Barbed bodily tissue connector
First Claim
1. A method for bringing together one side and an other side of an open wound in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a pointed end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
- (i) inserting the barbed tissue connector via the pointed end into tissue from one side of the wound,(ii) penetrating through tissue on the one side of the wound, and(iii) penetrating into tissue at the other side of the wound such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the wound.
10 Assignments
0 Petitions
Accused Products
Abstract
A barbed tissue connector is disclosed for use in closing a body wound. The connector includes an elongated body and a pointed end to facilitate insertion of the connector into tissue. A plurality of closely-spaced barbs are disposed on the body from the pointed end of the connector to a predetermined location on the body. The barbs are yieldable toward the body to make it easier to insert the connector in tissue, and the barbs are generally rigid in an opposite direction to hold the connector in the tissue. The body of the connector is substantially rigid and is sufficiently resilient to return to a predetermined position after deflection therefrom. The connector can be manually inserted into the tissue of a patient, or the connector can be inserted by means of an inserting device which is retracted after the connector is in place.
-
Citations
171 Claims
-
1. A method for bringing together one side and an other side of an open wound in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a pointed end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
-
(i) inserting the barbed tissue connector via the pointed end into tissue from one side of the wound, (ii) penetrating through tissue on the one side of the wound, and (iii) penetrating into tissue at the other side of the wound such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the wound. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
-
-
9. A surgical method for bringing together two tissue portions on either side of a tissue separation in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a first pointed end, a second pointed end, a length, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, the barbed tissue connector having the barbs oriented in one direction for a first portion of the length of the body and in an opposite direction for a second portion of the length of the body, said method comprising:
-
(a) at the tissue separation, inserting the barbed tissue connector via the first pointed end into tissue at a position on one side of the tissue separation; (b) repeating step (a) at the other side of the tissue separation, using the second pointed end of the barbed tissue connector, at a position located across the tissue separation from the position in which the first pointed end of the barbed tissue connector was inserted; and (c) bringing the two tissue portions together. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16, 17, 18)
-
-
19. A surgical method for bringing together two tissue portions on either side of a tissue separation in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a pointed end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue and permitting movement of the barbed tissue connector through the tissue in the direction the barbed tissue connector is inserted, said method comprising:
-
(a) at the tissue separation, inserting the barbed tissue connector, via the pointed end, into tissue at one side of the tissue separation, (b) penetrating through tissue on the one side of the separation, and (c) penetrating into tissue on the other side of the separation wound such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the tissue separation. - View Dependent Claims (20, 21, 22, 23, 24)
-
- 25. A method for inserting a barbed tissue connector into tissue, where the barbed tissue connector has an elongated body, a pointed end, an opposite end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising inserting the pointed end into tissue by applying force to the opposite end such that a portion of the body extends from the tissue.
-
32. A method for bringing together one side and an other side of an open wound in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a pointed end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
-
(i) inserting the barbed tissue connector via the pointed end into tissue from one side of the wound, (ii) penetrating through tissue on the one side of the wound, (iii) penetrating into tissue at the other side of the wound such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the wound, (iv) inserting another barbed tissue connector, where the other barbed tissue connector has an elongated body, a pointed end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs of the other barbed tissue connector being sized and shaped to resist retraction of the other barbed tissue connector from the tissue, via the pointed end of the other barbed tissue connector from the other side of the wound, (v) penetrating through tissue at the other side of the wound, and (vi) penetrating into tissue at the one side of the wound such that a portion of the body of the another barbed tissue connector adapted to penetrate the tissue extends from the tissue at the other side of the wound.
