Detachable front delivery assembly for a tissue repair system

• US 9,572,615 B2
• Filed: 07/18/2012
• Issued: 02/21/2017
• Est. Priority Date: 07/18/2012
• Status: Active Grant

• Current Assignee: Jmea Corporation
• Original Assignee: Jmea Corporation
• Inventors: Sack, James A., Yeh, Jack Y.
• Primary Examiner(s): Woo, Julian W
• Assistant Examiner(s): Paez, Lucas
• Application Number:
  US13/552,098
• Publication Number:
  US 20140025107A1
• Time in Patent Office: 1,679 Days
• US Class Current: 1/1
• 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 17/0466 Suture bridges
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/844 with expandable anchors or anchors having movable parts
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/8625 Shanks, i.e. parts contacting bone tissue
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• 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 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/042 : plastically deformed during insertion
• CPC Class Codes: A61B 2017/0424 : the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0427 : having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0438 : slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/044 : with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0646 : for insertion into cartillege, e.g. meniscus
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter

Abstract

A deployment device for a tissue repair system includes a front delivery assembly that is detachable from a base assembly of the deployment device. The front delivery assembly includes at least one prosthesis and at least one driven assembly that actuates the at least one prosthesis. The base assembly includes a driving assembly that may engage the at least one driven assembly of the at least one prosthesis. The front delivery assembly can be rotated so that the position of a prosthesis in the front delivery assembly is moved in and out of alignment with the driving assembly. A kit of parts may be provided that includes a base assembly as well as two or more detachable front delivery assemblies.

Claims

1. A deployment device for tissue repair, comprising:

a first prosthesis;

a second prosthesis; and

a driving assembly comprising at least one of a driving pin and a driving tube, the at least one of the driving pin and the driving tube defining a driving axis, and the driving assembly being configured to provide a driving force approximately along the driving axis;

wherein the first prosthesis and the second prosthesis are positionable within the deployment device at a first configuration and a second configuration;

wherein the first prosthesis is approximately aligned with the driving assembly along the driving axis in the first configuration and wherein the second prosthesis is out of alignment with the driving assembly and the driving axis in the first configuration;

wherein the second prosthesis is approximately aligned with the driving assembly along the driving axis in the second configuration and wherein the first prosthesis is out of alignment with the driving assembly and the driving axis in the second configuration; and

wherein the first prosthesis and the second prosthesis each rotate around a central longitudinal axis that is generally parallel to the driving axis, in moving between the first configuration and the second configuration.

2. The deployment device according to claim 1, further comprising a third prosthesis;

wherein the third prosthesis is approximately aligned with the driving assembly along the driving axis in a third configuration; and

wherein the first prosthesis and the second prosthesis are out of alignment with the driving assembly and the driving axis in the third configuration.

3. The deployment device according to claim 1, wherein the deployment device includes a rotation lever that rotates the first prosthesis and the second prosthesis around the central longitudinal axis within the deployment device.

4. The deployment device according to claim 1, wherein the first prosthesis is associated with a first driven assembly comprising at least one of a first driven pin and a first driven tube,

wherein the second prosthesis is associated with a second driven assembly comprising at least one of a second driven pin and a second driven tube,

wherein, in the first configuration, the at least one of a first driven pin and a first driven tube is approximately aligned along the driving axis with the at least one of a driving pin and a driving tube of the driving assembly, and the at least one of a second driven pin and a second driven tube is out of alignment with the at least one of a driving pin and a driving tube of the driving assembly, and

wherein, in the second configuration, the at least one of a second driven pin and a second driven tube is approximately aligned along the driving axis with the at least one of a driving pin and a driving tube of the driving assembly, and the at least one of a first driven pin and a first driven tube is out of alignment with the at least one of a driving pin and a driving tube of the driving assembly.

