Methods and apparatus for fixing sheet-like materials to a target tissue
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/08
A61B-017/064
A61B-017/068
A61F-002/00
A61F-002/08
A61B-017/04
A61B-017/00
출원번호
US-0581293
(2014-12-23)
등록번호
US-9259220
(2016-02-16)
발명자
/ 주소
Euteneuer, Charles L.
McCarville, Rebecca
Frion, Duane
Zenz-Olson, Nathaniel
Feehan, Diane M.
출원인 / 주소
Rotation Medical, Inc.
대리인 / 주소
Seager, Tufte & Wickhem, LLP
인용정보
피인용 횟수 :
0인용 특허 :
270
초록▼
A staple for attaching a sheet-like implant to tissue or bone may include first and second arms, and first and second flukes. In some embodiments, the first arm has a proximal end and a distal end, and the second arm has a proximal end and a distal end. A bridge extends from the proximal end of the
A staple for attaching a sheet-like implant to tissue or bone may include first and second arms, and first and second flukes. In some embodiments, the first arm has a proximal end and a distal end, and the second arm has a proximal end and a distal end. A bridge extends from the proximal end of the first arm to the proximal end of the second arm. The first fluke has a proximal end abutting the distal end of the first arm, and the first fluke extends distally from the first arm. The first fluke has a lateral extent larger than a lateral extent of the first arm and is mounted eccentrically thereto. The first fluke includes a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein. The second fluke has similar features. This arrangement causes the first and second flukes to rotate in response to a pullout force on the bridge. Methods for attaching a sheet-like implant to a target tissue are also disclosed.
대표청구항▼
1. A staple for attaching a sheet-like implant to tissue or bone comprising: a first arm having a proximal end and a distal end;a second arm having a proximal end and a distal end;a bridge extending from the proximal end of the first arm to the proximal end of the second arm;a first fluke extending
1. A staple for attaching a sheet-like implant to tissue or bone comprising: a first arm having a proximal end and a distal end;a second arm having a proximal end and a distal end;a bridge extending from the proximal end of the first arm to the proximal end of the second arm;a first fluke extending distally from the distal end of the first arm to a first pointed tip, the first fluke arranged eccentrically to the distal end of the first arm with a first barb extending laterally outward beyond the first arm, the first barb including a proximal surface facing the first arm and projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein, thereby causing the first fluke to rotate in response to a pullout force on the bridge; anda second fluke extending distally from the distal end of the second arm to a second pointed tip, the second fluke arranged eccentrically to the distal end of the second arm with a second barb extending laterally outward beyond the second arm, the second barb including a proximal surface facing the second arm and projecting at an outward angle in a proximal direction away from the distal end of the second arm to engage the tissue or bone when inserted therein, thereby causing the second fluke to rotate in response to a pullout force on the bridge; wherein the proximalmost surface of the first barb extends at an oblique angle to the proximalmost surface of the second barb. 2. The staple of claim 1, wherein: the first fluke includes a passage extending distally from the proximal surface of the first barb; andthe second fluke includes a passage extending distally from the proximal surface of the second barb. 3. The staple of claim 2, wherein the passage of the first fluke is located laterally outward of the first arm and the passage of the second fluke is located laterally outward of the second arm. 4. The staple of claim 2, wherein each passage of the first and the second flukes is sized to receive a first stake and a second stake, respectively, of a staple delivery device therein. 5. The staple of claim 4, wherein the proximal surface of the first barb is configured to engage the first stake and the proximal surface of the second barb is configured to engage the second stake to receive pushing forces for inserting the staple into the tissue. 6. The staple of claim 2, wherein: the passage of the first fluke extends from a proximal opening on the proximal surface of the first barb to a distal opening on a distal surface of the first fluke; andthe passage of the second fluke extends from a proximal opening on the proximal surface of the second barb to a distal opening on a distal surface of the second fluke. 7. The staple of claim 6, wherein: a portion of the first fluke extends distal of the distal opening of the passage of the first fluke; anda portion of the second fluke extends distal of the distal opening of the passage of the second fluke. 8. The staple of claim 1, wherein at least a portion of the first and second arms is flexible to allow flexing of the first and second flukes relative thereto to achieve rotational engagement of each fluke to the tissue or bone. 9. The staple of claim 1, wherein the first arm, the second arm, the bridge, the first fluke, and the second fluke are integrally formed of a polymeric material. 