US20070093854A1 - Tacking tool and tack - Google Patents
Tacking tool and tack Download PDFInfo
- Publication number
- US20070093854A1 US20070093854A1 US11/639,518 US63951806A US2007093854A1 US 20070093854 A1 US20070093854 A1 US 20070093854A1 US 63951806 A US63951806 A US 63951806A US 2007093854 A1 US2007093854 A1 US 2007093854A1
- Authority
- US
- United States
- Prior art keywords
- wire
- tissue
- tubular portion
- surgical
- nose
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0649—Coils or spirals
Definitions
- the present disclosure relates generally to surgical apparatus for fastening objects to body tissue and, more particularly, to a surgical tacking tool configured to apply a loop fastener to a surgical mesh and underlying tissue during surgical procedures to repair body tissue, such as hernia repair.
- a number of surgical procedures require instruments that are capable of applying a surgical fastener to tissue in order to form tissue connections or to secure objects to tissue.
- a surgical fastener for example, during hernia repair it is often desirable to fasten a surgical mesh to the underlying body tissue.
- a part of the intestine protrudes through a defect or an opening in the supporting abdominal wall to form a hernial sac.
- the opening can be repaired using an open surgery procedure in which a relatively large incision is made in the patient and the hernia is closed off outside the abdominal wall by suturing.
- a mesh is attached with sutures over the opening to provide reinforcement.
- Laparoscopic and endoscopic procedures generally require long and narrow instruments capable of reaching deep within the body and configured to form a seal with the incision or tube through which they are inserted.
- endoscopic techniques for hernia repair utilize fasteners, such as surgical staples or clips, to secure the mesh to the tissue in order to provide reinforcement to the repair and in order to provide structure for encouragement of tissue ingrowth.
- fasteners such as surgical staples or clips
- These staples or clips need to be compressed against the tissue and mesh in order to secure the two together thereby requiring a tool which is positioned on each side of the mesh and tissue in order to deform the staple or clip.
- Another type of fastener suited for use in affixing mesh to tissue, during procedures such as hernia repair is a coil fastener having a helically coiled body portion terminating in a tissue penetrating tip, which helical fastener is screwed into the mesh and body tissue.
- An example of this type of fastener is disclosed in U.S. Pat. No. 5,258,000.
- Another object of the present disclosure is to provide a tacking tool that can apply a tack linearly to both surgical mesh and body tissue.
- This invention is directed to a tacking apparatus for applying fasteners to body tissue that includes a housing, an actuation mechanism, a supply of an elongated wire, an elongated tubular portion having a proximal end and a distal end, the proximal end being in communication with the housing, and the distal end having a nose having an interior portion adapted for shaping a length of the wire into an annular shape, a wire advancer for advancing the wire from the supply to and through the nose portion of the elongated tubular portion, the wire advancer being actuated by the actuation mechanism and cooperable with the wire shaping portion of the nose to shape the length of the wire into a annular shape, and a cutter for severing the annular shaped portion of the wire to form an annular fastener.
- the actuation mechanism can include a trigger operatively coupled to the housing.
- the interior portion of the nose can be concavely curved or may have a semi-circular configuration.
- the fastener can have a body that is substantially planar.
- the interior portion of the nose can be shaped to provide a fastener with an inwardly disposed end, and an outwardly disposed end that overlaps the inwardly disposed end.
- the cutter may be operatively coupled to the actuation mechanism, it can be adapted to provide the inwardly disposed end of the fastener with a sharp tip, and it may be adapted to sever the length of wire at or near the distal end of the nose of the tubular portion, to thereby form the annular fastener.
- the supply of wire can be a spool having an endless length of the wire wound thereon for providing a multitude of fasteners.
- the wire can be formed from a shape memory material.
- the tubular portion can be adapted to fit through a body incision for a laparoscopic procedure.
- the nose can include a divider having a channel to pass the wire to the shaping portion in the nose.
- the invention is also directed to a tack for fastening surgical mesh to body tissue.
- the tack can include a biocompatible substantially planar annular wire body, the body having a first end and a second end, the first end being disposed inwardly of the second end and having a tip suitable for penetrating body tissue, and the second end being disposed outwardly of and overlapping the first end.
- the first end of the tack may be sharpened.
- the wire may be formed from either a shape memory material or a bioabsorbable material.
- FIG. 1 is a perspective view of a preferred embodiment of a surgical tacking tool according to the present disclosure
- FIG. 2 is an enlarged perspective view of the distal tip of the surgical tacking tool shown in FIG. 1 ;
- FIG. 3 is a cross-sectional side elevational view with portions broken away as would be taken through a portion of the surgical tacking tool of FIG. 1 ;
- FIG. 4 is a front elevational view of a wire ring formed by the surgical tacking tool shown in FIG. 1 ;
- FIG. 5 is a side elevational view of the wire ring shown in FIG. 4 ;
- FIG. 6 is a perspective view of an alternative embodiment of a housing portion for a surgical tacking tool in accordance with the present disclosure.
- a surgical tacking apparatus or tool in accordance with the present disclosure is generally designated as 100 .
- distal refers to that portion of the tool, or component thereof which is further from the user while the term “proximal” refers to that portion of the tool or component thereof which is closer to the user.
- Tacking tool 100 is configured to apply a ring fastener to tissue or to secure surgical mesh to tissue during surgical procedures such as hernia repair.
- Tacking tool 100 generally includes a housing 102 including a handle portion 104 extending from the housing 102 .
- Tacking tool 100 includes an actuation mechanism, e.g. a trigger 106 pivotally connected to housing 102 , with a free end of trigger 106 being spaced from a free end of handle 104 .
- Tacking tool 100 also includes an elongated tubular portion 108 extending distally from housing 102 .
- Elongated tubular portion 108 is preferably dimensioned to fit through conventional laparoscopic incisions and respective 15 mm, 10 mm, and 5 mm trocar cannula structures.
- a distal end 107 of the tubular portion 108 is provided with a hollow down turned semi-circular or arcuate nose 110 oriented along the longitudinal axis of tubular portion 108 .
- Nose 110 preferably includes a divider 112 defining a channel 114 therethrough for channeling wire 132 to nose 110 (see FIG. 3 ).
- Elongated tubular portion 108 includes a reciprocable wire advancer 116 internally disposed therewithin.
- Wire advancer 116 includes an elongated shaft, here shown as having a substantially circular body portion with an elongated flattened, or otherwise shaped surface portion 118 that defines a passage 120 between an inner surface of tubular portion 108 and wire advancer 116 .
- Wire advancer 116 includes structure for engaging and distally advancing wire 134 , for example a plurality of teeth 122 formed along the periphery of wire advancer 116 , preferably distally of flattened surface portion 118 .
- teeth 122 are formed near the distal end of wire advancer 116 , it is envisioned that teeth 122 can be formed at any suitable location on or along wire advancer 116 .
- the wire may be advanced by other gripping or friction enhancing structures. These structures can be static, movable, rotatable, ratchet-like, indexing, etc.
- wire advancer 116 is provided with a chamber 124 preferably in substantial transverse alignment with teeth 122 , chamber 124 being opened along a side radially opposite to flattened surface 118 of wire advancer 116 .
- Chamber 124 defines an elongated centrally disposed camming surface 126 that is more deeply internally or centrally disposed within wire advancer 116 near the surface's distal end and than its proximal end.
- a bearing structure 128 is disposed within chamber 124 .
- Bearing structure 128 is sized to contact camming surface 126 near its distal end and to contact the inner surface of tubular portion 108 . In this manner, as wire advancer 116 is advanced through elongated tubular portion 108 , camming surface 126 rides along bearing structure 128 thereby pressing advancer 116 and teeth 122 oppositely, radially outward toward the inner surface of tubular portion 108 .
- chamber 124 of this embodiment is shown disposed substantially transversely aligned with teeth 122 , it is envisioned that chamber 124 can be formed at any suitable location along the length of wire advancer 116 to effect engagement and advancement of wire 134 .
- a ball-like bearing structure is shown which is free to rotate longitudinally distally and proximally, it is envisioned that any shaped bearing structure, fixed or relatively moveable, can be employed
- Elongated tubular portion 108 includes a cutter.
- wire advancer 116 includes the cutter, 130 , extending distally therefrom.
- Cutter 130 is configured and adapted for slidable engagement preferably along an elongated surface of divider 112 as wire advancer 116 is advanced distally through tubular portion 108 .
- FIG. 3 shows wire advancer 116 in a proximal position.
- cutter 130 moves distally along the distal end portion of divider 112 , at or adjacent down turned nose 110 of tubular portion 108 , cutter 130 shears through wire 134 , preferably where or near where it projects out of channel 114 .
- the shearing action forms a distal end 146 that facilitates ease of entry into the tissue.
- distal end 146 is sharpened.
- Tacking tool 100 includes a replaceable wire source or supply, here shown as wire spool 132 located within handle portion 104 and operatively coupled to wire advancer 116 .
- Wire spool 132 is provided with a straight “endless” surgical grade wire 134 wound thereon. By “endless” it is meant that wire 134 has ends, but is very long to provide a multitude of fasteners without replacing wire spool 132 .
- Wire 134 is threaded through tubular portion 108 by passing wire 134 through passage 120 , over teeth 122 , preferably at least into channel 114 . From there, prior to use, wire 134 can be advanced further into channel 114 , and prior to or even with the edge of nose 110 of tubular portion 108 .
- wire advancer 116 is moved distally through tubular portion 108 , such that camming surface 126 rides along bearing surface 128 and causes teeth 120 to grip wire 134 , thereby advancing a selected portion or length of wire 134 through tubular portion 108 and out through nose 110 .
