Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/068
A61B-017/064
A61B-017/08
A61F-002/08
A61B-017/56
출원번호
US-0889737
(2013-05-08)
등록번호
US-9566063
(2017-02-14)
발명자
/ 주소
Euteneuer, Charles L.
McCarville, Rebecca
Frion, Duane
출원인 / 주소
Rotation Medical, Inc.
대리인 / 주소
Seager, Tufte & Wickhem LLP
인용정보
피인용 횟수 :
2인용 특허 :
285
초록▼
A fastener for attaching a sheet-like implant to tissue or bone may be provided with a first arm having a proximal end and a distal end, a second aim having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at lea
A fastener for attaching a sheet-like implant to tissue or bone may be provided with a first arm having a proximal end and a distal end, a second aim having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a lateral extent larger than a lateral extent of the bridge or non-trunk portion of the arm adjacent thereto and can be mounted eccentrically to the bridge or non-trunk portion of the arm adjacent thereto such that the staple includes a first change in lateral stiffness disposed proximate the bridge or non-trunk portion of the arm abutment with the trunk. Fastener delivery devices and methods are also disclosed.
대표청구항▼
1. A fastener delivery tool comprising: a barrel assembly having an outer sheath with a staple delivery assembly movably disposed therein, the staple delivery assembly including a shaft having a pair of stakes extending from a distal end thereof, the stakes sized and shaped to retain a fastener ther
1. A fastener delivery tool comprising: a barrel assembly having an outer sheath with a staple delivery assembly movably disposed therein, the staple delivery assembly including a shaft having a pair of stakes extending from a distal end thereof, the stakes sized and shaped to retain a fastener thereon;the staple delivery assembly further including a pair of staple setting rods extending along the shaft having distal portions proximate the stakes to engage a proximal surface on the fastener wherein distal longitudinal movement of the staple setting rods relative to the stakes aids in delivery of the fastener; and,a handle assembly fixed to the outer sheath of the barrel in operative relationship with the staple delivery assembly. 2. The fastener delivery tool of claim 1, wherein the staple delivery assembly is longitudinally extendable from a first position enclosed within the sheath to a second position wherein at least a portion of the staple delivery assembly extends distally from the sheath. 3. The fastener delivery tool of claim 1, wherein the staple delivery assembly includes a proximal shaft portion having a proximal portion of the staple setting rods fixed thereto and a distal portion with a spring therebetween to allow relative longitudinal movement between the stakes and the staple setting rods in response to increased force on the proximal end of the staple delivery assembly. 4. The fastener delivery tool of claim 1, wherein at least a portion of the stakes have a cross sectional shape that sliding engages a channel of like cross sectional shape on a distal portion of the staple setting rods to restrict relative motion of the stakes and staple setting rods in the longitudinal direction. 5. The fastener delivery tool of claim 1, wherein the stakes are formed on a fork member fixed to a distal end of the shaft of the staple delivery assembly. 6. A fastener delivery tool and fastener kit comprising: a fastener with a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, and a bridge connecting the first arm and second arm, wherein each of the first and second arms include a trunk portion extending over at least a portion of the length thereof, each trunk having a lateral extent larger than a lateral extent of the bridge or non-trunk arm portion adjacent thereto such that the staple includes a first change in lateral stiffness disposed proximate the bridge or non-trunk arm portion abutment with the first trunk and a second change in lateral stiffness disposed proximate the bridge or non-trunk arm portion abutment with the second trunk with each trunk further including a longitudinal channel extending over at least a portion of the length of each trunk, each trunk further including a first projection and a second projection, the first projection including a first proximal surface extending away from the trunk in a first direction, the first direction being such that the first proximal surface will engage the tissue or bone when the trunk is inserted therein so that a first moment is applied to the trunk in response to a pullout force on the bridge, the second projection including a second proximal surface extending away from the trunk in a second direction, the second direction being such that the second proximal surface will engage the tissue or bone when the trunk is inserted therein so that a second moment is applied to the trunk in response to a pullout force on the bridge, each of the trunks including a localized area of weakness proximate the second projection thereon; and,a fastener delivery tool with a barrel assembly having an outer sheath with a staple delivery assembly movably disposed therein, the staple delivery assembly including a shaft having a pair of stakes extending from a distal end thereof, the stakes sized and shaped to retain the fastener by insertion in the channel of each trunk, the staple delivery assembly further including a pair of staple setting rods extending along the shaft having distal portions proximate the stakes to engage a proximal surface of the trunks on the fastener wherein distal longitudinal movement of the staple setting rods relative to the stakes aids in delivery of the fastener, the fastener delivery tool further including a handle assembly fixed to the outer sheath of the barrel in operative relationship with the staple delivery assembly. 