Surgical fastener

• US 9,603,597 B2
• Filed: 07/12/2016
• Issued: 03/28/2017
• Est. Priority Date: 11/08/2013
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: Davol Incorporated (Becton, Dickinson & Co)
• Inventors: Gupta, Saurav V., Ranucci, Kevin J.
• Primary Examiner(s): Rosen, Eric
• Assistant Examiner(s): Ulsh, George J
• Application Number:
  US15/207,949
• Publication Number:
  US 20160317151A1
• Time in Patent Office: 259 Days
• Field of Search: 606/139, 606/151, 606/115, 606/221, 606/219
• US Class Current: 1/1
• 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 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• 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

Abstract

Various embodiments of a non-deforming surgical fastener are discussed. In one embodiment, the fastener includes two legs and a backspan extending between the two legs. The fastener also includes a backspan thickness that is adapted to reduce the pressure and/or increase the holding strength applied to underlying materials. The non-deforming fastener is constructed and arranged to retain substantially the same shape before, during and after deployment into the target implantation site.

Claims

1. A method comprising:

deploying a non-deforming fastener into a tissue via a fastener deployment device, the non-deforming fastener having a first leg, a second leg, and a backspan extending from the first leg to the second leg, the first and second legs extending transverse to the backspan, the backspan including a central pad with a thickness greater than a thickness of the backspan extending between the central pad and either the first leg or second leg, wherein the backspan and central pad are monolithically formed, and wherein the central pad protrudes downward past a bottom surface of the backspan;

wherein, after deploying the non-deforming fastener, the first and second legs remain transverse to the backspan.

2. The method of claim 1, wherein deploying the non-deforming fastener includes deploying the non-deforming fastener having an area of the central pad less than or equal to about 10 mm² and greater than or equal to about 0.1 mm².

3. The method of claim 1, further comprising anchoring the non-deforming fastener into the tissue via at least one anchoring feature of the non-deforming fastener.

4. The method of claim 3, wherein anchoring the non-deforming fastener includes anchoring the non-deforming fastener via a barb that points in a direction that is perpendicular to the direction of a longest dimension of the backspan.

5. The method of claim 1, wherein deploying the non-deforming fastener includes deploying the non-deforming fastener having at least one through-hole on the backspan.

6. The method of claim 5, further comprising guiding and stabilizing the fastener with a guide rod that passes through the at least one through-hole formed in the central pad of the backspan.

7. The method of claim 1, further comprising positioning at least a portion of a leg of a second fastener in a recess in a top surface of the backspan.

8. The method of claim 1, wherein a width of the backspan is between 4 mm and 4.9 mm, inclusive.

9. A method comprising:

applying a deployment force to a surgical fastener to deploy the surgical fastener, the surgical fastener having a first leg, a second leg, and a backspan extending from the first leg to the second leg, the backspan including a central pad with a thickness greater than a thickness of a portion of the backspan attached to the central pad; and

wherein the backspan and central pad are monolithically formed, and wherein the central pad protrudes downward past a bottom surface of the backspan; and

applying a pressure to underlying tissue during deployment via an area of the backspan and central pad when the deployment force is applied to the fastener, wherein the pressure is greater than or equal to 27.5 kPa and less than or equal to 275 kPa.

10. The method of claim 9, further comprising anchoring the fastener into the tissue via at least one anchoring feature of the surgical fastener.

11. The method of claim 9, wherein the area of the central pad is less than or equal to 10 mm² and greater than or equal to 0.1 mm².

12. The method of claim 9, wherein the first and second legs remain transverse to the backspan after the surgical fastener is deployed.

13. The method of claim 9, further comprising guiding and stabilizing the fastener with a guide rod that passes through at least one through-hole formed in the central pad of the fastener.

14. The method of claim 9, further comprising positioning at least a portion of a leg of a second fastener in a recess in a top surface of the backspan.

15. A method comprising:

applying a deployment force to a surgical fastener to deploy the surgical fastener, the fastener including a first leg, a second leg, and a backspan extending from the first leg to the second leg, the backspan having an area less than or equal to 10 mm² and greater than or equal to 0.25 mm², the backspan including a central pad with a thickness greater than a thickness of a portion of the backspan attached to the central pad; and

wherein the backspan and central pad are monolithically formed, and wherein the central pad protrudes downward past a bottom surface of the backspan; and

applying a pressure to underlying tissue during deployment via an area of the backspan and central pad when the deployment force is applied to the fastener, wherein the deployment force is greater than or equal to 4.4N and less than or equal to 44N.

16. The method of claim 15, wherein the first and second legs remain transverse to the backspan after the surgical fastener is deployed.

17. The method of claim 15, further comprising anchoring the fastener into the tissue via at least one anchoring feature of the fastener.

18. The method of claim 17, wherein anchoring the fastener includes anchoring the fastener via the at least one anchoring feature, which is a barb that points in a direction that is perpendicular to the direction of a longest dimension of the backspan.

19. The method of claim 15, wherein a width of the backspan is between 4 mm to 4.9 mm, inclusive.

20. The method of claim 15, further comprising guiding and stabilizing the fastener with a guide rod that passes through at least one through-hole formed in the central pad of the fastener.

21. The method of claim 15, wherein the pressure is greater than or equal to 27.5 kPa and less than or equal to 275 kPa.