Implant assist apparatus

• US 5,368,595 A
• Filed: 09/06/1990
• Issued: 11/29/1994
• Est. Priority Date: 09/06/1990
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Lewis, Royce
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): BROWN, MICHAEL A
• Application Number:
  US07/578,552
• Time in Patent Office: 1,545 Days
• Field of Search: 606/72, 606/73, 606/77, 606/227, 606/222, 606/238, 606/224, 606/230, 606/233, 606/232, 606/74, 606/75, 606/76, 606/220, 606/226, 411/340, 411/508, 411/509, 411/510, 411/511, 411/904
• US Class Current: 606/151
• 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 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/06 Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials puncturing needles A61B17/34; hypodermic needles A61M5/32 ; sewing needles D05B85/00
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/1146 of tendons
• 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 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0464 for soft tissue

Abstract

An implant assist apparatus is disclosed for implanting material such as a suture in tissue to reapproximate or reinforce the tissue. A cannula is provided having a hollow body and an open proximal and distal end. Point means is detachably fixed to the open proximal end of the cannula for penetrating tissue. A method of implanting the material in tissue for reapproximating or reinforcing the tissue with the implant assist apparatus is also disclosed whereby a length of the implant material is attached to a guide wire for partial containment within the cannula. The cannula with detachable point is passed into the tissue at an entry point remote from one side of the defect and out an exit point on the opposite side remote from the defect such that the distal end of the hollow body extends from the entry point and a proximal end extends from the exit point. The detachable point is removed from the cannula and a guide wire with implant material attached is drawn out of the proximal end of the hollow body until the implant material is exposed at both the distal and proximal ends of the hollow body. Thereafter, the cannula is withdrawn from the tissue leaving the implant material in place and the implant material is anchored to reapproximate or reinforce the defect.

Claims

1. An implant assist apparatus for implanting material in tissue to be approximated or reinforced comprising:

cannula means having a hollow body and an open proximal and distal end;

point means detachably fixed to said open proximal end of the cannula means for penetrating tissue;

guide wire means attached to said point means and extending into said open proximal end of the cannula means; and

implant material releasably attached to said guide wire means and extending from said open distal end of the cannula means.

2. An implant assist apparatus as in claim 1 further comprising a loop formed in the end of said guide wire means extending into the cannula.

3. An implant assist apparatus as in claim 1 wherein said cannula means is linear in shape.

4. An implant assist apparatus as in claim 1 wherein said cannula means is arcuate in shape.

5. An implant assist apparatus as in claim 1 wherein said cannula means is partially linear and partially arcuate in shape.

6. An implant assist apparatus as in claim 1 wherein said cannula means further comprises at least one flute formed longitudinally therein.

7. An implant assist apparatus as in claim 1 wherein said point means is formed in the shape of a trocar.

8. An implant assist apparatus as in claim 1 wherein said point means is formed in the shape of an arcuate cone.

9. An implant assist apparatus as in claim 1 wherein said point means is formed integrally with said cannula means and is detachable therefrom.

10. An implant assist device as in claim 1 wherein said implant material is selected from the group consisting of sutures, prosthetic devices and tissue augmentation devices.

11. An implant assist apparatus as in claim 1 wherein said implant material comprises a braided suture.

12. An implant assist apparatus as in claim 2 wherein said loop remains within said cannula means when said point means is in position.

13. A method of implanting material in tissue for reapproximating or reinforcing defects therein comprising the steps of:

providing cannula means having a hollow body open at both ends and a detachable point at a proximal end thereof, said detachable point having a guide wire attached and extending into said hollow body;

attaching a length of implant material to said guide wire;

passing said cannula means with detachable point and implant material into the tissue at an entry point remote from one side of the defect and out of an exit point in an opposite side remote from the defect such that a distal end of said hollow body extends from the entry point and a distal end extends from said exit point;

removing said detachable point from said cannula means and drawing the guide wire with implant material attached out of the proximal end of said hollow body until the implant material is exposed at both the distal and proximal ends of the hollow body,

withdrawing said cannula means from said tissue, leaving the implant material in place, and

anchoring the implant material to reapproximate or reinforce the defect.

14. A method of implanting material as in claim 13 wherein said length of implant material is at least partially contained within said hollow body.

15. An implant assist apparatus for implanting material in tissue to be reapproximated or reinforced comprising:

a rigid cannula having an elongate hollow body, an open proximal end, and an open distal end; and

a point detachably fixed to said open proximal end of the cannula for penetrating tissue.

16. An implant assist apparatus as in claim 15 further comprising longitudinal flutes formed in the body of the cannula.

17. An implant assist apparatus as in claim 15 further comprising an implant material preattached through said cannula to said point.

18. An implant assist apparatus as in claim 17 wherein said implant material comprises at least one suture.

19. An implant assist apparatus as in claim 18 wherein said implant material comprises at least one braided suture.

20. An implant assist apparatus as in claim 15 wherein said point is formed in a shape selected from the group consisting of trocar, conical, convex, arcuate conical, tapered, reverse cutting, side cutting, and flattened conical.

21. An implant assist apparatus as in claim 20 wherein said point is dimensioned to have substantially the same diameter as said cannula.

22. An implant assist apparatus as in claim 15 wherein said cannula is substantially circular in cross-section.

23. An implant assist apparatus as in claim 15 wherein said cannula is formed in a shape selected from the group consisting of linear, arcuate and partially arcuate.

24. A surgical implant assist apparatus for implanting suture material in tissue comprising:

a rigid tubular cannula having a hollow body and first and second ends;

a point removably attached to said first end of said tubular cannula for penetrating tissue; and

at least one surgical suture positioned at least partially in the tubular cannula.

25. A surgical implant assist apparatus as in claim 24 wherein said at least one surgical suture is a braided suture.

26. A surgical implant assist apparatus as in claim 24 further comprising flutes formed in at least a portion of said tubular cannula.

27. A surgical implant assist apparatus as in claim 24 wherein said point is formed in a shape selected from the group consisting of trocar, conical, concave, convex, arcuate conical, tapered, reverse cutting, side cutting and flattened conical.

28. A surgical implant assist apparatus as in claim 24 wherein said tubular cannula is formed in a shape selected from the group consisting of linear, arcuate and partially arcuate.

29. A surgical implant assist apparatus as in claim 24 wherein said point is integrally formed with said tubular cannula and is detachable therefrom.