Integrated handle assembly for anchor delivery system

• US 7,905,889 B2
• Filed: 08/13/2007
• Issued: 03/15/2011
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences LLC (Teleflex Incorporated)
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Barham, Mitchell C., Nagpurkar, Amik, Collinson, Michael, McLean, Matt, Vidal, Claude, Redmond, Russell J., Merrick, Daniel, West, Scott, Catanese, Joseph III, Makower, Joshua, Lamson, Theodore C.
• Primary Examiner(s): Ho; (Jackie) Tan-Uyen T
• Assistant Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US11/837,623
• Publication Number:
  US 20070276412A1
• Time in Patent Office: 1,310 Days
• Field of Search: 606/151, 606/153, 606/139, 606/144, 606/213, 606/232
• 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 application 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 device for such purposes.

Claims

1. A system for implanting an anchor assembly, comprising:

an anchor delivery device having at least one anchor assembly in the anchor delivery device, the anchor assembly including a first anchor member, a second anchor member, a connector joining the first and second anchor members, and a retractable needle assembly, the retractable needle assembly being operatively associated with the first actuator;

wherein the anchor delivery device includes a first actuator that accomplishes implanting the first anchor, a second actuator that accomplishes assembly of the second anchor and a third actuator that cuts the connector to a desired length;

wherein actuation of the first actuator accomplishes gaining access to a first site with the needle projecting laterally from the delivery device and deployment of the first anchor member independently of the second anchor member.

2. The system of claim 1, wherein the anchor delivery device is configured to implant anchor assemblies having variable length connectors.

3. The system of claim 1, wherein the anchor delivery device accomplishes affixing the second anchor member at a desired position on the connector.

4. The system of claim 1, wherein the anchor delivery device is configured to deliver at least four variable length anchor assemblies.

5. The system of claim 1, further comprising a scope.

6. The system of claim 5, wherein the scope extends to a point to provide a view of a terminal end of the anchor delivery device.

7. The system of claim 6, wherein the scope provides remote viewing of deployment and assembly of the at least one anchor assembly.

8. The system of claim 1, further comprising a tension mechanism that applies a desired tension to the connector.

9. The system of claim 8, wherein the tension mechanism is configured to supply approximately a one pound force on the connector.

10. The system of claim 8, wherein the tension mechanism is configured to supply approximately a half pound to five pounds of force on the connector.

11. The system of claim 8, wherein the tension mechanism is configured to apply a selectable tension between approximately a half pound to five pounds of force on the connector.

12. The system of claim 8, wherein the tension mechanism is configured to create a one pound force between the first and second anchor members.

13. The system of claim 8, wherein the tension mechanism applies the desired tension before assembly of second anchor.

14. The system of claim 8, wherein the tension mechanism applies the desired tension while assembling the second anchor.

15. The system of claim 8, wherein the tension mechanism applies a half pound to a five pound force between the first and second anchors.

16. The system of claim 1, wherein the retractable needle can be advanced to varying selectable depths within a patient.

17. The system of claim 1, further comprising a first pusher assembly configured within the needle assembly, the pusher assembly being operatively associated with the first actuator.

18. The system of claim 17, wherein the first anchor member and connector are housed within the needle assembly and placed into engagement with the pusher assembly.

19. The system of claim 1, further comprising a second pusher assembly operatively associated with the second actuator.

20. The system of claim 19, wherein the second anchor member includes a first part that is placed into engagement with the second pusher assembly.

21. The system of claim 1, further comprising an outer tube assembly operatively associated with the third actuator.

22. The system of claim 21, wherein the connector is severed by the outer tube assembly when the third actuator is manipulated.

23. The system of claim 1, further comprising cutting structure configured to sever the connector before or after assembly of the second anchor.

24. The system of claim 1, further comprising a safety mechanism that prohibits incorrect actuator sequencing.

25. The system of claim 1, wherein the third actuator releases the second anchor member or the anchor assembly from the anchor delivery device.