Surgical fastening system and method for using the same

• US 5,827,298 A
• Filed: 11/17/1995
• Issued: 10/27/1998
• Est. Priority Date: 11/17/1995
• Status: Expired due to Term

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: Innovasive Devices Inc. (Johnson & Johnson)
• Inventors: Hart, Rickey D., Rice, John T.
• Primary Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/560,111
• Time in Patent Office: 1,075 Days
• Field of Search: 606/1, 606/72, 606/75, 606/139, 606/142, 606/143, 606/151, 606/157, 606/216, 606/220, 606/213
• US Class Current: 606/139
• 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 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks

Abstract

A surgical fastening system for attaching one piece of tissue to another piece of tissue. The system comprises a surgical fastener, an installation tool for deploying the surgical fastener in tissue, and a method for using the same.

Claims

1. A surgical fastener comprising:

a solid shaft of substantially uniform diameter having a distal end and a proximal end;

a bar at said proximal end of said shaft, said bar extending outwardly from said shaft;

said distal end of said shaft being rounded and devoid of a cutting edge and devoid of a penetration point; and

a fin extending outwardly from said shaft proximate said distal end, said fin having a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft.

2. The fastener in accordance with claim 1 wherein the sidewise thickness of said bar is no more than the diameter of said shaft.

3. The fastener in accordance with claim 2 wherein said fin includes two parallel sides extending axially of said shaft, said fin being in alignment with said bar.

4. The fastener in accordance with claim 3 wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

5. The fastener in accordance with claim 1 wherein said fin is in alignment with said bar.

6. The fastener in accordance with claim 1, further comprising at least a second fin disposed on said shaft proximally of and in alignment with said fin disposed proximate said distal end, said at least a second fin having side walls in alignment with said sides of said fin proximate said distal end, and a distal edge inclined outwardly and proximally from said shaft, and a proximal edge inclined outwardly and proximally from said shaft.

7. The fastener in accordance with claim 6, wherein said first fin and said at least a second fin are in alignment with said bar, and wherein a side of said shaft opposite from a side on which are disposed said bar and said fins is provided with at least one nib.

8. The fastener in accordance with claim 6, wherein said first fin and said at least a second fin are in alignment with said bar, and said fastener further comprises a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fins, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

9. The fastener in accordance with claim 6, wherein the sidewise thickness of said bar is no more than the diameter of said shaft;

wherein each said fin includes two parallel sides extending axially of said shaft;

wherein the thickness of each said fin between said sides of each said fin is no greater than the sidewise thickness of said bar;

wherein all of said fins are in alignment with said bar; and

wherein a side of said shaft opposite from a side on which are disposed said bar and said fins is provided with at least one nib.

10. The fastener in accordance with claim 6, wherein the sidewise thickness of said bar is no more than the diameter of said shaft;

wherein each said fin includes two parallel sides extending axially of said shaft;

wherein the thickness of each said fin between said sides of each said fin is no greater than the sidewise thickness of said bar;

wherein all of said fins are in alignment with said bar; and

wherein said fastener further comprises a grip portion connected to said shaft by at least one frangible tab, said at least tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fins, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

11. The fastener in accordance with claim 1 wherein said bar leans distally relative to said shaft.

12. A surgical fastener comprising:

a solid shaft of substantially uniform diameter having a distal end and a proximal end;

a bar at said proximal end of said shaft, said bar extending outwardly from said shaft;

said distal end of said shaft being rounded and devoid of a cutting edge and devoid of a penetration point; and

a fin extending outwardly from said shaft proximate said distal end, said fin having a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft;

wherein said fin is in alignment with said bar, and wherein a side of said shaft opposite from a side on which are disposed said bar and said fin is provided with a pair of nibs in alignment with each other axially of said shaft.

13. The fastener in accordance with claim 12 wherein the sidewise thickness of said bar is no more than the diameter of said shaft.

