Surgical instrument having a fastener delivery mechanism

• US 6,572,626 B1
• Filed: 10/19/2000
• Issued: 06/03/2003
• Est. Priority Date: 10/19/2000
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Nuchols, Richard P., Knodel, Bryan D., Thompson, Bennie, Fuchs, Richard P., Kuhns, Jesse
• Primary Examiner(s): NERBUN, PETER P
• Application Number:
  US09/692,635
• Time in Patent Office: 957 Days
• Field of Search: 606/143, 606/139, 606/157, 606/158, 606/151, 606/220, 606/232, 606/72, 606/75, 606/78, 606/145, 606/219, 227/175.1, 227/176.1, 227/181.1
• US Class Current: 606/139
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes

Abstract

A delivery device for delivering a plurality of individual surgical fasteners is disclosed. The delivery device has a drive mechanism having a distal and a proximal end, and a first and a second opposing member. The members are moveable proximally and distally with respect to the delivery device, and individually with respect to each other. The device further includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The surgical fasteners are preferably made from a superelastic nickel titanium alloy. Additionally an actuator having at least three sequential positions is included. The first position of the actuator is for moving the drive mechanism distally. The second position is for moving the first member proximally to partially deploy the distal end of the fastener. The third position of the actuator is for moving the second member proximally, to fully deploy the distal end of the fastener.

Claims

1. A delivery device for delivering a plurality of individual surgical fasteners, said delivery device comprising:

a. a drive mechanism having distal and proximal ends, said drive mechanism comprising first and second opposing members, said members being moveable proximally and distally with respect to said delivery device, and individually with respect to each other;

b. at least one surgical fastener located between said first and said second members, each of said at least one surgical fasteners having a proximal end and a distal end;

c. an actuator having at least three sequential positions, a first position for moving said drive mechanism distally, and a second position for moving said first member proximally, thereby partially deploying said distal end of said fastener, and a third position for moving said second member proximally, thereby fully deploying said distal end of said fastener.

2. The delivery device of claim 1 wherein the first and second members have inner surfaces having a plurality projections spaced thereon, said projections engaging said fasteners.

3. The delivery device of claim 2 wherein said projections are spaced apart a distance between about 8 inches and between 0.005 inches.

4. The delivery device of claim 2 wherein said projections are sawteeth.

5. The delivery device of claim 1 wherein said fasteners comprise a body having a distal end, a proximal end, and a longitudinal axis therebetween, said fasteners include at least one barb extending axially away from said distal end, and one barb extending axially away from said second end.

6. The delivery device of claim 4 wherein said barbs engage inner surfaces of said first and second members.

7. The delivery device of claim 5 wherein the fastener is formed from stainless steel.

8. The delivery device of claim 5 wherein said fasteners are made from a superelastic alloy.

9. The delivery device of claim 7 wherein superelastic alloy is a nickel titanium alloy.

10. The delivery device of claim 1 having a plurality of fasteners located between said first and second members, and wherein said fasteners are not engaging one another and are spaced apart from one another.

11. The delivery device of claim 1 wherein the distal ends of said first and second members are sharp.

12. The delivery device of claim 1 wherein the distal ends of said first and second members have penetrating members attached thereto.

28. The delivery device of claim 6 wherein said projections are sawteeth.

30. The delivery device of claim 28 wherein said barbs engage inner surfaces of said first and second members.

13. A delivery device for delivering a plurality of individual surgical fasteners, said delivery device comprising:

a. a drive mechanism having distal and proximal ends and a longitudinal axis therebetween, said drive mechanism comprising first and second opposing members, said members being moveable proximally and distally with respect to said delivery device, and individually with respect to each other;

b. a plurality of surgical fasteners disposed longitudinally within said drive mechanism between said first and said second members, each of said at least one surgical fasteners having a proximal end and a distal end;

c. an actuator for deploying one of said fasteners and moving said plurality said fasteners distally with respect to said longitudinal axis, said actuator causing said drive mechanism to move in at least three sequential positions, a first position moving said drive mechanism and said plurality of fasteners distally, and thereafter moving said first member proximally, thereby partially deploying said distal end of said fastener, and thereafter moving said second member proximally, thereby fully deploying said distal end of said fastener.

14. The delivery device of claim 13 wherein the first and second members have inner surfaces having a plurality projections spaced thereon, said projections engaging said fasteners.

15. The delivery device of claim 14 wherein said projections are spaced apart a distance between about 8 inches and between 0.005 inches.

