Resilient arm mesh deployer

• US 5,405,360 A
• Filed: 07/22/1993
• Issued: 04/11/1995
• Est. Priority Date: 02/24/1992
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Tovey, H. Jonathan
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US08/096,059
• Time in Patent Office: 628 Days
• Field of Search: 128/117.1, 604/59, 604/61, 606/1, 606/108, 606/110, 606/113, 606/127, 606/151, 606/140-142, 606/213, 623/66
• US Class Current: 606/151
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

An apparatus is disclosed for positioning surgical implants adjacent to body tissue. The apparatus includes a delivery device having a plurality of delivery arms positioned at the distal end of an elongated rod, and a surgical implant releasably secured to the delivery arms by a securing device. The invention also provides a method for positioning surgical implants adjacent to body tissue.

Claims

1. Apparatus for positioning surgical implants adjacent to body tissue comprising:

an elongated rod having a plurality of delivery arms secured to a distal end thereof for releasably receiving a peripheral portion of a surgical implant;

securing means in contact with distal end of said delivery arms for detachably securing said surgical implant to said delivery arms; and

pusher rod means secured to the distal end of said elongated rod for contacting and affecting tile shape of said surgical implant, said pusher rod means being configured to contact said surgical implant at an interior portion of said surgical implant spaced from said peripheral portion thereof, and said pusher rod having a protective member positioned at a distal end thereof for preventing the pusher rod means from contacting the surgical implant;

said distal end of said pusher rod means being located at a position radially inwardly of said distal ends of said delivery arms;

wherein upon deployment of said surgical implant, said delivery arms cause said peripheral portion of said surgical implant to expand and said pusher rod means contacts and affects the shape of said interior portion of said surgical implant.

2. Apparatus according to claim 1 further comprising:

a handle portion; and

elongated tubular structure having an endoscopic portion at a distal end thereof, a proximal end connected to said handle portion and receive at least a proximal portion of said elongated rod.

5. Apparatus according to claim 2, further comprising a gripping means attached to said proximal end of said elongated tubular structure.

6. Apparatus according to claim 2 further comprising finger gripping means attached to said proximal end of said elongated tubular structure for facilitating reciprocating movement of said elongated tubular structure.

7. Apparatus according to claim 1 wherein said delivery arms have retaining means formed thereon.

8. Apparatus according to claim 7 wherein said retaining means comprises an eyelet.

9. Apparatus according to claim 1 wherein said delivery arms are fabricated from a resilient material.

10. Apparatus according to claim 9 wherein said resilient material is shape-memory alloy.

11. Apparatus according to claim 1 wherein a portion of said elongated rod is fabricated from a resilient material.

12. Apparatus according to claim 11 wherein said resilient material has an unstressed configuration at an angle with respect to a longitudinal axis of a proximal end of said elongated rod.

13. Apparatus according to claim 11 wherein said resilient material is shape-memory alloy.

14. Apparatus according to claim 1 wherein said securing means comprises a suture.

15. Apparatus according to claim 1 wherein said protective member comprises a loop formed at said distal end of said pusher rod means.

16. Apparatus according to claim 1 wherein said protective member comprises a cap attached to said distal end of said pusher rod means.

3. Apparatus according to claim 3 further comprising:

trigger means pivotally connected to said handle portion and operatively connected to said elongated rod for effecting relative reciprocal coaxial movement of said elongated rod between a retracted and extended position with respect to said elongated tubular structure.

4. Apparatus according to claim 3 further comprising rotating means for rotating said elongated rod about its longitudinal axis relative to said handle portion.

17. A method for positioning surgical implants adjacent to body tissue, comprising:

providing a delivery device having an elongated rod with a plurality of delivery arms secured to a distal end thereof for releasably receiving a peripheral portion of an implantable sheet material, securing means in contact with distal ends of said delivery arms for releasably securing said peripheral portion of said implantable sheet material to said delivery arms, and pusher rod means secured to said distal end of said elongated rod for contacting and affecting the shape of an interior portion of said implantable sheet material, said pusher rod means contacting said implantable sheet material at a point spaced from the peripheral portion thereof, a distal end of said usher rod means being located at a position radially inwardly of said distal ends of said delivery arms;

wherein upon positioning of said implantable sheet material, said delivery arms cause said peripheral portion of said implantable sheet material to expand and said pusher rod means contacts and affects the shape of said interior portion of said implant;

releasably securing an implantable sheet material to said delivery arms;

positioning said implantable sheet material and said delivery device adjacent to body tissue; and

releasing said implantable sheet material from said delivery device.

18. Apparatus for positioning surgical implants adjacent to body tissue, comprising:

an implantable sheet material;

an elongated rod having a plurality of delivery arms secured to a distal end thereof;

securing means in contact with distal ends of said delivery arms and securing a peripheral portion of said implantable sheet material to said delivery arms;

a handle portion connected to a proximal end of said elongated rod;

an elongated tubular structure coaxially receiving at least a proximal end of said elongated rod, said elongated tubular structure being adapted for relative reciprocal coaxial movement relative to said elongated rod to move said delivery arms between a retracted and extended position; and

pusher rod means secured to said distal end of said elongated rod for contacting and affecting the shape of an interior portion of said implantable sheet material, said pusher rod means being secured to said distal end of said elongated rod to contact said implantable sheet material at said interior portion, a distal end of said pusher rod means being located at a position radially inwardly of said distal ends of said delivery arms;

wherein upon movement of said delivery arms to said extended position, said delivery arms cause said implantable sheet material to expand and said pusher rod means contacts and affects the shape of said interior portion of said implantable sheet material.

19. Apparatus for positioning surgical implants adjacent to body tissue comprising:

a handle;

an elongated rod connected with said handle and having a plurality of delivery arms secured to a distal end thereof for releasably receiving a peripheral portion of a surgical implant;

securing means in contact with distal ends of said delivery arms for detachably securing said surgical implant to said delivery arms;

a pusher rod sectored to the distal end of said elongated rod for contacting and affecting the shape of said surgical implant, said pusher rod being configured to contact said surgical implant at a point spaced from the peripheral portion thereof, a distal end of said pusher rod being located at a position radially inwardly of said distal ends of said delivery arms;

an elongated tubular member having an endoscopic portion at a distal end thereof, a proximal end connected to said handle, and a bore into which at least a proximal portion of said elongated rod is received;

trigger means pivotally connected to said handle and operatively connected to said elongated rod for effecting relative reciprocal coaxial movement of said elongated rod between a retracted and extended position with respect to said elongated tubular member; and

rotating means for rotating said elongated rod about said longitudinal axis relative to said handle.

20. Apparatus for positioning surgical implants adjacent to body tissue comprising:

an elongated rod having a plurality of delivery arms secured to a distal end thereof for releasably receiving a peripheral portion of a surgical implant, wherein a portion of said elongated rod is fabricated from a resilient material having an tinstressed configuration at an angle with respect to a longitudinal axis of a proximal end of said elongated rod;

securing means in contact with distal ends of said delivery arms for detachably securing said surgical implant to said delivery arms; and

pusher rod means secured to the distal end of said elongated rod for contacting and affecting the shape of said surgical implant, a distal end of said pusher rod being located at a position radially inwardly of said distal ends of said delivery arms;

said pusher rod means being configured to contact said surgical implant at an interior portion of said surgical implant spaced from said peripheral portion thereof.