Surgical helical fastener with applicator

• US 6,562,051 B1
• Filed: 10/01/2001
• Issued: 05/13/2003
• Est. Priority Date: 08/05/1994
• Status: Expired due to Fees

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Sherwood Services AG
• Inventors: Lunsford, John, Bolduc, Lee, McCoy, Tim, Hodges, Brian A., Kramer, Thomas A.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/968,100
• Publication Number:
  US 20020013605A1
• Time in Patent Office: 589 Days
• Field of Search: 606/232, 606/142, 606/143, 606/213, 606/219
• US Class Current: 606/143
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• 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 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/06076 helically or spirally coiled for sutures A61B2017/06171
• CPC Class Codes: A61B 2017/06171 helically or spirally coiled for needles A61B2017/06076
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: Y10S 227/901 Surgical clip appliers
• CPC Class Codes: Y10S 227/902 Surgical clips or staples
• CPC Class Codes: Y10S 606/91 Polymer
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener
• CPC Class Codes: Y10T 24/4695 Wire curved or bent

Abstract

A helical fastener having a high retentive surface area is provided and has a first end for enhancing penetration into tissue and a second end comprising a coil sectioning a diameter of the fastener for receiving longitudinal and rotational forces. The helical fasteners are attached to body tissue by a fastener applicator having a proximal portion comprising a handle and an actuator and an elongate distal portion for housing a plurality of fasteners. A transferring action of the actuator provides longitudinal and rotational movement of the fasteners out of the distal portion and into body tissue.

Claims

1. A system for controllably discharging fasteners from an applicator, comprising:

a plurality of fasteners, said fasteners having a helical configuration;

an applicator for attaching said fasteners to tissue, said applicator including a proximal portion, a distal portion and an actuator assembly;

said distal portion having an elongate outer tube, a connecting end and a terminal end;

a proximal portion having a handle, said proximal portion attached to said connecting end of said distal portion; and

said actuator assembly including a lever and configured to controllably discharge one of said plurality of fasteners from said distal portion upon complete depression of said lever and to prohibit backstroking of said lever where is partially depressed.

2. The system of claim 1, said applicator further including a rotator for receiving said plurality of fasteners and for cooperating with said actuator assembly, said rotator/configured to reside within said outer tube.

3. The system of claim 2, said actuator assembly further including a lead screw and a nut driver configured to travel along said lead screw.

4. The system of claim 3, said lever further including an extension connecting said lever to said nut driver, so that upon depression of said lever, said nut driver travels along said lead screw, thereby rotating said lead screw.

5. The system of claim 4, wherein said rotator has a proximal end and a distal end and said lead screw has a first end and a second end, said first end of said lead screw including a connecting surface, said proximal end of said rotator having a cooperating connecting surface, said connecting surface being releasably connected to said cooperating connecting surface.

6. The system of claim 5, said connecting surface further including a plurality of leaf springs and an internal bore existing coaxial with a longitudinal axis of said lead screw.

7. The system of claim 6, said cooperating connecting surface further including a plurality of ridges for releasably engaging said leaf springs and an annular projection configured to fit within said internal bore of said connecting surface.

8. The system of claim 5, wherein rotation of said lead screw in one direction causes said rotator to rotate and wherein said lead screw rotates in a second direction independently of said rotator.