Surgical helical fastener with applicator

• US 5,582,616 A
• Filed: 08/05/1994
• Issued: 12/10/1996
• Est. Priority Date: 08/05/1994
• Status: Expired due to Term

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Origin Medsystems Inc. (Eli Lilly and Company)
• Inventors: Lunsford, John, Bolduc, Lee, Kramer, Thomas A., McCoy, Tim, Hodges, Brian A.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/286,878
• Time in Patent Office: 858 Days
• Field of Search: 606/140, 606/141, 606/142, 606/143, 606/139, 227/175-182, 227/901, 227/19
• US Class Current: 606/143
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/06076 helically or spirally coiled
• CPC Class Codes: A61B 2017/06171 helically or spirally coiled
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: Y10S 227/901 Surgical clip appliers
• CPC Class Codes: Y10S 227/902 Surgical clips or staples
• CPC Class Codes: Y10S 606/91 Polymer
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener
• CPC Class Codes: Y10T 24/4695 Wire curved or bent

Abstract

A helical fastener having a high retentive surface area is provided and has a first end for enhancing penetration into tissue and a second end comprising a coil sectioning a diameter of the fastener for receiving longitudinal and rotational forces. The helical fasteners are attached to body tissue by a fastener applicator having a proximal portion comprising a handle and an actuator and an elongate distal portion for housing a plurality of fasteners. A transferring action of the actuator provides longitudinal and rotational movement of the fasteners out of the distal portion and into body tissue.

Claims

1. An applicator for attaching fasteners to body tissue comprising:

a distal portion having an elongate outer tube, a connecting end and a terminal end;

a proximal portion having a handle and an actuator, said proximal portion attached to said connecting end of said distal portion;

a rotator for receiving a plurality of fasteners and for cooperating with said actuator, said rotator configured to reside within and extend substantially the length of said outer tube;

means for threading and ejecting the fastener out of said terminal end; and

a load spring for biasing said plurality of fasteners to the terminal end.

2. The applicator of claim 1, further comprising:

a lock/clip indicator for engaging said plurality of fasteners; and

said load spring for applying longitudinal forces against said lock/clip indicator.

3. The applicator of claim 2, wherein said lock/clip indicator is configured to prevent actuation of said actuator upon discharge of said plurality of fasteners from the applicator.

4. The applicator of claim 1, wherein a groove extends longitudinally along substantially the length of said rotator, said groove for recieving coils of said plurality of fasteners.

5. The applicator of claim 1, wherein said rotator has a cross-sectional profile approximating a D-shape and is adapted to receive coils of said plurality of fasteners.

6. The applicator of claim 1, wherein said threading and ejecting means is a thread form contained in an interior of said terminal end adapted to engage said plurality of fasteners.

7. The applicator of claim 6, wherein said thread form is an interlock spring fixedly retained in said interior of said terminal end.

8. The applicator of claim 1, wherein said threading and ejecting means is a nose piece attached to said terminal end, said nose piece having structure projecting perpendicularly toward a longitudinal axis of said outer tube and adapted to engage said plurality of fasteners.

9. The applicator of claim 1, wherein said distal portion and said proximal portion are releasably secured together.

10. The applicator of claim 9, wherein said distal portion is disposable and said proximal portion is reusable.

11. The applicator of claim 1, wherein said actuator includes:

a lever having a first end and a second end, said lever pivotally attached about a midpoint to said handle;

said first end of said lever for gripping by hand;

a lead screw rotatably attached to interior of said handle;

a nut driver, said second end of said lever pivotally attached to said nut driver, said nut driver for travelling along said lead screw, thereby turning said lead screw; and

said lead screw attached to said rotator so that as the lever is depressed by hand the nut driver will travel along the lead screw towards said rotator thereby turning said rotator in the process.

12. The applicator of claim 11, wherein said lead screw is a high helix lead screw.

13. The applicator of claim 11, wherein said lever has a midsection extension.

14. The applicator of claim 13, further comprising gear teeth formed within said interior of said handle.

15. The applicator of claim 14, further comprising a spring loaded pawl pivotally attached to said midsection extension and adapted to engage said gear teeth.

16. The applicator of claim 1, wherein said actuator includes:

a lever having a first end, a midsection, and a second end, said first end pivotally attached to said handle, said midsection for gripping by hand;

a lead screw rotatably attached to an interior of said handle;

a nut driver, said second end pivotally attached to said nut driver, said nut driver for travelling along said lead screw, thereby turning said lead screw; and

means for said lead screw to releasably engage said rotator so that as the lever is depressed by hand, the nut driver will travel along the lead screw toward said rotator thereby turning said rotator in the process and so that when the lever is returned to its undepressed position, the lead screw will rotate in the reverse direction and independently of the rotator which remains stationary.

17. The applicator of claim 16, wherein said lead screw is a high helix lead screw.

18. The applicator of claim 16, wherein said releasable engagement means is a ratchet mechanism.

19. The applicator of claim 16, wherein said lever has a mid-section extension, formed in said mid-section extension are a plurality of teeth.

20. The application of claim 19, further comprising a latch pawl cooperating with said teeth to prohibit said lever from backstroking until it has been completely depressed.