Device for installing a tissue fastener

• US 6,010,513 A
• Filed: 11/26/1997
• Issued: 01/04/2000
• Est. Priority Date: 11/26/1997
• Status: Expired due to Term

• Current Assignee: Bionx Implants, Oy (Jefferies Financial Group, Inc.)
• Original Assignee: Bionx Implants, Oy (Jefferies Financial Group, Inc.)
• Inventors: Tormala, Pertti, Karhi, Olli, Tamminmaki, Markku
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): NGO, LIEN M
• Application Number:
  US08/979,872
• Time in Patent Office: 769 Days
• Field of Search: 606/142, 606/143, 606/75, 606/219, 606/220, 606/213-221, 227/175.1, 227/175.3, 227/176.1, 227/177.1, 227/179.1
• US Class Current: 606/142
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1222 Packages or dispensers therefor clip magazines incorporated in a clip-applying instrument A61B17/128; for surgical articles A61B50/30
• CPC Class Codes: A61B 2017/0646 for insertion into cartillege, e.g. meniscus
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers

Abstract

The device of the present invention is designed for repairing a tear in soft and/or tough tissue of a patient, such as a tear in the meniscus of the knee.

The device has a conduit, such as a cannula, that may be easily inserted into the patient and through which the fastener is delivered to the patient. This conduit is aligned with a seat for holding a fastener and a means for pushing a fastener, such as a piston, so that the pushing means is capable of pushing a fastener from its seat, through the conduit and into the patient. In a preferred embodiment of the invention, the shape of the conduit exactly matches the shape of the cross-section of the fastener so that the surgeon may more accurately direct the angle and location at which the fastener enters the patient.

Claims

1. A device for installing tissue fasteners into a patient, comprising:

a conduit for delivering a fastener into the patient, said conduit having an interior shape and a distal end for insertion into the patient,

a tissue fastener magazine, said magazine being capable of removably receiving one or more tissue fasteners,

a body having a seat capable of removably receiving said tissue fastener magazine, so that each of said fasteners is capable of being aligned with said conduit while said distal end of said conduit is located within said patient, and

means for moving said tissue fasteners from said seat into said conduit and the patient.

2. The device of claim 1, wherein said conduit is removably attached to said body.

3. The device of claim 1, further comprising a retractable stabilizer located on said distal end of said conduit.

4. The device of claim 1, wherein said means for moving said tissue fasteners comprises a piston.

5. The device of claim 4, wherein said piston is capable of sliding through said conduit and extending beyond said distal end of said conduit.

6. The device of claim 1, wherein the diameter of said interior shape of said conduit is the same as, or slightly greater than, the greatest cross section of said tissue fasteners.

7. The device of claim 1, wherein said magazine is capable of receiving at least one fastener while said magazine is located at least partially within said seat and while said distal end of said conduit is located within said patient.

8. The device of claim 1, wherein the means for moving said tissue fasteners is capable of moving fasteners at more than one speed.

9. The device of claim 8, wherein the means for moving said tissue fasteners is capable of moving said tissue fasteners at a faster rate from said distal end of said conduit into said patient than the rate of moving said fasteners from said magazine into said conduit.

10. The device of claim 4, wherein the means for moving said tissue fasteners is capable of moving fasteners at more than one speed.

11. The device of claim 10, wherein the means for moving said tissue fasteners is capable of moving said tissue fasteners at a faster rate from said distal end of said conduit into said patient than the rate of moving said fasteners from said magazine into said conduit.

13. The device of claim 11, further comprising spring means connected to said cocking means for automatically moving said cocking means from the cocked position to the uncocked position when the trigger is moved from the first position to the second position.

12. A device for installing tissue fasteners in a patient, comprising:

a conduit for delivering a fastener into the patient, said conduit having an interior shape and a distal end for insertion into the patient,

a tissue fastener magazine, said magazine being capable of removably receiving one or more tissue fasteners,

a body having a seat capable of removably receiving said tissue fastener magazine, so that each of said fasteners is capable of being aligned with said conduit while said distal end of said conduit is located within said patient,

means for moving said tissue fasteners from said seat into said conduit and the patient,

a trigger for causing said means for moving to move said tissue fasteners from said conduit into the patient when the trigger is moved from a first position to a second position, and

cocking means for moving said trigger from said second position to said first position when said cocking means is moved from an uncocked position to a cocked position.