Surgical fastening apparatus with suture array
First Claim
Patent Images
1. A surgical fastener applying apparatus for applying a plurality of surgical fasteners comprising:
- a frame;
a plurality of surgical fasteners, each of the individual fasteners having a backspan and a pair of legs extending therefrom, each backspan having a longitudinal axis extending therethrough;
means mounted to said frame for holding the plurality of surgical fasteners in at least two rows, such that the individual fasteners in each row are oriented in end to end fashion with the longitudinal axes of the backspans in each row in substantial alignment,at least one suture cooperating with at least one of said surgical fasteners; and
means for applying said surgical fasteners to body tissue, said applying means applying said at least one suture in conjunction with said fasteners, a portion of said at least one suture extending across the rows from a fastener on one of said rows to a fastener on another of said rows.
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Abstract
An apparatus for simultaneously applying to body tissue at least one surgical suture in conjunction with a plurality of surgical fasteners arranged end to end in rows. The apparatus preferably includes a knife for making an incision in the body tissue sealed in each side by at least one row of fasteners. The fasteners are two-part fasteners fabricated from bioabsorbable material. The incision is closed by pulling the ends of the suture(s).
672 Citations
63 Claims
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1. A surgical fastener applying apparatus for applying a plurality of surgical fasteners comprising:
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a frame; a plurality of surgical fasteners, each of the individual fasteners having a backspan and a pair of legs extending therefrom, each backspan having a longitudinal axis extending therethrough; means mounted to said frame for holding the plurality of surgical fasteners in at least two rows, such that the individual fasteners in each row are oriented in end to end fashion with the longitudinal axes of the backspans in each row in substantial alignment, at least one suture cooperating with at least one of said surgical fasteners; and means for applying said surgical fasteners to body tissue, said applying means applying said at least one suture in conjunction with said fasteners, a portion of said at least one suture extending across the rows from a fastener on one of said rows to a fastener on another of said rows. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A surgical fastener applying apparatus for applying a plurality of surgical fasteners, each fastener having a backspan comprising:
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a frame; a fastener holding member on said frame for holding the plurality of surgical fasteners in at least first and second rows, such that the backspan of each fastener is oriented in a direction perpendicular to a longitudinal axis of said frame; at least one suture cooperating with at least one of said surgical fasteners in said first row and said second row; and a pusher for applying the surgical fasteners to body tissue in conjunction with said at least one suture. - View Dependent Claims (16, 17, 18, 19, 20)
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- 21. In a surgical fastener applying apparatus for applying two-part surgical fasteners to body tissue, the apparatus having a longitudinal axis and said two part surgical fasteners each comprising a fastener portion and a retainer portion engageable with said fastener portion, the fastener portion having a backspan and a pair of legs extending therefrom, the backspans of the fasteners being positioned generally transverse to the longitudinal axis and the legs extending in a direction substantially parallel to the longitudinal axis, the improvement comprising means for simultaneously applying at least one suture to said body tissue in conjunction with said fasteners.
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27. A surgical fastener applying apparatus for applying a plurality of fasteners comprising:
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a cutting member for making an incision in body tissue; a holding member for holding at least one row of surgical fasteners on each side of said cutting member; at least one surgical suture cooperating with at least one of said surgical fasteners; and means cooperating with said fasteners for substantially simultaneously applying said at least one suture and said at least one row of surgical fasteners on each side of said incision. - View Dependent Claims (28, 29)
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30. A surgical fastener applying apparatus for closing an opening in the body tissue comprising:
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means for closing an opening in body tissue, said closing means including a plurality of fasteners and at least one suture cooperating with at least one of said fasteners; and
;actuating means for firing said fasteners to apply said fasteners and said at least one suture to the body tissue, said fasteners being applied on oppposing sides of the opening and said suture extending across said opening. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 39)
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40. A cartridge for use in a surgical fastener applying apparatus for applying a plurality of surgical fasteners arranged in at least first and second rows, the apparatus adapted to receive said cartridge, said cartridge comprising:
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means for holding a plurality of surgical fasteners; pusher means for driving the fasteners from said cartridge through respective fastener exit apertures in a tissue contacting distal face of said cartridge; and at least two sutures releasably mounted to said cartridge, each suture having a portion extending across at least one of said fastener exit apertures in said first row and a portion extending across at least one of said fastener exit apertures in said second row. - View Dependent Claims (41, 42)
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43. A surgical fastener applying apparatus comprising:
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a frame having a longitudinal axis; a fastener cartridge containing at least one fastener and at least one suture; a pair of jaws, one of said jaws having means for receiving said fastener cartridge; means for moving at least one of said jaws along said longitudinal axis from an open position to a closed position to clamp tissue therebetween; and means for applying said at least one fastener and said at least one suture to body tissue, said at least one fastener being applied in a direction substantially parallel to said longitudinal axis. - View Dependent Claims (44, 45, 46, 47, 48, 49, 50, 51, 52, 53)
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54. A surgical fastener applying apparatus for applying a plurality of surgical fasteners for closing an opening in body tissue comprising:
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a frame; a first member on said frame for holding at least two opposing rows of surgical fasteners; connecting means cooperating with at least one of said fasteners in each of said rows of surgical fasteners; and a pusher for applying said at least two rows of fasteners and said connecting means such that said connecting means is applied in a direction and orientation with respect to said fasteners such that application of tension to said connecting means moves said opposing rows of fasteners toward each other. - View Dependent Claims (55)
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56. A cartridge for use in a surgical fastener applying apparatus adapted to receive said cartridge comprising:
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a plurality of surgical fasteners; means for holding the plurality of surgical fasteners in at least two rows; pusher means for driving said fasteners from said cartridge through respective fastener exit apertures in a tissue contacting distal face of said cartridge; at least one suture releasably mounted to said cartridge and having a portion extending across at least one of said fastener exit apertures in one row and a portion extending across at least one of said fastener exit apertures in the other of said rows; and said suture extending in a first path from a fastener in said first row to a fastener in said second row and in a second path from said fastener in said second row to another fastener in said first row. - View Dependent Claims (57, 58)
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59. A method for performing a cesarean section operation, comprising:
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a) making at least one incision in uterine tissue; b) substantially simultaneously applying
1) at least one row of surgical fasteners to said tissue when making said incision; and
2) at least one suture to the body tissue when applying said fasteners,c) bringing the sides of the incision into approximation for closure thereof by pulling ends of said at least one suture. - View Dependent Claims (60)
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61. A method for closing an opening in body tissue comprising:
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a) approximating a first instrument jaw toward a second instrument jaw to clamp body tissue therebetween; b) substantially simultaneously applying at least one row of fasteners to the body tissue on each side of the opening, and at least one suture, at least a portion of said suture extending from a row of said fasteners on one side of the opening to a row on the other side of said opening; and
,c) tightening said at least one suture to close the opening in the body tissue. - View Dependent Claims (62, 63)
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Specification