Sharp edged device for closing wounds without knots

• US 6,423,088 B1
• Filed: 06/30/2000
• Issued: 07/23/2002
• Est. Priority Date: 07/08/1998
• Status: Expired due to Fees

• Current Assignee: Tornier Incorporated
• Original Assignee: Axya Medical, Inc. (Tornier Incorporated)
• Inventors: Fenton, Paul V. Jr.
• Primary Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/607,880
• Time in Patent Office: 753 Days
• Field of Search: 606/213, 606/214, 606/215, 606/216, 606/217, 606/219, 606/220, 606/232, 606/151, 606/152, 606/153, 606/155, 606/157, 241/146, 243/04
• US Class Current: 606/232
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0488 Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61B 2017/0619 thermoplastic, e.g. for bonding, welding, fusing or cutting the suture by melting it suture cutters A61B17/0467; ultrasonic cutters A61B17/320068; electrically heated instruments A61B18/08

Abstract

A device for closure of a living tissue wound without requiring knots. The device is a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis. The collar extends circumferentially between two end portions for containing at least a portion of two tissue edges forming a tissue wound. The collar is biasable into a nominally closed O-shape so that the end portions overlap and tissue edges therein are joined together to close the tissue wound. The overlapping end portions are adapted to be fused together upon application of sufficient energy to the overlapping end portions to maintain the tissue edges in a joined position. The collar has a width greater than a thickness of the collar to increase the area of fusion between the overlapping end portions. In addition, at least one of the end portions of the collar has a sharp edge for tissue penetration so that the collar can be used to close open tissue wounds.

Claims

1. A device for closure of a living tissue wound, comprising:

a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis, the C-shaped collar extending circumferentially between two end portions, the collar biasable into a nominally closed O-shape so that the end portions overlap, the overlapping end portions adapted to be fused together upon application of sufficient energy to at least one of the overlapping end portions, wherein at least one of the end portions of the collar has a sharp edge, wherein the sharp edge of the end portion is more rigid than the remaining portions of the collar prior to the end portions being fused.

2. A device according to claim 1 wherein the sharp edge of the end portion is made more rigid through heat treatment prior to use of the collar.

3. A device according to claim 1 wherein opposing side surfaces of the end portion with the sharp edge begin to converge towards the sharp edge.

4. A device according to claim 1 wherein opposing inner and outer circumferential surfaces of the end portion with the sharp edge converge at the sharp edge.

5. A device according to claim 1 wherein only one of the end portions has a sharp edge.

6. A device according to claim 1 wherein the energy applied to the collar is ultrasonic energy.

7. A device for closure of a living tissue wound, comprising:

a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis, the C-shaped collar extending circumferentially between two end portions, the collar biasable into a nominally closed O-shape so that the end portions overlap, the overlapping end portions adapted to be fused together upon application of sufficient energy to at least one of the overlapping end portions, wherein at least one of the end portions of the collar has a sharp edge, and a pocket oriented towards the sharp edge for receiving a tip of a guide tool.

8. A device for closure of a living tissue wound, comprising:

a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis, the C-shaped collar extending circumferentially between two end portions, the collar biasable into a nominally closed O-shape so that the end portions overlap, the overlapping end portions adapted to be fused together upon application of sufficient energy to at least one of the overlapping end portions, wherein at least one of the end portions of the collar has a sharp edge, wherein the collar further includes one or more protrusions located on one or more opposing circumferential surfaces of the end portions in the overlap area.

9. A device for closure of a living tissue wound, comprising:

a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis, the C-shaped collar extending circumferentially between two end portions, the collar biasable into a nominally closed O-shape so that the end portions overlap, the overlapping end portions adapted to be fused together upon application of sufficient energy to at least one of the overlapping end portions, wherein at least one of the end portions of the collar has a sharp edge, wherein the collar is made of a thermoplastic polymeric material.

10. A device according to claim 9 wherein opposing side surfaces of the end portion with the sharp edge begin to converge towards the sharp edge.

11. A device according to claim 9, wherein opposing inner and outer circumferential surfaces of the end portion with the sharp edge converge at the sharp edge.

12. A device according to claim 9, wherein the collar further includes one or more protrusions located on one or more opposing circumferential surfaces of the end portions in the overlap area.

13. A device according to claim 9, the end portion with the sharp edge also includes a pocket oriented towards the sharp edge for receiving a tip of a guide tool.

14. A kit for closure of a tissue wound comprising:

a device for closure of a living tissue wound including a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis, the C-shaped collar extending circumferentially between two end portions, the collar biasable into a nominally closed O-shape so that the end portions overlap, the overlapping end portions adapted to be fused together upon application of sufficient energy to at least one of the overlapping end portions, wherein at least one of the end portions of the collar has a sharp edge; and

a fusing tool for compressing the collar and for applying energy to the collar to fuse the overlapped end portions together, wherein the fusing tool includes an energy source and a welding head for effecting the fusion.

15. A kit according to claim 14 wherein the energy source is an ultrasonic transducer, and the welding head includes a welding horn extending between the ultrasonic transducer and an anvil of the welding head for transmitting ultrasonic energy from the transducer to the anvil.

16. A method for closing a living tissue wound comprising

providing a resiliently flexible and fusible collar having a C-shaped side profile disposed about a central region extending along a central axis, the C-shaped collar extending circumferentially between two end portions, wherein at least one of the end portions of the collar has a hardened sharp edge for tissue penetration;

forcing the sharp edge of the collar through the living tissue in a first direction adjacent one of edge of the wound;

forcing the sharp edge of the collar through the living tissue in a second direction, generally opposite the first direction, adjacent another edge of the wound, such that at least a portion of the two edges forming the tissue wound are positioned within the central region of the C-shaped collar;

biasing the collar into a nominally closed O-shape so that the end portions of the collar overlap and the tissue edges within the central region of the collar are substantially joined to close the tissue wound; and

applying sufficient energy to the overlapped end portions of the collar so as to fuse the overlapped portions of the collar and maintain the closed wound.

17. A method according to claim 16, wherein the energy applied to the overlapping end portions of the collar is ultrasonic energy.

18. A method according to claim 16, wherein the collar is provided with a pocket oriented towards the sharp edge, and a tip of a guide tool is inserted into the pocket and the guide tool is used to force the sharp edge through the tissue.

19. A method according to claim 16 wherein the sharp edge of the end portion is made more rigid through heat treatment prior to use of the collar.