14. The fastener in accordance with claim 13 wherein said fin includes two parallel sides extending axially of said shaft.

15. The fastener in accordance with claim 14 wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

16. A surgical fastener comprising:

a solid shaft of substantially uniform diameter having a distal end and a proximal end;

a bar at said proximal end of said shaft, said bar extending outwardly from said shaft;

said distal end of said shaft being rounded and devoid of a cutting edge and devoid of a penetration point;

a fin in alignment with said bar, said fin extending outwardly from said shaft proximate said distal end, said fin having a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft; and

a grip portion connected to said shaft by frangible tabs, said tabs extending from a side of said shaft opposite from a side on which are disposed said bar and said fin, a portion of said tabs, upon said tabs being severed to separate said grip portion from said shaft, remaining on said shaft to provide a pair of nibs in alignment with each other axially of said shaft along said opposite side of said shaft.

17. The fastener in accordance with claim 16 wherein the sidewise thickness of said bar is no more than the diameter of said shaft.

18. The fastener in accordance with claim 17 wherein said fin includes two parallel sides extending axially of said shaft.

19. The fastener in accordance with claim 18 wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

20. A surgical fastener comprising:

a solid shaft of substantially uniform diameter having a distal end and a proximal end;

a bar at said proximal end of said shaft, said bar extending outwardly from said shaft;

said distal end of said shaft being rounded and devoid of a cutting edge and devoid of a penetration point; and

a fin extending outwardly from said shaft proximate said distal end, said fin having a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft;

wherein the sidewise thickness of said bar is no more than the diameter of said shaft;

wherein said fin includes two parallel sides extending axially of said shaft, said fin being in alignment with said bar;

wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar; and

wherein a side of said shaft opposite from a side on which are disposed said bar and said fin is provided with a plurality of nibs in alignment axially of said shaft.

21. A surgical fastener comprising:

a solid shaft of substantially uniform diameter having a distal end and a proximal end;

a bar at said proximal end of said shaft, said bar extending outwardly from said shaft;

said distal end of said shaft being rounded and devoid of a cutting edge and devoid of a penetration point;

a fin extending outwardly from said shaft proximate said distal end, said fin having a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft; and

a grip portion connected to said shaft by frangible tabs extending from a side of said shaft opposite from a side on which are disposed said bar and said fin, a portion of said tabs, upon said tabs being severed to separate said grip portion from said shaft, remaining on said shaft to provide nibs in alignment with each other axially of said shaft along said opposite side of said shaft;

wherein the sidewise thickness of said bar is no more than the diameter of said shaft;

wherein said fin includes two parallel sides extending axially of said shaft, said fin being in alignment with said bar; and

wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

22. An installation tool for a fastener comprising a shaft, a bar at a proximal end of said shaft extending outwardly from said shaft, and a fin extending outwardly from said shaft proximate a distal end of said shaft, said fin and said bar being in alignment with each other along a side of said shaft, said installation tool comprising:

an elongated inserter comprising a carrier portion adapted to retain said fastener and having at a distal end thereof a sharpened edge, said carrier portion having an open side from which extend end portions of said bar and said fin.

23. An installation tool for a fastener comprising a shaft, a bar at a proximal end of said shaft extending outwardly from said shaft, and a fin extending outwardly from said shaft proximate a distal end of said shaft, said fin and said bar being in alignment with each other along a side of said shaft, said installation tool comprising:

an elongated rigid tube;

a carrier portion movable between a first position in said tube and a second position extended from a distal end of said tube, said carrier portion being adapted to retain said fastener and having at a distal end thereof a sharpened edge, said carrier portion having an open side from which extend end portions of said bar and said fin; and

control means for moving said carrier portion in said tube between said first and second positions;

whereby said installation tool is manipulable to extend said carrier portion and said fastener therein into a body of tissue, and to withdraw said carrier portion from said tissue, whereupon said fin resists withdrawal of said fastener and said fastener remains in said tissue as said installation tool is withdrawn therefrom.