16. The delivery device of claim 14 wherein said projections are sawteeth.

17. The delivery device of claim 13 wherein said fasteners comprise a body having a distal end, a proximal end, and a longitudinal axis therebetween, said fasteners include at least one barb extending axially away from said distal end, and one barb extending axially away from said second end.

18. The delivery device of claim 16 wherein said barbs engage inner surfaces of said first and second members.

19. The delivery device of claim 17 wherein the fastener is formed from stainless steel.

20. The delivery device of claim 17 wherein said fasteners are made from a superelastic alloy.

21. The delivery device of claim 19 wherein superelastic alloy is a nickel titanium alloy.

22. The delivery device of claim 13 wherein said fasteners are not engaging one another and are spaced apart from one another.

23. The delivery device of claim 13 wherein the distal ends of said first and second members are sharp.

24. The delivery device of claim 13 wherein the distal ends of said first and second members have penetrating members attached thereto.

25. A delivery device for delivering a plurality of individual surgical fasteners, said delivery device comprising:

a. a drive mechanism having distal and proximal ends, said drive mechanism comprising first and second opposing members, said members being moveable proximally and distally with respect to said delivery device, and individually with respect to each other;

b. at least one surgical fastener located between said first and said second members, each of said at least one surgical fasteners having a proximal end and a distal end;

c. a means for moving said drive mechanism distally, and thereafter moving said first member proximally, thereby partially deploying said distal end of said fastener, and thereafter moving said second member proximally, thereby fully deploying said distal end of said fastener.

26. The delivery device of claim 25 wherein the first and second members have inner surfaces having a plurality projections spaced thereon, said projections engaging said fasteners.

27. The delivery device of claim 26 wherein said projections are spaced apart a distance between about 8 inches and between 0.005 inches.

29. The delivery device of claim 25 wherein said fasteners comprise a body having a distal end, a proximal end, and a longitudinal axis therebetween, said fasteners include at least one barb extending axially away from said distal end, and one barb extending axially away from said second end.

31. The delivery device of claim 29 wherein the fastener is formed from stainless steel.

32. The delivery device of claim 29 wherein said fasteners are made from a superelastic alloy.

33. The delivery device of claim 31 wherein superelastic alloy is a nickel titanium alloy.

34. The delivery device of claim 25 wherein said fasteners are not engaging one another and are spaced apart from one another.

35. The delivery device of claim 25 wherein the distal ends of said first and second members are sharp.

36. The delivery device of claim 25 wherein the distal ends of said first and second members have penetrating members attached thereto.

37. A delivery device for delivering a plurality of individual surgical fasteners, said delivery device comprising:

a. a drive mechanism having distal and proximal ends and a longitudinal axis therebetween, said drive mechanism comprising first and second opposing members, said members being moveable proximally and distally with respect to said delivery device, and individually with respect to each other;

b. a plurality of surgical fasteners disposed longitudinally within said drive mechanism between said first and said second members, each of said at least one surgical fasteners having a proximal end and a distal end;

c. a means for deploying one of said fasteners and for moving said plurality said fasteners distally with respect to said longitudinal axis, said means moving said drive mechanism and said plurality of fasteners distally, and thereafter moving said first member proximally, thereby partially deploying said distal end of said fastener, and thereafter moving said second member proximally, thereby fully deploying said distal end of said fastener.

38. The delivery device of claim 37 wherein the first and second members have inner surfaces having a plurality projections spaced thereon, said projections engaging said fasteners.

39. The delivery device of claim 38 wherein said projections are spaced apart a distance between about 8 inches and between 0.005 inches.

40. The delivery device of claim 38 wherein said projections are sawteeth.

41. The delivery device of claim 37 wherein said fasteners comprise a body having a distal end, a proximal end, and a longitudinal axis therebetween, said fasteners include at least one barb extending axially away from said distal end, and one barb extending axially away from said second end.

42. The delivery device of claim 41 wherein said barbs engage inner surfaces of said first and second members.

43. The delivery device of claim 42 wherein the fastener is formed from stainless steel.

44. The delivery device of claim 42 wherein said fasteners are made from a superelastic alloy.

45. The delivery device of claim 44 wherein superelastic alloy is a nickel titanium alloy.

46. The delivery device of claim 37 wherein said fasteners are not engaging one another and are spaced apart from one another.

47. The delivery device of claim 37 wherein the distal ends of said first and second members are sharp.

48. The delivery device of claim 37 wherein the distal ends of said first and second members have penetrating members attached thereto.