Integrated handle assembly for anchor delivery system

• US 7,766,923 B2
• Filed: 08/13/2007
• Issued: 08/03/2010
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Barham, Mitchell C., Nagpurkar, Amik, Collinson, Michael, McLean, Matt, Vidal, Claude, Catanese, Joseph III, Redmond, Russell J., Merrick, Daniel, Makower, Joshua, West, Scott, Lamson, Theodore C.
• Primary Examiner(s): Erezo; Darwin P
• Assistant Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US11/837,614
• Publication Number:
  US 20080033456A1
• Time in Patent Office: 1,086 Days
• Field of Search: 600 29- 31, 600 37- 41, 606/139, 606/151, 606/232, 623/13.14
• US Class Current: 606/139
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00792 Plastic surgery
• CPC Class Codes: A61B 2017/00796 Breast surgery
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 : Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 : T-fasteners
• CPC Class Codes: A61B 2017/0419 : H-fasteners
• CPC Class Codes: A61B 2017/045 : snug fit within the anchor
• CPC Class Codes: A61B 2017/0454 : the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0464 : for soft tissue
• CPC Class Codes: A61B 2017/0488 : Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61B 2017/06052 : Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle hollow suture needles A61B2017/061
• CPC Class Codes: A61B 2017/06176 : with protrusions, e.g. barbs
• CPC Class Codes: A61B 2017/0688 : Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2018/00547 : Prostate
• CPC Class Codes: A61F 2/0022 : placed deep in the body opening occluding blood vessels by internal devices A61B17/12022
• CPC Class Codes: A61F 2/0045 : Support slings
• CPC Class Codes: A61F 2/0063 : Implantable repair or support meshes, e.g. hernia meshes

Abstract

Integrated system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

Claims

1. A method for treating a prostate involving an anchor delivery device including an extendable terminal end and at least one anchor assembly including a first anchor component, a connector and a second anchor component, comprising:

placing the terminal end at a first site;

advancing the first anchor component through the terminal end;

employing the anchor delivery device to apply a pre-determined tension on the connector;

displacing an urethra toward the prostate;

assembling the second anchor component to the connector; and

releasing the second anchor component.

2. The method of claim 1, further comprising:

extending the extendable terminal end to a new position; and

retracting the extendable terminal end from the new position.

3. The method of claim 1, wherein the anchor delivery device includes a scope, further comprising employing the scope to remotely view prostate treatment.

4. The method of claim 1, wherein the anchor delivery device further includes a first actuator operatively associated with the first anchor component, the method further comprising actuating the first actuator to deploy the first anchor component.

5. The method of claim 2, wherein the anchor delivery device further includes a second actuator operatively associated with the second anchor component, the method further comprising actuating the second actuator to assemble the second anchor component.

6. The method of claim 3, wherein the anchor delivery device further includes a third actuator operatively associated with an outer tube assembly, the method further comprising actuating the third actuator to cause the outer tube assembly to sever the connector.

7. The method of claim 6, wherein actuation of the third actuator releases the second anchor component from the anchor delivery device.

8. The method of claim 1, further comprising assembling the anchor assembly to a desired length.

9. The method of claim 1, further comprising assembling a plurality of anchor assemblies.

10. The method of claim 9, wherein each of the anchor assemblies can have a unique length.

11. The method of claim 1, further comprising severing the connector to a selected length.

12. The method of claim 4, wherein the anchor delivery device includes a needle assembly operatively associated with the first actuator.

13. The method of claim 12, wherein the needle assembly can be advanced to variable, selectable depths within a patient.

14. The method of claim 12, wherein placing the terminal end at a desired first site involves varying a depth to which the needle assembly is placed within a patient.

15. The method of claim 1, wherein one or a series of first anchor components are initially attached to the connector, an initial engagement between the first anchor component and connector being generally coaxial.

16. The method of claim 15, wherein the second anchor component initially engages the connector at a generally perpendicular angle to the connector.

17. The method of claim 1, further comprising the connector extending within the prostate holding the displaced urethra toward the prostate.

18. The method of claim 1, further comprising inserting the anchor delivery device into a penis and advancing a distal end until the distal end is adjacent an interventional site in the urethra.

19. The method of claim 1, wherein the second anchor component is placed against an inner surface of the urethra.

20. The method of claim 1, wherein the first anchor component is positioned outside of an outer surface of a prostate capsule.