24. The installation tool in accordance with claim 23 wherein said carrier portion comprises a chamber having an opening at said distal end defined at least in part by said sharpened edge, said open side, a closed side opposite from said open side and adapted to receive a side of said shaft opposite from said side of said shaft on which are mounted said fin and said bar, and a proximal wall for engagement with said proximal end of said shaft.

25. A surgical fastening system comprising a fastener and an installation tool,

said fastener comprising:

a shaft;

a bar extending radially outwardly from a proximal end of said shaft;

a fin extending radially outwardly from said shaft proximate a distal end of said shaft, said bar and said fin being in alignment with each other along a side of said shaft; and

said installation tool comprising;

an elongated inserter comprising a carrier portion adapted to retain said fastener and having at a distal end thereof a sharpened edge, said carrier portion having an open side from which extend end portions of said bar and said fin.

26. A surgical fastening system according to claim 25 wherein:

said distal end of said shaft is rounded and devoid of a cutting edge and devoid of a penetration point; and

said fin has a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft.

27. The fastening system in accordance with claim 26 wherein the sidewise thickness of said bar is no more than the diameter of said shaft.

28. The fastening system in accordance with claim 27 wherein said fin includes two parallel sides extending axially of said shaft.

29. The fastening system in accordance with claim 28 wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

30. The fastener in accordance with claim 25, further comprising at least a second fin disposed on said shaft proximally of and in alignment with said fin disposed proximate said distal end, said at least a second fin having side walls in alignment with said sides of said fin proximate said distal end, and a distal edge inclined outwardly and proximally from said shaft, and a proximal edge inclined outwardly and proximally from said shaft.

31. The fastener in accordance with claim 30, wherein said first fin and said at least a second fin are in alignment with said bar, and wherein a side of said shaft opposite from a side on which are disposed said bar and said fins is provided with at least one nib.

32. The fastener in accordance with claim 30, wherein said first fin and said at least a second fin are in alignment with said bar, and said fastener further comprises a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fins, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

33. The fastener in accordance with claim 30, wherein the sidewise thickness of said bar is no more than the diameter of said shaft;

wherein each said fin includes two parallel sides extending axially of said shaft;

wherein the thickness of each said fin between said sides of each said fin is no greater than the sidewise thickness of said bar;

wherein all of said fins are in alignment with said bar; and

wherein a side of said shaft opposite from a side on which are disposed said bar and said fins is provided with at least one nib.

34. The fastener in accordance with claim 30, wherein each said fin includes two parallel sides extending axially of said shaft;

wherein the thickness of each said fin between said sides of each said fin is no greater than the sidewise thickness of said bar;

wherein all of said fins are in alignment with said bar; and

wherein said fastener further comprises a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fins, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

35. A surgical fastening system comprising a fastener, a dispenser for housing at least one of said fasteners, and an installation tool;

said fastener comprising;

a shaft;

a bar extending radially outwardly from a proximal end of said shaft;

a fin extending radially outwardly from said shaft proximate a distal end of said shaft, said bar and said fin being in alignment with each other along a side of said shaft;

said dispenser comprising;

a housing having disposed therein a chamber for retaining said fastener, and an entry way for receiving an installation tool having a carrier portion thereon adapted to receive and retain said fastener;

said entry way and chamber being configured so as to facilitate said carrier portion sliding into engagement with said fastener;

whereby upon withdrawal of said installation tool from said housing, said fastener is removed from said dispenser and is disposed in said installation tool carrier portion; and

said installation tool comprising;

an elongated rigid tube;

said carrier portion being movable between a first position in said tube and a second position extended from a distal end of said tube, said carrier portion having at a distal end thereof a sharpened edge, said carrier portion having an open side from which extend end portions of said fastener bar and said fastener fin; and

control means for moving said carrier portion and said fastener therein into a body of tissue, and to withdraw said carrier portion from said tissue, whereupon said fin resists withdrawal of said fastener and said fastener remains in said tissue as said installation tool is withdrawn therefrom.