7. The kit of claim 6, wherein the staple delivery assembly is longitudinally extendable from a first position enclosed within the sheath to a second position wherein at least a portion of the staple delivery assembly extends distally from the sheath. 8. The kit of claim 6, wherein the staple delivery assembly includes a proximal shaft portion having a proximal portion of the staple setting rods fixed thereto and a distal portion with a spring therebetween to allow relative longitudinal movement between the stakes and the staple setting rods in response to increased force on the proximal end of the staple delivery assembly. 9. The kit of claim 6, wherein at least a portion of the stakes have a cross sectional shape that sliding engages a channel of like cross sectional shape on a distal portion of the staple setting rods to restrict relative motion of the stakes and staple setting rods in the longitudinal direction. 10. The kit of claim 6, wherein the stakes are formed on a fork member fixed to a distal end of the shaft of the staple delivery assembly. 11. The kit of claim 6, wherein the change in lateral stiffness and the localized area of weakness allow flexing of each arm portion in response to the first and second moment, respectively. 12. The kit of claim 11, wherein the direction of the first moment is generally opposite the direction of the second moment on each arm. 13. The kit of claim 6, wherein the first direction extends proximally and laterally away from each trunk, the second direction extends proximally and laterally away from the each trunk and a lateral component of the second direction is generally opposite a lateral component of the first direction. 14. A staple delivery tool and staple kit for insertion and retention of the staple in tissue or bone comprising: a staple with a bridge portion having arms extending from proximate each end thereof, at least a portion of each arm including tissue retention members, each tissue retention member having at least two barbed projections extending laterally therefrom with each tissue retention member having a cross sectional area of reduced strength proximate each projection relative to other portions of the tissue retention member such that a portion of the tissue retention member flexes laterally proximate each projection in response to a pullout force applied to the bridge, the tissue retention members also including a cavity longitudinally within at least a portion of a proximal end thereof; and,a staple delivery tool with a barrel assembly having an outer sheath with a staple delivery assembly movably disposed therein, the staple delivery assembly including a shaft having a pair of stakes extending from a distal end thereof, the stakes sized and shaped to retain the fastener by insertion in the cavity of each staple retention member, the staple delivery assembly further including a pair of staple setting rods extending along the shaft having distal portions proximate the stakes to engage a proximal surface of the staple retention members wherein distal longitudinal movement of the staple setting rods relative to the stakes aids in delivery of the staple, the staple delivery tool further including a handle assembly fixed to the outer sheath of the barrel in operative relationship with the staple delivery assembly. 15. The staple of claim 14, wherein one area of reduced strength includes the transition from tissue retention member to arm or bridge of the staple. 16. The staple of claim 15, wherein a second area of reduced strength includes a slit in the cross section of the tissue retention member adjacent at least one of the projections therefrom. 17. The staple of claim 14, wherein the projections on each arm are positioned to create flexing of the tissue retention member in generally opposite directions. 18. The staple of claim 14, wherein each cavity is spaced laterally from the respective arm or bridge portion adjacent thereto, with each cavity sized to receive a first stake and a second stake, respectively, of the staple delivery device. 19. The staple of claim 18, wherein each cavity extends from the proximal end to the distal end of the tissue retention member. 20. The staple of claim 14, wherein the lateral extent of at least a portion each tissue retention member is at least about three times the lateral extent of at least of portion of the bridge or arm portion adjacent thereto.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (285)
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.
Goble E. Marlowe (850 E. 1200 North Logan UT 84321) Luman David P. (1430 E. 1260 North Logan UT 84321), Arbor press staple and washer and method for its use.
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.
Epperly, Scott J.; Lobello, Richard D.; Mas, Juan-Pablo; Spurchise, Matthew F.; Coughlin, Katherine G.; Eliasen, Kenneth A., Low-profile vascular closure systems and methods of using same.
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.
Harrison Michael R. (San Francisco CA) Jennings Russell W. (Pacifica CA) Flake Alan W. (San Francisco CA), Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux.
Bedi James J. (Stockton NJ) Golden Donald M. (Cherry Hill NJ) McVay William P. (Clearwater FL), Method of applying a fastener to tissue with a pair of hollow needles.
Jamiolkowski, Dennis D.; Brown, Kelly R.; Chun, Iksoo; Melican, Mora Carolynne, Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof.
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.
Euteneuer, Charles L.; McCarville, Rebecca; Frion, Duane; Zenz-Olson, Nathaniel; Feehan, Diane M., Methods and apparatus having bowstring-like staple delivery to a target tissue.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.