10. The staple of claim 9, wherein the polymeric material is bioresorbable. 11. The staple of claim 1, wherein the first barb includes a notch dividing the first barb into first and second portions. 12. The staple of claim 11, wherein the second barb includes a notch dividing the second barb into first and second portions. 13. A staple for attaching a sheet-like implant to tissue or bone comprising: a first arm, having a proximal end and a distal end;a second arm having a proximal end and a distal end;a bridge extending from the proximal end of the first arm to the proximal end of the second arm;a first fluke extending distally from the distal end of the first arm to a first pointed tip, the first fluke including a first barb extending laterally outward beyond the first arm, the first barb including a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein, thereby causing the first fluke to rotate in response to a pullout force on the bridge, the first fluke further including a passage extending through the first fluke, the passage of the first fluke extends from a proximal opening on the proximal surface of the first barb to a distal opening on a distal surface of the first fluke, the first pointed tip of the first fluke located laterally outward of the distal opening of the passage through the first fluke; anda second fluke extending distally from the distal end of the second arm to a second pointed tip, the second fluke including a second barb extending laterally outward beyond the second arm, the second barb including a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the second arm to engage the tissue or bone when inserted therein, thereby causing the second fluke to rotate in response to a pullout force on the bridge, the second fluke further including a passage extending through the second fluke, the passage of the second fluke extends from a proximal opening on the proximal surface of the second barb to a distal opening on a distal surface of the second fluke, the second pointed tip of the second fluke located laterally outward of the distal opening of the passage through the second fluke. 14. The staple of claim 13, wherein the passage of the first fluke is located laterally outward of the first arm and the passage of the second fluke is located laterally outward of the second arm. 15. The staple of claim 13, wherein each passage of the first and the second flukes is sized to receive a first stake and a second stake, respectively, of a staple delivery device therein. 16. The staple of claim 15, wherein the proximal surface of the first barb is configured to engage the first stake and the proximal surface of the second barb is configured to engage the second stake to receive pushing forces for inserting the staple into the tissue. 17. The staple of claim 13, wherein a lateral extent of the first fluke is greater than a lateral extent of the first arm and a lateral extent of the second fluke is greater than a lateral extent of the second arm. 18. The staple of claim 13, wherein the first fluke is devoid of barbs or projections extending toward the second fluke, and the second fluke is devoid of barbs or projections extending toward the first fluke. 19. A staple for attaching a sheet-like implant to tissue or bone comprising: first and second arms each having a proximal end and a distal end, the first and second arms extending parallel to a longitudinal axis of the staple;a bridge extending from the proximal end of the first arm to the proximal end of the second arm;first and second flukes extending distally from the distal end of each of the first and second arms, respectively, wherein each fluke has a distal pointed tip and is arranged eccentrically to the distal end of its respective arm with a barb extending laterally outward beyond its respective arm, each barb including a proximalmost surface projecting at an outward angle in a proximal direction away from the distal end of its respective arm in a direction non-perpendicular to the longitudinal axis to engage the tissue or bone when inserted therein, thereby causing the fluke to rotate in response to a pullout force on the bridge. 20. The staple of claim 19, wherein the proximal surface of each barb faces its respective arm.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (270)
Criscuolo, Christopher J.; Heinrich, Russell S.; Azarbarzin, Kourosh, Absorbable fastener and applying apparatus.
Hunt, John V.; Price, Daniel W.; Ortiz, Mark S.; Shelton, IV, Frederick E.; Widenhouse, Christopher W.; Kolata, Ronald J.; Voegele, James W., Adhesive and mechanical fastener.
Green David T. (Westport CT) Sienkiewicz Henry R. (Stamford CT) Ratcliff Keith (Sandy Hook CT) Castro Salvatore (Seymour CT) Manzo Scott E. (Shelton CT), Apparatus and method for applying and adjusting an anchoring device.
Green David T. (Westport CT) Sienkiewicz Henry R. (Stamford CT) Ratcliff Keith (Sandy Hook CT) Castro Salvatore (Seymour CT) Manzo Scott E. (Shelton CT) Marinkovich Dragomir C. (Sandy Hook CT), Apparatus and method for applying and adjusting an anchoring device.
DeFonzo Stephan A. (Bridgeport CT) Young Wayne P. (Brewster NY) Pennatto Samson L. (Danbury CT) Komlosi Andrew (Fairfield CT), Apparatus and method for applying surgical staples to attach an object to body tissue.
