Applicator and method for deploying a surgical fastener in tissue

• US 5,941,439 A
• Filed: 05/14/1997
• Issued: 08/24/1999
• Est. Priority Date: 05/14/1997
• Status: Expired due to Term

• Current Assignee: Mitek Surgical Products, Inc. (Johnson & Johnson)
• Original Assignee: Mitek Surgical Products, Inc. (Johnson & Johnson)
• Inventors: Kammerer, Gene W., Seritella, Keith A., Pedlick, Jack S.
• Primary Examiner(s): Harrison, Jessica J.
• Assistant Examiner(s): PARADISO, JOHN ROGER
• Application Number:
  US08/856,102
• Time in Patent Office: 832 Days
• Field of Search: 227/67, 227/68, 227/71, 227/175.1, 227/179.1, 227/19
• US Class Current: 227/67
• 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 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0416 Packages or dispensers for suture anchors or for anchor applicators
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0419 H-fasteners
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus

Abstract

An applicator for deploying a fastener into tissue, the fastener including a head portion and a filament portion extending from the head portion, the applicator comprising an elongated hollow needle member having a pointed distal end portion, a slotted portion for releasably retaining the head of the shaped fastener, and a first connector portion; and a chuck comprising a second connector portion engageable with the first connector portion for interconnecting the needle member and the chuck, a push rod having a distal end portion adapted to move lengthwise in the needle member, and an actuator for moving the push rod in the needle member so as to eject the head portion of the fastener from the slotted portion of the needle member. A method for deploying the fastener in tissue is also disclosed.

Claims

1. An applicator for deploying a fastener into tissue, the fastener including a head portion and a filament portion extending from the head portion, said applicator comprising:

an actuator;

a chuck;

an elongated hollow needle member;

a push rod; and

connector means for interconnecting said needle member and said chuck, said connector means comprising a first part including resilient walls defining an axially open cavity having an enlarged inner portion, and a second part having an inner neck portion and an enlarged outer portion adapted for releasable locking engagement within said enlarged inner portion of said first part;

said elongated hollow needle member having a pointed distal end portion, a slotted portion for releasably retaining the head of the fastener, and a proximal portion defining one part of said connector means;

a sleeve member engaging said actuator and movable axially around said distal portion of said chuck and said proximal portion of said elongated hollow needle member so as to encircle said first and second parts of said connector means and thereby lock said first and second parts of said connector means together so as to prevent inadvertent separation thereof;

said chuck having a proximal portion fixedly attached to said actuator and a distal portion comprising the other part of said connector means;

said push rod having a distal end portion adapted for reciprocal lengthwise movement in said needle member; and

,

said actuator including means for moving said push rod in said needle member so as to eject the head portion of the fastener from said slotted portion of said needle member.

2. An applicator according to claim 1 wherein said hollow needle member is curved, and said distal end portion of said push rod is sufficiently flexible to move lengthwise within said needle member.

3. An applicator according to claim 1 wherein said sleeve member is withdrawable from said connector means so as to permit separation of said first and second parts of said connector means from one another.

5. An applicator according to claim 1 wherein said actuator comprises a spring biased trigger connected to said push rod, and said trigger is manipulable against its spring bias to move said push rod.

6. An applicator according to claim 1 wherein said distal end portion of said push rod comprises a flexible spring which is substantially incompressible.

7. An applicator according to claim 1 wherein said first part of said connector means comprises a pair of opposing leg portions formed in said distal portion of said chuck, said leg portions defining a pair of opposing recesses, and said second part of said connector means comprises at least one tab attached to said needle at said neck portion and having at the free end thereof an enlarged portion complementarily shaped relative to said recesses, said leg portions being sufficiently resilient to permit said tab to enter therebetween, and said enlarged portion to enter between said recesses.

8. An applicator according to claim 7 wherein said applicator further comprises a sleeve member disposed around said chuck and movable axially of said chuck so as to encircle said first and second parts of said connector means and thereby prevent the inadvertent separation of said first and second parts of said connector means from one another.

9. An applicator according to claim 8 wherein said push rod is disposed within said chuck and said needle member and movable axially of said chuck and said needle member so as to effect said ejection of said fastener head portion from said needle member.

10. An applicator according to claim 7 wherein said second part of said connector means comprises two tabs extending proximally from diametrically-opposing sides of said hollow needle member respectively, which tabs are adapted to be received by said first part of said connector means defined by said chuck.

12. An applicator according to claim 2 wherein said distal end portion of said push rod is formed out of a selected one of metal, plastic, and a composite thereof.

13. An applicator according to claim 1 wherein said applicator further comprises a collar mounted on said needle member for releasably holding the fastener'"'"'s filament portion to said needle member.

14. An applicator according to claim 13 wherein said collar is arranged so as to engage and bear against a tissue surface when said needle member is inserted into the same.

4. An applicator according to claim 4 wherein said actuator is provided with a lever connected to said sleeve, said lever being manipulable relative to said sleeve so as to move said sleeve selectively between a first position encircling said first and second parts of said connector means and a second position not encircling said first and second parts of said connector means.

11. An applicator according to claim 4 wherein said sleeve is spring-biased toward said second position.

15. A method for deploying a fastener into mammalian tissue, said method comprising the steps of:

providing an applicator for deploying a fastener into tissue, the fastener including a head portion and a filament portion extending from the head portion, said applicator comprising;

an actuator;

a chuck;

an elongated hollow needle member;

a push rod;

a sleeve; and

connector means for interconnecting said needle member and said chuck, said connector means comprising a first part including resilient walls defining an axially open cavity having an enlarged inner portion, and a second part having an inner neck portion and an enlarged outer portion adapted for releasable locking engagement within said enlarged inner portion of said first part;

said elongated hollow needle member having a pointed distal end portion, a slotted portion for releasably retaining the head of the fastener, and a proximal portion defining one part of said connector means;

said chuck having a proximal portion fixedly attached to said actuator and a distal portion comprising the other part of said connector means;

said push rod having a distal end portion adapted for reciprocal lengthwise movement in said needle member; and

,

said actuator including means for moving said push rod in said needle member so as to eject the head portion of the fastener from said slotted portion of said needle member; and

said sleeve surrounding said chuck and being movable relative to said actuator between a first position surrounding said second connector means and a second position not surrounding said second connector means;

placing the head portion of the fastener within said slotted portion of said hollow needle member;

interconnecting said first and second parts of said connector means so as to attach said needle member to said chuck;

sliding said sleeve from said second position to said first position such that said sleeve resides over said interconnected first and second parts of said connector means so as to prevent inadvertent separation of said needle member from said chuck;

advancing said needle member to a point whereat the needle member slotted portion extends through an area in which placement of the fastener is desired;

manipulating said actuator so as to move said push rod distally so as to engage said fastener head portion and eject said head portion of the fastener from the slotted portion of said needle member; and

removing said needle member from said tissue.

16. A method according to claim 15 further comprising the additional steps of sliding said sleeve from said first position to said second position, disconnecting said needle member from said chuck, and disposing of said needle member.