Apparatus and method for manipulating or retracting tissue and anatomical structure

• US 7,896,891 B2
• Filed: 07/24/2006
• Issued: 03/01/2011
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Welch, Jacqueline Nerney, Nagpurkar, Amik, Vecchiotti, Richard G., Collinson, Michael, Vidal, Claude, Catanese, Joseph III, Redmond, Russell J., Merrick, Daniel, Makower, Joshua, West, Scott, Lamson, Theodore C.
• Primary Examiner(s): Ho; (Jackie) Tan-Uyen T
• Assistant Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US11/492,690
• Publication Number:
  US 20070049929A1
• Time in Patent Office: 1,681 Days
• Field of Search: 606/232, 606/99, 606/139, 606/151, 606/213, 604/27, 623/17.16
• 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
• 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
• 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
• 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
• 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

Intergrated systems 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 anchoring devices for such purposes.

Claims

1. A system for manipulation of anatomic structure found at an interventional site, comprising:

at least two anchor assemblies, the anchor assembly including a first anchor member, a second anchor member, and a connector joining the first and second anchor members; and

an anchor delivery device, the anchor delivery device including a first actuator and being configured to receive and deploy the anchor assembly;

wherein the second anchor member is loaded within the anchor delivery device in a position free of the connector;

wherein manipulation of the first actuator accomplishes gaining access to a first site and deployment of the first anchor member independently of the second anchor member.

2. The system of claim 1, wherein the anchor delivery device includes a terminal end portion, the terminal end portion being angled to mimic an implanted position of the second anchor member.

3. The system of claim 1, the second anchor member defining a profile to facilitate invagination thereof into target tissue.

4. The system of claim 1, wherein the anchor delivery device further includes a needle assembly.

5. The system of claim 4, wherein manipulation of the first actuator effects advancement and retraction of the needle assembly.

6. The system of claim 4, wherein the anchor delivery device has a long axis and further includes a needle housing assembly, the needle housing assembly configured to receive the needle assembly substantially at a right angle with respect to the long axis of the anchor delivery device.

7. The system of claim 1, wherein the second anchor member includes a first part and a second part and the anchor delivery device includes a terminal end portion housing at least one first part of the second anchor member.

8. The system of claim 7, wherein the terminal end portion includes structure biasing the first part to an assembly station.

9. The system of claim 8, wherein the terminal end position forms part of a tubular housing assembly that extends from a handle assembly of the anchor delivery device.

10. The system of claim 9, wherein the first actuator is pivotably attached to the handle assembly.

11. The system of claim 10, wherein a pusher assembly is slideably retained in the tubular housing assembly.

12. The system of claim 11, wherein the first actuator is operatively associated with the pusher assembly.

13. The system of claim 12, wherein at least one second part of the second anchor member is housed within the tubular housing assembly.

14. The system of claim 13, wherein the anchor delivery device includes a second actuator and a second pusher assembly, manipulation of the second actuator accomplishes advancing the second pusher assembly against the second part of the second anchor member.

15. The system of claim 14, wherein manipulation of the second actuator further accomplishes assembling the first and second parts of the second anchor member.

21. The system of claim 1, wherein one of the anchor delivery device or the second anchor member include structure configured to sever excess connector upon attachment of the second anchor member to the connector.

16. A system for implanting two or more pairs of anchor components attached to each other with a connector comprising:

a first series of two or more first anchor components initially attached to each other with the connector;

a second series of two or more second anchor components initially located in one or more positions free of the connector;

a placement mechanism for sequentially attaching the second anchor components to the connector attached to one of the first anchor components creating a paired anchor assembly on the connector and separating the paired components anchor assembly as a unit from the connector.

22. The system of claim 16, wherein one of the placement mechanism or the second anchor component includes structure configured to sever excess connector upon attachment of the second anchor component to the connector.

17. A system for treatment at an interventional site, comprising:

an anchor deployment device;

at least one anchor assembly configured to be carried and deployed by the anchor deployment device, the at least one anchor assembly including a first anchor member, a second anchor member, and a connector joining the first and second anchor members; and

at least one sensor;

wherein the at least one sensor is configured on the deployment device or anchor assembly;

wherein the second anchor member is loaded in the anchor deployment device in a position free of the connector.

18. The system of claim 17, wherein the at least one sensor monitors pressure.

19. The system of claim 17, wherein the at least one sensor monitors tension.

20. The system of claim 17, further including a detached sensor delivered at the interventional site separate from the at least one anchor assembly.

23. The system of claim 17, wherein one of the anchor deployment device or the second anchor member includes structure configured to sever excess connector upon attachment of the second anchor member to the connector.