McGarry Richard A. (Norwalk CT) Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Young Wayne P. (Brewster NY) Heaton Lisa W. (Norwalk CT) Castro Salvatore (Waterbury CT), Apparatus and method for applying surgical staples to attach an object to body tissue.
DeFonzo Stephan A. (Bridgeport CT) Pennatto Samson L. (Danbury CT) Komlosi Andrew (Fairfield CT), Apparatus and method for applying surgical staples to body tissue.
Kieturakis Maciej J. ; Mollenauer Kenneth H. ; Monfort Michelle Y. ; Kayan Helmut L., Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith.
Meadows Bruce F. (6 Monte Sano Ct. Hanahan SC 29406) Ogden William S. (101 N. Madison Whiteville NC 28472), Apparatus and method for suture attachment.
Christian Jeffrey J. (San Jose CA) Corl Paul D. (Palo Alto CA) Segal Jerome (Palo Alto CA) Williams Ronald G. (Menlo Park CA) Haase Wayne C. (Acton MA), Apparatus, system and method for measuring spatial average velocity and/or volumetric flow of blood in a vessel and scre.
Hayhurst John O. (Milwaukie OR) Small Alan A. (Needham MA) Cerier Jeffrey C. (Franklin MA) DiCarlo Paul (East Falmouth MA) Dwyer James W. (Brookfield CT), Bone anchor and method of anchoring a suture to a bone.
Stein Jeffrey A. ; Allen William J. ; Markus Richard L. ; Bachman Alan B. ; Bryan Deborah M. ; Holsten Henry E. ; DeFonzo Stephen A. ; Savage Robert C., Coil fastener applier.
Voegele,James W.; Gill,Robert P.; Hess,Christopher J.; Weisenburgh, II,William B., Device for alternately holding, or effecting relative longitudinal movement, of members of a medical instrument.
Rothfuss Robert G. (Bellevue KY) Schulze Dale R. (Lebanon OH) Moore Michael (Cincinnati OH) MacLees John (Goshen OH) Coletti Paul A. (Somerset NJ), Endoscopic stapler and hernia repair mechanism.
Green David T. (Westport CT) Young Wayne P. (Brewster NY) Bolanos Henry (East Norwalk CT) Geiste Robert J. (Milford CT) Ratcliff Keith (Sandy Hook CT) Alesi Daniel E. (New Fairfield CT), Fascia stapler.
Deschenes Charles L. (North Attleboro MA) Jones Terence J. (Bolton MA) Cooper William J. (Woonsocket RI), Fastener for attaching a button to a garment or like material and fastener clip including one or more of said fasteners.
Anspach ; Jr. William E. (Palm Beach Gardens FL) Reid William S. (Knoxville TN) Del Rio Eddy H. (Royal Palm Beach FL) Anspach ; III William E. (Palm Beach Gardens FL), Fastener for attaching objects to bones.
Zannis, Anthony D.; Kemppainen, John W.; Jacobs, Andrew M.; Day, Carolyn K.; Clarke, Rhonda B.; Schwartz, Herbert E.; Malaviya, Prasanna; McAdams, Danny E., Instrument for delivery of implant.
Tilton ; Jr. Eugene B. (513 Dorrington Blvd. Metairie LA 70005), Instrumentation for laparoscopic insertion and application of sheet like surgical material.
Hawkins Irwin F. (Gainesville FL) Rafferty ; Jr. George A. (Gainesville FL) Hawkins Mark C. (Micanopy FL) Hawkins Jeffrey S. (Micanopy FL), Localization needle assembly.
Esposito Felix F. (Stratford CT) Conners John A. (Fairfield CT) Logan Joseph N. (Trumbull CT) Dwyer James W. (Brookfield CT) Crainich Laurence (Charlestown NH), Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple.
Gill,Robert P.; Hess,Christopher J.; Weisenburgh, II,William B.; Voegele,James W., Method and instrument for effecting anastomosis of respective tissues defining two body lumens.
Gill,Robert P.; Hess,Christopher J.; Weisenburgh, II,William B.; Voegele,James W.; Issa,Muta M., Method and instrument for effecting anastomosis of respective tissues defining two body lumens.
Wilk Peter J. (185 W. End Ave. New York NY 10023) Cinberg James Z. (167 N. Ridgewood Rd. South Orange NJ 07079), Method and surgical instrument for repairing hernia.