5. The deployment device according to claim 4, wherein the first driven assembly comprises the first driven pin and the first driven tube,

wherein the first driven pin is disposed within a hollow longitudinal cavity defined by the first driven tube,

wherein the deployment device includes a retracting member that engages the first driven tube of the first driven assembly and retracts the first driven tube in a direction opposite to the driving force.

6. The deployment device according to claim 1, wherein:

the first prosthesis and the second prosthesis are associated with a front delivery assembly;

the driving assembly is associated with a base assembly; and

the front delivery assembly is detachable from the base assembly.

7. The deployment device according to claim 6, wherein the driving assembly comprises the driving pin and the driving tube, and

wherein the front delivery assembly further includes at least one driven assembly comprising a driven tube and a driven pin that respectively engage the driving tube and the driving pin of the driving assembly.

8. The deployment device according to claim 7, wherein the driven tube and the driving tube comprise shaped end portions that correspond to one another and wherein one end portion is convex and the other end portion is concave.

9. The deployment device according to claim 8, wherein the driven pin and the driving pin comprise shaped end portions that correspond to one another and wherein one end portion is convex and the other end portion is concave.

10. The deployment device according to claim 1, wherein the movement of the driving assembly is restricted when the first prosthesis and the second prosthesis are both out of alignment with the driving assembly.

11. The deployment device according to claim 1, wherein the deployment device includes at least one visual indicator for indicating to a user the depth to which a prosthesis has been implanted into a tissue.

12. A deployment device for tissue repair, comprising:

a first prosthesis;

a second prosthesis; and

a driving assembly comprising at least one of a driving pin and a driving tube, the at least one of the driving pin and the driving tube defining a driving axis, and the driving assembly being configured to provide a driving force approximately along the driving axis,

wherein the first prosthesis and the second prosthesis are positionable within the deployment device at a first configuration and a second configuration,

wherein the first prosthesis is approximately aligned with the driving assembly along the driving axis in the first configuration and wherein the second prosthesis is out of alignment with the driving assembly and the driving axis in the first configuration,

wherein the second prosthesis is approximately aligned with the driving assembly along the driving axis in the second configuration and wherein the first prosthesis is out of alignment with the driving assembly and the driving axis in the second configuration

wherein the first prosthesis is associated with a first driven assembly comprising at least one of a first driven pin and a first driven tube,

wherein the second prosthesis is associated with a second driven assembly comprising at least one of a second driven pin and a second driven tube,

wherein, in the first configuration, the at least one of a first driven pin and a first driven tube is approximately aligned along the driving axis with the at least one of a driving pin and a driving tube of the driving assembly, and the at least one of a second driven pin and a second driven tube is out of alignment with the at least one of a driving pin and a driving tube of the driving assembly,

wherein, in the second configuration, the at least one of a second driven pin and a second driven tube is approximately aligned along the driving axis with the at least one of a driving pin and a driving tube of the driving assembly, and the at least one of a first driven pin and a first driven tube is out of alignment with the at least one of a driving pin and a driving tube of the driving assembly, and

wherein the first driven assembly and the second driven assembly rotate simultaneously around a central longitudinal axis that is generally parallel to the driving axis, in moving between the first configuration and the second configuration.

13. The deployment device according to claim 12, wherein a rotational position of the first driven assembly is locked once the first prosthesis has been at least partially deployed.

14. The deployment device according to claim 12, wherein the driving assembly comprises the driving pin and the driving tube,

wherein the deployment device further includes a locking member having an inner edge disposed around the driving tube of the driving assembly,

wherein the locking member rotates with the first driven assembly and the second driven assembly, and

wherein, when the first driven assembly and the second driven assembly are between the first configuration and the second configuration, the inner edge of the locking member engages an outer surface of the driving tube and prevents movement of the driving tube along the driving axis.

15. The deployment device according to claim 14, wherein the outer surface of the driving tube defines a groove extending substantially lateral to the driving axis, and wherein the inner edge of the locking member slides into the groove between the first configuration and the second configuration.

