Connective tissue repair system

• US 7,343,920 B2
• Filed: 12/20/2002
• Issued: 03/18/2008
• Est. Priority Date: 12/20/2002
• Status: Expired due to Fees

• Current Assignee: Acumed Llc (Berkshire Hathaway Incorporated)
• Original Assignee: Randall J. Huebner, Toby E. Bruce
• Inventors: Toby, E. Bruce, Huebner, Randall J.
• Primary Examiner(s): Hayes; Michael J.
• Assistant Examiner(s): Mendoza; Michael G.
• Application Number:
  US10/325,703
• Publication Number:
  US 20040122471A1
• Time in Patent Office: 1,915 Days
• Field of Search: 2271751-1821, 606/215, 606/216, 606/219, 606/139, 606/142, 606/144, 606/220, 128/898
• US Class Current: 128/898
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/1146 of tendons
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence

Abstract

Systems, including apparatus and methods, for repairing injured connective tissue. These systems may include, among others, a surgical stapler and staples for repairing partially or completely severed tendons and/or ligaments.

Claims

1. A method of repairing an injured band of tendon and/or ligament, comprising:

positioning first and second ends of an injured band of tendon and/or ligament against an anvil of a surgical stapler, such that the ends are aligned and abutted;

applying at least one staple to the injured band of so that the staple engages both the first end and the second end of the injured band of; and

removing the band of from the anvil,

wherein the step of applying the at least one staple to the injured band of includes (1) a step of driving tips of the staple through the band of, and (2) a step of deflecting the tips of the staple against the anvil after they emerge from the band of.

2. The method of claim 1, wherein the staple includes an elongate bridge portion having opposite ends and a flexible region and also includes a first leg and a second leg depending from the ends of the elongate bridge portion, wherein the step of driving includes a step of disposing the first leg and the second leg in distinct end regions of the band of connective tissue such that the flexible region of the elongate bridge portion spans a site of injury in the band of connective tissue.

3. The method of claim 1, wherein the staple includes one or more suture segments attached to the staple, further comprising a step of suturing the staple to the band of using at least one of the suture segments attached to the staple.

4. The method of claim 3, wherein the at least one suture segment terminates in a needle, and wherein the step of suturing employs the needle.

5. The method of claim 1, the staple being applied by a stapler, further comprising:

removing the stapler from a sterile package;

performing the step of applying with the stapler such that exactly one staple is applied to the band of; and

discarding the stapler.

6. The method of claim 1, wherein the step of applying includes a step of actuating a trigger that advances the staple, and wherein a connective tissue clamp is operatively connected to the trigger such that the step of actuating clamps the band of connective tissue between the anvil and the clamp.

7. The method of claim 1, wherein the step of positioning includes steps of receiving and orienting the injured band of with the anvil.

8. The method of claim 1, further comprising a step of directing a tip of the at least one staple, after the step of driving, (1) back into the injured band of (2) around the exterior of the injured band of, or (3) both.

9. The method of claim 1, wherein the steps of positioning, applying, and removing are performed on an injured tendon.

10. The method of claim 1, further comprising a step of selecting a cassette including the at least one staple and a plurality of additional staples.

11. A method of repairing an injured band of tendon and/or ligament, comprising:

positioning first and second ends of an injured band of tendon and/or ligament against an anvil of a surgical stapler, such that the ends are aligned and abutted;

applying at least one staple to the injured band of so that the staple engages both the first end and the second end of the injured band of; and

removing the band of from the anvil,

wherein the step of applying includes a step of actuating a trigger that advances the staple, and wherein a connective tissue clamp is operatively connected to the trigger such that the step of actuating clamps the band of between the anvil and the connective tissue clamp.

12. The method of claim 11, wherein the staple includes one or more suture segments attached to the staple, further comprising a step of suturing the staple to the band of using at least one of the suture segments attached to the staple.

13. The method of claim 12, wherein the at least one suture segment terminates in a needle, and wherein the step of suturing employs the needle.

14. The method of claim 11, wherein the step of positioning includes steps of receiving and orienting the injured band of with the anvil.

15. The method of claim 11, wherein the at least one staple has ends, and wherein the step of applying includes a step of penetrating through the injured band of with the ends of the at least one staple, further comprising a step of directing an end of the at least one staple, after the step of penetrating, (1) back into the injured band of, (2) around the exterior of the injured band of, or (3) both.

16. The method of claim 11, wherein the steps of positioning, applying, and removing are performed on an injured tendon.

17. The method of claim 11, further comprising a step of selecting a cassette including the at least one staple and a plurality of additional staples.

18. A method of repairing an injured band of tendon and/or ligament, comprising:

positioning first and second ends of an injured band of tendon and/or ligament against an anvil of a surgical stapler, such that the ends are aligned and abutted;

applying at least one staple to the injured band of so that the staple engages both the first end and the second end of the injured band of; and

removing the band of from the anvil,

wherein the at least one staple has ends, and wherein the step of applying includes a step of penetrating through the injured band of with the ends of the at least one staple, further comprising a step of directing an end of the at least one staple back into the injured band of after the step of penetrating.

19. A method of repairing an injured band of tendon and/or ligament, comprising:

positioning first and second ends of an injured band of tendon and/or ligament against an anvil of a surgical stapler, such that the ends are aligned and abutted;

applying at least one staple to the injured band of so that the staple engages both the first end and the second end of the injured band of; and

removing the band of from the anvil,

wherein the at least one staple has ends, and wherein the step of applying includes a step of penetrating through the injured band of with the ends of the at least one staple, further comprising a step of directing an end of the at least one staple around the exterior of the injured band of after the step of penetrating.

20. A method of repairing an injured band of tendon and/or ligament, comprising:

positioning first and second ends of an injured band of tendon and/or ligament against an anvil of a surgical stapler, such that the ends are aligned and abutted;

applying at least one staple to the injured band of so that the staple engages both the first end and the second end of the injured band of; and

removing the band of from the anvil.

21. The method of claim 20, wherein the staple includes an elongate bridge portion having opposite ends and a flexible region and also includes a first leg and a second leg depending from the ends of the elongate bridge portion, and wherein the step of applying includes a step of disposing the first leg and the second leg in distinct end regions of the band of such that the flexible region of the elongate bridge portion spans a site of injury in the band of.

22. The method of claim 20, wherein the staple includes one or more suture segments attached to the staple, further comprising a step of suturing the staple to the band of using at least one of the suture segments attached to the staple.

23. The method of claim 22, wherein the at least one suture segment terminates in a needle, and wherein the step of suturing employs the needle.

24. The method of claim 20, the staple being applied by a stapler, further comprising:

removing the stapler from a sterile package;

performing the step of applying with the stapler such that exactly one staple is applied to the band of; and

discarding the stapler.

25. The method of claim 20, wherein the step of positioning includes steps of receiving and orienting the injured band of with the anvil.

26. The method of claim 20, wherein the step of apply that at least one staple to the injured band includes a step of driving tips of the staple through the injured band, further comprising a step of directing the tips of the at least one staple, after the step of driving, (1) back into the injured band of, (2) around the exterior of the injured band of, or (3) both.

27. The method of claim 20, further comprising a step of selecting a cassette including the at least one staple and a plurality of additional staples.