Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures

• US 8,043,309 B2
• Filed: 03/06/2009
• Issued: 10/25/2011
• 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, Collinson, Michael, Vidal, Claude, Catanese, Joseph III, Redmond, Russell J., Makower, Joshua, Walke, Amrish Jayprakash, Lamson, Theodore Charles
• Primary Examiner(s): McDermott; Corrine M
• Assistant Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US12/399,816
• Publication Number:
  US 20090222025A1
• Time in Patent Office: 963 Days
• Field of Search: 606/151, 606/153, 606/223, 606/232, 623 1313- 1314
• US Class Current: 606/151
• 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 17/06109 Big needles, either gripped by hand or connectable to a handle
• 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 17/3468 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 2017/00792 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 2017/042 : plastically deformed during insertion
• CPC Class Codes: A61B 2017/0451 : Cams or wedges holding the suture by friction
• CPC Class Codes: A61B 2017/0454 : the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0456 : Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• CPC Class Codes: A61B 2017/0458 : Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0462 : One way system, i.e. also tensioning 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 2017/0496 : for tensioning sutures
• 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 2018/00547 : Prostate
• CPC Class Codes: A61F 2002/041 : Bile ducts

Abstract

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.

Claims

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

an elongate sheath;

a rigid endoscope received in the elongate sheath;

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

an anchor delivery device inserted in the elongate sheath, the anchor delivery device including a needle, a delivery tube housing the first and second anchor members, a handle at a right angle to the delivery tube, a first actuator and a second actuator each configured next to the handle and being configured to receive and deploy the anchor assembly;

wherein manipulation of the first actuator accomplishes advancing the needle along a curved path in the delivery tube housing, gaining access to a first site and deployment of the first anchor member independently of the second anchor member.

2. A system including an anchor assembly for assembly within a patient'"'"'s body, comprising:

an elongate sheath;

a rigid endoscope received in the elongate sheath;

an anchor delivery device inserted in the elongate sheath, the anchor delivery device including a needle, a delivery tube, a handle at a right angle to the delivery tube, a first actuator adjacent the handle that advances the needle, and a second actuator adjacent the handle;

a first anchor member;

a second anchor member including a first part and a second part;

a connector joining the first and second anchor members;

wherein the first and second anchor members and the connector are housed in the delivery tube and the needle is advanced along a curved path in the delivery tube;

wherein the first and second parts are configured to be joined with the connector and each other within a patient'"'"'s body upon activation of the second actuator.

3. The system of claim 2, wherein the anchor delivery device is configured to accomplish the assembly of the anchor assembly within a patient'"'"'s body and the implantation of an assembled anchor assembly at an intervention site.

4. The system of claim 3, wherein the first part is embodied in a generally tubular member.

5. The system of claim 4, wherein the second part is embodied in a pin sized to both receive the connector and to form a locking engagement with the first part.

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

an elongate sheath;

a rigid endoscope received in the elongate sheath;

at least one anchor assembly, 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 inserted in the elongate sheath, the anchor delivery device including a needle, a delivery tube housing the anchor assembly, a handle at a right angle to the delivery tube, a first trigger and a second trigger each adjacent the handle;

wherein actuation of the first trigger accomplishes advancing the needle along a curved path in the delivery tube housing, gaining access to a first site, deployment of the first anchor member independently of the second anchor member, and assembly of the second anchor member. sheath, the anchor delivery device including a needle, a delivery tube housing the anchor assembly, a handle at a right angle to the delivery tube, a first trigger and a second trigger, wherein actuation of the first trigger advances the needle along a curved path in the delivery tube housing and actuation of the second trigger accomplishes complete delivery of one anchor assembly.

7. A system including an anchor assembly for assembly within a patient'"'"'s body, comprising:

an elongate sheath;

a rigid endoscope received in the elongate sheath;

a delivery device inserted in the elongate sheath including a delivery tube, a needle, a handle at a right angle to the delivery tube and first and second triggers adjacent the handle;

a first anchor member housed within the delivery tube;

a second anchor member including a first part and a second part housed in the delivery tube;

a connector joining the first and second anchor members;

wherein one or both of the first and second parts are configured to be joined with the connector and each other within a patient'"'"'s body;

wherein the first actuator of the trigger advances the needle along a curved path in the delivery tube and actuation of the second trigger accomplishes the assembly of the anchor assembly within a patient'"'"'s body and accomplishes the implantation of an assembled anchor assembly.