16. A deployment device for tissue repair, comprising:

a first prosthesis;

a second prosthesis; and

a driving assembly comprising at least one of a driving pin and a driving tube, the at least one of the driving pin and the driving tube defining a driving axis, and the driving assembly being configured to provide a driving force approximately along the driving axis,

wherein the first prosthesis and the second prosthesis are positionable within the deployment device at a first configuration and a second configuration,

wherein the first prosthesis is approximately aligned with the driving assembly along the driving axis in the first configuration and wherein the second prosthesis is out of alignment with the driving assembly and the driving axis in the first configuration,

wherein the second prosthesis is approximately aligned with the driving assembly along the driving axis in the second configuration and wherein the first prosthesis is out of alignment with the driving assembly and the driving axis in the second configuration,

wherein the first prosthesis and the second prosthesis are associated with a front delivery assembly,

wherein the driving assembly is associated with a base assembly,

wherein the front delivery assembly is detachable from the base assembly,

wherein the driving assembly comprises the driving pin and the driving tube,

wherein the front delivery assembly further includes at least one driven assembly comprising a driven tube and a driven pin that respectively engage the driving tube and the driving pin of the driving assembly,

wherein the front delivery assembly includes a cannula and a guide member for retaining and aligning the at least one driven assembly,

wherein the at least one driven assembly and the guide member are disposed inside the cannula, and

wherein the guide member is disposed around an outer surface of the driven tube of the at least one driven assembly.

17. The deployment device according to claim 16, wherein the front delivery assembly further comprises an o-ring disposed between the guide member and the outer surface of the driven tube, and

wherein the o-ring prevents fluid communication between portions of the deployment device disposed forward of the guide member and portions of the deployment device disposed rearward of the guide member.

18. A method of operating a deployment device for tissue repair, comprising:

attaching a front delivery assembly including at least two prostheses to a base assembly to form the deployment device, wherein the deployment device comprises

a first prosthesis,

a second prosthesis, and

a driving assembly comprising at least one of a driving pin and a driving tube, the at least one of the driving pin and the driving tube defining a driving axis, and the driving assembly being configured to provide a driving force approximately along the driving axis,

wherein the first prosthesis and the second prosthesis are positionable within the deployment device at a first configuration and a second configuration,

wherein the first prosthesis is approximately aligned with the driving assembly along the driving axis in the first configuration and wherein the second prosthesis is out of alignment with the driving assembly and the driving axis in the first configuration,

wherein the second prosthesis is approximately aligned with the driving assembly along the driving axis in the second configuration and wherein the first prosthesis is out of alignment with the driving assembly and the driving axis in the second configuration, and

wherein the first prosthesis and the second prosthesis each rotate around a central longitudinal axis that is generally parallel to the driving axis, in moving between the first configuration and the second configuration;

aligning the front delivery assembly with a desired region of tissue;

implanting the first prosthesis using the deployment device in the first configuration;

implanting the second prosthesis using the deployment device in the second configuration; and

detaching the front delivery assembly from the base assembly.

19. The method according to claim 18, wherein attaching the front delivery assembly includes depressing at least one lever on the front delivery assembly.

20. The method according to claim 18, wherein the front delivery assembly includes at least three prostheses.

21. The method according to claim 20, wherein the front delivery assembly includes at least three driven assemblies associated with the at least three prostheses.

22. The method according to claim 18, wherein aligning the front delivery assembly includes using at least one holding member that is disposed on a forward end of the front delivery assembly.

23. The method according to claim 22, further comprising holding a tissue in place using the holding member.

24. The method according to claim 18, wherein detaching the front delivery assembly is followed by attaching another front delivery assembly to the base assembly.

