Coupling system, applicator tool, attachment ring and method for connecting a conduit to biological tissue

• US 9,125,648 B2
• Filed: 02/27/2012
• Issued: 09/08/2015
• Est. Priority Date: 02/25/2011
• Status: Active Grant

• Current Assignee: Thoratec LLC
• Original Assignee: Thoratec LLC
• Inventors: Hoarau, Carine, Reichenbach, Steven H., Hill, J. Donald, Hsu, George, Miller, Andrew R., Badia, James, Boiadjieva, Nina, Chang, Shuo-Hsiu, Haarstad, Philip, Stanescu, Olga M., Sundquist, Stephen Kenneth
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US13/406,511
• Publication Number:
  US 20120221021A1
• Time in Patent Office: 1,289 Days
• Field of Search: 606151-158, 606/213, 606215-221
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0441 the shaft being a rigid coil or spiral
• CPC Class Codes: A61B 2017/0443 the shaft being resilient and having a coiled or helical shape in the released state
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61M 60/148 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
• CPC Class Codes: A61M 60/892 Active valves, i.e. actuated by an external force
• CPC Class Codes: A61M 60/894 Passive valves, i.e. valves actuated by the blood
• CPC Class Codes: A61M 60/896 having flexible or resilient parts, e.g. flap valves

Abstract

A coupling system includes an applicator tool and an attachment ring mounted on the applicator tool. Clips are contained within the applicator tool and are deployed through the attachment ring in order to anchor the attachment ring to biological tissue. When deployed, tips of the clips follow a curved trajectory through an annular cuff of the attachment ring and through the underlying tissue. The tips loop back out of the tissue and to a location where they are later trapped or clamped by the attachment ring. While the tips are trapped or clamped, the applicator tool cinches the clips by pulling rear segments of the clips. Thereafter, the applicator tool disconnects from the attachment ring which remains anchored to the tissue and serves as a coupling for a cannula. The cannula can have movable lock members that secure it to the attachment ring.

Claims

1. A clip for securing a prosthesis to tissue, the clip comprising:

a wire body having a forward segment, a rear segment, and a medial segment connecting the forward segment to the rear segment, the forward segment having a tip configured to pierce biological tissue, the medial segment configured to be elastically deformed to a straight configuration and to autonomously return to a curved configuration from the straight configuration;

a catch protruding from the rear segment when the rear segment is in a straight configuration, wherein the catch protrudes away from a central axis of the rear segment and the catch is narrower in width than another part of the rear segment; and

a plurality of bumps formed on the wire body, wherein each bump protrudes radially outward from a central axis of the wire body.

2. The clip of claim 1, wherein the forward segment includes a barbed head.

3. The clip of claim 2, wherein the barbed head includes the tip of the forward segment.

4. The clip of claim 3, wherein the barbed head includes a base that is wider or thicker than a portion of the forward segment to which the base is attached.

5. The clip of claim 1, wherein any of the forward segment, the medial segment, and the rear segment is or are formed of a nickel-titanium alloy.

6. The clip of claim 1, wherein the clip is formed of metal and includes a coil portion and an s-curve portion.

7. The clip of claim 1, wherein the catch is part of the wire body, and the catch is narrower in width than a part of the rear segment to which the catch is attached.

8. The clip of claim 1, wherein the catch includes two opposing flat surfaces, and the rear segment has a circular cross-section.

9. The clip of claim 1, wherein the catch is disposed at a rear end of the wire body, and the catch is blunt in comparison to the tip of the forward segment.

10. The clip of claim 1, wherein each of the bumps encircles the wire body and has a diameter that is greater than that of a part of the wire body adjacent to the bump.

11. The clip of claim 1, wherein the medial segment includes a coil portion and an s-curve portion, the coil portion continues from the forward segment, and the s-curve portion continues from the coil portion, and the rear segment continues from the s-curve portion.

12. The clip of claim 1, wherein when the clip is in an unconstrained state, the rear segment is straight and the entire medial segment is in the curved configuration.

13. The clip of claim 12, wherein the forward segment is straight when the clip is in the unconstrained state.

14. A clip for securing a prosthesis to tissue, the clip comprising:

a wire body having a forward segment, a rear segment, and a medial segment connecting the forward segment to the rear segment, the forward segment having a tip configured to pierce biological tissue, the medial segment configured to be elastically deformed to a straight configuration and to autonomously return to a curved configuration from the straight configuration; and

a catch protruding from the rear segment when the rear segment is in a straight configuration, wherein the catch protrudes away from a central axis of the rear segment and the catch is narrower in width than another part of the rear segment,

wherein the medial segment includes a coil portion and an s-curve portion, the coil portion continues from the forward segment, and the s-curve portion continues from the coil portion, and the rear segment continues from the s-curve portion, and

wherein the coil portion has a radius of curvature and forms a complete loop as viewed along an axis substantially perpendicular to the radius of curvature.

15. The clip of claim 14, wherein the s-curve portion includes a concave downward part and a concave upward part continuing from the concave downward part, the concave downward continues from the rear segment, and the coil portion continues from the concave upward part.

16. The clip of claim 15, wherein the forward segment includes a barbed head having a base and the tip of the forward segment, the base flares radially outward from a central axis of the wire body.

17. The clip of claim 16, wherein the catch is narrower in width than a part of the rear segment to which the catch is attached.

18. The clip of claim 17, wherein the catch is disposed at a rear end of the wire body, and the catch is blunt in comparison to the tip.

19. The clip of claim 18, wherein the forward segment, the medial segment, and the rear segment are formed of a nickel-titanium alloy.