- the interior concave portion 109 of nose 110 deforms wire 134 and causes it to turn arcuately 360° or more in onto itself forming an annular fastener, here shown as a wire loop or ring 136 ( FIG. 4 ).
- wire advancer 116 shears through wire 134 preferably at or near where it exits channel 114 , thereby separating wire ring 136 from the remainder of wire 134 .
- nose 110 of tacking tool 100 is pressed into a suitable surgical mesh 138 and into underlying tissue 140 .
- wire ring 136 is formed, it fastens surgical mesh 138 to the underlying tissue 140 .
- wire 134 has been disclosed as being a straight wire wound on a spool, it is envisioned that a wire formed from a shape memory material and having a shape memory, e.g.
- Nitinol can be used, which shape memory wire will automatically cause the wire to curve as it is ejected through nose 110 of tubular portion 108 . If shape memory wire is employed that is restrained and predetermined to curve and form a ring as it is freed from a restraint, a curved nose may not be needed. The same applies if a temperature triggerable shape memory metal is employed and the tacking tool is employed at the triggering temperature, for example, by use of body tissue temperature. It will be understood that wire 134 can be made of any suitable biocompatible material, for example, metals, metal alloys, shape memory or not, and polymeric materials, preferably bioabsorbable.
- wire ring 136 As shown in FIG. 3 , to apply wire ring 136 , nose 110 of tubular portion 108 is inserted into tissue 140 through mesh 138 . Wire 134 is then advanced through tubular portion 108 and out of nose 110 , beginning the formation of ring 136 . As more wire 134 is advanced through nose 110 , more of ring 136 is formed. As ring 136 is formed, a first, inwardly disposed end 146 of wire 134 first penetrates through tissue 140 , and follows an arcuate path as it exits tissue 140 , passes into the underside of surgical mesh 138 , and then distally back through surgical mesh 138 and back into tissue 140 , thereby completing the formation of wire ring 136 and the fastening of mesh 138 to tissue 140 .
- one complete squeeze of trigger 106 will result in the formation of a complete wire ring 136 .
- a latch and pawl mechanism (not shown) is provided in the handle 102 .
- wire advancer 116 is moved distally through tubular portion 108 thereby commencing the formation of wire ring 136 .
- the latch and pawl mechanism is configured to prohibit trigger 106 from backstroking until trigger 106 has been completely depressed and wire ring 136 is completely formed.
- the pawl clears the gear teeth (not shown) and the pawl rotates away from the teeth due to a spring biasing (not shown), thereby allowing trigger 106 to return to its unsqueezed or undepressed condition.
- wire advancer 116 Upon complete depression of trigger 106 , wire advancer 116 travels a predetermined distance through tubular portion 108 , causing wire 134 to be ejected a predetermined amount or length which is substantially equal to the circumference of wire ring 136 thereby resulting in the formation of a complete wire ring 136 .
- the spring-loaded pawl (not shown) operates to hold trigger 106 stationary and will continue to function to hold trigger 106 stationary until trigger 106 has been completely depressed. In this way, the formation of wire ring 136 into body tissue 140 and surgical mesh 138 is controlled so that a single wire ring 136 at a time may be completely formed and fastened to body tissue 140 and surgical mesh 138 .
- the above arrangement prevents formation of only partly formed fasteners.
- Wire ring 136 is further shown and described.
- Wire ring 136 includes a body portion 142 preferably having a first, inwardly disposed end 146 and a second outwardly disposed trailing end 144 .
- sharpened end 146 underlaps (laps radially inside of) second trailing end 144 .
- trailing end 144 can be made to overlap leading end 146 , or leading end 146 can be made to overlap trailing end 144 .
- FIG. 4 shows that depending on the radius and extent or length of curvature of the shaping portion of nose 110 of tubular portion 108 , trailing end 144 can be made to overlap leading end 146 , or leading end 146 can be made to overlap trailing end 144 .
- wire ring 136 is substantially planar (i.e., proximal end 144 and distal end 146 lie on the same plane with one another). Further, it is seen in FIG. 5 that wire 134 making up wire ring 136 has a circular cross section. However, it is envisioned that any suitable cross-sectional shape or configuration of the wire can be used to form wire ring 136 although a wire having a cross section without sharpened edges is preferred in order to eliminate the possibility of the sharpened edges cutting into the tissue or cutting through the surgical mesh.
- Tacking tool 200 includes a handle or a housing 202 and a tubular portion 204 projecting from a distal end thereof.
- the housing 202 includes a handle portion 206 and a trigger 208 slidably coupled thereto and spaced a distance from the handle portion 206 .
- Housing 202 further includes a dual rack and pinion arrangement wherein a pinion 210 is pivotably coupled to housing 202 , a lower rack 212 is pivotably coupled to the trigger 208 and slidably coupled to the handle portion 206 , and an upper rack 214 being slidably coupled to housing 202 and rigidly coupled to wire advancer 116 (not shown in FIG. 6 , see FIG. 3 ).
- a pinion 210 is pivotably coupled to housing 202
- a lower rack 212 is pivotably coupled to the trigger 208 and slidably coupled to the handle portion 206
- an upper rack 214 being slidably coupled to housing 202 and rigidly coupled to wire advancer 116 (not shown in FIG. 6 , see FIG. 3 ).
- Tacking tool 200 forms a wire ring 136 in the same manner as tacking tool 100 .
- Tacking tool 200 can be provided with a spool 232 of wire and a latch and pawl mechanism (not shown), like that employed in tacking tool 100 , which limits movement of trigger 208 in a distal direction until a complete wire ring 136 is formed, at which time the pawl can be released and trigger 208 allowed to return to its distalmost position.
- the tacking tools disclosed herein can be adapted to be activated and operated remotely, for example robotically.
- the activation mechanism can be located and operated from a remote control box. The same can apply to the wire supply.
Abstract
A surgical tacking apparatus for forming and applying surgical fasteners during laparoscopic or endoscopic procedures is disclosed. It includes a housing having a handle, an elongated tubular portion extending from the housing, a wire advancer, and a wire shaping nose at its distal end. An annular fastener is also disclosed.
Description
- This application claims priority from and the benefits of U.S. provisional application No. 60/373,710 filed on Apr. 17, 2002.
- 1. Technical Field
- The present disclosure relates generally to surgical apparatus for fastening objects to body tissue and, more particularly, to a surgical tacking tool configured to apply a loop fastener to a surgical mesh and underlying tissue during surgical procedures to repair body tissue, such as hernia repair.
- 2. Background of Related Art
- A number of surgical procedures require instruments that are capable of applying a surgical fastener to tissue in order to form tissue connections or to secure objects to tissue. For example, during hernia repair it is often desirable to fasten a surgical mesh to the underlying body tissue. In certain hernias, such as direct or indirect inguinal hernias, a part of the intestine protrudes through a defect or an opening in the supporting abdominal wall to form a hernial sac. The opening can be repaired using an open surgery procedure in which a relatively large incision is made in the patient and the hernia is closed off outside the abdominal wall by suturing. Alternatively, a mesh is attached with sutures over the opening to provide reinforcement.
- Less invasive surgical procedures are currently available for hernia repair. In laparoscopic procedures, surgery is performed in the abdomen through a small incision, while in endoscopic procedures surgery is performed through narrow endoscopic tubes inserted through small incisions in the body. Laparoscopic and endoscopic procedures generally require long and narrow instruments capable of reaching deep within the body and configured to form a seal with the incision or tube through which they are inserted.
- Currently, endoscopic techniques for hernia repair utilize fasteners, such as surgical staples or clips, to secure the mesh to the tissue in order to provide reinforcement to the repair and in order to provide structure for encouragement of tissue ingrowth. These staples or clips need to be compressed against the tissue and mesh in order to secure the two together thereby requiring a tool which is positioned on each side of the mesh and tissue in order to deform the staple or clip. Another type of fastener suited for use in affixing mesh to tissue, during procedures such as hernia repair, is a coil fastener having a helically coiled body portion terminating in a tissue penetrating tip, which helical fastener is screwed into the mesh and body tissue. An example of this type of fastener is disclosed in U.S. Pat. No. 5,258,000. Thus, the need exists for an improved surgical fastening apparatus that applies a fastener to surgical mesh and body tissue for effectively securing the mesh to the body tissue.
- It is an object of the present disclosure to provide a tacking tool for securing a tack to both surgical mesh and body tissue.
- Another object of the present disclosure is to provide a tacking tool that can apply a tack linearly to both surgical mesh and body tissue.
- This invention is directed to a tacking apparatus for applying fasteners to body tissue that includes a housing, an actuation mechanism, a supply of an elongated wire, an elongated tubular portion having a proximal end and a distal end, the proximal end being in communication with the housing, and the distal end having a nose having an interior portion adapted for shaping a length of the wire into an annular shape, a wire advancer for advancing the wire from the supply to and through the nose portion of the elongated tubular portion, the wire advancer being actuated by the actuation mechanism and cooperable with the wire shaping portion of the nose to shape the length of the wire into a annular shape, and a cutter for severing the annular shaped portion of the wire to form an annular fastener. The actuation mechanism can include a trigger operatively coupled to the housing. In one preferred embodiment, the interior portion of the nose can be concavely curved or may have a semi-circular configuration. The fastener can have a body that is substantially planar. The interior portion of the nose can be shaped to provide a fastener with an inwardly disposed end, and an outwardly disposed end that overlaps the inwardly disposed end. The cutter may be operatively coupled to the actuation mechanism, it can be adapted to provide the inwardly disposed end of the fastener with a sharp tip, and it may be adapted to sever the length of wire at or near the distal end of the nose of the tubular portion, to thereby form the annular fastener. Further still, the supply of wire can be a spool having an endless length of the wire wound thereon for providing a multitude of fasteners. The wire can be formed from a shape memory material. The tubular portion can be adapted to fit through a body incision for a laparoscopic procedure. The nose can include a divider having a channel to pass the wire to the shaping portion in the nose.