25. A deployment device for tissue repair, comprising:

a first prosthesis;

a second prosthesis; and

a driving assembly comprising at least one of a driving pin and a driving tube, the at least one of the driving pin and the driving tube defining a driving axis, and the driving assembly being configured to provide a driving force approximately along the driving axis,

wherein the first prosthesis and the second prosthesis are positionable within the deployment device at a first configuration and a second configuration,

wherein the first prosthesis is approximately aligned with the driving assembly along the driving axis in the first configuration and wherein the second prosthesis is out of alignment with the driving assembly and the driving axis in the first configuration,

wherein the second prosthesis is approximately aligned with the driving assembly along the driving axis in the second configuration and wherein the first prosthesis is out of alignment with the driving assembly and the driving axis in the second configuration,

wherein the first prosthesis is associated with a first driven assembly comprising at least one of a first driven pin and a first driven tube,

wherein the second prosthesis is associated with a second driven assembly comprising at least one of a second driven pin and a second driven tube,

wherein, in the first configuration, the at least one of a first driven pin and a first driven tube is approximately aligned along the driving axis with the at least one of a driving pin and a driving tube of the driving assembly, and the at least one of a second driven pin and a second driven tube is out of alignment with the at least one of a driving pin and a driving tube of the driving assembly,

wherein, in the second configuration, the at least one of a second driven pin and a second driven tube is approximately aligned along the driving axis with the at least one of a driving pin and a driving tube of the driving assembly, and the at least one of a first driven pin and a first driven tube is out of alignment with the at least one of a driving pin and a driving tube of the driving assembly,

wherein the driving assembly comprises the driving pin and the driving tube,

wherein the first driven assembly comprises the first driven pin and the first driven tube,

wherein the second driven assembly comprises the second driven pin and the second driven tube,

wherein the driving pin is disposed in a hollow longitudinal cavity of the driving tube and moves axially within the hollow longitudinal cavity of the driving tube relative to the driving tube,

wherein the first driven pin is disposed in a hollow longitudinal cavity of the first driven tube and moves axially within the hollow longitudinal cavity of the first driven tube relative to the first driven tube, and

wherein the second driven pin is disposed in a hollow longitudinal cavity of the second driven tube and moves axially within the hollow longitudinal cavity of the second driven tube relative to the second driven tube.

26. The deployment device according to claim 25, wherein, in the first configuration, the driving pin and the driving tube are axially aligned with and separate from the first driven pin and the first driven tube.

27. A deployment device for tissue repair, comprising:

a driving assembly comprising a driving pin and a driving tube,

wherein the driving pin is disposed inside the driving tube and moves relative to the driving tube along a driving axis;

a first driven assembly comprising a first driven pin and a first driven tube,

wherein the first driven pin is disposed inside the first driven tube and moves relative to the first driven tube;

a first prosthesis disposed on the first driven assembly at a forward end portion of the first driven assembly;

a second driven assembly comprising a second driven pin and a second driven tube,

wherein the second driven pin is disposed inside the second driven tube and moves relative to the second driven tube; and

a second prosthesis disposed on the second driven assembly at a forward end portion of the second driven assembly,

wherein the first driven assembly and the second driven assembly rotate around a central longitudinal axis that is generally parallel to the driving axis,

wherein in a first configuration, the first driven pin and the first driven tube are approximately aligned along the driving axis with the first driving pin and the first driving tube, respectively, and the second driven pin and the second driven tube are out of alignment with the first driving pin and the first driving tube, and

wherein in the second configuration, the second driven pin and the second driven tube are approximately aligned along the driving axis with the first driving pin and the first driving tube, respectively, and the first driven pin and the first driven tube are out of alignment with the first driving pin and the first driving tube.

28. The deployment device according to claim 27, wherein the first prosthesis defines a longitudinal cavity and a rearward portion,

wherein the first driven pin extends forward of the rearward portion of the first prosthesis and inside the longitudinal cavity of the first prosthesis, and the first driven tube contacts the rearward portion of the first prosthesis, and

wherein in the first configuration, the driving tube and the first driven tube move in a forward direction along the driving axis a distance greater than the driving pin and the first driven pin move in the forward direction along the driving axis, to implant the first prosthesis.