Multi-actuating trigger anchor delivery system

• US 8,945,152 B2
• Filed: 07/09/2007
• Issued: 02/03/2015
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: McLean, Matt, Cheng, Floria, Merrick, Daniel, Barham, Mitchell C., Johnston, Andrew L., Catanese, Joseph III, Lamson, Theodore C., Makower, Joshua
• Primary Examiner(s): Anderson, Gregory
• Assistant Examiner(s): LAUER, CHRISTINA C
• Application Number:
  US11/775,162
• Publication Number:
  US 20080039893A1
• Time in Patent Office: 2,766 Days
• Field of Search: 606/213, 606139-144
• 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

A single trigger system 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 anchor devices for such purposes.

Claims

1. A method for implanting anchor assemblies using an anchor delivery device including a trigger and configured to deploy a plurality of anchor assemblies each including members that are joined partially or wholly in situ, comprising:

gaining access to an interventional site;

placing the anchor delivery device at the interventional site;

actuating the trigger one or more times to accomplish complete delivery of a first anchor assembly such that the first anchor assembly is placed in its final configuration; and

actuating the trigger one or more additional times to accomplish complete delivery of a second anchor assembly without removing the anchor delivery device from the interventional site subsequent to the complete delivery of the first anchor assembly.

2. The method of claim 1, the anchor delivery device including a reset mechanism, comprising permitting the reset mechanism to prepare the anchor delivery device for delivery of the second anchor assembly subsequent to delivery of the first anchor assembly.

3. The method of claim 2, the reset mechanism including a handle, comprising actuating the handle to reset the reset mechanism.

4. The method of claim 1, comprising assembling the first anchor assembly in situ.

5. The method of claim 4, comprising assembling the second anchor assembly in situ.

6. The method of claim 1, the anchor delivery device including a needle assembly, comprising actuating the trigger to advance the needle assembly.

7. The method of claim 6, the needle assembly retaining a first component of the first anchor assembly, comprising actuating the trigger to eject the first component of the first anchor assembly from the needle assembly.

8. The method of claim 7, comprising withdrawing the needle assembly.

9. The method of claim 8, the anchor delivery device including a pusher assembly and housing a plurality of first and second parts for forming second components of a plurality of first anchor assemblies, comprising actuating the trigger to cause the pusher assembly to advance one first part into engagement with one second part of the second component.

10. The method of claim 9, the plurality of anchor assemblies including a connector, comprising actuating the trigger to sever the connector of the first anchor assembly.

11. The method of claim 10, comprising assembling the second anchor assembly in situ.

12. The method of claim 10, the needle assembly retaining a first component of the second anchor assembly, comprising actuating the trigger to eject the first component of the second anchor assembly from the needle assembly.

13. The method of claim 12, the anchor delivery device housing a plurality of first and second parts for forming second components of a plurality of second anchor assemblies, comprising actuating the trigger to cause the pusher assembly to advance one first part of the second component of the second anchor assembly into engagement with one second part of the second component of the second anchor assembly.

14. The method of claim 13, comprising actuating the trigger to sever a connection of the second anchor assembly.

15. The method of claim 14, comprising assembling the second anchor assembly in situ.