Devices and methods for fastening tissue layers
First Claim
1. A system for fastening multiple tissue layers of a body, comprising:
- an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers;
a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers;
a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, the device comprising;
a main body; and
a folding arm pivotally connected to the main body,wherein the folding arm is configured to pivotally move with respect to the main body and to receive the multiple tissue layers between the main body and the folding arm;
a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and
a fastener delivery system for deploying the tissue fastener into the tissue layers.
2 Assignments
0 Petitions
Accused Products
Abstract
Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
273 Citations
69 Claims
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1. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, the device comprising; a main body; and a folding arm pivotally connected to the main body, wherein the folding arm is configured to pivotally move with respect to the main body and to receive the multiple tissue layers between the main body and the folding arm; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and a fastener delivery system for deploying the tissue fastener into the tissue layers. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A method of fastening multiple tissue layers together, comprising:
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inserting an elongated tubular member into a body passage so that a distal end of the tubular member is proximate the tissue layers; positioning a grasper proximate the distal end of the tubular member; grasping at least one of the multiple tissue layers by the grasper; folding the multiple tissue layers together by a distal body of the tubular member; and inserting a tissue fastener into the tissue layers to hold the tissue layers together, wherein the tubular member includes a distal body having a main body and a foldable arm rotatably coupled to the main body, and wherein folding the multiple tissue layers includes rotating the foldable arm to an open position to receive the multiple tissue layers between the main body and the foldable arm. - View Dependent Claims (16, 17, 18, 19, 20, 21, 24, 25, 26, 27)
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22. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and a fastener delivery system for deploying the tissue fastener into the tissue layers, wherein the grasper is configured to use suction to grasp the at least one of the multiple tissue layers. - View Dependent Claims (23, 28, 29)
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30. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; a fastener delivery system for deploying the tissue fastener into the tissue layers; and a removable protection device to cover at least a portion of the device during insertion of the device into the body. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 39)
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40. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and a fastener delivery system for deploying the tissue fastener into the tissue layers, the fastener delivery system comprising; an elongated tube having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a driver head coupled to the distal end of the tube, the driver head having a slot configured to hold the tissue fastener; and a needle configured to extend from the proximal end of the tube to the slot in the driver head via a lumen of the tube. - View Dependent Claims (41, 42, 43, 44, 45, 46, 47, 48, 49, 50)
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51. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and a fastener delivery system for deploying the tissue fastener into the tissue layers, wherein the tissue fastener comprises a first member, a second member, and a connecting member connecting between the first member and the second member, and wherein one of the first and second members has a greater footprint than the other of the first and second members.
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52. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and a fastener delivery system for deploying the tissue fastener into the tissue layers, wherein the tissue fastener comprises a first member, a second member, and a connecting member connecting between the first member and the second member, and wherein at least one of the first and second members is dome-shaped.
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53. A system for fastening multiple tissue layers of a body, comprising:
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an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers; a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers; a device coupled to the distal end of the tubular member for folding the multiple tissue layers together; a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together; and a fastener delivery system for deploying the tissue fastener into the tissue layers, wherein the tissue fastener comprises a first member, a second member, and a connecting member connecting between the first member and the second member, and wherein the first member is fixedly attached to the connecting member and the second member is movable along the connecting member. - View Dependent Claims (54, 55, 56, 57)
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58. A method of fastening multiple tissue layers together, comprising:
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inserting an elongated tubular member into a body passage so that a distal end of the tubular member is proximate the tissue layers; positioning a grasper proximate the distal end of the tubular member; grasping at least one of the multiple tissue layers by the grasper; folding the multiple tissue layers together by a distal body of the tubular member; inserting a tissue fastener into the tissue layers to hold the tissue layers together; and covering at least the distal end of the tubular member with a protective sleeve. - View Dependent Claims (59, 60)
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61. A method of fastening multiple tissue layers together, comprising:
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inserting an elongated tubular member into a body passage so that a distal end of the tubular member is proximate the tissue layers; positioning a grasper proximate the distal end of the tubular member; grasping at least one of the multiple tissue layers by the grasper; folding the multiple tissue layers together by a distal body of the tubular member; and inserting a tissue fastener into the tissue layers to hold the tissue layers together, wherein the grasping step is performed by a suction grasper that uses a suction mechanism to grasp the at least one of the multiple tissue layers.
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62. A method of fastening multiple tissue layers together, comprising:
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inserting an elongated tubular member into a body passage so that a distal end of the tubular member is proximate the tissue layers; positioning a grasper proximate the distal end of the tubular member; grasping at least one of the multiple tissue layers by the grasper; folding the multiple tissue layers together by a distal body of the tubular member; inserting a tissue fastener into the tissue layers to hold the tissue layers together, and pushing the grasped tissue layer distally before folding the multiple tissue layers.
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63. A method of fastening multiple tissue layers together, comprising:
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inserting an elongated tubular member into a body passage so that a distal end of the tubular member is proximate the tissue layers; positioning a grasper proximate the distal end of the tubular member; grasping at least one of the multiple tissue layers by the grasper; folding the multiple tissue layers together by a distal body of the tubular member; inserting a tissue fastener into the tissue layers to hold the tissue layers together; and delivering the tissue fastener through a lumen of the tubular member. - View Dependent Claims (64, 65, 66, 67, 68, 69)
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Specification