- The invention is also directed to a tack for fastening surgical mesh to body tissue. The tack can include a biocompatible substantially planar annular wire body, the body having a first end and a second end, the first end being disposed inwardly of the second end and having a tip suitable for penetrating body tissue, and the second end being disposed outwardly of and overlapping the first end. The first end of the tack may be sharpened. In another embodiment of the tack, the wire may be formed from either a shape memory material or a bioabsorbable material.
- By way of example only, preferred embodiments of the disclosure will be described with reference to the accompanying drawings, in which:
-
FIG. 1 is a perspective view of a preferred embodiment of a surgical tacking tool according to the present disclosure; -
FIG. 2 is an enlarged perspective view of the distal tip of the surgical tacking tool shown inFIG. 1 ; -
FIG. 3 is a cross-sectional side elevational view with portions broken away as would be taken through a portion of the surgical tacking tool ofFIG. 1 ; -
FIG. 4 is a front elevational view of a wire ring formed by the surgical tacking tool shown inFIG. 1 ; -
FIG. 5 is a side elevational view of the wire ring shown inFIG. 4 ; and -
FIG. 6 is a perspective view of an alternative embodiment of a housing portion for a surgical tacking tool in accordance with the present disclosure. - Referring now in detail to
FIGS. 1-3 , in which like reference numerals identify similar or identical elements, a surgical tacking apparatus or tool in accordance with the present disclosure is generally designated as 100. As used herein, the term “distal” refers to that portion of the tool, or component thereof which is further from the user while the term “proximal” refers to that portion of the tool or component thereof which is closer to the user. -
Tacking tool 100 is configured to apply a ring fastener to tissue or to secure surgical mesh to tissue during surgical procedures such as hernia repair.Tacking tool 100 generally includes ahousing 102 including ahandle portion 104 extending from thehousing 102.Tacking tool 100 includes an actuation mechanism, e.g. atrigger 106 pivotally connected tohousing 102, with a free end oftrigger 106 being spaced from a free end ofhandle 104.Tacking tool 100 also includes an elongatedtubular portion 108 extending distally fromhousing 102. Elongatedtubular portion 108 is preferably dimensioned to fit through conventional laparoscopic incisions and respective 15 mm, 10 mm, and 5 mm trocar cannula structures. As seen inFIG. 2 , adistal end 107 of thetubular portion 108 is provided with a hollow down turned semi-circular orarcuate nose 110 oriented along the longitudinal axis oftubular portion 108.Nose 110 preferably includes adivider 112 defining achannel 114 therethrough for channelingwire 132 to nose 110 (seeFIG. 3 ). - Turning now to
FIG. 3 , the internal structure of elongatedtubular portion 108 is shown in detail. Elongatedtubular portion 108 includes areciprocable wire advancer 116 internally disposed therewithin.Wire advancer 116 includes an elongated shaft, here shown as having a substantially circular body portion with an elongated flattened, or otherwiseshaped surface portion 118 that defines apassage 120 between an inner surface oftubular portion 108 andwire advancer 116.Wire advancer 116 includes structure for engaging and distally advancingwire 134, for example a plurality ofteeth 122 formed along the periphery ofwire advancer 116, preferably distally offlattened surface portion 118. While it is preferred thatteeth 122 are formed near the distal end ofwire advancer 116, it is envisioned thatteeth 122 can be formed at any suitable location on or alongwire advancer 116. The wire may be advanced by other gripping or friction enhancing structures. These structures can be static, movable, rotatable, ratchet-like, indexing, etc. Preferably,wire advancer 116 is provided with achamber 124 preferably in substantial transverse alignment withteeth 122,chamber 124 being opened along a side radially opposite to flattenedsurface 118 ofwire advancer 116.Chamber 124 defines an elongated centrallydisposed camming surface 126 that is more deeply internally or centrally disposed withinwire advancer 116 near the surface's distal end and than its proximal end. A bearingstructure 128 is disposed withinchamber 124.Bearing structure 128 is sized to contactcamming surface 126 near its distal end and to contact the inner surface oftubular portion 108. In this manner, aswire advancer 116 is advanced through elongatedtubular portion 108,camming surface 126 rides along bearingstructure 128 therebypressing advancer 116 andteeth 122 oppositely, radially outward toward the inner surface oftubular portion 108. Althoughchamber 124 of this embodiment is shown disposed substantially transversely aligned withteeth 122, it is envisioned thatchamber 124 can be formed at any suitable location along the length ofwire advancer 116 to effect engagement and advancement ofwire 134. In addition, while a ball-like bearing structure is shown which is free to rotate longitudinally distally and proximally, it is envisioned that any shaped bearing structure, fixed or relatively moveable, can be employed - Elongated
tubular portion 108 includes a cutter. Preferably,wire advancer 116 includes the cutter, 130, extending distally therefrom.Cutter 130 is configured and adapted for slidable engagement preferably along an elongated surface ofdivider 112 aswire advancer 116 is advanced distally throughtubular portion 108.FIG. 3 showswire advancer 116 in a proximal position. Ascutter 130 moves distally along the distal end portion ofdivider 112, at or adjacent down turnednose 110 oftubular portion 108,cutter 130 shears throughwire 134, preferably where or near where it projects out ofchannel 114. Preferably, the shearing action forms adistal end 146 that facilitates ease of entry into the tissue. Preferably,distal end 146 is sharpened. - Tacking
tool 100 includes a replaceable wire source or supply, here shown aswire spool 132 located withinhandle portion 104 and operatively coupled towire advancer 116.Wire spool 132 is provided with a straight “endless”surgical grade wire 134 wound thereon. By “endless” it is meant thatwire 134 has ends, but is very long to provide a multitude of fasteners without replacingwire spool 132.Wire 134 is threaded throughtubular portion 108 by passingwire 134 throughpassage 120, overteeth 122, preferably at least intochannel 114. From there, prior to use,wire 134 can be advanced further intochannel 114, and prior to or even with the edge ofnose 110 oftubular portion 108. In operation,wire advancer 116 is moved distally throughtubular portion 108, such thatcamming surface 126 rides along bearingsurface 128 and causesteeth 120 togrip wire 134, thereby advancing a selected portion or length ofwire 134 throughtubular portion 108 and out throughnose 110. Aswire 134 is advanced along and out ofnose 110, the interiorconcave portion 109 ofnose 110, deformswire 134 and causes it to turn arcuately 360° or more in onto itself forming an annular fastener, here shown as a wire loop or ring 136 (FIG. 4 ). Finally, aswire advancer 116 is advanced to its most distal position,cutter 130 shears throughwire 134 preferably at or near where it exitschannel 114, thereby separatingwire ring 136 from the remainder ofwire 134. As seen inFIG. 3 , prior to or aswire 134 is being advanced,nose 110 of tackingtool 100 is pressed into a suitablesurgical mesh 138 and intounderlying tissue 140. Thus, aswire ring 136 is formed, it fastenssurgical mesh 138 to theunderlying tissue 140. Whilewire 134 has been disclosed as being a straight wire wound on a spool, it is envisioned that a wire formed from a shape memory material and having a shape memory, e.g. Nitinol, can be used, which shape memory wire will automatically cause the wire to curve as it is ejected throughnose 110 oftubular portion 108. If shape memory wire is employed that is restrained and predetermined to curve and form a ring as it is freed from a restraint, a curved nose may not be needed. The same applies if a temperature triggerable shape memory metal is employed and the tacking tool is employed at the triggering temperature, for example, by use of body tissue temperature. It will be understood thatwire 134 can be made of any suitable biocompatible material, for example, metals, metal alloys, shape memory or not, and polymeric materials, preferably bioabsorbable. - As shown in
FIG. 3 , to applywire ring 136,nose 110 oftubular portion 108 is inserted intotissue 140 throughmesh 138.Wire 134 is then advanced throughtubular portion 108 and out ofnose 110, beginning the formation ofring 136. Asmore wire 134 is advanced throughnose 110, more ofring 136 is formed. Asring 136 is formed, a first, inwardlydisposed end 146 ofwire 134 first penetrates throughtissue 140, and follows an arcuate path as it exitstissue 140, passes into the underside ofsurgical mesh 138, and then distally back throughsurgical mesh 138 and back intotissue 140, thereby completing the formation ofwire ring 136 and the fastening ofmesh 138 totissue 140. - In a preferred embodiment, one complete squeeze of
