Methods and apparatus for deploying sheet-like materials
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/88
A61F-002/08
A61B-017/064
A61B-017/068
A61F-002/00
A61B-017/30
출원번호
US-0883105
(2015-10-14)
등록번호
US-10085785
(2018-10-02)
발명자
/ 주소
Euteneuer, Charles L.
McCarville, Rebecca
Frion, Duane
Zenz-Olson, Nathaniel
Feehan, Diane M.
Quackenbush, John
출원인 / 주소
Rotation Medical, Inc.
대리인 / 주소
Seager, Tufte & Wickhem LLP
인용정보
피인용 횟수 :
0인용 특허 :
293
초록▼
Implant delivery systems for delivering sheet-like implants include a delivery shaft, an implant expander, a sheath, and a sheet-like implant. In some embodiments, the delivery shaft has a proximal end and a distal end. The implant expander is mounted to the distal end of the delivery shaft. The imp
Implant delivery systems for delivering sheet-like implants include a delivery shaft, an implant expander, a sheath, and a sheet-like implant. In some embodiments, the delivery shaft has a proximal end and a distal end. The implant expander is mounted to the distal end of the delivery shaft. The implant expander includes a central portion and a plurality of leg portions radiating from the central portion. The implant expander is evertable between an unstressed configuration in which a distal surface of the implant expander defines a concave surface, and a first compact configuration in which the distal surface of the implant expander defines a convex surface. The implant expander has a first lateral extent when the implant expander is free to assume the unstressed configuration. The sheath defines a lumen having a lumen diameter. At least a portion of the delivery shaft is slidably disposed in the lumen. The lumen diameter is smaller than the first lateral extent of the implant expander so that the sheath holds the implant expander in the first compact configuration when slidably disposed therein. The sheet-like implant overlays at least a portion of the distal surface of the implant expander with portions of the sheet-like implant extending between the leg portions of the implant expander and the sheath. Methods of treating a rotator cuff of a shoulder are also disclosed.
대표청구항▼
1. An implant delivery system for delivering a sheet-like implant, the implant delivery system comprising: a delivery shaft having a proximal end, a distal end, and a longitudinal axis;an implant expander mounted to the distal end of the delivery shaft, the implant expander including a hub portion,
1. An implant delivery system for delivering a sheet-like implant, the implant delivery system comprising: a delivery shaft having a proximal end, a distal end, and a longitudinal axis;an implant expander mounted to the distal end of the delivery shaft, the implant expander including a hub portion, a plurality of leg portions extending from the hub portion, and a distal projection comprising a spike extending linearly and distally from a distal surface of the hub portion of the implant expander along the longitudinal axis, the distal projection comprising a spike is configured to reversibly penetrate through a sheet-like implant during implantation thereof; anda sheath having a proximal end and a distal end and defining a lumen, wherein at least a portion of the delivery shaft is slidably disposed in the lumen. 2. The implant delivery system of claim 1, wherein the distal projection comprising a spike is configured to hold a position of the implant delivery system when the distal projection comprising a spike is held against a target tissue. 3. The implant delivery system of claim 1, further comprising a sheet-like implant overlaying at least a portion of the distal surface of the implant expander. 4. The implant delivery system of claim 3, wherein the distal projection comprising a spike penetrates through the sheet-like implant when the implant expander is deployed out of the lumen of the sheath. 5. The implant delivery system of claim 3, wherein portions of the sheet-like implant extend between the plurality of leg portions of the implant expander and the sheath. 6. The implant delivery system of claim 1, wherein the distal end of the delivery shaft is fixed to the hub portion of the implant expander to urge relative movement between the implant expander and the sheath such that the implant expander can be advanced through a distal opening of the sheath. 7. The implant delivery system of claim 6, wherein the implant expander generally conforms to a surface of a target tissue after the implant expander is advanced through the distal opening of the sheath. 8. The implant delivery system of claim 1, wherein a free end of each leg portion is disposed proximally of the hub portion when the implant expander is disposed within the sheath and assuming a first compact configuration. 9. The implant delivery system of claim 1, wherein a free end of each leg portion is disposed distally of the hub portion when the implant expander is advanced distally through a distal opening of the sheath and assuming an unstressed configuration. 10. The implant delivery system of claim 1, wherein a free end of each leg portion is disposed distally of the hub portion when the implant expander is disposed within the sheath and assuming a second compact configuration, and wherein the implant expander assumes the second compact configuration by being withdrawn proximally through a distal opening of the sheath after having first been advanced distally through the distal opening. 