-
-
33. A surgical method for bringing together two tissue portions on either side of a tissue separation in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a first pointed end, a second pointed end, a length, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, the barbed tissue connector having the barbs oriented in one direction for a first portion of the length of the body and in an opposite direction for a second portion of the length of the body, and the first pointed end and the second pointed end being free of barbs, said method comprising:
-
(a) at the tissue separation, inserting the barbed tissue connector via the first pointed end into tissue at a position on one side of the tissue separation, wherein the barbed tissue connector comprises a bioabsorbable material; (b) repeating step (a) at the other side of the tissue separation, using the second pointed end of the barbed tissue connector, at a position located across the tissue separation from the position in which the first pointed end of the barbed tissue connector was inserted wound; and (c) bringing the two tissue portions together by pressing the two tissue portions together or by pushing the barbed tissue connector through the tissue.
-
-
34. A device for insertion into tissue comprising:
-
a barbed tissue connector having an elongated body, a pointed end, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and an inserting device having a closed tubular body, a leading end, and a trailing end, the tubular body being sufficiently long to contain at least a portion of the barbed tissue connector. - View Dependent Claims (35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49)
-
-
50. A device for insertion into tissue comprising:
-
a barbed tissue connector having an elongated body, a pointed end, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and an inserting device having a closed tubular body, a leading end, and a trailing end, the tubular body being sufficiently long to contain at least a portion of the barbed tissue connector, wherein the trailing end of the inserting device is tapered outwardly.
-
-
51. A device for insertion into tissue comprising:
-
an inserting device having a closed tubular body, a leading end, and a trailing end, and a barbed tissue connector having an elongated body, a pointed end, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and the connector being positioned in the tubular body of the inserting device with the pointed end of the connector protruding from the leading end of the inserting device. - View Dependent Claims (52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66)
-
-
67. A device for insertion into tissue comprising:
-
an inserting device having a closed tubular body, a leading end, and a trailing end, and a barbed tissue connector having an elongated body, a pointed end, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and the connector being positioned in the tubular body of the inserting device with the pointed end of the connector protruding from the leading end of the inserting device, wherein the trailing end of the inserting device is tapered outwardly.
-
-
68. A method for bringing together one side and an other side of an open wound in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
-
(i) inserting the barbed tissue connector into tissue from one side of the wound, (ii) penetrating through tissue on the one side of the wound, and (iii) penetrating into tissue at the other side of the wound such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the wound. - View Dependent Claims (69, 70, 71, 72, 73, 74, 75)
-
-
76. A surgical method for bringing together two tissue portions on either side of a tissue separation in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a first end, a second end, a length, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, the barbed tissue connector having the barbs oriented in one direction for a first portion of the length of the body and in an opposite direction for a second portion of the length of the body, said method comprising:
-
(a) at the tissue separation, inserting the barbed tissue connector via the first end into tissue at a position on one side of the tissue separation; (b) repeating step (a) at the other side of the tissue separation, via the second end of the barbed tissue connector, at a position located across the tissue separation from the position in which the first end of the barbed tissue connector was inserted; and (c) bringing the two tissue portions together. - View Dependent Claims (77, 78, 79, 80, 81, 82, 83, 84, 85)
-
-
86. A surgical method for bringing together two tissue portions on either side of a tissue separation in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue and permitting movement of the barbed tissue connector through the tissue in the direction the barbed tissue connector is inserted, said method comprising:
-
(a) at the tissue separation, inserting the barbed tissue connector into tissue at one side of the tissue separation, (b) penetrating through tissue on the one side of the separation, and (c) penetrating into tissue on the other side of the separation such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the tissue separation. - View Dependent Claims (87, 88, 89, 90, 91)
-
- 92. A surgical method for inserting a barbed tissue connector into tissue, where the barbed tissue connector has an elongated body, an end adapted to penetrate the tissue, an opposite end, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising inserting the penetrating end into tissue by applying force to the opposite end such that a portion of the body extends from the tissue.
-
99. A surgical method for bringing together one side and an other side of an open wound in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
-
(i) inserting the barbed tissue connector into tissue from one side of the wound, (ii) penetrating through tissue on the one side of the wound, (iii) penetrating into tissue at the other side of the wound such that a portion of the body adapted to penetrate the tissue extends from the tissue at the one side of the wound, (iv) inserting another barbed tissue connector from the other side of the wound, where the other barbed tissue connector has an elongated body, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs of the other barbed tissue connector being sized and shaped to resist retraction of the other barbed tissue connector from the tissue, (v) penetrating through tissue at the other side of the wound, and (vi) penetrating into tissue at the one side of the wound such that a portion of the body of the another barbed tissue connector adapted to penetrate the tissue extends from the tissue at the other side of the wound.
-
-
100. A surgical method for bringing together two tissue portions on either side of a tissue separation in tissue with a barbed tissue connector, where the barbed tissue connector has an elongated body, a first end, a second end, a length, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, the barbed tissue connector having the barbs oriented in one direction for a first portion of the length of the body and in an opposite direction for a second portion of the length of the body, and the first pointed end and the second pointed end being free of barbs, said method comprising:
-
(a) at the tissue separation, inserting the barbed tissue connector via the first end into tissue at a position on one side of the tissue separation, wherein the barbed tissue connector comprises a bioabsorbable material; (b) repeating step (a) at the other side of the tissue separation, via the second end of the barbed tissue connector, at a position located across the tissue separation from the position in which the first end of the barbed tissue connector was inserted; and (c) bringing the two tissue portions together by pressing the two tissue portions together or by pushing the barbed tissue connector through the tissue.
-
-
101. A device for insertion into tissue comprising:
-
a barbed tissue connector having an elongated body, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and an inserting device having a closed tubular body, a leading end, and a trailing end, the tubular body being sufficiently long to contain at least a portion of the barbed tissue connector. - View Dependent Claims (102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116)
-
-
117. A device for insertion into tissue comprising:
-
a barbed tissue connector having an elongated body, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and an inserting device having a closed tubular body, a leading end, and a trailing end, the tubular body being sufficiently long to contain at least a portion of the barbed tissue connector, wherein the trailing end of the inserting device is tapered outwardly.
-
-
118. A device for insertion into tissue comprising:
an inserting device having a tubular body, a leading end, and a trailing end, and a barbed tissue connector having an elongated body, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and the connector being positioned in the tubular body of the inserting device with one end of the connector protruding from the leading end of the inserting device. - View Dependent Claims (119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133)
-
134. A device for insertion into tissue comprising:
-
an inserting device having a tubular body, a leading end, and a trailing end, wherein the trailing end of the inserting device is tapered outwardly, and a barbed tissue connector having an elongated body, a periphery, a length, and a plurality of closely spaced barbs projecting from the body and being disposed around the periphery of the body along the length of the body, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction, and the connector being positioned in the tubular body of the inserting device with one end of the connector protruding from the leading end of the inserting device.
-
-
135. A method for inserting a barbed tissue connector in tissue, where the barbed tissue connector has an elongated body, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
-
(i) positioning the barbed tissue connector in an inserting device including a closed tubular body, (ii) inserting the inserting device into tissue, and (iii) extracting the inserting device from the tissue while leaving the connector in the tissue. - View Dependent Claims (136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153)
-
-
154. A method for inserting a barbed tissue connector in tissue, where the barbed tissue connector has an elongated body, a periphery, and a plurality of closely spaced barbs which extend around the periphery of the body, the barbs being sized and shaped to resist retraction of the barbed tissue connector from the tissue, said method comprising:
-
(i) positioning the barbed tissue connector in an inserting device including a closed tubular body, wherein the inserting device has a trailing end that is tapered outwardly, (ii) inserting the inserting device into tissue, and (iii) extracting the inserting device from the tissue while leaving the connector in the tissue.
-
-
155. A barbed bodily tissue connector for insertion into tissue comprising:
an elongated body having a first end, a second end, a periphery, and a plurality of closely spaced barbs projecting from the periphery of the body, wherein a first portion of the barbs extend alone a substantial portion of the body and are oriented in one direction and a second portion of the barbs extend along a substantial portion of the body and are oriented in an opposite direction, the barbs being configured such that they are yieldable in a direction toward the body and are generally rigid in an opposite direction. - View Dependent Claims (156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171)
Specification