trigger 106 will result in the formation of acomplete wire ring 136. In order to ensure that acomplete wire ring 136 is formed with the squeezing oftrigger 106, preferably a latch and pawl mechanism (not shown) is provided in thehandle 102. In operation, astrigger 106 is squeezedwire advancer 116 is moved distally throughtubular portion 108 thereby commencing the formation ofwire ring 136. Oncetrigger 106 is depressed slightly, the latch and pawl mechanism is configured to prohibittrigger 106 from backstroking untiltrigger 106 has been completely depressed andwire ring 136 is completely formed. Upon complete depression oftrigger 106, the pawl clears the gear teeth (not shown) and the pawl rotates away from the teeth due to a spring biasing (not shown), thereby allowingtrigger 106 to return to its unsqueezed or undepressed condition. - Upon complete depression of
trigger 106,wire advancer 116 travels a predetermined distance throughtubular portion 108, causingwire 134 to be ejected a predetermined amount or length which is substantially equal to the circumference ofwire ring 136 thereby resulting in the formation of acomplete wire ring 136. Moreover, wheretrigger 106 is only partially depressed, the spring-loaded pawl (not shown) operates to holdtrigger 106 stationary and will continue to function to holdtrigger 106 stationary untiltrigger 106 has been completely depressed. In this way, the formation ofwire ring 136 intobody tissue 140 andsurgical mesh 138 is controlled so that asingle wire ring 136 at a time may be completely formed and fastened tobody tissue 140 andsurgical mesh 138. The above arrangement prevents formation of only partly formed fasteners. - In
FIGS. 4 and 5 ,wire ring 136 is further shown and described.Wire ring 136 includes abody portion 142 preferably having a first, inwardlydisposed end 146 and a second outwardly disposed trailingend 144. As seen inFIG. 4 , after formation of acomplete wire ring 136, sharpenedend 146 underlaps (laps radially inside of) second trailingend 144. It is envisioned, however, that depending on the radius and extent or length of curvature of the shaping portion ofnose 110 oftubular portion 108, trailingend 144 can be made to overlap leadingend 146, or leadingend 146 can be made to overlap trailingend 144. As seen inFIG. 5 , after complete formation,wire ring 136 is substantially planar (i.e.,proximal end 144 anddistal end 146 lie on the same plane with one another). Further, it is seen inFIG. 5 thatwire 134 making upwire ring 136 has a circular cross section. However, it is envisioned that any suitable cross-sectional shape or configuration of the wire can be used to formwire ring 136 although a wire having a cross section without sharpened edges is preferred in order to eliminate the possibility of the sharpened edges cutting into the tissue or cutting through the surgical mesh. - Turning now to
FIG. 6 , an alternative embodiment of a tacking tool according to the present disclosure is generally shown as 200. Tackingtool 200 includes a handle or ahousing 202 and atubular portion 204 projecting from a distal end thereof. Thehousing 202 includes ahandle portion 206 and atrigger 208 slidably coupled thereto and spaced a distance from thehandle portion 206.Housing 202 further includes a dual rack and pinion arrangement wherein apinion 210 is pivotably coupled tohousing 202, alower rack 212 is pivotably coupled to thetrigger 208 and slidably coupled to thehandle portion 206, and anupper rack 214 being slidably coupled tohousing 202 and rigidly coupled to wire advancer 116 (not shown inFIG. 6 , seeFIG. 3 ). In this manner, astrigger 208 is depressed,lower rack 212 is moved proximally thereby rotatingpinion 210 counter clockwise which in turn movesupper rack 214 andwire advancer 116 distally. Tackingtool 200 forms awire ring 136 in the same manner as tackingtool 100. - Tacking
tool 200 can be provided with aspool 232 of wire and a latch and pawl mechanism (not shown), like that employed in tackingtool 100, which limits movement oftrigger 208 in a distal direction until acomplete wire ring 136 is formed, at which time the pawl can be released and trigger 208 allowed to return to its distalmost position. - It is envisioned that the tacking tools disclosed herein can be adapted to be activated and operated remotely, for example robotically. In such instances, for example, the activation mechanism can be located and operated from a remote control box. The same can apply to the wire supply.
- It will be understood that various modifications may be made to the embodiments disclosed herein. Therefore, the above description should not be construed as limiting, but merely as an exemplification of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Claims (5)
1-13. (canceled)
14. A tack for fastening surgical mesh to body tissue, comprising:
a biocompatible substantially planar annular wire body, the body having a first end and a second end, the first end being disposed inwardly of the second end and having a tip suitable for penetrating body tissue, and the second end being disposed outwardly of and overlapping the first end.
15. The tack of claim 14 , wherein the tip of the first end is sharpened.
16. The tack of claim 14 , wherein the wire is comprised of a shape memory material.
17. The tack of claim 14 , wherein the wire is comprised of a bioabsorbable material.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/639,518 US20070093854A1 (en) | 2002-04-17 | 2006-12-15 | Tacking tool and tack |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37371002P | 2002-04-17 | 2002-04-17 | |
US10/418,404 US7169157B2 (en) | 2002-04-17 | 2003-04-17 | Tacking tool and tack |
US11/639,518 US20070093854A1 (en) | 2002-04-17 | 2006-12-15 | Tacking tool and tack |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/418,404 Division US7169157B2 (en) | 2002-04-17 | 2003-04-17 | Tacking tool and tack |
Publications (1)
Publication Number | Publication Date |
---|---|
US20070093854A1 true US20070093854A1 (en) | 2007-04-26 |
Family
ID=29251063
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/418,404 Active 2024-12-02 US7169157B2 (en) | 2002-04-17 | 2003-04-17 | Tacking tool and tack |
US11/639,518 Abandoned US20070093854A1 (en) | 2002-04-17 | 2006-12-15 | Tacking tool and tack |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/418,404 Active 2024-12-02 US7169157B2 (en) | 2002-04-17 | 2003-04-17 | Tacking tool and tack |
Country Status (6)
Country | Link |
---|---|
US (2) | US7169157B2 (en) |
EP (1) | EP1494573B1 (en) |
AU (1) | AU2003228589A1 (en) |
DE (1) | DE60336123D1 (en) |
ES (1) | ES2360938T3 (en) |
WO (1) | WO2003088815A2 (en) |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20100022943A1 (en) * | 2008-07-25 | 2010-01-28 | Medtronic Vascular, Inc. | Hydrodynamic Thrombectomy Catheter |
US7951157B2 (en) | 2000-05-19 | 2011-05-31 | C.R. Bard, Inc. | Tissue capturing and suturing device and method |
US8075573B2 (en) | 2003-05-16 | 2011-12-13 | C.R. Bard, Inc. | Single intubation, multi-stitch endoscopic suturing system |
WO2014210600A3 (en) * | 2013-06-28 | 2015-02-26 | Valcare, Inc. | Device, system, and method to secure an article to a tissue |
US9180008B2 (en) | 2012-02-29 | 2015-11-10 | Valcare, Inc. | Methods, devices, and systems for percutaneously anchoring annuloplasty rings |
US9386979B2 (en) | 2008-10-28 | 2016-07-12 | C.R. Bard, Inc. | Endoscopic suturing device with suture management |
US9402721B2 (en) | 2011-06-01 | 2016-08-02 | Valcare, Inc. | Percutaneous transcatheter repair of heart valves via trans-apical access |
US9433503B2 (en) | 2010-08-04 | 2016-09-06 | Valcare, Inc. | Percutaneous transcatheter repair of heart valves |
US9839519B2 (en) | 2012-02-29 | 2017-12-12 | Valcare, Inc. | Percutaneous annuloplasty system with anterior-posterior adjustment |
US10166100B2 (en) | 2013-03-15 | 2019-01-01 | Valcare, Inc. | Systems and methods for delivery of annuloplasty rings |
US10813751B2 (en) | 2013-05-22 | 2020-10-27 | Valcare, Inc. | Transcatheter prosthetic valve for mitral or tricuspid valve replacement |
US11103349B2 (en) | 2016-08-15 | 2021-08-31 | Valcare, Inc. | Devices and methods for the treatment of heart valve insufficiencies |
US11534300B2 (en) | 2018-12-03 | 2022-12-27 | Valcare, Inc. | Stabilizing and adjusting tool for controlling a minimally invasive mitral / tricuspid valve repair system |
US11576779B2 (en) | 2017-03-17 | 2023-02-14 | Valcare, Inc. | Mitral or tricuspid repair systems with multi-directional anchors |
US11654018B2 (en) | 2013-05-24 | 2023-05-23 | Valcare, Inc. | Heart and peripheral vascular valve replacement in conjunction with a support ring |
