Apparatus and method for manipulating or retracting tissue and anatomical structure

• US 8,715,298 B2
• Filed: 02/08/2013
• Issued: 05/06/2014
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Catanese, Joseph III, Lamson, Theodore C., Makower, Joshua, Nagpurkar, Amik, Merrick, Daniel, Welch, Jacqueline Nerney, Vecchiotti, Richard G., West, Scott H., Vidal, Claude, Redmond, Russell J., Collinson, Michael
• Primary Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US13/762,657
• Publication Number:
  US 20130204079A1
• Time in Patent Office: 452 Days
• Field of Search: 606/139, 606151-153, 606/213, 606215-216, 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 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 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 method for treating a prostate with an implant delivery device and an implant, the implant having a delivery configuration and a retaining configuration, comprising:

placing a distal portion of the device adjacent an interventional site;

penetrating prostatic tissue with the implant while the implant is in the delivery configuration; and

deploying the implant to the retaining configuration at least partially within prostatic capsular tissue.

2. The method of claim 1 wherein a portion of the implant invaginates in urethral tissue.

3. The method of claim 1 wherein the device further comprises a penetrating member carrying the implant and prostatic tissue is penetrated via the penetrating member.

4. The method of claim 1 wherein the device further comprises a positioning member and the implant is deployed via moving the positioning member with respect to the implant.

5. The method of claim 1 further comprising displacing prostatic tissue.

6. The method of claim 5 wherein prostatic tissue is displaced via manipulation of the device.

7. The method of claim 1 further comprising penetrating prostatic capsular tissue with the implant while the implant is in the delivery configuration.

8. The method of claim 1 further comprising penetrating anatomy adjacent the prostate with the implant while the implant is in the delivery configuration.

9. A method for retaining prostatic tissue with an implant delivery system, comprising:

accessing an interventional site with the delivery system; and

deploying a retaining member having a first configuration and a second configuration, wherein a portion of the retaining member having the second configuration is deployed to an outer surface of prostatic capsular tissue.

10. The method of claim 9 wherein the delivery system comprises an elongate member and the retaining member is deployed via the elongate member.

11. The method of claim 10 wherein the elongate member carries the retaining member through prostatic tissue during deployment.

12. The method of claim 10 wherein the retaining member is deployed by moving the elongate member with respect to the retaining member.

13. The method of claim 12 wherein the elongate member is moved away from the retaining member.

14. The method of claim 12 wherein the configuration of the retaining member changes via the movement of the elongate member with respect to the retaining member.

15. A method for treating benign prostatic hyperplasia, comprising delivering an implant wherein at least a portion of the implant is retained in anatomy adjacent a prostate by deploying the implant through prostatic capsular tissue.

16. The method of claim 15 wherein the implant is deployed from a delivery configuration into a retaining configuration.

17. The method of claim 16 wherein the implant is deployed via a delivery member.

18. The method of claim 15 wherein at least a portion of the implant invaginates in urethral tissue.

19. The method of claim 15 further comprising delivering the implant via a penetrating member that penetrates prostatic tissue.

20. The method of claim 19 wherein the implant is deployed via the penetrating member.