Apparatus and method for manipulating or retracting tissue and anatomical structure

• US 8,936,609 B2
• Filed: 03/15/2013
• Issued: 01/20/2015
• 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:
  US13/843,842
• Publication Number:
  US 20130261383A1
• Time in Patent Office: 676 Days
• Field of Search: 606/139, 606/99, 606/151, 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 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 system for treatment of tissue at an interventional site, comprising:

a deployment device comprising an elongate member having a longitudinal axis; and

at least one retaining assembly including a first anchoring member, a second anchoring member, and a connector;

wherein the deployment device is configured to deliver the first anchoring member to tissue in a direction transverse to the longitudinal axis of the elongate member and wherein the deployment device is configured to fixedly join the first anchoring member to the second anchoring member via a pusher assembly configured to crimp the connector within the second anchoring member, thereby preventing axial movement of the connector with respect to the second anchoring member.

2. The system of claim 1 wherein the deployment device further comprises a needle.

3. The system of claim 2 wherein the first anchoring member is carried by the needle.

4. The system of claim 3 wherein the first anchoring member is carried within the needle.

5. The system of claim 2 wherein the needle travels in a direction transverse to the longitudinal axis of the elongate member to deliver the first anchoring member to tissue.

6. The system of claim 2 wherein the connector is carried by the needle.

7. The system of claim 1 wherein the deployment device is configured to deliver the first anchoring member to tissue with the connector fixedly joined to the first anchoring member.

8. The system of claim 1 wherein the deployment device is configured to fixedly join the second anchoring member to the connector such that a length of connector joining the first anchoring member to the second anchoring member is variable.

9. The system of claim 8 wherein the length is selectable by a user of the system.

10. The system of claim 1 wherein the deployment device further comprises a cutter assembly.

11. The system of 10 wherein the cutting assembly is configured to cut the connector.

12. A system for retaining tissue adjacent to a body lumen, comprising:

a retainer comprising a first endpiece, a second endpiece, and a connector, the retainer characterized by a delivery configuration and a retaining configuration wherein the retaining configuration comprises the connector being crimped within the second endpiece and thereby being prevented from moving axially with respect to the second endpiece; and

a delivery device configured to position and assemble the retainer into the retaining configuration, wherein the delivery device is configured to penetrate tissue in a direction transverse to the longitudinal axis of the body lumen, and the delivery device comprises a sizing mechanism configured to assemble the retainer to a custom size, wherein the sizing mechanism comprises a pusher mechanism configured to assemble the retainer.

13. A system for treating prostate tissue adjacent a urethral lumen, comprising:

a delivery device comprising a needle, wherein the delivery device is configured to be positioned at an interventional site within the urethral lumen and wherein the needle is configured to penetrate prostate tissue in a direction transverse to the urethral lumen; and

a retainer comprising a first endpiece, a second endpiece, and a connector, wherein the retainer is configured to be carried into prostate tissue by the needle; and

an assembly mechanism configured to assemble the retainer by crimping at least one endpiece to the connector thereby preventing axial movement of the connector with respect to the one endpiece.

14. The system of claim 13 wherein the assembly mechanism is configured to fixedly attach the second endpiece to the connector.