Surgical fastener implantation device

• US 5,085,661 A
• Filed: 10/29/1990
• Issued: 02/04/1992
• Est. Priority Date: 10/29/1990
• Status: Expired due to Term

• Current Assignee: Moss Tubes Incorporated
• Original Assignee: Gerald Moss
• Inventors: Moss, Gerald
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/605,270
• Time in Patent Office: 463 Days
• Field of Search: 606/213, 606/216, 606/219, 606/139, 606/148, 606/144, 24/150
• US Class Current: 606/139
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• 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 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

Abstract

A fastener implanting device used to implant a head portion of a "T" or "H"-shaped fastener within a body. The device has a needle portion and a grip portion. The needle portion has a fastener receiving cavity selectively covered by a movable sleeve. The sleeve'"'"'s translational movement is controlled by a mechanism located in the device'"'"'s grip portion.

Claims

1. In combination a fastener insertion device and shaped a fastener for insertion into a body, said fastener being of the type having an elongated head portion and a filament portion wherein said filament portion is attached to a center portion of said head portion, wherein said insertion device comprises:

a needle means having a front pointed end and a longitudinal axis;

a sleeve means movably located on said needle means;

a sleeve translating means attached to said sleeve means and capable of moving said sleeve means on said needle means between a first position and a second position; and

a fastener receiving means located on said needle means adjacent the pointed end of said needle whereby when said sleeve means is in said first position, said sleeve means is capable of maintaining a head portion of a fastener within said fastener receiving means and when said sleeve means is in said second position, a head portion of a fastener can be inserted into or ejected from the fastener receiving means.

2. The device of claim 1 further comprising a slot in said sleeve means wherein said slot is located so that when said sleeve means is in said first position with the head of a fastener located in the fastener receiving means;

the filament portion of the fastener will pass through the slot in the sleeve means.

3. The device of claim 2 wherein the slot has a "V"-shaped entrance.

4. The device of claim 2 wherein the fastener receiving means in the needle means comprises a rectangular cavity in the needle.

5. The device of claim 4 wherein the rectangular cavity has a longitudinal axis and said cavity longitudinal axis is substantially parallel to the longitudinal axis of the needle means.

6. The device of claim 1 wherein the sleeve translating means is manually operable and comprises a trigger and a releasable trigger lock wherein moving the trigger from a first position to a second position causes said sleeve means to move from the sleeve means'"'"' first position to the sleeve means'"'"' second position and wherein said trigger lock locks said trigger in a position wherein said sleeve means is maintained in the sleeve means'"'"' first position.

7. The device of claim 1 further comprising a housing attached to a rear end of the needle and wherein at least a portion of the sleeve translating means is located within the housing.

8. The device of claim 7 wherein the housing has an ergonomically shaped grip portion.

9. The device of claim 1 further comprising a biasing means operatively connected to said sleeve means for biasing said sleeve means towards said second sleeve position.

10. A method for anchoring a hollow organ within a body comprising:

placing a head portion of a fastener within a cavity located in a needle portion of an insertion device;

placing a sleeve portion of the insertion device at least partially over said needle cavity and thereby also securing the fastener head portion within said cavity;

inserting a portion of the needle within a hollow organ of a body to a point where the needle cavity is within said hollow organ;

changing the position of said sleeve portion so that said sleeve portion no longer secures the fastener head portion within said cavity;

removing the needle from the body; and

pulling on a filament attached to said fastener head portion to thereby anchor said organ.

11. The method of claim 10 wherein the fastener filament is resilient and once the sleeve portion no longer secures the fastener head within the cavity, the resilient filament causes the fastener head to spring out of the cavity.

12. The method of claim 10 further comprising pulling on the filament attached to said fastener head immediately after said changing of the sleeve position to a position where it no longer secures said fastener head within said cavity.

13. A method for placing a portion of a fastener within a body comprising:

placing a head portion of a fastener within a cavity located within a needle that is a part of an insertion device;

placing a sleeve portion of the insertion device at least partially over said needle cavity and thereby securing the head portion of the fastener within said cavity;

inserting the needle through a quantity of body tissue;

moving said sleeve portion to a position where it no longer secures the head portion of the fastener within said cavity; and

removing said needle from the body tissue.

14. The method of claim 13 wherein moving said sleeve portion over said needle cavity comprises moving an actuator that is attached to said sleeve in a direction away from a pointed end of said needle.