Compressible tissue anchor assemblies

• US 8,382,800 B2
• Filed: 03/15/2010
• Issued: 02/26/2013
• Est. Priority Date: 06/09/2004
• Status: Active Grant

• Current Assignee: USGI Medical, Inc.
• Original Assignee: USGI Medical, Inc.
• Inventors: Maahs, Tracy D., Elmer, Marvin C., Ewers, Richard C.
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US12/724,348
• Publication Number:
  US 20100174312A1
• Time in Patent Office: 1,079 Days
• Field of Search: 606/198, 606/191, 606/213, 606/215, 606/216, 606/200, 606/218, 606/221, 606/232, 606/233
• US Class Current: 606/232
• 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 17/0469 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 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0419 H-fasteners
• 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 2017/0496 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
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

Apparatus and methods for optimizing anchoring force are described herein. In securing tissue folds, over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable arms configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue. Various devices, e.g., stops, spring members, fuses, strain gauges, etc., can be used to indicate when the anchor has been deflected to a predetermined level within the optimal range. Moreover, other factors to affect the anchor characteristics include, e.g., varying the number of arms or struts of the anchor, positioning of the arms, configuration of the arms, the length of the collars, etc.

Claims

1. A tissue anchor system for securing tissue, comprising:

a first tissue anchor having a first proximal collar, a first distal collar, and a first biased element connected to the first proximal and first distal collars and which is adapted to urge the collars toward one another, and a first mesh surface extending between the first proximal and first distal collars;

a second tissue anchor having a second proximal collar, a second distal collar, and a second biased element connected to the second proximal and second distal collars and which is adapted to urge the collars toward one another, and a second mesh surface extending between the second proximal and second distal collars;

a length of suture passing through the first and second tissue anchors such that a terminal end of the suture is disposed distally of or attached to one of the first tissue anchor or the second tissue anchor; and

a looking mechanism slidably disposed along the length of suture at a position proximally of or attached to one of the first tissue anchor or the second tissue anchor.

2. The anchor of claim 1 wherein the mesh surface is pre-formed to have one or more radially-biased bulges such that compression of the mesh surface from a delivery configuration to a securement configuration forms a circumferential ring which inhibits passage of the anchor through a tissue surface.

3. The anchor of claim 2 wherein the mesh surface is pre-formed to have at least two radially-biased bulges.

4. The anchor of claim 3 further comprising a ring or band formed at or about an inwardly biased portion located between the at least two radially-biased bulges for facilitating formation of the circumferential ring.

5. The anchor of claim 1 wherein the first biased element comprises a spring.

6. The anchor of claim 5 wherein the spring is comprised of a material selected from the group consisting of stainless steel, nickel, titanium, nitinol, plastic, elastomers, polyurethane, and salastic materials.

7. The system of claim 1 wherein the length of suture passes through the first biased element of the first tissue anchor.

8. The system of claim 1 wherein the locking mechanism comprises a cinch adapted to slide uni-directionally along the length of suture toward the first tissue anchor or the second tissue anchor.

9. The system of claim 1 with the first tissue anchor having a first deflectable support member providing an anchoring force upon the first mesh surface, wherein the amount of anchoring force provided by the first deflectable support member remains at a substantially constant value over a first range of deflection of the first deflectable support member.

10. The system of claim 9 wherein the second tissue anchor has a second deflectable support member providing an anchoring force upon the second mesh surface, wherein the amount of anchoring force provided by the second deflectable support member is substantially constant within a second range of deflection of the second deflectable support member.

11. The system of claim 9 wherein the first deflectable support member comprises a first plurality of struts extending between the first proximal collar and the first distal collar.