first set of barbs facing said pointed end and a second set of barbs facing an opposite end of said connector.

16. A device for use in repairing a wound, said device comprising:

a tubular body having a leading end with an opening therein and a trailing end with an opening therein; and

a barbed tissue connector having an elongated body and a pointed end on said elongated body, said connector having a plurality of axially spaced barbs projecting from said elongated body, and said connector being positioned in said tubular body with said pointed end protruding from said opening in the leading end.

17. A device, as recited in claim 16, wherein at least one barb protrudes from said opening in the leading end.

18. A device, as recited in claim 17, wherein said tubular body is generally arcuate in an axial direction.