US11793628B2 (en) | 2019-07-15 | 2023-10-24 | Valcare, Inc. | Transcatheter bio-prosthesis member and support structure |
Families Citing this family (54)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6679895B1 (en) * | 1999-11-05 | 2004-01-20 | Onux Medical, Inc. | Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue |
CA2479974A1 (en) * | 2002-03-25 | 2003-10-09 | Dvl Acquisition Sub, Inc. | Surgical suturing instrument and method of use |
EP1505912A4 (en) * | 2002-05-17 | 2011-04-20 | Dvl Acquisition Sub Inc | Surgical suturing instrument and method of use |
US8789736B2 (en) * | 2005-02-04 | 2014-07-29 | Moshe Dudai | Staples, staplers, anastomosis devices, and methods for their applications |
US8597312B2 (en) * | 2006-06-05 | 2013-12-03 | Boston Scientific Scimed, Inc. | Blunt needles with means for locating and occluding vessels |
US8348973B2 (en) * | 2006-09-06 | 2013-01-08 | Covidien Lp | Bioactive substance in a barbed suture |
US8562629B2 (en) * | 2006-10-24 | 2013-10-22 | Arthrocare Corporation | Suture device having selective needle actuation and related method |
US20110106113A1 (en) * | 2007-07-13 | 2011-05-05 | The Brigham And Women's Hospital, Inc. | System and method for hernia mesh fixation |
US20090118747A1 (en) * | 2007-11-05 | 2009-05-07 | Tyco Healthcare Group Lp | Novel surgical fastener |
US8454653B2 (en) | 2008-02-20 | 2013-06-04 | Covidien Lp | Compound barb medical device and method |
US8888810B2 (en) | 2008-02-20 | 2014-11-18 | Covidien Lp | Compound barb medical device and method |
US9034008B2 (en) | 2008-08-29 | 2015-05-19 | Rapid Medical Ltd. | Device and method involving stabilization during clot removal |
US9005237B2 (en) | 2008-08-29 | 2015-04-14 | Rapid Medical Ltd. | Device and method for clot capture |
US8864792B2 (en) | 2008-08-29 | 2014-10-21 | Rapid Medical, Ltd. | Device and method for clot engagement |
US8758364B2 (en) | 2008-08-29 | 2014-06-24 | Rapid Medical Ltd. | Device and method for clot engagement and capture |
US20100204729A1 (en) * | 2008-09-11 | 2010-08-12 | Ahmad Robert Hadba | Tapered Looped Suture |
US8323316B2 (en) * | 2008-10-09 | 2012-12-04 | Covidien Lp | Knotted suture end effector |
US20110202088A1 (en) * | 2008-10-24 | 2011-08-18 | Rapid Medical Ltd. | Embolectomy Device With Optional Vibrator |
US20100114119A1 (en) * | 2008-11-04 | 2010-05-06 | Mclawhorn Tyler Evans | Tacking Device |
US20110152920A1 (en) * | 2008-12-02 | 2011-06-23 | Rapid Medical Ltd. | Embolectomy device |
US20100191332A1 (en) * | 2009-01-08 | 2010-07-29 | Euteneuer Charles L | Implantable Tendon Protection Systems and Related Kits and Methods |
US9179910B2 (en) | 2009-03-20 | 2015-11-10 | Rotation Medical, Inc. | Medical device delivery system and method |
US8147505B2 (en) * | 2009-03-23 | 2012-04-03 | Arthrocare Corporation | Surgical instrument for manipulating surgical suture and methods of use |
US8206291B2 (en) | 2009-03-27 | 2012-06-26 | Tyco Healthcare Group Lp | Portal device |
BRMU8900911U2 (en) * | 2009-05-12 | 2010-02-23 | Biokyra Pesquisa E Desenvolvim | endovascular suture clip |
EP3308743A1 (en) | 2009-06-04 | 2018-04-18 | Rotation Medical, Inc. | Methods and apparatus for deploying sheet-like materials |
AU2010256415B2 (en) | 2009-06-04 | 2015-04-02 | Rotation Medical, Inc. | Apparatus having bowstring-like staple delivery to a target tissue |
US9211118B2 (en) * | 2009-11-16 | 2015-12-15 | Arthrocare Corporation | Suture passer |
US8683895B2 (en) * | 2010-02-23 | 2014-04-01 | Kensey Nash Corporation | Single revolution snap action drive for surgical fasteners |
US8211121B1 (en) | 2010-03-06 | 2012-07-03 | Q-Tech Medical Incorporated | Methods and apparatus for image-guided extraluminal occlusion using clamping jaws |
US9198750B2 (en) * | 2010-03-11 | 2015-12-01 | Rotation Medical, Inc. | Tendon repair implant and method of arthroscopic implantation |
WO2012145059A1 (en) | 2011-02-15 | 2012-10-26 | Rotation Medical, Inc. | Methods and apparatus for fixing sheet-like materials to a target tissue |
EP2675391B1 (en) | 2011-02-15 | 2017-09-27 | Rotation Medical, Inc. | Apparatus for delivering and positioning sheet-like materials |
US9474526B2 (en) | 2011-09-09 | 2016-10-25 | Boston Scientific Scimed, Inc. | Tissue anchor with insertion device |
US9107661B2 (en) | 2011-12-19 | 2015-08-18 | Rotation Medical, Inc. | Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue |
WO2013096224A1 (en) | 2011-12-19 | 2013-06-27 | Rotation Medical, Inc. | Fasteners for affixing sheet -like materials to bone or tissue |
WO2013119321A1 (en) | 2011-12-19 | 2013-08-15 | Rotation Medical, Inc. | Fasteners for affixing sheet -like materials to bone or tissue |
WO2013096219A1 (en) | 2011-12-19 | 2013-06-27 | Rotation Medical, Inc. | Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant |
WO2013101640A1 (en) | 2011-12-29 | 2013-07-04 | Rotation Medical, Inc. | Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery |
WO2013101638A1 (en) | 2011-12-29 | 2013-07-04 | Rotation Medical, Inc. | Methods and apparatus for delivering and positioning sheet -like materials in surgery |
WO2013101641A2 (en) | 2011-12-29 | 2013-07-04 | Rotation Medical, Inc. | Anatomical location markers and methods of use in positioning sheet-like materials during surgery |
US10265062B2 (en) | 2012-02-07 | 2019-04-23 | Arthrocare Corporation | Surgical instrument for manipulating and passing suture |
AU2015255758B2 (en) | 2014-05-09 | 2017-06-15 | Rotation Medical, Inc. | Medical implant delivery system for sheet-like implant |
US10675019B2 (en) | 2014-11-04 | 2020-06-09 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
AU2015343273B2 (en) | 2014-11-04 | 2017-12-14 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
EP3215025B1 (en) | 2014-11-04 | 2020-12-23 | Rotation Medical, Inc. | Medical implant delivery system |
WO2016085761A1 (en) * | 2014-11-24 | 2016-06-02 | Boston Scientific Scimed, Inc. | Surgical closure devices including a stapling member |
JP2018515196A (en) | 2015-05-06 | 2018-06-14 | ローテーション メディカル インコーポレイテッドRotation Medical,Inc. | Medical implant delivery system and related methods |
EP3307204B1 (en) | 2015-06-15 | 2021-11-24 | Rotation Medical, Inc. | Tendon repair implant |
WO2017033191A1 (en) * | 2015-08-24 | 2017-03-02 | Ctz Medical | Bilateral fixation device |
US10314689B2 (en) | 2015-12-31 | 2019-06-11 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
EP3397175B1 (en) | 2015-12-31 | 2021-11-24 | Rotation Medical, Inc. | Fastener delivery system |
JP7317826B2 (en) | 2017-12-07 | 2023-07-31 | ローテーション メディカル インコーポレイテッド | Medical implant delivery system and related methods |
US10682134B2 (en) * | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
Citations (90)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3435526A (en) * | 1967-02-13 | 1969-04-01 | Heli Coil Corp | Device for securing an artificial tooth to the bone structure of a human jaw |
US3638654A (en) * | 1969-07-11 | 1972-02-01 | Uche Akuba | Suturing instrument |
US3858783A (en) * | 1972-11-20 | 1975-01-07 | Nikolai Nikolaevich Kapitanov | Surgical instrument for stitching up tissues with lengths of suture wire |
US3870048A (en) * | 1973-07-30 | 1975-03-11 | In Bae Yoon | Device for sterilizing the human female or male by ligation |
USRE28932E (en) * | 1972-09-29 | 1976-08-17 | United States Surgical Corporation | Surgical stapling instrument |
US4204541A (en) * | 1977-01-24 | 1980-05-27 | Kapitanov Nikolai N | Surgical instrument for stitching up soft tissues with lengths of spiked suture material |
US4235246A (en) * | 1979-02-05 | 1980-11-25 | Arco Medical Products Company | Epicardial heart lead and assembly and method for optimal fixation of same for cardiac pacing |
US4357946A (en) * | 1980-03-24 | 1982-11-09 | Medtronic, Inc. | Epicardial pacing lead with stylet controlled helical fixation screw |
US4406363A (en) * | 1982-09-24 | 1983-09-27 | Ethicon, Inc. | Folder retainer for multistrand surgical sutures |
US4448194A (en) * | 1982-02-03 | 1984-05-15 | Ethicon, Inc. | Full stroke compelling mechanism for surgical instrument with drum drive |
US4453661A (en) * | 1980-10-23 | 1984-06-12 | Ivano-Frankovsky Gosudarstvenny Meditsinsky Institut | Surgical instrument for applying staples |
US4526174A (en) * | 1981-03-27 | 1985-07-02 | Minnesota Mining And Manufacturing Company | Staple and cartridge for use in a tissue stapling device and a tissue closing method |
US4593843A (en) * | 1982-08-24 | 1986-06-10 | Saravis Lawrence M | Surgical stapler for implanting sutures |
US4595007A (en) * | 1983-03-14 | 1986-06-17 | Ethicon, Inc. | Split ring type tissue fastener |
US4596350A (en) * | 1984-05-10 | 1986-06-24 | Senmed, Inc. | Surgical stapler drive apparatus |
USRE32227E (en) * | 1981-03-19 | 1986-08-19 | Medtronic, Inc. | "J" Stylet wire |
US4616638A (en) * | 1982-01-18 | 1986-10-14 | Richards Medical Company | Compression screw assembly |