Soni Bobby (Campbell CA) Didday Richard (Soquel CA) Hurley Kean (Watsonville CA), Method for recognition and reduction of blood speckle in blood vessel imaging system.
Jamiolkowski, Dennis D.; Brown, Kelly R.; Chun, Iksoo; Melican, Mora Carolynne, Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof.
Euteneuer, Charles L.; McCarville, Rebecca; Frion, Duane; Zenz-Olson, Nathaniel; Feehan, Diane M., Methods and apparatus for fixing sheet-like materials to a target tissue.
Sander Thomas W. (Winona Lake IN) Gangnath Robert (Monroe CT) Lee Daniel R. (New Haven CT), Orthopedic fastener applicator with rotational or longitudinal driver.
Mueller Peter R. (Lexington MA) Brown Alan S. (Longmeadow MA) Tolkoff Marc J. (Brookline MA) Crawford Frank B. (New Boston NH), Percutaneous fixation of hollow organs.
Kieturakis Maciej J. (San Carlos CA) Mollenauer Kenneth H. (Santa Clara CA) Kayan Helmut L. (Redwood City CA), Placement tool and method for laparoscopic hernia repair.
Schultz Leonard S. (8883 Flesher Cir. Eden Prairie MN 55347) Pietrafitta Joseph J. (5571 Bristol La. Minnetonka MN 55343) Graber John N. (5039 Bryant Ave. S. Minneapolis MN 55409) Hickok David F. (23, Prosthesis for repair of direct space and indirect space inguinal hernias.
Gazielly Dominique (47 Rue Henri Dechaud 42100 Saint Etienne FRX) Blondel Pierre (La Forie 63600 Ambert FRX), Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person.
Cummings Joel W. ; Deangelis Roland ; Clark Brian ; Schiff David ; Mulhauser Paul ; Gala Jesse, Small tissue and membrane fixation apparatus and methods for use thereof.
Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Mastri Dominick L. (Bridgeport CT) McGarry Richard A. (Norwalk CT) Young Wayne P. (Brewster NY), Surgical fastening device.
Bolduc Lee (Mountain View CA) Kramer Thomas A. (San Carlos CA) Hodges Brian A. (Foster City CA) McCoy Tim (San Carlos CA) Lunsford John (San Carlos CA), Surgical helical fastener with applicator.
Kammerer Gene W. (East Brunswick NJ) Tolkoff M. Joshua (Brookline MA) Allman Robert C. (Wakefield MA) Muise George R. (Stow MA), Surgical mesh applicator.
Braeuer Harry L. (1007 Cragmore Seabrook TX 77586) Youngblood James L. (1514 Neptune La. Houston TX 77062), Surgical mesh introduce with bone screw applicator for the repair of an inguinal hernia.
Harwin Steven F. (1050 Park Ave. New York NY 10021) Le Anh (118 Wainwright Dr. Matawan NJ 07747) Bruker Izi (18 Pleasant View Way Flemington NJ 08822) Luscombe Brian (43 Eton Way Somerset NJ 08873) J, Suture anchor device.
Gwathmey Owen M. (The Meadow ; Box 96 Aylett VA 23009) Sloane ; Jr. Thomas E. (West Redding CT) Oddsen Robert R. (Centerport NY), Suturing assembly and method.
Demopulos, Gregory A.; Reed, Scott W.; Bachman, Alan B.; Karl, Frederick T.; Allen, William J.; Adams, Leland Ray; Thatcher, G. Lawrence, Tendon repair using adhesive.
Le Thu A. (Matawan NJ) Bruker Izi (Flemington NJ) Luscombe Brian H. (Warren NJ) Jamiolkowski Dennis D. (Long Valley NJ), Two-piece suture anchor with barbs.
Le Thu A. (Matawan NJ) Yi Sung S. (Princeton NJ) Zwaskis William (Fanwood NJ) Pedlick Jack S. (Butler NJ) Luscombe Brian H. (Warren NJ) Jamiolkowski Dennis D. (Long Valley NJ) Di Giovanni John (Woodb, Umbrella-shaped suture anchor device with actuating ring member.
Tovey H. Jonathan (Milford CT) Young Wayne (Brewster NY) Hinchliffe Peter W. J. (Orange CT) Shikhman Oleg (Bridgeport CT), Wound closing apparatus and method.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.