Wire fasteners for use in minimally invasive surgery and means and methods for handling those fasteners
First Claim
1. A fastener for use in surgery comprising:
- a body having a base and a formable leg extending from said base, said leg being formable at least in a portion thereof located adjacent to said base, said formable portion having a terminus spaced from said base;
said body having a width dimension;
said leg having a pointed end which is driven through a supporting structure, an unformed length dimension measured from said base to said terminus, and a formed length dimension of said formable portion measured from said base to a bent end of said formable leg formed by cutting said formable leg and bending said formable leg over adjacent to said terminus;
the unformed length being greater than the formed length.
3 Assignments
0 Petitions
Accused Products
Abstract
Wire fasteners having legs with lengths that can be one hundred times the width of the fastener are used to secure items, such as prosthesis valves to a patient during minimally invasive surgery. The fasteners are manipulated into position and then are immobilized by the legs thereof for tensioning, cutting and forming in situ. The fasteners are manipulated, tensioned and formed from the leg end of the fasteners. Tools for initially placing the fasteners and for immobilizing, tensioning, cutting and bending the fastener legs are disclosed. Once the fasteners are initially placed, the prosthesis is placed on the long legs of the placed fasteners and is guided into position on the legs. Once the prosthesis is in position, the legs of the fasteners are immobilized, tensioned, cut and bent into staple-like shapes to secure the prosthesis to the patient. A method for carrying out the procedure using the long fastener is also disclosed. Using the teaching of the present disclosure, a surgeon can customize a fastener to the particular surgery or even to the particular portion of surgery being performed during the surgery.
312 Citations
45 Claims
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1. A fastener for use in surgery comprising:
- a body having a base and a formable leg extending from said base, said leg being formable at least in a portion thereof located adjacent to said base, said formable portion having a terminus spaced from said base;
said body having a width dimension;
said leg having a pointed end which is driven through a supporting structure, an unformed length dimension measured from said base to said terminus, and a formed length dimension of said formable portion measured from said base to a bent end of said formable leg formed by cutting said formable leg and bending said formable leg over adjacent to said terminus;
the unformed length being greater than the formed length.
- a body having a base and a formable leg extending from said base, said leg being formable at least in a portion thereof located adjacent to said base, said formable portion having a terminus spaced from said base;
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2. A fastener for use in surgery comprising:
- a body having a base and a formable leg extending from said base;
said body having a width dimension;
said leg having a pointed end which is driven through a supporting structure, an unformed length dimension measured from said base to said pointed end, and a formed length dimension measured between said base and an end formed on said formable leg by cutting said formable leg and bending said formable leg into a retaining shape;
the unformed length being greater than the formed length.
- a body having a base and a formable leg extending from said base;
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3. A fastener for use in surgery comprising:
- a body having a base and a formable leg extending from said base, said leg having a pointed end which is driven through a supporting structure and a length measured from said base to said pointed end, said length being indeterminate and said formable leg being formable from said base to said pointed end.
- View Dependent Claims (4)
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5. A wire fastener for use in minimally invasive surgery comprising:
- a U-shaped body having a base and two formable legs extending from said base;
said body having a width dimension measured from one leg to the other;
each leg having a pointed end which is driven through a supporting structure and an unformed length dimension measured from said base to the pointed end thereof;
the length dimension of each leg being greater than said width dimension by a factor of five or more and a formed length dimension which is less than the unformed length dimension. - View Dependent Claims (7, 8)
- a U-shaped body having a base and two formable legs extending from said base;
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6. A fastener for use in minimally invasive surgery comprising:
- a body having a base and a formable leg extending from said base;
said body having a width dimension;
said leg having a pointed end which is driven through a supporting structure, an unformed length dimension measured from said base to said pointed end, and a formed length dimension measured from said base to a bent end of said formable leg formed by cutting said formable leg and bending said formable leg into a retaining shape;
the unformed length being greater than the formed length. - View Dependent Claims (9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
- a body having a base and a formable leg extending from said base;
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21. A method of placing a fastener in a patient during surgery comprising:
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providing a fastener for use in surgery having a body having a base and a formable leg extending from said base, said leg having a pointed end and a length measured from said base; locating the fastener inside a patient on one side of a tissue being operated on; driving a pointed end of the fastener through the tissue; grasping the leg after the leg has penetrated the tissue; tensioning the leg and moving the base of the fastener against the tissue; immobilizing the leg on the other side of the tissue; engaging the end of the immobilized leg; and bending the leg to force the end into a retaining shape to define a formed length, and having the unformed length greater than the formed length. - View Dependent Claims (22, 23)
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24. A method of placing a fastener in a patient during surgery comprising:
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providing a fastener for use in surgery having a body having a base and a formable leg extending from said base, said leg having a point on one end thereof and an unformed length measured from said base; locating the fastener inside a patient on one side of a tissue being operated on; driving a pointed end of the fastener through the tissue; engaging the fastener only at the leg after the leg has penetrated the tissue; tensioning the engaged leg and moving the fastener until the base of the fastener moves against the tissue; engaging the end of the immobilized leg; and bending the leg to force the end back into a retaining shape to define a bent length, the bent length being less than the unformed length.
