MULTI-ACTUATING TRIGGER ANCHOR DELIVERY SYSTEM

• US 20080033458A1
• Filed: 07/09/2007
• Published: 02/07/2008
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences III LLC
• Original Assignee: NeoTract, Inc. (Teleflex Incorporated)
• Inventors: Cheng, Floria, McLean, Matt, Merrick, Daniel, Makower, Joshua, Johnston, Andrew, Barham, Mitchell, Lamson, Theodore, Catanese, Joseph
• Granted Patent: US 7,909,836 B2
• Time in Patent Office: Days
• US Class Current: 606/144
• 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
• CPC Class Codes: A61P 21/00 : Drugs for disorders of the muscular or neuromuscular system

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 treating a prostate involving an anchor delivery device including a trigger and an extendable element and at least one anchor assembly including a first anchor component, a connector and a second anchor component, comprising;

placing the extendable element at a first site;

actuating the trigger to advance the first anchor component through the extendable element;

retracting the extendable element from the first site;

employing the anchor delivery device to apply a pre-determined tension on the connector;

actuating the trigger to assemble the second anchor component to the connector; and

releasing the second anchor component at a second site.

2. :

The method of claim 1, wherein the anchor delivery device can be configured to apply a desired tensile force on the connector.

3. :

The method of claim 1, further comprising;

extending the extendable element from an original position; and

retracting the extendable element to the original position.

4. :

The method of claim 1, wherein the pre-determined tension is between approximately one-half and approximately 5 pounds of force on the connector.

5. :

The method of claim 1, wherein the pre-determined tension is approximately 1 pound of force on the connector.

6. :

The method of claim 1, wherein the anchor delivery device includes a scope, further comprising employing the scope to remotely view prostate treatment.

7. :

The method of claim 1, further comprising assembling the anchor assembly to a desired length.

8. :

The method of claim 1, further comprising assembling a plurality of anchor assemblies.

9. :

The method of claim 1, wherein each of the anchor assemblies can have a unique length.

10. :

The method of claim 1, further comprising severing the connector to a selected length.

11. :

The method of claim 1, wherein the extendable element is a needle assembly operatively associated with the trigger.

12. :

The method of claim 11, wherein the needle assembly can be advanced to variable, selectable depths within a patient.

13. :

The method of claim 11, wherein placing the extendable element at a desired first site involves varying a depth to which the needle assembly is placed within a patient.

14. :

The method of claim 13, further comprising delivering botulinum toxin to the prostate.

15. :

The method of claim 13, further comprising delivering 100 to 200 units of botulinum toxin dissolved in 4 mL of saline to the prostate.

16. :

The method of claim 15, wherein preferably 2 mL are injected in each lobe of the prostate.

17. :

The method of claim 13, further comprising delivering botulinum toxin to a bladder.

18. :

The method of claim 13, further comprising delivering 100 to 300 units of botulinum toxin dissolved in 10 to 30 mL of saline into a base of a bladder, the bladder lateral walls and/or trigone.

19. :

The method of claim 1, wherein one or a series of first anchor components are initially attached to the connector, an initial engagement between the first anchor and connector being generally coaxial.

20. :

The method of claim 19, wherein the second anchor component initially engages the connector at a generally perpendicular angle to the connector.

21. :

A system for implanting an anchor assembly, comprising;

at least one anchor assembly, the anchor assembly including a first anchor member, a second anchor member, and a connector joining the first and second anchor members; and

an anchor delivery device, the anchor delivery device including a trigger and a tension mechanism that applies a desired tension to the connector;

wherein actuation of the trigger accomplishes gaining access to a first site, deployment of the first anchor member independently of the second anchor member, and assembly of the second anchor member.

22. :

The system of claim 21, wherein the tension mechanism is configured to supply approximately a one pound force on the connector.

23. :

The system of claim 21, wherein the tension mechanism is configured to supply between approximately one half pound and approximately five pounds of force on the connector.

24. :

The system of claim 21, wherein the tension mechanism is configured to apply a selectable tension between approximately a half pound to approximately five pounds of force between the first and second anchor members.

25. :

The system of claim 21, wherein the tension mechanism is configured to create about a one pound force between the first and second anchor members.

26. :

The system of claim 21, wherein the tension mechanism applies the desired tension before assembly of second anchor.

27. :

The system of claim 21, wherein the tension mechanism applies the desired tension while assembling the second anchor.