US4642190A (en) * | 1985-02-01 | 1987-02-10 | Bunn-O-Matic Corporation | Brewing funnel with screen filter assembly |
US4850355A (en) * | 1987-04-06 | 1989-07-25 | Richard-Allan Medical Industries, Inc. | Hemostatic clip applicator for applying multiple hemostatic clips |
US4858601A (en) * | 1988-05-27 | 1989-08-22 | Glisson Richard R | Adjustable compression bone screw |
US4950276A (en) * | 1988-02-25 | 1990-08-21 | Vince Dennis J | Prosthesis for banding of an artery capable of dilation by a balloon dilator |
US5007921A (en) * | 1989-10-26 | 1991-04-16 | Brown Alan W | Surgical staple |
US5018530A (en) * | 1989-06-15 | 1991-05-28 | Research Corporation Technologies, Inc. | Helical-tipped lesion localization needle device and method of using the same |
US5053047A (en) * | 1989-05-16 | 1991-10-01 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery and methods of suturing |
US5100420A (en) * | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5203864A (en) * | 1991-04-05 | 1993-04-20 | Phillips Edward H | Surgical fastener system |
US5217486A (en) * | 1992-02-18 | 1993-06-08 | Mitek Surgical Products, Inc. | Suture anchor and installation tool |
US5221269A (en) * | 1990-10-15 | 1993-06-22 | Cook Incorporated | Guide for localizing a nonpalpable breast lesion |
US5222976A (en) * | 1989-05-16 | 1993-06-29 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery |
US5228565A (en) * | 1992-02-26 | 1993-07-20 | United States Surgical Corporation | Package and method of loading for resilient surgical sutures |
US5242457A (en) * | 1992-05-08 | 1993-09-07 | Ethicon, Inc. | Surgical instrument and staples for applying purse string sutures |
US5258000A (en) * | 1991-11-25 | 1993-11-02 | Cook Incorporated | Tissue aperture repair device |
US5259395A (en) * | 1992-01-15 | 1993-11-09 | Siemens Pacesetter, Inc. | Pacemaker lead with extendable retractable lockable fixing helix |
US5282807A (en) * | 1990-11-05 | 1994-02-01 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator |
US5295956A (en) * | 1992-10-09 | 1994-03-22 | Symbiosis Corporation | Endoscopic suction instrument having variable suction strength capabilities |
US5297714A (en) * | 1991-04-17 | 1994-03-29 | Ethicon, Inc. | Surgical staple with modified "B" shaped configuration |
US5306281A (en) * | 1992-08-31 | 1994-04-26 | Merrimac Industries, Inc. | Suturing cassette device |
US5309617A (en) * | 1993-06-07 | 1994-05-10 | Thiokol Corporation | Threaded insert removal tool |
US5309927A (en) * | 1992-10-22 | 1994-05-10 | Ethicon, Inc. | Circular stapler tissue retention spring method |
US5312024A (en) * | 1992-02-07 | 1994-05-17 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5318575A (en) * | 1992-02-03 | 1994-06-07 | United States Surgical Corporation | Method of using a surgical repair suture product |
US5320630A (en) * | 1993-02-23 | 1994-06-14 | Munir Ahmed | Endoscopic ligating instrument for applying elastic bands |
US5324307A (en) * | 1990-07-06 | 1994-06-28 | American Cyanamid Company | Polymeric surgical staple |
US5354292A (en) * | 1993-03-02 | 1994-10-11 | Braeuer Harry L | Surgical mesh introduce with bone screw applicator for the repair of an inguinal hernia |
US5356424A (en) * | 1993-02-05 | 1994-10-18 | American Cyanamid Co. | Laparoscopic suturing device |
US5356064A (en) * | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5382260A (en) * | 1992-10-30 | 1995-01-17 | Interventional Therapeutics Corp. | Embolization device and apparatus including an introducer cartridge and method for delivering the same |
US5411522A (en) * | 1993-08-25 | 1995-05-02 | Linvatec Corporation | Unitary anchor for soft tissue fixation |
US5417700A (en) * | 1992-03-30 | 1995-05-23 | Thomas D. Egan | Automatic suturing and ligating device |
US5433721A (en) * | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US5437266A (en) * | 1992-07-02 | 1995-08-01 | Mcpherson; William | Coil screw surgical retractor |
US5452836A (en) * | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
US5454834A (en) * | 1992-03-12 | 1995-10-03 | Richard Wolf Gmbh | Surgical suture material |
US5465895A (en) * | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5487500A (en) * | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5488958A (en) * | 1992-11-09 | 1996-02-06 | Vance Products Incorporated | Surgical cutting instrument for coring tissue affixed thereto |
US5500001A (en) * | 1993-06-18 | 1996-03-19 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5499990A (en) * | 1992-05-23 | 1996-03-19 | Forschungszentrum Karlsruhe Gmbh | Suturing instrument |
US5545148A (en) * | 1992-10-24 | 1996-08-13 | Wurster; Helmut | Endoscopic sewing instrument |
US5607436A (en) * | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5626613A (en) * | 1995-05-04 | 1997-05-06 | Arthrex, Inc. | Corkscrew suture anchor and driver |
USRE35525E (en) * | 1991-04-04 | 1997-06-03 | Ethicon Endo-Surgery, Inc. | Endoscopic multiple ligating clip applier |
US5662683A (en) * | 1995-08-22 | 1997-09-02 | Ortho Helix Limited | Open helical organic tissue anchor and method of facilitating healing |
US5728116A (en) * | 1994-01-13 | 1998-03-17 | Ethicon, Inc. | Spiral surgical tack |
US5772668A (en) * | 1992-06-18 | 1998-06-30 | American Biomed, Inc. | Apparatus for placing an endoprosthesis |
US5782844A (en) * | 1996-03-05 | 1998-07-21 | Inbae Yoon | Suture spring device applicator |
US5792115A (en) * | 1997-04-30 | 1998-08-11 | Horn; John Russell | Apparatus and method for anchoring a catheter to the body of an individual |
US5797931A (en) * | 1992-06-04 | 1998-08-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5810882A (en) * | 1994-08-05 | 1998-09-22 | Origin Medsystems, Inc. | Surgical helical fastener with applicator and method of use |
US5810851A (en) * | 1996-03-05 | 1998-09-22 | Yoon; Inbae | Suture spring device |
US5830221A (en) * | 1996-09-20 | 1998-11-03 | United States Surgical Corporation | Coil fastener applier |
US5833695A (en) * | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US5941890A (en) * | 1998-06-26 | 1999-08-24 | Ethicon Endo-Surgery, Inc. | Implantable surgical marker |
US5989268A (en) * | 1997-10-28 | 1999-11-23 | Boston Scientific Corporation | Endoscopic hemostatic clipping device |
US6063070A (en) * | 1997-08-05 | 2000-05-16 | Target Therapeutics, Inc. | Detachable aneurysm neck bridge (II) |
US6099537A (en) * | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
US6113611A (en) * | 1998-05-28 | 2000-09-05 | Advanced Vascular Technologies, Llc | Surgical fastener and delivery system |
US6261302B1 (en) * | 1998-06-26 | 2001-07-17 | Ethicon Endo-Surgery, Inc. | Applier for implantable surgical marker |
US20020065524A1 (en) * | 2000-09-01 | 2002-05-30 | Arnold Miller | Vascular bypass grafting instrument and method |
US20020068947A1 (en) * | 2000-10-19 | 2002-06-06 | Kuhns Jesse J. | Surgical instrument having a fastener delivery mechanism |
US6402765B1 (en) * | 2000-06-12 | 2002-06-11 | Niti Alloys Technologies Ltd. | Surgical clip |
US20020087170A1 (en) * | 2000-10-19 | 2002-07-04 | Kuhns Jesse J. | Method for attaching hernia mesh |
US6425903B1 (en) * | 2000-05-09 | 2002-07-30 | James W. Voegele | Implantable surgical marker |
US6511489B2 (en) * | 1999-08-03 | 2003-01-28 | Frederic P. Field | Surgical suturing instrument and method of use |
US6527785B2 (en) * | 1999-08-03 | 2003-03-04 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US6551332B1 (en) * | 2000-03-31 | 2003-04-22 | Coalescent Surgical, Inc. | Multiple bias surgical fastener |
US6564806B1 (en) * | 2000-02-18 | 2003-05-20 | Thomas J. Fogarty | Device for accurately marking tissue |
US20030105473A1 (en) * | 2000-09-01 | 2003-06-05 | Arnold Miller | Multi-fastener surgical apparatus and method |
US6679895B1 (en) * | 1999-11-05 | 2004-01-20 | Onux Medical, Inc. | Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue |
US6767352B2 (en) * | 1999-08-03 | 2004-07-27 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
Family Cites Families (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE295962C (en) | ||||
US4306560A (en) * | 1978-07-10 | 1981-12-22 | Cordis Corporation | Suture forming tool for securing an electrode to generally inaccessible body tissue |
US4627437A (en) * | 1983-06-20 | 1986-12-09 | Ethicon, Inc. | Method of applying a fastener to tissue with a pair of hollow needles |
DE8418993U1 (en) * | 1984-06-23 | 1984-09-20 | Richard Wolf Gmbh, 7134 Knittlingen | Medical forceps |
US4628943A (en) * | 1985-06-21 | 1986-12-16 | Cordis Corporation | Bipolar screw-in packing lead assembly |
US4884572A (en) * | 1986-05-20 | 1989-12-05 | Concept, Inc. | Tack and applicator for treating torn bodily material in vivo |
US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
US5269792A (en) | 1992-05-26 | 1993-12-14 | Origin Medsystems, Inc. | Surgical clip |
BE1006874A6 (en) | 1993-03-31 | 1995-01-10 | Ceuppens Johan | Screw affixing system to affix a net to underlying tissue developed for usein endoscopic surgery or in videoscopic supportive surgery |