11. An implant delivery system for delivering a sheet-like implant, the implant delivery system comprising: a delivery shaft having a proximal end and a distal end; an implant expander mounted to the distal end of the delivery shaft, the implant expander including a hub portion, one or more edge portions, and a tapered tip extending linearly and distally from a distal surface of the hub portion of the implant expander;a sheath having a proximal end and a distal end and defining a lumen, wherein at least a portion of the delivery shaft is slidably disposed in the lumen; anda sheet-like implant disposed at least partially within the sheath, a portion of the sheet-like implant covering the hub portion of the implant expander, wherein the tapered tip has a length greater than a thickness of the sheet-like implant;wherein the sheet-like implant maintains a compact configuration while disposed within the sheath and when the implant expander is advanced distally through a distal opening of the sheath, the implant expander transitions the sheet-like implant from the compact configuration to a deployed configuration; andwherein the tapered tip reversibly penetrates through the sheet-like implant in the deployed configuration. 12. The implant delivery system of claim 11, wherein one or more edges of the sheet-like implant are disposed proximal of the portion of the sheet-like implant in the compact configuration. 13. The implant delivery system of claim 12, wherein one or more edges of the sheet-like implant are disposed distal of the portion of the sheet-like implant in the deployed configuration. 14. The implant delivery system of claim 11, wherein the implant expander comprises a plurality of leg portions radiating from the hub portion, the plurality of leg portions comprising the one or more edge portions. 15. The implant delivery system of claim 11, wherein the sheet-like implant defines a plurality of pockets, each pocket being dimensioned to receive an edge portion of the implant expander. 16. The implant delivery system of claim 15, wherein the sheet-like implant can be selectively separated from the implant expander by withdrawing the edge portions from the plurality of pockets. 17. The implant delivery system of claim 11, wherein the implant expander further comprises a plurality of retainers to engage the sheet-like implant such that the sheet-like implant moves when the implant expander is moved. 18. The implant delivery system of claim 17, wherein the sheet-like implant can be selectively separated from the implant expander by withdrawing the plurality of retainers from the sheet-like implant. 19. The implant delivery system of claim 11, wherein the tapered tip penetrates through the sheet-like implant in the compact configuration. 20. A method of deploying a sheet-like implant comprising: positioning an implant delivery device proximate a target tissue site, the implant delivery device comprising: a delivery shaft having a proximal end and a distal end,an implant expander, mounted to the distal end of the delivery shaft, the implant expander including a central portion, a plurality of leg portions extending from the central portion, and a distal tip extending distally from a distal surface of the central portion of the implant expander,a sheath having a proximal end and a distal end and defining a lumen, wherein at least a portion of the delivery shaft is slidably disposed in the lumen, anda sheet-like implant disposed at least partially within the sheath in a compact configuration covering at least a portion of the implant expander;advancing the delivery shaft to cause the implant expander to advance through a distal opening of the sheath, wherein after advancing through the distal opening of the sheath, the implant expander causes the sheet-like implant to transition from the compact configuration to a deployed configuration;pressing the central portion of the implant expander against a target tissue causing the distal tip to penetrate the target tissue; andattaching the sheet-like implant to the target tissue.
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Criscuolo, Christopher J.; Heinrich, Russell S.; Azarbarzin, Kourosh, Absorbable fastener and applying apparatus.
Adams Ronald D. (Wyoming OH) O\Grady Richard M. (Southington CT) Marvin ; Jr. Robert L. (New Britain CT) Youtsler Mary B. (Cincinnati OH) Brown Michael T. (Hillsborough NJ), Adhesion barrier applicator.
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.
Euteneuer, Charles L.; Hektner, Thomas R.; Westling, Thomas A.; McCarville, Rebecca; Frion, Duane, Implantable tendon protection systems and related kits and methods.
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.
Euteneuer, Charles L.; Zenz-Olson, Nathaniel Z.; Quackenbush, John; Sims, Jeff, Methods and apparatus for delivering and positioning sheet-like materials in surgery.
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.
Kenji Kawano JP; Masahiro Taguchi JP; Kazuo Saito JP, Verification data generating apparatus, data verification apparatus and storage medium for storing verification data generating program.
Tovey H. Jonathan (Milford CT) Young Wayne (Brewster NY) Hinchliffe Peter W. J. (Orange CT) Shikhman Oleg (Bridgeport CT), Wound closing apparatus and method.
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