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25. A method of placing a fastener in a patient during surgery comprising:
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providing a fastener for use in surgery having a body having a base and a formable leg extending from said base, said leg having a point on one end thereof and an unformed length measured from said base; locating the fastener inside a patient on one side of a tissue being operated on; driving a pointed end of the fastener through the tissue; using only the leg of the fastener, moving the fastener into position and forming the fastener with said forming including cutting the leg and bending the leg into a retaining shape to define a formed length with the formed length being less than the unformed length.
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26. A method of placing a fastener in a patient during minimally invasive surgery comprising:
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providing a fastener having a body with a formable portion and having a base and a formable leg extending from said base;
said body having a width dimension;
said leg having a pointed end;locating the fastener inside a patient on one side of a tissue being operated on; driving the pointed end through the tissue; grasping the leg after the leg has penetrated the tissue; tensioning the leg and moving the base of the fastener against the tissue; immobilizing the leg on the other side of the tissue; cutting the leg to form the end; bending the leg to force the end back over towards the base of the fastener so the bent leg has a bent length measured from the base which is less than the unformed length. - View Dependent Claims (27, 28, 29, 30, 31, 32)
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33. A tool for use in placing a fastener during surgery comprising:
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a body; a handle on one end of the body of said tool; a track on the body of the tool for slidably holding said fastener on the body of said tool; means for forcing the fastener along the body of the tool toward tissue being penetrated; means for guiding the pointed end of said fastener through a patient'"'"'s tissue; means for grasping the pointed end after the pointed end have exited the tissue; and means for drawing the base of the fastener against the tissue. - View Dependent Claims (34, 35, 36)
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37. In combination with a fastener for use in surgery which comprises:
- a body having a base and a leg extending from said base, said leg having a pointed end and a length measured from said base, said length being indeterminate, a tool comprising;
a body; a handle on one end of the body of said tool; a track on the body of the tool for slidably holding said fastener on the body of said tool; means for forcing the fastener along the body of the tool toward tissue being penetrated; means for guiding the pointed end of said fastener through a patient'"'"'s tissue; means for grasping the pointed end after the pointed end have exited the tissue; and means for drawing the base of the fastener against the tissue.
- a body having a base and a leg extending from said base, said leg having a pointed end and a length measured from said base, said length being indeterminate, a tool comprising;
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38. In combination with a fastener for use in minimally invasive surgery which comprises:
- a body having a base and a leg extending from said base;
said body having a width dimension;
said leg having a pointed end, an unformed length dimension measured from said base to said pointed end, and a formed length dimension measured between said base and an end, with the end located between the pointed end and said base and being defined by cutting the leg; and
the unformed length being greater than the formed length, said tool comprising;a body; a handle on one end of the body of said tool; a track on the body of the tool for slidably holding said fastener on said body; means for forcing the fastener along the body of the tool toward tissue being penetrated; means for guiding the pointed end of said fastener through a patient'"'"'s tissue; means for grasping the pointed end after the pointed end have exited the tissue; and means for drawing the fastener leg out of the patient. - View Dependent Claims (39, 40, 41, 42, 43, 44, 45)
- a body having a base and a leg extending from said base;
Specification