36. A surgical fastening system according to claim 35 wherein:

said distal end of said shaft is rounded and devoid of a cutting edge and devoid of a penetration point; and

said fin has a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft.

37. The fastener in accordance with claim 36 wherein the sidewise thickness of said bar is no more than the diameter of said shaft.

38. The fastener in accordance with claim 37 wherein said fin includes two parallel sides extending axially of said shaft.

39. The fastener in accordance with claim 38 wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

40. The fastener in accordance with claim 35, further comprising at least a second fin disposed on said shaft proximally of and in alignment with said fin disposed proximate said distal end, said at least a second fin having side walls in alignment with said sides of said fin proximate said distal end, and a distal edge inclined outwardly and proximally from said shaft, and a proximal edge inclined outwardly and proximally from said shaft.

41. The fastener in accordance with claim 40, wherein said first fin and said at least a second fin are in alignment with said bar, and wherein a side of said shaft opposite from a side on which are disposed said bar and said fins is provided with at least one nib.

42. The fastener in accordance with claim 40, wherein said first fin and said at least a second fin are in alignment with said bar, and said fastener further comprises a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fins, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

43. The fastener in accordance with claim 40, wherein the sidewise thickness of said bar is no more than the diameter of said shaft;

wherein each said fin includes two parallel sides extending axially of said shaft;

wherein the thickness of each said fin between said sides of each said fin is no greater than the sidewise thickness of said bar;

wherein all of said fins are in alignment with said bar; and

wherein a side of said shaft opposite from a side on which are disposed said bar and said fins is provided with at least one nib.

44. The fastener in accordance with claim 40, wherein each said fin includes two parallel sides extending axially of said shaft;

wherein the thickness of each said fin between said sides of each said fin is no greater than the sidewise thickness of said bar;

wherein all of said fins are in alignment with said bar; and

wherein said fastener further comprises a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fins, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

45. A surgical fastener comprising:

a solid shaft of substantially uniform transverse cross-section having a longitudinal axis, an outer surface, a distal end and a proximal end;

a bar proximate said proximal end of said shaft, said bar extending radially outwardly from said outer surface of said shaft;

said distal end of said shaft being rounded and devoid of a cutting edge and devoid of a penetration point; and

a fin extending radially outwardly from said outer surface of said shaft proximate said distal end, said fin having a distal edge inclined outwardly and proximally from said shaft and a proximal edge inclined outwardly and proximally from said shaft.

46. The fastener in accordance with claim 45 wherein the sidewise thickness of said bar is no greater than the transverse cross-section of said shaft.

47. The fastener in accordance with claim 46 wherein said fin includes two sides disposed parallel to each other and parallel to the longitudinal axis of said shaft, and wherein said fin and said bar extend outwardly from said outer surface of said shaft in the same direction in a common plane.

48. The fastener in accordance with claim 47 wherein the thickness of said fin between said sides of said fin is no greater than said sidewise thickness of said bar.

49. The fastener in accordance with claim 48 wherein a side of said shaft opposite from a side on which are disposed said bar and said fin is provided with at least one nib.

50. The fastener in accordance with claim 48, further comprising a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fin, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

51. The fastener in accordance with claim 48 wherein a side of said shaft opposite from a side on which are disposed said bar and said fin is provided with at least one nib.

52. The fastener in accordance with claim 48, further comprising a grip portion connected to said shaft by at least one frangible tab, said at least one tab extending from a side of said shaft opposite from a side on which are disposed said bar and said fin, a portion of said at least one tab, upon said at least one tab being severed to separate said grip portion from said shaft, remaining on said shaft to provide at least one nib.

53. The fastener in accordance with claim 45 wherein said fin and said bar extend outwardly from said outer surface of said shaft in the same direction in a common plane.