Suture anchor device
First Claim
Patent Images
1. A suture anchor device, comprising:
- a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough;
a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; and
a visceral anchor comprising;
a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath;
a suture having a first secured region and a second secured region, the first secured region being attached to said anchor; and
an attachment member disposed within said lumen of said second sheath and configured to secure said suture.
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Abstract
A suture anchor device, a visceral anchor for anchoring a viscus to a body wall, a kit for anchoring a viscus to a body wall and a method for anchoring a viscus to a body wall are described. The method and device reduce the probability of injuring the interior of a viscus as a large gauge needle is not required to deliver the visceral anchor. In one embodiment, the distal end of the visceral anchor may function as a dilator.
312 Citations
54 Claims
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1. A suture anchor device, comprising:
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a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; and a visceral anchor comprising; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; a suture having a first secured region and a second secured region, the first secured region being attached to said anchor; and an attachment member disposed within said lumen of said second sheath and configured to secure said suture. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A suture anchor device, comprising:
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a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; a cap mounted at said proximal end of said first sheath, said cap having a locking slot; and a visceral anchor comprising; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; and a suture having a first secured region and a second secured region, the first secured region being a distal end of said suture attached to said anchor.
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15. A suture anchor device, comprising:
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a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a cannula having a proximal end, a distal end and a lumen extending longitudinally therethrough, said cannula disposed in said lumen of said first sheath; and a visceral anchor comprising; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; a suture having a first secured region and a second secured region, said first secured region being attached to said anchor; and an attachment member disposed within said lumen of said second sheath and configured to secure said suture. - View Dependent Claims (16, 17, 18, 19, 20, 21)
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22. A suture anchor device, comprising:
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a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; an elongated member disposed in said lumen of said second sheath, said elongated member having a proximal end, a distal end and a lumen extending longitudinally therethrough; and a suture having a first secured region and a second secured region, said first secured region being attached to said elongated member.
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23. A visceral anchor for anchoring a viscus to a body wall, comprising:
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a sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; an attachment member including an elongated member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said attachment member disposed in said lumen of said sheath; and a suture having opposing ends, one of said opposing ends attached to said anchor. - View Dependent Claims (24, 25, 26, 27, 28, 29)
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30. A visceral anchor, comprising:
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a sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; an attachment member including an elongated member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said attachment member disposed in said lumen of said sheath, said attachment member including at least one sleeve circumferentially disposed about said elongated member; and a suture having opposing ends, one of said opposing ends attached to said anchor. - View Dependent Claims (31, 32)
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33. A kit for anchoring a viscus to a body wall, comprising:
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a needle; a suture anchor device, said device comprising; a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; a visceral anchor comprising; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; a suture having a first secured region and a second secured region, said first secured region being attached to said anchor; and an attachment member disposed within said lumen of said second sheath and configured to secure said suture. - View Dependent Claims (34)
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35. A kit for anchoring a viscus to a body wall, comprising:
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a needle; a suture anchor device, said device comprising; a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; an elongated member disposed in said lumen of said second sheath, said elongated member having a proximal end, a distal end, a lumen extending longitudinally therethrough; and a suture having a first secured region and a second secured region, said first secured region being attached to said elongated member. - View Dependent Claims (36)
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37. A method for anchoring a viscus to a body wall of a patient, said viscus having an interior viscus wall and a viscus lumen, said method comprising:
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providing a tract from outside of the body through the skin and said interior viscus wall to said viscus lumen, the tract having a longitudinal axis extending from outside the body to said viscus lumen; positioning a suture anchor device through said tract and in said viscus lumen, said device comprising; a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; and a visceral anchor including; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; a suture having a first secured region and a second secured region, the first secured region being attached to said anchor; and an attachment member disposed within said lumen of said second sheath and configured to secure said suture; deploying said anchor into said viscus lumen; and moving said proximal end of said suture to draw said anchor against the interior wall of said viscus so that said viscus is pulled against the body wall. - View Dependent Claims (38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 51)
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48. A method for anchoring a viscus to a body wall of a patient, said viscus having an interior viscus wall and a viscus lumen, said method comprising:
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puncturing the skin with a needle having a lumen to provide a tract from outside of the body through the skin and said interior viscus wall to said viscus lumen, the tract having a longitudinal axis extending from outside the body to said viscus lumen; inserting a wire guide through the lumen of said needle and into said viscus lumen; removing said needle; positioning a suture anchor device through said tract and in said viscus lumen, said device comprising; a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; and a visceral anchor comprising; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; a suture having a first secured region and a second secured region, the first secured region being attached to said anchor; and an attachment member disposed within said lumen of said second sheath and configured to secure said suture; deploying said anchor into said viscus lumen; and moving said proximal end of said suture to draw said anchor against the interior wall of said viscus so that said viscus is pulled against the body wall.
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49. A method for anchoring a viscus to a body wall of a patient, said viscus having an interior viscus wall and a viscus lumen, said method comprising:
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providing a tract from outside of the body through the skin and said interior viscus wall to said viscus lumen, the tract having a longitudinal axis extending from outside the body to said viscus lumen; positioning a suture anchor device through said tract and in said viscus lumen, said device comprising; a first sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough; a reinforcing member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said reinforcing member disposed in said lumen of said first sheath; a second sheath having a proximal end, a distal end and a lumen extending longitudinally therethrough, said proximal end of said second sheath abutting said distal end of said first sheath; an attachment member including an elongated member having a proximal end, a distal end and a lumen extending longitudinally therethrough, said attachment member disposed in said lumen of said second sheath, said attachment member including at least one sleeve circumferentially disposed about said elongated member; and a suture having a first secured region and a second secured region, said first secured region being attached to said device; deploying said anchor into said viscus lumen; and moving said proximal end of said suture to draw said anchor against the interior wall of said viscus so that said viscus is pulled against the body wall. - View Dependent Claims (50)
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52. A surgical apparatus adapted to be inserted through a body wall to form an anchor relative to the body wall comprising:
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a two piece dilator having a first piece and a releasable second piece, said first piece being an outer cannula having a near end and a far end, the outer cannula having an outer surface and an inner surface extending between the near end and the far end, the inner surface defining a first passageway extending generally along a first axis between the near end and far end, said releasable second piece having a first end and a second end, said second piece having an outward facing surface and an inward facing surface extending between the first end and the second end, the inward facing surface defining a second passageway extending generally along a second axis between the first end and second end; a pull string having a first end and a second end, the second end of said pull string being attached to said second piece; an elongated member having a proximal end and a distal end, said member having an outer surface and an inner surface extending between the proximal end and the distal end, the inner surface of said member defining a third passageway extending between the proximal end and distal end, said member adapted to fit within the first passageway of said first piece; and
,said apparatus having a first mode wherein said member is generally disposed within the first passageway and the distal end of said member acts as a telescoping joint such that said first piece and said second piece are associated with one another and the first axis is substantially parallel to the second axis, the distal end of said member extending beyond the far end of said first piece and into the first end of the second passageway in the first mode, and said apparatus having a second mode wherein said second piece is released when the distal end of said member is substantially withdrawn from the second passageway. - View Dependent Claims (53, 54)
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Specification