AU4715600A (en) | 1999-05-10 | 2000-11-21 | Naude, Johannes Hendrik | Suture placement device |
WO2001041625A2 (en) | 1999-11-05 | 2001-06-14 | Onux Medical, Inc. | Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue |
US6551322B1 (en) * | 2000-10-05 | 2003-04-22 | The Cleveland Clinic Foundation | Apparatus for implantation into bone |
-
2003
- 2003-04-17 WO PCT/US2003/012094 patent/WO2003088815A2/en not_active Application Discontinuation
- 2003-04-17 EP EP03726349A patent/EP1494573B1/en not_active Expired - Fee Related
- 2003-04-17 AU AU2003228589A patent/AU2003228589A1/en not_active Abandoned
- 2003-04-17 ES ES03726349T patent/ES2360938T3/en not_active Expired - Lifetime
- 2003-04-17 DE DE60336123T patent/DE60336123D1/en not_active Expired - Lifetime
- 2003-04-17 US US10/418,404 patent/US7169157B2/en active Active
-
2006
- 2006-12-15 US US11/639,518 patent/US20070093854A1/en not_active Abandoned
Patent Citations (99)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3435526A (en) * | 1967-02-13 | 1969-04-01 | Heli Coil Corp | Device for securing an artificial tooth to the bone structure of a human jaw |
US3638654A (en) * | 1969-07-11 | 1972-02-01 | Uche Akuba | Suturing instrument |
USRE28932E (en) * | 1972-09-29 | 1976-08-17 | United States Surgical Corporation | Surgical stapling instrument |
US3858783A (en) * | 1972-11-20 | 1975-01-07 | Nikolai Nikolaevich Kapitanov | Surgical instrument for stitching up tissues with lengths of suture wire |
US3870048A (en) * | 1973-07-30 | 1975-03-11 | In Bae Yoon | Device for sterilizing the human female or male by ligation |
US4204541A (en) * | 1977-01-24 | 1980-05-27 | Kapitanov Nikolai N | Surgical instrument for stitching up soft tissues with lengths of spiked suture material |
US4235246A (en) * | 1979-02-05 | 1980-11-25 | Arco Medical Products Company | Epicardial heart lead and assembly and method for optimal fixation of same for cardiac pacing |
US4357946A (en) * | 1980-03-24 | 1982-11-09 | Medtronic, Inc. | Epicardial pacing lead with stylet controlled helical fixation screw |
US4453661A (en) * | 1980-10-23 | 1984-06-12 | Ivano-Frankovsky Gosudarstvenny Meditsinsky Institut | Surgical instrument for applying staples |
USRE32227E (en) * | 1981-03-19 | 1986-08-19 | Medtronic, Inc. | "J" Stylet wire |
US4526174A (en) * | 1981-03-27 | 1985-07-02 | Minnesota Mining And Manufacturing Company | Staple and cartridge for use in a tissue stapling device and a tissue closing method |
US4616638A (en) * | 1982-01-18 | 1986-10-14 | Richards Medical Company | Compression screw assembly |
US4448194A (en) * | 1982-02-03 | 1984-05-15 | Ethicon, Inc. | Full stroke compelling mechanism for surgical instrument with drum drive |
US4593843A (en) * | 1982-08-24 | 1986-06-10 | Saravis Lawrence M | Surgical stapler for implanting sutures |
US4406363A (en) * | 1982-09-24 | 1983-09-27 | Ethicon, Inc. | Folder retainer for multistrand surgical sutures |
US4595007A (en) * | 1983-03-14 | 1986-06-17 | Ethicon, Inc. | Split ring type tissue fastener |
US4596350A (en) * | 1984-05-10 | 1986-06-24 | Senmed, Inc. | Surgical stapler drive apparatus |
US4642190A (en) * | 1985-02-01 | 1987-02-10 | Bunn-O-Matic Corporation | Brewing funnel with screen filter assembly |
US4850355A (en) * | 1987-04-06 | 1989-07-25 | Richard-Allan Medical Industries, Inc. | Hemostatic clip applicator for applying multiple hemostatic clips |
US4950276A (en) * | 1988-02-25 | 1990-08-21 | Vince Dennis J | Prosthesis for banding of an artery capable of dilation by a balloon dilator |
US4858601A (en) * | 1988-05-27 | 1989-08-22 | Glisson Richard R | Adjustable compression bone screw |
US5053047A (en) * | 1989-05-16 | 1991-10-01 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery and methods of suturing |
US5222976A (en) * | 1989-05-16 | 1993-06-29 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery |
US5330503A (en) * | 1989-05-16 | 1994-07-19 | Inbae Yoon | Spiral suture needle for joining tissue |
US5018530A (en) * | 1989-06-15 | 1991-05-28 | Research Corporation Technologies, Inc. | Helical-tipped lesion localization needle device and method of using the same |
US5100420A (en) * | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5007921A (en) * | 1989-10-26 | 1991-04-16 | Brown Alan W | Surgical staple |
US5324307A (en) * | 1990-07-06 | 1994-06-28 | American Cyanamid Company | Polymeric surgical staple |
US5221269A (en) * | 1990-10-15 | 1993-06-22 | Cook Incorporated | Guide for localizing a nonpalpable breast lesion |
US5282807A (en) * | 1990-11-05 | 1994-02-01 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator |
USRE35525E (en) * | 1991-04-04 | 1997-06-03 | Ethicon Endo-Surgery, Inc. | Endoscopic multiple ligating clip applier |
US5203864A (en) * | 1991-04-05 | 1993-04-20 | Phillips Edward H | Surgical fastener system |
US5297714A (en) * | 1991-04-17 | 1994-03-29 | Ethicon, Inc. | Surgical staple with modified "B" shaped configuration |
US5356064A (en) * | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5258000A (en) * | 1991-11-25 | 1993-11-02 | Cook Incorporated | Tissue aperture repair device |
US5259395A (en) * | 1992-01-15 | 1993-11-09 | Siemens Pacesetter, Inc. | Pacemaker lead with extendable retractable lockable fixing helix |
US5433721A (en) * | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US5318575A (en) * | 1992-02-03 | 1994-06-07 | United States Surgical Corporation | Method of using a surgical repair suture product |
US5439156A (en) * | 1992-02-07 | 1995-08-08 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5312024A (en) * | 1992-02-07 | 1994-05-17 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5217486A (en) * | 1992-02-18 | 1993-06-08 | Mitek Surgical Products, Inc. | Suture anchor and installation tool |
US5228565A (en) * | 1992-02-26 | 1993-07-20 | United States Surgical Corporation | Package and method of loading for resilient surgical sutures |
US5454834A (en) * | 1992-03-12 | 1995-10-03 | Richard Wolf Gmbh | Surgical suture material |
US5417700A (en) * | 1992-03-30 | 1995-05-23 | Thomas D. Egan | Automatic suturing and ligating device |
US5242457A (en) * | 1992-05-08 | 1993-09-07 | Ethicon, Inc. | Surgical instrument and staples for applying purse string sutures |
US5499990A (en) * | 1992-05-23 | 1996-03-19 | Forschungszentrum Karlsruhe Gmbh | Suturing instrument |
US5797931A (en) * | 1992-06-04 | 1998-08-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5772668A (en) * | 1992-06-18 | 1998-06-30 | American Biomed, Inc. | Apparatus for placing an endoprosthesis |
US5437266A (en) * | 1992-07-02 | 1995-08-01 | Mcpherson; William | Coil screw surgical retractor |
US5306281A (en) * | 1992-08-31 | 1994-04-26 | Merrimac Industries, Inc. | Suturing cassette device |
US5295956A (en) * | 1992-10-09 | 1994-03-22 | Symbiosis Corporation | Endoscopic suction instrument having variable suction strength capabilities |
US5309927A (en) * | 1992-10-22 | 1994-05-10 | Ethicon, Inc. | Circular stapler tissue retention spring method |
US5545148A (en) * | 1992-10-24 | 1996-08-13 | Wurster; Helmut | Endoscopic sewing instrument |
US5382260A (en) * | 1992-10-30 | 1995-01-17 | Interventional Therapeutics Corp. | Embolization device and apparatus including an introducer cartridge and method for delivering the same |
US5488958A (en) * | 1992-11-09 | 1996-02-06 | Vance Products Incorporated | Surgical cutting instrument for coring tissue affixed thereto |
US5356424A (en) * | 1993-02-05 | 1994-10-18 | American Cyanamid Co. | Laparoscopic suturing device |
US5320630A (en) * | 1993-02-23 | 1994-06-14 | Munir Ahmed | Endoscopic ligating instrument for applying elastic bands |
US5354292A (en) * | 1993-03-02 | 1994-10-11 | Braeuer Harry L | Surgical mesh introduce with bone screw applicator for the repair of an inguinal hernia |
US5309617A (en) * | 1993-06-07 | 1994-05-10 | Thiokol Corporation | Threaded insert removal tool |
US5500001A (en) * | 1993-06-18 | 1996-03-19 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5501683A (en) * | 1993-06-18 | 1996-03-26 | Linvatec Corporation | Suture anchor for soft tissue fixation |
US5411522A (en) * | 1993-08-25 | 1995-05-02 | Linvatec Corporation | Unitary anchor for soft tissue fixation |
US5607436A (en) * | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5904696A (en) * | 1994-01-13 | 1999-05-18 | Ethicon, Inc. | Spiral surgical tack |
US5728116A (en) * | 1994-01-13 | 1998-03-17 | Ethicon, Inc. | Spiral surgical tack |
US6036701A (en) * | 1994-01-13 | 2000-03-14 | Ethicon, Inc. | Spiral surgical tack |
US5465895A (en) * | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5487500A (en) * | 1994-02-03 | 1996-01-30 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5452836A (en) * | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
US5833695A (en) * | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US6296656B1 (en) * | 1994-08-05 | 2001-10-02 | Origin Medsystems, Inc. | Surgical helical fastener with applicator |
