Method and apparatus for tissue connection

• US 7,101,395 B2
• Filed: 06/12/2003
• Issued: 09/05/2006
• Est. Priority Date: 06/12/2002
• Status: Expired due to Term

• Current Assignee: Mitral Interventions Incorporated
• Original Assignee: Mitral Interventions Incorporated
• Inventors: Tremulis, William S., Razavi, Mahmood K.
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US10/461,861
• Publication Number:
  US 20040049211A1
• Time in Patent Office: 1,181 Days
• Field of Search: 623 211- 236, 606/142, 606/153
• US Class Current: 623/2.11
• 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 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/00783 Valvuloplasty
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• 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 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0441 the shaft being a rigid coil or spiral
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61F 2/2445 Annuloplasty rings in direct contact with the valve annulus
• CPC Class Codes: A61F 2/2457 Chordae tendineae prostheses
• CPC Class Codes: A61F 2/2463 Implants forming part of the valve leaflets
• CPC Class Codes: A61F 2/2487 Devices within the heart chamber, e.g. splints
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Abstract

A tissue connecting device is provided. The device comprise an elongate delivery device having a lumen, a proximal end, and a distal end. The distal end is configured to engage tissue and advance said device into tissue. At least one anchor deliverable through a lumen of the elongate delivery device. The distal end of the device may be designed to engage tissue upon rotation of the device about its longitudinal axis.

Claims

1. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device;

an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide catheter;

said elongate member is slidably delivered along at least one suture coupled to said anchor; and

wherein said delivery device is capable of piercing tissue through rotation of the delivery device about a longitudinal axis.

2. The device of claim 1 wherein said at least one anchor has a suture coupled to a distal end of the anchor.

3. The device of claim 1 further comprising a plurality of anchors wherein each anchor is coupled together by a suture.

4. The device of claim 1 wherein said anchor has a shape selected from one of the following:

screw, a helix, a helix with variable radii, a bar, a hollow elongate portion or coiled shape.

5. The device of claim 1 wherein said anchor includes means for attaching into tissue.

6. The device of claim 1 wherein said anchor comprises means for anchoring tissue deliverable through said delivery device.

9. The device of claim 1 wherein said at least one anchor has threads and are adapted to engage tissue.

7. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device;

an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide catheter;

said elongate member is slidably delivered along at least one suture coupled to said anchor; and

wherein a helical configuration is laser cut at the distal end of the delivery device.

8. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device;

an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide catheter;

said elongate member is slidably delivered along at least one suture coupled to said anchor; and

wherein threads are formed on the distal end of the delivery device and adapted to engage tissue.

10. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device;

an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide said elongate member is slidably delivered along at least one suture coupled to said anchor; and

wherein said at least one anchor has a helical configuration.

11. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device;

an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide catheter;

said elongate member is slidably delivered along at least one suture coupled to said anchor; and

wherein said anchor includes an eyelet for an anchor.

12. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device wherein said at least one anchor has a suture coupled to a distal end of the anchor.

13. The device of claim 12 wherein said delivery device pierces tissue through rotation of the delivery device about a longitudinal axis.

14. The device of claim 12 further comprising an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide catheter.

15. The device of claim 14 wherein said elongate member is slidable delivered along at least one suture coupled to said anchor.

16. The device of claim 12 wherein a helical configuration is laser cut at the distal end of the delivery device.

17. The device of claim 12 wherein threads are formed on the distal end of the delivery device and adapted to engage tissue.

18. The device of claim 12 wherein said at least one anchor has threads and are adapted to engage tissue.

19. The device of claim 12 wherein said at least one anchor has a helical configuration.

20. The device of claim 12 further comprising a plurality of anchors wherein each anchor is coupled together by a suture.

21. The device of claim 12 wherein said anchor has a shape selected from one of the following:

screw, a helix, a helix with variable radii, a bar, a hollow elongate portion or coiled shape.

22. The device of claim 12 wherein said anchor includes an eyelet for an anchor.

23. The device of claim 12 wherein said anchor includes means for attaching into tissue.

24. The device of claim 12 wherein said anchor comprises means for anchoring tissue deliverable through said delivery device.

25. A tissue connecting device, the device comprising:

an elongate delivery device having a lumen, a proximal end, and a distal end;

wherein said distal end is configured to engage tissue and advance said device into tissue;

at least one anchor deliverable through a lumen of said elongate delivery device.

a plurality of anchors wherein each anchor is coupled together by a suture.

26. The device of claim 25 wherein said delivery device pierces tissue through rotation of the delivery device about a longitudinal axis.

27. The device of claim 25 further comprising an elongate member deliverable to the target site via a guide catheter, said elongate member assuming a first substantially linear configuration while engaged with said guide catheter and a second substantially circular configuration defining a first support ring and a second support ring when removed from the guide catheter.

28. The device of claim 27 wherein said elongate member is slidably delivered along at least one suture coupled to said anchor.

29. The device of claim 25 wherein a helical configuration is laser cut at the distal end of the delivery device.

30. The device of claim 25 wherein threads are formed on the distal end of the delivery device and adapted to engage tissue.

31. The device of claim 25 wherein said at least one anchor has threads and are adapted to engage tissue.

32. The device of claim 25 wherein said at least one anchor has a helical configuration.

33. The device of claim 25 wherein said at least one anchor has a suture coupled to a distal end of the anchor.

34. The device of claim 25 wherein said anchor has a shape selected from one of the following:

screw, a helix, a helix with variable radii, a bar, a hollow elongate portion or coiled shape.

35. The device of claim 25 wherein said anchor includes an eyelet for an anchor.

36. The device of claim 25 wherein said anchor includes means for attaching into tissue.

37. The device of claim 25 wherein said anchor comprises means for anchoring tissue deliverable trough said delivery device.