US5810882A (en) * | 1994-08-05 | 1998-09-22 | Origin Medsystems, Inc. | Surgical helical fastener with applicator and method of use |
US5964772A (en) * | 1994-08-05 | 1999-10-12 | Origin Medsystems, Inc. | Applicator for attaching fasteners to tissue |
US5824008A (en) * | 1994-08-05 | 1998-10-20 | Origin Medsystems, Inc. | System for applying fasteners to tissue |
US5626613A (en) * | 1995-05-04 | 1997-05-06 | Arthrex, Inc. | Corkscrew suture anchor and driver |
US5662683A (en) * | 1995-08-22 | 1997-09-02 | Ortho Helix Limited | Open helical organic tissue anchor and method of facilitating healing |
US6099537A (en) * | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
US5810851A (en) * | 1996-03-05 | 1998-09-22 | Yoon; Inbae | Suture spring device |
US5782844A (en) * | 1996-03-05 | 1998-07-21 | Inbae Yoon | Suture spring device applicator |
US5830221A (en) * | 1996-09-20 | 1998-11-03 | United States Surgical Corporation | Coil fastener applier |
US5792115A (en) * | 1997-04-30 | 1998-08-11 | Horn; John Russell | Apparatus and method for anchoring a catheter to the body of an individual |
US6063070A (en) * | 1997-08-05 | 2000-05-16 | Target Therapeutics, Inc. | Detachable aneurysm neck bridge (II) |
US5989268A (en) * | 1997-10-28 | 1999-11-23 | Boston Scientific Corporation | Endoscopic hemostatic clipping device |
US6113611A (en) * | 1998-05-28 | 2000-09-05 | Advanced Vascular Technologies, Llc | Surgical fastener and delivery system |
US5941890A (en) * | 1998-06-26 | 1999-08-24 | Ethicon Endo-Surgery, Inc. | Implantable surgical marker |
US6261302B1 (en) * | 1998-06-26 | 2001-07-17 | Ethicon Endo-Surgery, Inc. | Applier for implantable surgical marker |
US6511489B2 (en) * | 1999-08-03 | 2003-01-28 | Frederic P. Field | Surgical suturing instrument and method of use |
US6527785B2 (en) * | 1999-08-03 | 2003-03-04 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US6767352B2 (en) * | 1999-08-03 | 2004-07-27 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US6679895B1 (en) * | 1999-11-05 | 2004-01-20 | Onux Medical, Inc. | Apparatus and method for placing suture wires into tissue for the approximation and tensioning of tissue |
US6564806B1 (en) * | 2000-02-18 | 2003-05-20 | Thomas J. Fogarty | Device for accurately marking tissue |
US6551332B1 (en) * | 2000-03-31 | 2003-04-22 | Coalescent Surgical, Inc. | Multiple bias surgical fastener |
US6425903B1 (en) * | 2000-05-09 | 2002-07-30 | James W. Voegele | Implantable surgical marker |
US6402765B1 (en) * | 2000-06-12 | 2002-06-11 | Niti Alloys Technologies Ltd. | Surgical clip |
US20020065524A1 (en) * | 2000-09-01 | 2002-05-30 | Arnold Miller | Vascular bypass grafting instrument and method |
US20030105473A1 (en) * | 2000-09-01 | 2003-06-05 | Arnold Miller | Multi-fastener surgical apparatus and method |
US20020068947A1 (en) * | 2000-10-19 | 2002-06-06 | Kuhns Jesse J. | Surgical instrument having a fastener delivery mechanism |
US20020087170A1 (en) * | 2000-10-19 | 2002-07-04 | Kuhns Jesse J. | Method for attaching hernia mesh |
US6551333B2 (en) * | 2000-10-19 | 2003-04-22 | Ethicon Endo-Surgery, Inc. | Method for attaching hernia mesh |
Cited By (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7951157B2 (en) | 2000-05-19 | 2011-05-31 | C.R. Bard, Inc. | Tissue capturing and suturing device and method |
US8075573B2 (en) | 2003-05-16 | 2011-12-13 | C.R. Bard, Inc. | Single intubation, multi-stitch endoscopic suturing system |
US20100022943A1 (en) * | 2008-07-25 | 2010-01-28 | Medtronic Vascular, Inc. | Hydrodynamic Thrombectomy Catheter |
US9386979B2 (en) | 2008-10-28 | 2016-07-12 | C.R. Bard, Inc. | Endoscopic suturing device with suture management |
US9433503B2 (en) | 2010-08-04 | 2016-09-06 | Valcare, Inc. | Percutaneous transcatheter repair of heart valves |
US10779945B2 (en) | 2011-06-01 | 2020-09-22 | Valcare, Inc. | Percutaneous transcatheter repair of heart valves via trans-apical access |
US9402721B2 (en) | 2011-06-01 | 2016-08-02 | Valcare, Inc. | Percutaneous transcatheter repair of heart valves via trans-apical access |
US11571307B2 (en) | 2012-02-29 | 2023-02-07 | Valcare, Inc. | Methods, devices, and systems for percutaneously anchoring annuloplasty rings |
US11298230B2 (en) | 2012-02-29 | 2022-04-12 | Valcare, Inc. | Percutaneous annuloplasty system with anterior-posterior adjustment |
US9839519B2 (en) | 2012-02-29 | 2017-12-12 | Valcare, Inc. | Percutaneous annuloplasty system with anterior-posterior adjustment |
US10722363B2 (en) | 2012-02-29 | 2020-07-28 | Valcare, Inc. | Methods, devices, and systems for percutaneously anchoring annuloplasty rings |
US9180008B2 (en) | 2012-02-29 | 2015-11-10 | Valcare, Inc. | Methods, devices, and systems for percutaneously anchoring annuloplasty rings |
US9814576B2 (en) | 2012-02-29 | 2017-11-14 | Valcare, Inc. | Methods, devices, and systems for percutaneously anchoring annuloplasty rings |
US10166100B2 (en) | 2013-03-15 | 2019-01-01 | Valcare, Inc. | Systems and methods for delivery of annuloplasty rings |
US11382749B2 (en) | 2013-03-15 | 2022-07-12 | Valcare, Inc. | Systems and methods for delivery of annuloplasty rings |
US10813751B2 (en) | 2013-05-22 | 2020-10-27 | Valcare, Inc. | Transcatheter prosthetic valve for mitral or tricuspid valve replacement |
US11617647B2 (en) | 2013-05-22 | 2023-04-04 | Valcare, Inc. | Transcatheter prosthetic valve for mitral or tricuspid valve replacement |
US11654018B2 (en) | 2013-05-24 | 2023-05-23 | Valcare, Inc. | Heart and peripheral vascular valve replacement in conjunction with a support ring |
US11654017B2 (en) | 2013-05-24 | 2023-05-23 | Valcare, Inc. | Heart and peripheral vascular valve replacement in conjunction with a support ring |
US11191536B2 (en) | 2013-06-28 | 2021-12-07 | Valcare, Inc. | Device, system, and method to secure an article to a tissue |
US11224422B2 (en) | 2013-06-28 | 2022-01-18 | Valcare, Inc. | Device, system, and method to secure an article to a tissue |
US11058417B2 (en) | 2013-06-28 | 2021-07-13 | Valcare, Inc. | Device, system, and method to secure an article to a tissue |
WO2014210600A3 (en) * | 2013-06-28 | 2015-02-26 | Valcare, Inc. | Device, system, and method to secure an article to a tissue |
US11806009B2 (en) | 2013-06-28 | 2023-11-07 | Valcare, Inc. | Device, system, and method to secure an article to a tissue |
US11103349B2 (en) | 2016-08-15 | 2021-08-31 | Valcare, Inc. | Devices and methods for the treatment of heart valve insufficiencies |
US11576779B2 (en) | 2017-03-17 | 2023-02-14 | Valcare, Inc. | Mitral or tricuspid repair systems with multi-directional anchors |
US11534300B2 (en) | 2018-12-03 | 2022-12-27 | Valcare, Inc. | Stabilizing and adjusting tool for controlling a minimally invasive mitral / tricuspid valve repair system |
US11793628B2 (en) | 2019-07-15 | 2023-10-24 | Valcare, Inc. | Transcatheter bio-prosthesis member and support structure |
Also Published As
Publication number | Publication date |
---|---|
WO2003088815A2 (en) | 2003-10-30 |
US7169157B2 (en) | 2007-01-30 |
AU2003228589A1 (en) | 2003-11-03 |
DE60336123D1 (en) | 2011-04-07 |
AU2003228589A8 (en) | 2003-11-03 |
EP1494573A2 (en) | 2005-01-12 |
EP1494573A4 (en) | 2008-03-12 |
WO2003088815A3 (en) | 2004-01-22 |
US20030236534A1 (en) | 2003-12-25 |
EP1494573B1 (en) | 2011-02-23 |
ES2360938T3 (en) | 2011-06-10 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7169157B2 (en) | Tacking tool and tack | |
US20200405310A1 (en) | Surgical instrument for dispensing tacks and solution | |
US8631991B2 (en) | Surgical instrument | |
EP1496807B1 (en) | Tack and tack applier | |
AU2007201111B2 (en) | Surgical fastener and instrument | |
US4448194A (en) | Full stroke compelling mechanism for surgical instrument with drum drive | |
US10492778B2 (en) | Medical fastening device | |
US5830221A (en) | Coil fastener applier | |
US6527785B2 (en) | Surgical suturing instrument and method of use | |
US5217472A (en) | Surgical fastening device | |
EP1608272B1 (en) | Clip applying apparatus with angled jaw | |
US5392978A (en) | Surgical staple and endoscopic stapler | |
US5257713A (en) | Surgical fastening device | |
US5782844A (en) | Suture spring device applicator | |
US20030229360A1 (en) | Tissue fastener having a shaft with a reduced cross-section | |
US20030233105A1 (en) | Method for applying tissue fastener | |
US20080277445A1 (en) | Single fire tacker instrument | |
US20030009195A1 (en) | Surgical suturing instrument and method of use | |
AU2004202582A1 (en) | Surgical suturing instrument and method of use | |
US20180228486A1 (en) | Suturing device and method of use | |
CA2404193C (en) | Surgical suturing instrument and method of use |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: TYCO HEALTHCARE GROUP LP, CONNECTICUT Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:KAYAN, HELMUT;REEL/FRAME:018716/0180 Effective date: 20030819 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |