US20160338694A1 - Surgical fasteners - Google Patents
Surgical fasteners Download PDFInfo
- Publication number
- US20160338694A1 US20160338694A1 US15/224,921 US201615224921A US2016338694A1 US 20160338694 A1 US20160338694 A1 US 20160338694A1 US 201615224921 A US201615224921 A US 201615224921A US 2016338694 A1 US2016338694 A1 US 2016338694A1
- Authority
- US
- United States
- Prior art keywords
- tack
- body portion
- surgical
- fastening system
- tubular body
- 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- 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
- A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
-
- 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
- A61B2017/0645—Surgical staples, i.e. penetrating the tissue being elastically deformed for insertion
-
- 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
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
-
- 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
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
- A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
-
- 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 fasteners for securing objects to body tissue and, more particularly, to surgical tacks for fastening a surgical mesh to underlying tissue during surgical procedures to repair body tissue, such as in hernia repair procedures.
- fasteners in the form of staples or the like are employed for holding tissue portions together to facilitate healing of a wound or incision.
- Other tissue fastening devices have been proposed and differ from staples per se in that these other devices may have a plurality of components and do not have to be clinched in the manner used to set a staple.
- fastening devices require access to both sides of a tissue site since they typically include an upper section having a crown and legs and a lower receiver, wherein the lower receiver engages and locks the legs of the upper section.
- tissue fastening devices and techniques are satisfactory in various applications, there is a need to provide improved fastening devices which are relatively easier to apply and relatively difficult to remove.
- surgical fastening devices which do not require a second separate piece or receiver to lock, form or maintain the fastener in place in tissue, which can be applied and secured from one side of a tissue site, most desirably in an endoscopic or open surgical procedure, and which overcome the disadvantages associated with conventional surgical staples.
- a tack for use in performing the surgical procedure includes an elongated body portion having a distal end and a proximal end, a head integrally coupled to the proximal end of the body portion and having a proximal surface and a distal surface, and an anchoring element provided on an outer surface of the body portion for inhibiting removal of the tack from body tissue.
- the anchoring element is a helical thread extending at least along a portion of the length of the body portion.
- the body portion is conical, although, the body portion can be tapered such that a girth of the body portion is smaller at its distal end than at its proximal end.
- the head preferably has a diameter which is larger than a diameter of the proximal end of the body portion. It is contemplated that the head includes a stackable feature, wherein the stackable feature preferably is a recess formed in the proximal surface of the head.
- the distal end of the body portion is atraumatic, preferably rounded. It is envisioned that the distal end of the body portion and the recess are configured and dimensioned such that the distal end of a similar tack can be seated within the recess.
- the helical thread terminates at a distance spaced from the distal surface of the head. In the same or another embodiment, the helical thread commences at a distance spaced from the distal end of the body portion.
- the tack can include at least one resilient prong extending from the outer surface of the body portion.
- the at least one resilient prong preferably is disposed between the distal end of the body portion and the helical thread.
- the at least one resilient prong extends from the outer surface of the body portion from a location distally of the head.
- the anchoring element can include at least one resilient prong extending from an outer surface of the body portion, wherein the at least one prong has an unbiased orientation which is substantially orthogonal to a longitudinal axis of the body portion. It is contemplated that the at least one resilient prong is capable of being biased solely in a direction towards the head.
- a first set of resilient prongs is provided near the distal end of the body portion and a second set of resilient prongs is provided on the body portion, proximally of the first set. It is envisioned that each set of resilient prongs includes two pair of diametrically opposed prongs.
- the anchoring element includes at least one barb formed along on an outer surface of the body portion, preferably, at least a pair of barbs is formed along a single side of the body portion.
- the two pair of diametrically opposed barbs are provided near either the distal end of the body portion or near the proximal end of the body portion.
- the head of the tack has a rim having at least one notch formed therein.
- the tack is made from a biocompatible material.
- the tack can include a backing member, at least two legs depending distally from the backing member, wherein the legs are substantially orthogonal to the backing member and are oriented in substantially the same direction as one another, and an anchoring element provided on an outer surface of each leg for inhibiting the removal of the tack from body tissue.
- the anchoring element is at least one barb extending from the outer surface of each leg. It is contemplated that each barb is oriented in a proximal direction. One of the barbs is provided near the distal end of each leg and another of the barbs is provided near a proximal end of each leg.
- the backing member preferably includes at least two recesses formed in a proximal surface thereof, each recess being axially aligned with a longitudinal axis of a respective leg.
- the backing member preferably is elongated or annular.
- the backing member is triangular and includes a leg depending from each respective corner of the backing member.
- the anchoring elements are barbs extending from the outer surface of each leg.
- the backing member is elongated and that a leg depends from each respective end of the elongated member.
- the tack is fabricated from a bioabsorbable material.
- FIG. 1 is a side elevational view of a fastening member in accordance with the present disclosure
- FIG. 3 is perspective view of the fastening member shown in FIG. 1 ;
- FIG. 4 is a perspective view of the fastening member shown in FIG. 1 illustrating one method of operation
- FIG. 5 is a perspective view of an alternate fastening member in accordance with the present disclosure.
- FIG. 7 is a perspective view of the fastening member of FIG. 6 in a stacked tip-to-tail orientation with other similar fastening members;
- FIG. 8 is an illustration of the fastening member of FIG. 6 being inserted into mesh
- FIG. 9 is a perspective view of an alternate fastening member in accordance with the present disclosure.
- FIG. 10 is a side elevational view of an alternate fastening member in accordance with the present disclosure.
- FIG. 10A is a bottom plan view of the fastening member shown in FIG. 10 ;
- FIG. 11 is a side elevational view of an alternate fastening member in accordance with the present disclosure.
- FIG. 11A is a bottom plan view of the fastening member shown in FIG. 11 ;
- FIG. 12 is a perspective view of an alternate fastening member in accordance with the present disclosure.
- FIG. 13 is a perspective view of an alternate fastening member in accordance with the present disclosure
- FIG. 14 is a perspective view of an alternate fastening member in accordance with the present disclosure.
- FIG. 15 is a perspective view of an alternate fastening member in accordance with the present disclosure.
- proximal as is traditional, will refer to the end of the fastening member which is closest to the operator, while the term “distal” will refer to the end of the fastening member which is furthest from the operator.
- Tack 10 includes an elongated body portion 12 having an atraumatic, here shown as rounded, distal end 14 and a head 16 provided at a proximal end thereof.
- head 16 has a diameter which is larger than a proximal end of body portion 12 .
- Tack 10 includes a helical thread 18 commencing from distal end 14 and terminating at a distance “X” spaced from head 16 .
- Head 16 is provided with at least one notch 20 formed along a rim 21 thereof.
- Notch 20 is preferably configured and dimensioned to be engaged by an engaging member such as a radially inwardly extending ridge 25 on the interior surface of a tubular shaft 27 of an applying tool 23 to assist in the rotation and application of tack 10 into a mesh material and underlying tissue.
- Head 16 also includes a stacking feature, here shown as a detent or recess 22 (see FIGS. 3 and 4 ) formed on a proximal surface of head 16 which is configured and adapted to receive therein a distal end 14 of another axially aligned adjacent tack 10 therein in a tip-to-tail configuration.
- tack 10 has been shown and described as having a rounded distal end 14 , it is envisioned that distal end 14 of tack 10 can have any number of shapes, including and not limited to sharpened, conical, blunt, triad, helical/spiral or the like.
- a body portion 12 is preferably conical, tack 10 can be formed having a tapered or substantially cylindrical body portion.
- body portion 12 can be provided with a longitudinal lumen or passage (not shown) which is co-axial with a longitudinal axis of tack 10 .
- body portion 12 of tack 10 is tapered such that body portion 12 has a girth which is smaller at distal end 14 than at the proximal end thereof.
- An exemplary method of use of tack 10 in a hernia repair procedure, initially requires the use of conventional surgical techniques to prepare the hernia site within the patient's abdominal cavity and to place a conventional piece of biocompatible surgical mesh over the hernia site itself.
- a distal end of an applying tool having at least one, usually a plurality of tacks 10 operatively associated with tool 23 , is advanced into close proximity with and applied to the surface of the surgical mesh until helical thread 18 of a tack engages the surgical mesh.
- the applying tool is then used to rotate tack 10 which causes tack 10 to be drawn distally through the surgical mesh and into the tissue preferably until and so that the bottom surface of head 16 contacts the mesh.
- a fastening member in the form of a tack, is shown generally as 10 a.
- helical thread 18 commences from a distance “Y” spaced from distal end 14 and terminates at a distance “X” spaced from head 16 .
- tack 10 a is further provided with a plurality of radially extending resilient prongs 24 disposed between a distal end of helical thread 18 and distal end 14 of body portion 12 .
- resilient prongs 24 are capable of being deflected in proximal directions including in angular and arcuate or circumferential directions relative to elongated body portion 12 .
- tack 10 a is inserted into the body tissue preferably by first pressing/pushing tack 10 a distally and with little or no rotation through the surgical mesh, thereby deflecting resilient prongs 24 in a proximal direction, until helical thread 18 engages the surgical mesh.
- the applying tool is then used to rotate tack 10 a which causes tack 10 a to continue to move distally through the surgical mesh and into the tissue until the bottom surface of head 16 contacts the mesh.
- resilient prongs 24 deflect in angular and arcuate or circumferential directions relative to elongated body portion 12 .
- tack 10 a is prevented from backing out due to the joint cooperation of helical thread 18 (as described above with regard to tack 10 ) and due to resilient prongs 24 (now at least partially oriented in a proximal direction) acting as anchors and that engage and are retained by the body tissue.
- Tack 10 b includes a distal set of resilient prongs 26 extending radially from body portion 12 and a proximal set of resilient prongs 28 also extending radially from body portion 12 .
- distal prongs 26 are located proximate to and spaced a distance from distal end 14
- prongs 28 are located proximally of prongs 26 and, as here shown, spaced a distance from head 16 .
- Prongs 26 and 28 are preferably capable of being deflected in a proximal direction, desirably toward head 16 .
- the prongs of a set are diametrically opposed to each other and axially aligned with the prongs of the other set.
- prongs 26 and 28 bend back (i.e., in a proximal direction) near or more preferably against body portion 12 allowing body portion 12 of tack 10 b to pass through mesh “M”.
- prongs 26 and 28 pass completely through mesh “M” and tack 10 b is completely imbedded into underlying body tissue “T”, preferably prongs 26 and 28 return to a substantially transverse orientation with respect to body portion 12 , thus preventing tack 10 b from being pulled back out through mesh “M”.
- FIG. 8 As seen in FIG. 8 , as tack 10 b is pressed through a surgical mesh “M”, prongs 26 and 28 bend back (i.e., in a proximal direction) near or more preferably against body portion 12 allowing body portion 12 of tack 10 b to pass through mesh “M”.
- prongs 26 and 28 pass completely through mesh “M” and tack 10 b is completely imbedded into underlying body tissue “T”, preferably prongs 26 and 28
- a plurality of tacks 10 b can be aligned and stacked in tip-to-tail fashion with one another by an engagement or placement of distal end 14 of body portion 12 in recess 22 formed in head 16 . It is desirable to stack tacks of the disclosure in tip-to-tail fashion when a plurality of tacks are loaded directly into an applying tool or into a cartridge assembly which is later coupled to an insertion tool.
- distal set of prongs 26 help to stabilize the upper tack relative to the underlying tack.
- FIG. 9 shows an alternative embodiment, a tack 10 b ′, whose body portion 12 has a single pair of diametrically opposed resilient barbs 30 .
- Barbs 30 are preferably oriented in a proximal direction wherein a distal end of each barb 30 is spaced a distance from body portion 12 . Since barbs 30 are so oriented, insertion of tack 10 b into body tissue is facilitated while removal of tack 10 b from the body tissue is impeded by the anchoring effect of barbs 30 engaging into the body tissue.
- prongs 24 , 26 and 28 have been shown throughout the figures as being substantially cylindrical in cross-section and having a certain length, it is envisioned that prongs 24 , 26 and 28 can have a cross-sectional profile of any shape, including and not limited to, rectangular, triangular, polygonal, elliptical and the like. It is further envisioned that prongs 24 , 26 and 28 can have any desired length as deemed necessary for the particular surgical procedure in which they are going to be used.
- tack 100 in the form of tacks, is generally shown as 100 .
- tack 100 includes a head 104 and a body portion 102 having upper and lower sets of radially extending preferably rigid barbs 106 a, 106 b , extending radially from body portion 102 .
- the barbs of each pair are diametrically opposed, and the barbs of the pairs are axially aligned.
- tack 100 a is provided with a single upper barb 106 a and a single lower barb 106 b.
- Barbs 106 a, 106 b are formed along one side of leg 102 . It is envisioned that any number of barbs 106 can be provided along the outer surface of leg 102 . Moreover, barbs 106 can be oriented in any radial direction relative to one another.
- tack 200 includes an elongated backing member 202 having a leg 204 depending from each end thereof.
- each leg 204 is substantially orthogonal with respect to an axis defined by backing member 202 .
- Legs 204 are preferably substantially oriented in the same direction as one another.
- Each leg 204 is provided with a substantially oriented resilient barb 206 formed at a distal end thereof.
- the terminal end of each barb 206 is spaced from the leg 204 from which it extends. While, as seen in FIG.
- barbs of the tacks of the disclosure are directed or generally oriented toward one another, it is envisioned that barbs 206 can be disposed in any radial and/or proximal direction anywhere about each leg 204 .
- Backing member 202 preferably is provided with a pair of recesses 208 formed in a proximal surface thereof.
- each leg 204 of tack 200 includes a pair of barbs 206 .
- barbs 206 of each leg 204 are oriented directly or generally towards each other.
- tack 200 b includes a backing member 202 that is annular and is defined by a single, a pair or by a plurality of arcuate backing members 202 a and 202 b.
- Annular backing-member 202 defines an opening 210 therethrough which can be for receiving a shaft of an insertion tool therethrough.
- Backing-member 202 further includes a pair of recesses 208 formed in a proximal surface thereof, which recesses 208 are axially aligned with a longitudinal axis of a respective leg 204 .
- the recess(es) in the backing member(s) of the tacks of the disclosure can be configured for stacking and/or application purposes.
- FIG. 15 shows an alternative embodiment of a fastening member, in the form of a tack, generally shown as 300 .
- Tack 300 includes a triangular head 302 having a leg 304 depending from each corner 306 thereof.
- Each leg 304 is provided with at least one barb 308 formed on and preferably along a portion of the length thereof, preferably, at or near a distal tip thereof. It is envisioned that barbs 308 are oriented in a direction facing substantially toward a center of head portion 302 .
- tack 100 An exemplary method of use of the tacks disclosed herein (hereinafter, for simplicity, “tack 100 ”) in a hernia repair procedure will now be described.
- the hernia site in the patient's abdominal cavity is first prepared using conventional surgical techniques and a conventional piece of biocompatible surgical mesh is placed over the hernia site, understood to include tissue or body portions surrounding the hernia.
- tack 100 is applied by a tack applier, or by grasping tack 100 with an appropriate grasping instrument and placing the tack into position proximate to the tissue to be fastened.
- the tack is positioned such that the legs are oriented substantially perpendicular to the surface of the tissue.
- Tack 100 is then pushed distally until its distal ends penetrate the mesh and the underlying tissue, preferably until the distal surface of the head contacts the surface of the surgical mesh. The procedure is repeated as many times with as many tacks as deemed necessary to secure the mesh to the underlying tissue.
- the head of each fastening member is flattened to reduce interference with or reduce trauma to the body. While a flattened head is preferred, it is contemplated that the head can take on any configuration, including and not limited to arcuate, hemispherical, rectangular or the like.
- the fastening members of the present disclosure may be manufactured from biocompatible absorbable or non-absorbable (i.e., stainless steel, titanium, polymers, composites and the like and equivalent) materials. It is particularly preferred that the fastening members of the present disclosure are manufactured from absorbable materials which are absorbed into the body over the course of the healing process thereby eliminating the existence of the fastener after it is no longer needed to perform its function of approximating or fastening tissue or body matter. Examples of absorbable materials include homopolymers and copolymers of lactide, glycolide, trimethylene carbonate, caprolactone, and p-dioxanone and blends thereof.
Abstract
Surgical fasteners, including tacks are disclosed for fastening a surgical mesh to underlying tissue during surgical procedures to repair body tissue, such as in hernia repair. Such tacks can include a head, a elongated body portion having a distal end and a proximal end, and an anchoring element on an outer surface of the body portion for inhibiting the removal of the tack from the mesh and body tissue.
Description
- This application is a continuation of U.S. patent application Ser. No. 14/321,093, filed Jul. 1, 2014, which is a continuation of U.S. patent application Ser. No. 10/493,509 filed Apr. 21, 2004, now U.S. Pat. No. 8,777,969, which is a National Stage Application of PCT/US2002/033984 filed Oct. 22, 2002 under 35 USC §371 (a), which claims priority of U.S. Provisional Patent Application Ser. No. 60/347,846 filed Oct. 23, 2001 the entire contents of which are hereby incorporated by reference.
- 1. Technical Field
- The present disclosure relates generally to surgical fasteners for securing objects to body tissue and, more particularly, to surgical tacks for fastening a surgical mesh to underlying tissue during surgical procedures to repair body tissue, such as in hernia repair procedures.
- 2. Background of Related Art
- In various surgical procedures, fasteners in the form of staples or the like are employed for holding tissue portions together to facilitate healing of a wound or incision. Other tissue fastening devices have been proposed and differ from staples per se in that these other devices may have a plurality of components and do not have to be clinched in the manner used to set a staple. For example, such fastening devices require access to both sides of a tissue site since they typically include an upper section having a crown and legs and a lower receiver, wherein the lower receiver engages and locks the legs of the upper section.
- Although many of the above-discussed types of tissue fastening devices and techniques are satisfactory in various applications, there is a need to provide improved fastening devices which are relatively easier to apply and relatively difficult to remove. In particular, there is a need for surgical fastening devices which do not require a second separate piece or receiver to lock, form or maintain the fastener in place in tissue, which can be applied and secured from one side of a tissue site, most desirably in an endoscopic or open surgical procedure, and which overcome the disadvantages associated with conventional surgical staples.
- The present disclosure relates to surgical tacks primarily for fastening a surgical mesh to underlying tissue during surgical procedures to repair body tissue, such as in hernia repair procedures. In one aspect of the present disclosure, a tack for use in performing the surgical procedure includes an elongated body portion having a distal end and a proximal end, a head integrally coupled to the proximal end of the body portion and having a proximal surface and a distal surface, and an anchoring element provided on an outer surface of the body portion for inhibiting removal of the tack from body tissue.
- It is envisioned that the anchoring element is a helical thread extending at least along a portion of the length of the body portion. Preferably, the body portion is conical, although, the body portion can be tapered such that a girth of the body portion is smaller at its distal end than at its proximal end.
- The head preferably has a diameter which is larger than a diameter of the proximal end of the body portion. It is contemplated that the head includes a stackable feature, wherein the stackable feature preferably is a recess formed in the proximal surface of the head. The distal end of the body portion is atraumatic, preferably rounded. It is envisioned that the distal end of the body portion and the recess are configured and dimensioned such that the distal end of a similar tack can be seated within the recess.
- In one embodiment, the helical thread terminates at a distance spaced from the distal surface of the head. In the same or another embodiment, the helical thread commences at a distance spaced from the distal end of the body portion.
- In an embodiment, the tack can include at least one resilient prong extending from the outer surface of the body portion. The at least one resilient prong preferably is disposed between the distal end of the body portion and the helical thread. Preferably, the at least one resilient prong extends from the outer surface of the body portion from a location distally of the head.
- In an embodiment, the anchoring element can include at least one resilient prong extending from an outer surface of the body portion, wherein the at least one prong has an unbiased orientation which is substantially orthogonal to a longitudinal axis of the body portion. It is contemplated that the at least one resilient prong is capable of being biased solely in a direction towards the head. Preferably, a first set of resilient prongs is provided near the distal end of the body portion and a second set of resilient prongs is provided on the body portion, proximally of the first set. It is envisioned that each set of resilient prongs includes two pair of diametrically opposed prongs. In another embodiment, the anchoring element includes at least one barb formed along on an outer surface of the body portion, preferably, at least a pair of barbs is formed along a single side of the body portion. The two pair of diametrically opposed barbs are provided near either the distal end of the body portion or near the proximal end of the body portion.
- It is envisioned that the head of the tack has a rim having at least one notch formed therein.
- It is contemplated that the tack is made from a biocompatible material.
- In another aspect to of the present disclosure, the tack can include a backing member, at least two legs depending distally from the backing member, wherein the legs are substantially orthogonal to the backing member and are oriented in substantially the same direction as one another, and an anchoring element provided on an outer surface of each leg for inhibiting the removal of the tack from body tissue.
- Preferably, the anchoring element is at least one barb extending from the outer surface of each leg. It is contemplated that each barb is oriented in a proximal direction. One of the barbs is provided near the distal end of each leg and another of the barbs is provided near a proximal end of each leg.
- The backing member preferably includes at least two recesses formed in a proximal surface thereof, each recess being axially aligned with a longitudinal axis of a respective leg. The backing member preferably is elongated or annular. In one embodiment, it is envisioned that the backing member is triangular and includes a leg depending from each respective corner of the backing member. In an embodiment, it is envisioned that the anchoring elements are barbs extending from the outer surface of each leg.
- It is further envisioned that the backing member is elongated and that a leg depends from each respective end of the elongated member.
- It is envisioned that the tack is fabricated from a bioabsorbable material.
- These and other features and advantages of the present disclosure will become apparent from consideration of the following description taken in conjunction with the accompanying drawings.
- The accompanying drawings, which are incorporated and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above, and the detailed description of the embodiments given below, serve to explain the principles of the disclosure.
-
FIG. 1 is a side elevational view of a fastening member in accordance with the present disclosure; -
FIG. 2 is a bottom plan view of the fastening member shown inFIG. 1 ; -
FIG. 3 is perspective view of the fastening member shown inFIG. 1 ; -
FIG. 4 is a perspective view of the fastening member shown inFIG. 1 illustrating one method of operation; -
FIG. 5 is a perspective view of an alternate fastening member in accordance with the present disclosure; -
FIG. 6 is a perspective view of an alternate fastening member in accordance with the present disclosure; -
FIG. 7 is a perspective view of the fastening member ofFIG. 6 in a stacked tip-to-tail orientation with other similar fastening members; -
FIG. 8 is an illustration of the fastening member ofFIG. 6 being inserted into mesh; -
FIG. 9 is a perspective view of an alternate fastening member in accordance with the present disclosure; -
FIG. 10 is a side elevational view of an alternate fastening member in accordance with the present disclosure; -
FIG. 10A is a bottom plan view of the fastening member shown inFIG. 10 ; -
FIG. 11 is a side elevational view of an alternate fastening member in accordance with the present disclosure; -
FIG. 11A is a bottom plan view of the fastening member shown inFIG. 11 ; -
FIG. 12 is a perspective view of an alternate fastening member in accordance with the present disclosure; -
FIG. 13 is a perspective view of an alternate fastening member in accordance with the present disclosure -
FIG. 14 is a perspective view of an alternate fastening member in accordance with the present disclosure; and -
FIG. 15 is a perspective view of an alternate fastening member in accordance with the present disclosure. - Preferred embodiments of the presently disclosed fastening members are described in detail herein with reference to the drawing figures wherein like reference numerals identify similar or identical elements. In the drawings, and in the description which follows, the term “proximal”, as is traditional, will refer to the end of the fastening member which is closest to the operator, while the term “distal” will refer to the end of the fastening member which is furthest from the operator.
- Referring now in detail to the drawing figures and, in particular initially to
FIGS. 1-4 , a fastening member in the form of a surgical spiral conical tack is generally shown as 10.Tack 10 includes anelongated body portion 12 having an atraumatic, here shown as rounded,distal end 14 and ahead 16 provided at a proximal end thereof. Preferably,head 16 has a diameter which is larger than a proximal end ofbody portion 12.Tack 10 includes ahelical thread 18 commencing fromdistal end 14 and terminating at a distance “X” spaced fromhead 16.Head 16 is provided with at least onenotch 20 formed along arim 21 thereof.Notch 20 is preferably configured and dimensioned to be engaged by an engaging member such as a radially inwardly extendingridge 25 on the interior surface of atubular shaft 27 of an applyingtool 23 to assist in the rotation and application oftack 10 into a mesh material and underlying tissue.Head 16 also includes a stacking feature, here shown as a detent or recess 22 (seeFIGS. 3 and 4 ) formed on a proximal surface ofhead 16 which is configured and adapted to receive therein adistal end 14 of another axially alignedadjacent tack 10 therein in a tip-to-tail configuration. - While
tack 10 has been shown and described as having a roundeddistal end 14, it is envisioned thatdistal end 14 oftack 10 can have any number of shapes, including and not limited to sharpened, conical, blunt, triad, helical/spiral or the like. Further, it is envisioned that while abody portion 12 is preferably conical,tack 10 can be formed having a tapered or substantially cylindrical body portion. In addition,body portion 12 can be provided with a longitudinal lumen or passage (not shown) which is co-axial with a longitudinal axis oftack 10. Preferably,body portion 12 oftack 10 is tapered such thatbody portion 12 has a girth which is smaller atdistal end 14 than at the proximal end thereof. - An exemplary method of use of
tack 10, in a hernia repair procedure, initially requires the use of conventional surgical techniques to prepare the hernia site within the patient's abdominal cavity and to place a conventional piece of biocompatible surgical mesh over the hernia site itself. A distal end of an applying tool, having at least one, usually a plurality oftacks 10 operatively associated withtool 23, is advanced into close proximity with and applied to the surface of the surgical mesh untilhelical thread 18 of a tack engages the surgical mesh. The applying tool is then used to rotatetack 10 which causestack 10 to be drawn distally through the surgical mesh and into the tissue preferably until and so that the bottom surface ofhead 16 contacts the mesh. The process is repeated as many times as deemed necessary in order to secure the surgical mesh to the underlying tissue. For complete insertion ofbody portion 12 oftack 10 through the surgical mesh and into the body tissue it is preferred thathelical thread 18 pass completely through the surgical mesh. Ifbody portion 12 is inserted in that manner,tack 10 is prevented from coming free or backing out through the surgical mesh due to the abutment of the proximal end ofhelical thread 18 against the inner surface of the surgical mesh. - Turning now to
FIG. 5 , an alternative embodiment of a fastening member, in the form of a tack, is shown generally as 10 a. In the present embodiment,helical thread 18 commences from a distance “Y” spaced fromdistal end 14 and terminates at a distance “X” spaced fromhead 16. According to the present embodiment, tack 10 a is further provided with a plurality of radially extendingresilient prongs 24 disposed between a distal end ofhelical thread 18 anddistal end 14 ofbody portion 12. Preferably,resilient prongs 24 are capable of being deflected in proximal directions including in angular and arcuate or circumferential directions relative toelongated body portion 12. In use, tack 10 a is inserted into the body tissue preferably by first pressing/pushingtack 10 a distally and with little or no rotation through the surgical mesh, thereby deflectingresilient prongs 24 in a proximal direction, untilhelical thread 18 engages the surgical mesh. The applying tool is then used to rotatetack 10 a which causestack 10 a to continue to move distally through the surgical mesh and into the tissue until the bottom surface ofhead 16 contacts the mesh. Upon rotation oftack 10 aresilient prongs 24 deflect in angular and arcuate or circumferential directions relative toelongated body portion 12. In this embodiment, tack 10 a is prevented from backing out due to the joint cooperation of helical thread 18 (as described above with regard to tack 10) and due to resilient prongs 24 (now at least partially oriented in a proximal direction) acting as anchors and that engage and are retained by the body tissue. - As seen in
FIGS. 6-8 , an alternative embodiment of a fastening member, in the form of a tack, is shown generally as 10 b.Tack 10 b includes a distal set ofresilient prongs 26 extending radially frombody portion 12 and a proximal set ofresilient prongs 28 also extending radially frombody portion 12. Preferably,distal prongs 26 are located proximate to and spaced a distance fromdistal end 14, whileprongs 28 are located proximally ofprongs 26 and, as here shown, spaced a distance fromhead 16.Prongs head 16. Preferably, the prongs of a set are diametrically opposed to each other and axially aligned with the prongs of the other set. - In use, as seen in
FIG. 8 , astack 10 b is pressed through a surgical mesh “M”, prongs 26 and 28 bend back (i.e., in a proximal direction) near or more preferably againstbody portion 12 allowingbody portion 12 oftack 10 b to pass through mesh “M”. Onceprongs tack 10 b is completely imbedded into underlying body tissue “T”, preferably prongs 26 and 28 return to a substantially transverse orientation with respect tobody portion 12, thus preventingtack 10 b from being pulled back out through mesh “M”. As seen inFIG. 7 , a plurality oftacks 10 b can be aligned and stacked in tip-to-tail fashion with one another by an engagement or placement ofdistal end 14 ofbody portion 12 inrecess 22 formed inhead 16. It is desirable to stack tacks of the disclosure in tip-to-tail fashion when a plurality of tacks are loaded directly into an applying tool or into a cartridge assembly which is later coupled to an insertion tool. Here, distal set ofprongs 26 help to stabilize the upper tack relative to the underlying tack. -
FIG. 9 shows an alternative embodiment, atack 10 b′, whosebody portion 12 has a single pair of diametrically opposedresilient barbs 30.Barbs 30 are preferably oriented in a proximal direction wherein a distal end of eachbarb 30 is spaced a distance frombody portion 12. Sincebarbs 30 are so oriented, insertion oftack 10 b into body tissue is facilitated while removal oftack 10 b from the body tissue is impeded by the anchoring effect ofbarbs 30 engaging into the body tissue. - While the shape of
prongs prongs prongs - In
FIGS. 10-11A , alternate embodiments of fastening members, in the form of tacks, are generally shown as 100. As seen inFIGS. 10 and 10A ,tack 100 includes ahead 104 and abody portion 102 having upper and lower sets of radially extending preferablyrigid barbs body portion 102. As shown, preferably the barbs of each pair are diametrically opposed, and the barbs of the pairs are axially aligned. In an alternative configuration, as seen inFIGS. 11-11A , tack 100 a is provided with a singleupper barb 106 a and a singlelower barb 106 b.Barbs leg 102. It is envisioned that any number ofbarbs 106 can be provided along the outer surface ofleg 102. Moreover,barbs 106 can be oriented in any radial direction relative to one another. - Turning now to
FIGS. 12-14 , an alternative fastening member, here shown in the form of a tack generally depicted 200. As seen inFIG. 12 ,tack 200 includes anelongated backing member 202 having aleg 204 depending from each end thereof. Preferably, eachleg 204 is substantially orthogonal with respect to an axis defined by backingmember 202.Legs 204 are preferably substantially oriented in the same direction as one another. Eachleg 204 is provided with a substantially orientedresilient barb 206 formed at a distal end thereof. Preferably, the terminal end of eachbarb 206 is spaced from theleg 204 from which it extends. While, as seen inFIG. 12 , it is preferred that barbs of the tacks of the disclosure, for example, here 206, are directed or generally oriented toward one another, it is envisioned thatbarbs 206 can be disposed in any radial and/or proximal direction anywhere about eachleg 204. Backingmember 202 preferably is provided with a pair ofrecesses 208 formed in a proximal surface thereof. - Preferably, recesses 208 are axially aligned with a longitudinal axis of a
respective leg 204 and are configured and adapted to receive the distal ends ofrespective legs 204 from anadjacent tack 200. In an alternative embodiment, shown inFIG. 13 , eachleg 204 oftack 200 includes a pair ofbarbs 206. Preferably,barbs 206 of eachleg 204 are oriented directly or generally towards each other. - In yet another embodiment, shown in
FIG. 14 , tack 200 b includes abacking member 202 that is annular and is defined by a single, a pair or by a plurality ofarcuate backing members 202 a and 202 b. Annular backing-member 202 defines anopening 210 therethrough which can be for receiving a shaft of an insertion tool therethrough. Backing-member 202 further includes a pair ofrecesses 208 formed in a proximal surface thereof, which recesses 208 are axially aligned with a longitudinal axis of arespective leg 204. The recess(es) in the backing member(s) of the tacks of the disclosure can be configured for stacking and/or application purposes. -
FIG. 15 shows an alternative embodiment of a fastening member, in the form of a tack, generally shown as 300.Tack 300 includes atriangular head 302 having aleg 304 depending from eachcorner 306 thereof. Eachleg 304 is provided with at least onebarb 308 formed on and preferably along a portion of the length thereof, preferably, at or near a distal tip thereof. It is envisioned thatbarbs 308 are oriented in a direction facing substantially toward a center ofhead portion 302. - An exemplary method of use of the tacks disclosed herein (hereinafter, for simplicity, “tack 100”) in a hernia repair procedure will now be described. The hernia site in the patient's abdominal cavity is first prepared using conventional surgical techniques and a conventional piece of biocompatible surgical mesh is placed over the hernia site, understood to include tissue or body portions surrounding the hernia. Next,
tack 100 is applied by a tack applier, or by graspingtack 100 with an appropriate grasping instrument and placing the tack into position proximate to the tissue to be fastened. Preferably, the tack is positioned such that the legs are oriented substantially perpendicular to the surface of the tissue.Tack 100 is then pushed distally until its distal ends penetrate the mesh and the underlying tissue, preferably until the distal surface of the head contacts the surface of the surgical mesh. The procedure is repeated as many times with as many tacks as deemed necessary to secure the mesh to the underlying tissue. - Although this disclosure has been shown and described with respect to detailed embodiments thereof, it will be understood by those skilled in the art that various changes in form and detail thereof may be made without departing from the spirit and scope of the disclosure.
- For example, preferably, the head of each fastening member is flattened to reduce interference with or reduce trauma to the body. While a flattened head is preferred, it is contemplated that the head can take on any configuration, including and not limited to arcuate, hemispherical, rectangular or the like.
- The fastening members of the present disclosure may be manufactured from biocompatible absorbable or non-absorbable (i.e., stainless steel, titanium, polymers, composites and the like and equivalent) materials. It is particularly preferred that the fastening members of the present disclosure are manufactured from absorbable materials which are absorbed into the body over the course of the healing process thereby eliminating the existence of the fastener after it is no longer needed to perform its function of approximating or fastening tissue or body matter. Examples of absorbable materials include homopolymers and copolymers of lactide, glycolide, trimethylene carbonate, caprolactone, and p-dioxanone and blends thereof.
- From the foregoing, it will be observed that numerous variations and modifications may be effected without departing from the true spirit and scope of the novel concepts of the disclosure. Further, it is to be understood that no limitation with respect to the specific articles, instruments and methods disclosed herein is intended or should be inferred.
Claims (20)
1. (canceled)
2. A surgical fastening system, comprising:
a surgical instrument including a tubular body portion having a lumen extending therethrough; and
a first tack and a second tack loaded into the lumen of the tubular body portion of the surgical instrument, each tack including:
a proximal-most end;
a distal-most end; and
a helical thread disposed therebetween;
wherein the distal-most end of the second tack overlaps with the proximal-most end of the first tack such that the first tack and the second tack are stacked in at least a partially overlapping configuration with one another.
3. The surgical fastening system of claim 2 , further comprising at least one anchoring element extending radially from each tack.
4. The surgical fastening system of claim 3 , wherein the at least one anchoring element is a barb.
5. The surgical fastening system of claim 2 , wherein each tack is formed from a bioabsorbable material.
6. The surgical fastening system of claim 2 , wherein the surgical instrument is configured to rotatably advance each tack through the lumen of the tubular body portion.
7. The surgical fastening system of claim 6 , wherein the surgical instrument is configured to fire each tack from a distal-most end of the tubular body portion.
8. The surgical fastening system of claim 7 , wherein each tack is linearly advanced through the tubular body portion upon a rotation thereof relative to the tubular body portion.
9. A surgical fastening system, comprising:
a surgical instrument including a tubular body portion having a lumen extending therethrough; and
a first tack and a second tack loaded into the lumen of the tubular body portion of the surgical instrument, each tack including:
a proximal-most end;
a distal-most end; and
a helical thread disposed therebetween;
wherein the first tack and the second tack are loaded in the lumen of the tubular body portion such that the distal-most end of the second tack is located distal of the proximal-most end of the first tack.
10. The surgical fastening system of claim 9 , wherein each tack is formed from a bioabsorbable material.
11. The surgical fastening system of claim 9 , further comprising at least one anchoring element extending radially from each tack.
12. The surgical fastening system of claim 11 , wherein the at least one anchoring element is a barb.
13. The surgical fastening system of claim 9 , wherein the surgical instrument is configured to rotatably advance each tack through the lumen of the tubular body portion.
14. The surgical fastening system of claim 13 , wherein the surgical instrument is configured to fire each tack from a distal-most end of the tubular body portion.
15. The surgical fastening system of claim 14 , wherein each tack is linearly advanced through the tubular body portion upon a rotation thereof relative to the tubular body portion.
16. A surgical apparatus, comprising:
first and second tacks, each tack including:
a head with a recess disposed in a proximal surface thereof;
an elongate body portion extending from a distal surface of the head; and
a plurality of anchoring elements extending radially from an outer surface of the elongate body portion; and
wherein a distal end portion of the elongate body portion of second tack is at least partially disposed within the recess of the first tack such that the first tack and the second tack are stacked in a tip to tail configuration with one another.
17. The surgical apparatus of claim 16 , wherein the plurality of anchoring elements includes at least one proximal anchoring element.
18. The surgical apparatus of claim 16 , wherein the plurality of anchoring elements includes at least one distal anchoring element.
19. The surgical instrument of claim 16 , wherein at least one anchoring element of the plurality of anchoring elements is a barb.
20. The surgical apparatus of claim 16 , wherein at least two of the plurality of anchoring elements are diametrically opposed on the elongated body portion.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/224,921 US20160338694A1 (en) | 2001-10-23 | 2016-08-01 | Surgical fasteners |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US34784601P | 2001-10-23 | 2001-10-23 | |
PCT/US2002/033984 WO2003034925A2 (en) | 2001-10-23 | 2002-10-22 | Surgical fasteners |
US49350904A | 2004-04-21 | 2004-04-21 | |
US14/321,093 US9402623B2 (en) | 2001-10-23 | 2014-07-01 | Surgical fasteners |
US15/224,921 US20160338694A1 (en) | 2001-10-23 | 2016-08-01 | Surgical fasteners |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US14/321,093 Continuation US9402623B2 (en) | 2001-10-23 | 2014-07-01 | Surgical fasteners |
Publications (1)
Publication Number | Publication Date |
---|---|
US20160338694A1 true US20160338694A1 (en) | 2016-11-24 |
Family
ID=23365530
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/493,509 Expired - Fee Related US8777969B2 (en) | 2001-10-23 | 2002-10-22 | Surgical fasteners |
US14/321,093 Expired - Lifetime US9402623B2 (en) | 2001-10-23 | 2014-07-01 | Surgical fasteners |
US15/224,921 Abandoned US20160338694A1 (en) | 2001-10-23 | 2016-08-01 | Surgical fasteners |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/493,509 Expired - Fee Related US8777969B2 (en) | 2001-10-23 | 2002-10-22 | Surgical fasteners |
US14/321,093 Expired - Lifetime US9402623B2 (en) | 2001-10-23 | 2014-07-01 | Surgical fasteners |
Country Status (6)
Country | Link |
---|---|
US (3) | US8777969B2 (en) |
EP (1) | EP1437968B1 (en) |
JP (1) | JP4245481B2 (en) |
AU (1) | AU2002348033B2 (en) |
CA (1) | CA2464287C (en) |
WO (1) | WO2003034925A2 (en) |
Cited By (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9668730B2 (en) | 2013-06-28 | 2017-06-06 | Covidien Lp | Articulating apparatus for endoscopic procedures with timing system |
US9783329B2 (en) | 2013-06-28 | 2017-10-10 | Covidien Lp | Articulating apparatus with shipping wedge |
US9788833B2 (en) | 2003-06-13 | 2017-10-17 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US9867620B2 (en) | 2013-03-14 | 2018-01-16 | Covidien Lp | Articulation joint for apparatus for endoscopic procedures |
US9987010B2 (en) | 2003-06-13 | 2018-06-05 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US10085746B2 (en) | 2013-06-28 | 2018-10-02 | Covidien Lp | Surgical instrument including rotating end effector and rotation-limiting structure |
US10098634B2 (en) | 2004-04-27 | 2018-10-16 | Covidien Lp | Absorbable fastener for hernia mesh fixation |
US10105135B2 (en) | 2013-03-12 | 2018-10-23 | Covidien Lp | Flex cable and spring-loaded tube for tacking device |
US10188387B2 (en) | 2013-06-28 | 2019-01-29 | Covidien Lp | Articulating apparatus for endoscopic procedures |
US10226248B2 (en) | 2013-01-18 | 2019-03-12 | Covidien Lp | Surgical fastener applier |
US10258450B2 (en) | 2002-06-11 | 2019-04-16 | Covidien Lp | Hernia mesh tacks |
US10335146B2 (en) | 2014-04-02 | 2019-07-02 | Coviden Lp | Surgical fastener applying apparatus, kits and methods for endoscopic procedures |
US10617409B2 (en) | 2016-10-21 | 2020-04-14 | Covidien Lp | Surgical end effectors |
US10653507B2 (en) | 2013-07-24 | 2020-05-19 | Covidien Lp | Expanding absorbable tack |
US10743859B2 (en) | 2016-10-21 | 2020-08-18 | Covidien Lp | Surgical end effectors |
US10888309B2 (en) | 2017-01-31 | 2021-01-12 | Covidien Lp | Surgical fastener devices with geometric tubes |
US11116500B2 (en) | 2018-06-28 | 2021-09-14 | Covidien Lp | Surgical fastener applying device, kits and methods for endoscopic procedures |
US11197675B2 (en) | 2019-12-19 | 2021-12-14 | Covidien Lp | Positioning guide for surgical instruments and surgical instrument systems |
USD944985S1 (en) | 2019-12-19 | 2022-03-01 | Covidien Lp | Positioning guide cuff |
USD944984S1 (en) | 2019-12-19 | 2022-03-01 | Covidien Lp | Tubular positioning guide |
US11298126B2 (en) | 2018-05-02 | 2022-04-12 | Covidien Lp | Shipping wedge for end effector installation onto surgical devices |
US11298123B2 (en) | 2016-10-21 | 2022-04-12 | Covidien Lp | Surgical end effectors |
US11523817B2 (en) | 2019-06-27 | 2022-12-13 | Covidien Lp | Endoluminal pursestring device |
Families Citing this family (70)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU3279802A (en) | 2000-10-23 | 2002-05-06 | Tyco Healthcare | Absorbable fastener and applying apparatus |
WO2003034925A2 (en) | 2001-10-23 | 2003-05-01 | Tyco Healthcare Group Lp | Surgical fasteners |
US8721710B2 (en) * | 2003-08-11 | 2014-05-13 | Hdh Medical Ltd. | Anastomosis system and method |
US20060129152A1 (en) * | 2004-12-10 | 2006-06-15 | Shipp John I | Absorbable Anchor for Hernia Mesh Fixation |
US8114099B2 (en) * | 2004-04-27 | 2012-02-14 | Tyco Healthcare Group Lp | Absorbable anchor for hernia mesh fixation |
US7758612B2 (en) | 2004-04-27 | 2010-07-20 | Tyco Healthcare Group Lp | Surgery delivery device and mesh anchor |
DE102004022590A1 (en) * | 2004-05-07 | 2005-12-01 | Feussner, Hubertus, Prof.Dr.med. | Blind rivet for adaptation of biological tissue and device for setting the same, in particular through the instrument channel of an endoscope |
CA2601449A1 (en) * | 2005-03-22 | 2006-09-28 | Tyco Healthcare Group, Lp | Mesh implant |
CA2601156A1 (en) * | 2005-03-22 | 2006-09-28 | Tyco Healthcare Group Lp | Bioactive wide-weave mesh |
US20100189764A1 (en) * | 2005-03-22 | 2010-07-29 | Jonathan Thomas | Bioactive mesh |
US7722610B2 (en) * | 2005-06-02 | 2010-05-25 | Tyco Healthcare Group Lp | Multiple coil staple and staple applier |
US20060291981A1 (en) * | 2005-06-02 | 2006-12-28 | Viola Frank J | Expandable backspan staple |
US20070162030A1 (en) * | 2006-01-06 | 2007-07-12 | Ernest Aranyi | Multi-pronged compressive absorbable tack |
US7862573B2 (en) | 2006-04-21 | 2011-01-04 | Darois Roger E | Method and apparatus for surgical fastening |
WO2008010948A2 (en) | 2006-07-18 | 2008-01-24 | Davol Inc. | Method and apparatus for surgical fastening |
US8348973B2 (en) | 2006-09-06 | 2013-01-08 | Covidien Lp | Bioactive substance in a barbed suture |
US7828854B2 (en) | 2006-10-31 | 2010-11-09 | Ethicon, Inc. | Implantable repair device |
GB0625069D0 (en) * | 2006-12-15 | 2007-01-24 | Givaudan Sa | Compositions |
US8500759B2 (en) | 2007-09-26 | 2013-08-06 | Ethicon, Inc. | Hernia mesh support device |
US8366714B2 (en) | 2007-10-23 | 2013-02-05 | K2M, Inc. | Rod insertion instrument and method of use |
US20090118747A1 (en) * | 2007-11-05 | 2009-05-07 | Tyco Healthcare Group Lp | Novel surgical fastener |
CA2711028C (en) * | 2007-12-28 | 2015-10-06 | Synthes Usa, Llc | A tack or drive screw for securing a prosthesis to bone and associated instrumentation and method |
US8888810B2 (en) | 2008-02-20 | 2014-11-18 | Covidien Lp | Compound barb medical device and method |
US8454653B2 (en) | 2008-02-20 | 2013-06-04 | Covidien Lp | Compound barb medical device and method |
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 |
US8430826B2 (en) * | 2009-03-04 | 2013-04-30 | Covidien Lp | Specimen retrieval apparatus |
US8206291B2 (en) | 2009-03-27 | 2012-06-26 | Tyco Healthcare Group Lp | Portal device |
US20100274266A1 (en) * | 2009-04-22 | 2010-10-28 | Ofir Rimer | Rotary tack |
US8728099B2 (en) * | 2009-05-12 | 2014-05-20 | Ethicon, Inc. | Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners |
US9055945B2 (en) | 2009-05-12 | 2015-06-16 | Ethicon, Inc. | Surgical fasteners having articulating joints and deflectable tips |
US8920439B2 (en) | 2009-05-12 | 2014-12-30 | Ethicon, Inc. | Applicator instruments having curved and articulating shafts for deploying surgical fasteners and methods therefor |
USD698021S1 (en) | 2009-05-12 | 2014-01-21 | Ethicon, Inc. | Surgical fastener |
US8579920B2 (en) | 2009-05-12 | 2013-11-12 | Ethicon, Inc. | Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners |
USD744646S1 (en) | 2009-05-12 | 2015-12-01 | Ethicon, Inc. | Surgical fastener |
US8728098B2 (en) * | 2009-05-12 | 2014-05-20 | Ethicon, Inc. | Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners |
US8894669B2 (en) | 2009-05-12 | 2014-11-25 | Ethicon, Inc. | Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners |
US20110087249A1 (en) * | 2009-10-09 | 2011-04-14 | Tyco Healthcare Group Lp | Internal Tissue Anchors |
US20110087067A1 (en) * | 2009-10-09 | 2011-04-14 | Tyco Healthcare Group Lp | Internal retractor systems |
US20110295282A1 (en) * | 2010-05-26 | 2011-12-01 | Tyco Healthcare Group Lp | Fastener and drive method for soft tissue repair |
FR2975584B1 (en) | 2011-05-23 | 2013-05-31 | Mdb Texinov Sa | TRICOTED TEXTILE STRUCTURE FOR IMPLEMENTING IMPLANTS |
US8535339B2 (en) | 2011-12-18 | 2013-09-17 | Via Surgical Ltd. | Apparatus and method for suturing |
WO2013093921A1 (en) | 2011-12-20 | 2013-06-27 | Collplant Ltd. | Collagen coated synthetic polymer fibers |
US9888913B2 (en) | 2012-05-31 | 2018-02-13 | Via Surgical Ltd. | Variable depth surgical fixation |
CA2874068C (en) | 2012-05-31 | 2021-10-19 | Via Surgical Ltd. | Variable depth surgical fixation |
EP2674127B1 (en) * | 2012-06-13 | 2014-12-17 | maxon motor ag | Implant |
ES2684316T3 (en) | 2013-03-11 | 2018-10-02 | Via Surgical Ltd. | Quality indicator with surgical spinner |
US9474530B2 (en) * | 2013-03-14 | 2016-10-25 | C.R. Bard, Inc. | Handling of fasteners within a surgical instrument |
US9427230B2 (en) * | 2013-03-14 | 2016-08-30 | C.R. Bard, Inc. | Handling of fasteners within a surgical instrument |
US9655621B2 (en) | 2013-03-15 | 2017-05-23 | Covidien Lp | Surgical instrument for dispensing tacks and solution |
US9526498B2 (en) | 2013-09-17 | 2016-12-27 | Covidien Lp | Surgical device with a trigger lockout mechanism device |
US9427232B2 (en) * | 2013-11-08 | 2016-08-30 | C.R. Bard, Inc. | Surgical fastener |
WO2015095126A1 (en) | 2013-12-20 | 2015-06-25 | Hartdegen Vernon | Polyaxial locking hole |
US9717490B2 (en) * | 2014-02-05 | 2017-08-01 | Coloplast A/S | Kit of parts for surgical anchor placement, method for preparing the kit of parts and a method for surgical anchor placement |
US10492841B2 (en) | 2014-07-10 | 2019-12-03 | Crossroads Extremity Systems, Llc | Bone implant and means of insertion |
US11202626B2 (en) | 2014-07-10 | 2021-12-21 | Crossroads Extremity Systems, Llc | Bone implant with means for multi directional force and means of insertion |
USD768297S1 (en) | 2014-10-13 | 2016-10-04 | Ethicon, Inc. | Multi-barbed anchor |
US10368860B2 (en) * | 2014-11-21 | 2019-08-06 | Ethicon, Inc. | Absorbable surgical fasteners for securing prosthetic devices to tissue |
US11090097B2 (en) | 2015-03-17 | 2021-08-17 | Covidien Lp | Connecting end effectors to surgical devices |
US20160310633A1 (en) | 2015-04-23 | 2016-10-27 | Covidien Lp | Adhesive compositions |
WO2016170423A1 (en) | 2015-04-23 | 2016-10-27 | Via Surgical Ltd. | Surgical fastener delivery and locking mechanism |
CN110151291B (en) | 2015-07-13 | 2020-12-22 | 汇聚义肢系统有限责任公司 | Bone plate with dynamic element |
US10568627B2 (en) | 2016-12-07 | 2020-02-25 | Ethicon, Inc. | Surgical fasteners for mesh and tissue fixation |
US11864753B2 (en) | 2017-02-06 | 2024-01-09 | Crossroads Extremity Systems, Llc | Implant inserter |
WO2018148284A1 (en) | 2017-02-07 | 2018-08-16 | Crossroads Extremity Systems, Llc | Counter-torque implant |
US10221946B1 (en) | 2017-09-06 | 2019-03-05 | Ford Global Technologies, Llc | Security fastener |
AU201811484S (en) * | 2017-09-12 | 2018-04-23 | Gripple Lmited | Fastener |
USD854921S1 (en) * | 2017-09-12 | 2019-07-30 | Gripple Limited | Helical anchor |
CN111432749B (en) * | 2017-10-19 | 2023-04-04 | C.R.巴德公司 | Self-gripping hernia prosthesis |
USD961081S1 (en) | 2020-11-18 | 2022-08-16 | Crossroads Extremity Systems, Llc | Orthopedic implant |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5735854A (en) * | 1996-04-12 | 1998-04-07 | Caron; Philippe | Device for applying a screw |
US5743914A (en) * | 1996-06-06 | 1998-04-28 | Skiba; Jeffry B. | Bone screw |
US5984927A (en) * | 1998-03-03 | 1999-11-16 | Ethicon, Inc. | Device for sutureless attachment of soft tissue to bone |
Family Cites Families (130)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1131085A (en) * | 1912-08-31 | 1915-03-09 | Matthew J Reilly | Nut-lock. |
US2103944A (en) * | 1935-04-29 | 1937-12-28 | Arthur V Gullborg | Screw part and driver |
US3364200A (en) | 1960-03-28 | 1968-01-16 | Johnson & Johnson | Oxidized cellulose product and method for preparing the same |
US3379231A (en) * | 1966-11-29 | 1968-04-23 | John Gallo Sr. | Fastener holder and driver |
GB1301000A (en) * | 1969-04-18 | 1972-12-29 | Albert-Jean Nikoghassian | Improvements in and relating to a dental implant |
US3673912A (en) * | 1971-02-25 | 1972-07-04 | George E Herr | Removable tamperproof fastening means |
DE2415728A1 (en) | 1973-04-13 | 1975-01-02 | Teijin Ltd | CARRIER FOR LIQUID LIGHT-SENSITIVE RESIN |
US4006660A (en) * | 1973-09-08 | 1977-02-08 | Yamamoto Byora Co., Ltd. | Fastener element |
US3939068A (en) | 1973-12-06 | 1976-02-17 | The United States Of America As Represented By The Secretary Of The Army | Process for treating waste water containing cellulose nitrate particles |
US4064062A (en) | 1975-12-15 | 1977-12-20 | Colgate-Palmolive | Stabilized activated percompound bleaching compositions and methods for manufacture thereof |
FR2342714A1 (en) * | 1976-03-03 | 1977-09-30 | Tieche Jacques | ANCHOR SCREWS FOR DENTAL FILLINGS |
US4416698A (en) | 1977-07-26 | 1983-11-22 | Akzona Incorporated | Shaped cellulose article prepared from a solution containing cellulose dissolved in a tertiary amine N-oxide solvent and a process for making the article |
US4166800A (en) | 1977-08-25 | 1979-09-04 | Sandoz, Inc. | Processes for preparation of microspheres |
US4282236A (en) | 1979-11-07 | 1981-08-04 | Beecham Group Limited | β-Lactam antibacterial agents, their use in pharmaceutical compositions, and intermediates |
US4454875A (en) | 1982-04-15 | 1984-06-19 | Techmedica, Inc. | Osteal medical staple |
AT376021B (en) * | 1982-09-23 | 1984-10-10 | Rehau Plastiks In Austria Ges | CONNECTING ELEMENT FOR PACKING LAYERS |
US4429599A (en) * | 1983-01-03 | 1984-02-07 | Sante Sr James A | One way screwdriver |
US4570623A (en) * | 1983-06-02 | 1986-02-18 | Pfizer Hospital Products Group Inc. | Arched bridge staple |
US4548202A (en) * | 1983-06-20 | 1985-10-22 | Ethicon, Inc. | Mesh tissue fasteners |
US4626253A (en) | 1984-10-05 | 1986-12-02 | Johnson & Johnson Products, Inc. | Surgical hemostat comprising oxidized cellulose |
US4592346A (en) * | 1985-04-08 | 1986-06-03 | Jurgutis John A | Orthopedic staple |
US4776329A (en) * | 1985-09-20 | 1988-10-11 | Richards Medical Company | Resorbable compressing screw and method |
US4884572A (en) | 1986-05-20 | 1989-12-05 | Concept, Inc. | Tack and applicator for treating torn bodily material in vivo |
DE3789876T2 (en) * | 1987-11-03 | 1994-11-03 | Synthes Ag | Bone plate with conical holes. |
US5162430A (en) | 1988-11-21 | 1992-11-10 | Collagen Corporation | Collagen-polymer conjugates |
US5306500A (en) | 1988-11-21 | 1994-04-26 | Collagen Corporation | Method of augmenting tissue with collagen-polymer conjugates |
US5550187A (en) | 1988-11-21 | 1996-08-27 | Collagen Corporation | Method of preparing crosslinked biomaterial compositions for use in tissue augmentation |
CH681273A5 (en) | 1988-12-16 | 1993-02-26 | Sulzer Ag | |
US4994073A (en) * | 1989-02-22 | 1991-02-19 | United States Surgical Corp. | Skin fastener |
US5236563A (en) | 1990-06-18 | 1993-08-17 | Advanced Surface Technology Inc. | Surface-modified bioabsorbables |
US5057334A (en) | 1990-07-13 | 1991-10-15 | Ort's Inc. | Process for recovery of cellulose |
US5410016A (en) | 1990-10-15 | 1995-04-25 | Board Of Regents, The University Of Texas System | Photopolymerizable biodegradable hydrogels as tissue contacting materials and controlled-release carriers |
US5203864A (en) | 1991-04-05 | 1993-04-20 | Phillips Edward H | Surgical fastener system |
US5236431A (en) * | 1991-07-22 | 1993-08-17 | Synthes | Resorbable fixation device with controlled stiffness for treating bodily material in vivo and introducer therefor |
US5514379A (en) | 1992-08-07 | 1996-05-07 | The General Hospital Corporation | Hydrogel compositions and methods of use |
FR2695027B1 (en) * | 1992-09-02 | 1994-10-28 | Georges Comte | Surgical clip and apparatus for its impaction. |
US6030162A (en) | 1998-12-18 | 2000-02-29 | Acumed, Inc. | Axial tension screw |
US5342376A (en) | 1993-05-03 | 1994-08-30 | Dermagraphics, Inc. | Inserting device for a barbed tissue connector |
US5478354A (en) | 1993-07-14 | 1995-12-26 | United States Surgical Corporation | Wound closing apparatus and method |
RU2136319C1 (en) | 1993-12-23 | 1999-09-10 | Джонсон энд Джонсон Медикал, Инк. | Biologically absorbable surgical hemostatic and method of preparation thereof |
AU1011595A (en) * | 1994-01-13 | 1995-07-20 | Ethicon Inc. | Spiral surgical tack |
US5417712A (en) * | 1994-02-17 | 1995-05-23 | Mitek Surgical Products, Inc. | Bone anchor |
US5522843A (en) * | 1994-02-23 | 1996-06-04 | Orthopaedic Biosystems Limited, Inc. | Apparatus for attaching soft tissue to bone |
US5599131A (en) * | 1994-05-23 | 1997-02-04 | Flexible Steel Lacing Company | Plate fastener with bolts preassembled |
US5730744A (en) | 1994-09-27 | 1998-03-24 | Justin; Daniel F. | Soft tissue screw, delivery device, and method |
US5827298A (en) * | 1995-11-17 | 1998-10-27 | Innovasive Devices, Inc. | Surgical fastening system and method for using the same |
JPH09149906A (en) | 1995-11-29 | 1997-06-10 | Nagoya Rashi Seisakusho:Kk | Tool for curing bone disease |
PT876165E (en) | 1995-12-18 | 2006-10-31 | Angiotech Biomaterials Corp | COMPOSITIONS OF RETICULATED POLYMERS AND PROCESSES FOR THEIR USE |
US5752974A (en) | 1995-12-18 | 1998-05-19 | Collagen Corporation | Injectable or implantable biomaterials for filling or blocking lumens and voids of the body |
US6500777B1 (en) | 1996-06-28 | 2002-12-31 | Ethicon, Inc. | Bioresorbable oxidized cellulose composite material for prevention of postsurgical adhesions |
US6319270B1 (en) | 1996-08-05 | 2001-11-20 | Arthrex, Inc. | Headed bioabsorbable tissue anchor |
TW308613B (en) | 1996-08-19 | 1997-06-21 | Jyi-Shyang Wang | Manufacturing method and device for carbon fabric absorbent |
WO1998011814A2 (en) | 1996-09-20 | 1998-03-26 | United States Surgical Corporation | Coil fastener applier and remover |
US7009034B2 (en) | 1996-09-23 | 2006-03-07 | Incept, Llc | Biocompatible crosslinked polymers |
US6566406B1 (en) | 1998-12-04 | 2003-05-20 | Incept, Llc | Biocompatible crosslinked polymers |
CA2217435C (en) | 1996-10-04 | 2006-08-29 | United States Surgical Corporation | Tissue fastener implantation apparatus and method |
CA2282310C (en) * | 1997-02-28 | 2004-09-14 | Daniel Herzog | Osteosynthesis implant |
US6433154B1 (en) | 1997-06-12 | 2002-08-13 | Bristol-Myers Squibb Company | Functional receptor/kinase chimera in yeast cells |
FR2766353B1 (en) * | 1997-07-28 | 1999-11-26 | Dimso Sa | IMPLANT, ESPECIALLY ANTERIOR CERVICAL PLATE |
US5971985A (en) * | 1997-09-12 | 1999-10-26 | Ace Surgical Supply Co., Inc. | Bone attachment device for use with tissue grafts and membranes |
US6269716B1 (en) * | 1998-11-18 | 2001-08-07 | Macropore, Inc. | High-torque resorbable screws |
DE19757958A1 (en) | 1997-12-24 | 1999-07-01 | Lurgi Zimmer Ag | Two-stage production of cellulose carbamate solution for the production of spinning solutions used in the manufacture of regenerated cellulose fibers. |
US8075570B2 (en) | 2001-11-28 | 2011-12-13 | Aptus Endosystems, Inc. | Intraluminal prosthesis attachment systems and methods |
US6156677A (en) | 1998-03-25 | 2000-12-05 | Kimberly-Clark Worldwide, Inc. | Cellulose-Based medical packaging material sterilizable by oxidizing gas plasma |
EP1067873A1 (en) * | 1998-04-01 | 2001-01-17 | Bionx Implants Oy | Bioabsorbable surgical fastener for tissue treatment |
GB9810236D0 (en) | 1998-05-13 | 1998-07-08 | Microbiological Res Authority | Improvements relating to encapsulation of bioactive agents |
US7347850B2 (en) | 1998-08-14 | 2008-03-25 | Incept Llc | Adhesion barriers applicable by minimally invasive surgery and methods of use thereof |
US6605294B2 (en) | 1998-08-14 | 2003-08-12 | Incept Llc | Methods of using in situ hydration of hydrogel articles for sealing or augmentation of tissue or vessels |
US6514534B1 (en) | 1998-08-14 | 2003-02-04 | Incept Llc | Methods for forming regional tissue adherent barriers and drug delivery systems |
US6818018B1 (en) | 1998-08-14 | 2004-11-16 | Incept Llc | In situ polymerizable hydrogels |
US6179862B1 (en) | 1998-08-14 | 2001-01-30 | Incept Llc | Methods and apparatus for in situ formation of hydrogels |
US6703047B2 (en) | 2001-02-02 | 2004-03-09 | Incept Llc | Dehydrated hydrogel precursor-based, tissue adherent compositions and methods of use |
US6152943A (en) | 1998-08-14 | 2000-11-28 | Incept Llc | Methods and apparatus for intraluminal deposition of hydrogels |
CA2340381C (en) | 1998-08-14 | 2009-01-13 | Incept Llc | Methods and apparatus for in situ formation of hydrogels |
GB9825681D0 (en) * | 1998-11-25 | 1999-01-20 | Biocomposites Ltd | Surgical device |
US6402757B1 (en) * | 1999-03-12 | 2002-06-11 | Biomet, Inc. | Cannulated fastener system for repair of bone fracture |
US6096060A (en) | 1999-05-20 | 2000-08-01 | Linvatec Corporation | Bioabsorbable threaded soft tissue anchor system |
US6345925B1 (en) * | 1999-09-13 | 2002-02-12 | Flexible Steel Lacing Company | Bolt for conveyor belt fastener |
US6627749B1 (en) | 1999-11-12 | 2003-09-30 | University Of Iowa Research Foundation | Powdered oxidized cellulose |
AT407952B (en) * | 1999-11-22 | 2001-07-25 | Woisetschlaeger Rudolf Dr | DEVICE FOR ATTACHING A PLASTIC NET TO A HUMAN OR ANIMAL TISSUE |
US6277130B1 (en) * | 1999-12-14 | 2001-08-21 | John H. Shadduck | Electrical discharge surgical fastener for meniscal repairs |
DE60143603D1 (en) * | 2000-02-07 | 2011-01-20 | Omeros Corp | SYSTEM FOR RECONSTRUCTING SOFT TISSUE |
ES2391763T3 (en) | 2000-04-07 | 2012-11-29 | Collagen Matrix, Inc. | Embolization device |
AU782756B2 (en) | 2000-05-12 | 2005-08-25 | Systagenix Wound Management Ip Co. B.V. | Solid composition exhibiting selective binding to dissolved iron |
CA2409093C (en) | 2000-05-16 | 2009-07-21 | Regents Of The University Of Minnesota | High mass throughput particle generation using multiple nozzle spraying |
AU3279802A (en) | 2000-10-23 | 2002-05-06 | Tyco Healthcare | Absorbable fastener and applying apparatus |
US7595392B2 (en) | 2000-12-29 | 2009-09-29 | University Of Iowa Research Foundation | Biodegradable oxidized cellulose esters |
US7247338B2 (en) | 2001-05-16 | 2007-07-24 | Regents Of The University Of Minnesota | Coating medical devices |
CA2391635C (en) | 2001-07-02 | 2007-12-18 | Depuy France | Device for joining bony parts |
WO2003034925A2 (en) | 2001-10-23 | 2003-05-01 | Tyco Healthcare Group Lp | Surgical fasteners |
US6929661B2 (en) | 2001-11-28 | 2005-08-16 | Aptus Endosystems, Inc. | Multi-lumen prosthesis systems and methods |
US8231639B2 (en) | 2001-11-28 | 2012-07-31 | Aptus Endosystems, Inc. | Systems and methods for attaching a prosthesis within a body lumen or hollow organ |
US7128754B2 (en) | 2001-11-28 | 2006-10-31 | Aptus Endosystems, Inc. | Catheter-based fastener implantation apparatus and methods |
US7649089B2 (en) | 2001-12-06 | 2010-01-19 | University Of Iowa Research Foundation | Biodegradable oxidized cellulose esters and their uses as microspheres |
US7122028B2 (en) | 2001-12-19 | 2006-10-17 | Allegiance Corporation | Reconfiguration surgical apparatus |
ES2279156T3 (en) | 2002-06-11 | 2007-08-16 | Tyco Healthcare Group Lp | MALE TIGHTS FOR HERNIAS. |
US7811312B2 (en) | 2002-12-04 | 2010-10-12 | Morphographics, Lc | Bone alignment implant and method of use |
DE10300787B4 (en) | 2003-01-13 | 2016-06-09 | A.M.I (Agency for Medical Innovations GmbH) | Device for attaching a mesh to human or animal tissue |
US7070601B2 (en) | 2003-01-16 | 2006-07-04 | Triage Medical, Inc. | Locking plate for bone anchors |
US6982013B1 (en) | 2003-03-17 | 2006-01-03 | The United States Of America As Represented By The Secretary Of The Navy | Electrostatic charge dissipation compositions including energetic particles |
US7461574B2 (en) | 2003-04-28 | 2008-12-09 | Biomet Microfixation, Llc | Multiple screw delivery apparatus |
EP2314241B1 (en) | 2003-06-13 | 2013-08-07 | Covidien LP | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US8926637B2 (en) | 2003-06-13 | 2015-01-06 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
WO2005001174A1 (en) | 2003-06-30 | 2005-01-06 | Hyosung Corporation | A solution containing cellulose dissolved in n-methylmorpholine-n-oxide and high tenacity lyocell multifilament using the same |
JP2008505680A (en) | 2004-07-08 | 2008-02-28 | オールトレイセル・ディベロップメント・サービシズ・リミテッド | Delivery system for controlling bleeding in skin wounds |
US7229690B2 (en) | 2004-07-26 | 2007-06-12 | Massachusetts Institute Of Technology | Microspheres including nanoparticles |
FR2873700B1 (en) | 2004-07-29 | 2006-11-24 | Centre Nat Rech Scient Cnrse | PROCESS FOR THE CONTROLLED OXIDATION OF POLYSACCHARIDES |
US7645874B2 (en) | 2004-08-05 | 2010-01-12 | Xylos Corporation | Cellulose oxidation by nitrogen dioxide in a perfluorinated tertiary amine solvent |
DE102004058119A1 (en) | 2004-12-02 | 2006-06-08 | Daimlerchrysler Ag | Porous SiC bodies with microchannels and process for their preparation |
US7611494B2 (en) | 2005-02-08 | 2009-11-03 | Confluent Surgical, Inc. | Spray for fluent materials |
DE102005017733A1 (en) | 2005-04-15 | 2006-10-19 | Basf Ag | Solubility of cellulose in ionic liquids with the addition of amine base |
US7709631B2 (en) | 2006-03-13 | 2010-05-04 | Xylos Corporation | Oxidized microbial cellulose and use thereof |
US8062673B2 (en) | 2006-04-11 | 2011-11-22 | E I Du Pont De Nemours And Company | Process for embolization using swellable and deformable microspheres |
US8252339B2 (en) | 2006-04-11 | 2012-08-28 | Massachusetts Institute Of Technology | Medical treatment applications of swellable and deformable microspheres |
US8367089B2 (en) | 2006-04-24 | 2013-02-05 | Axcelon Biopolymers Corporation | Nanosilver coated bacterial cellulose |
US8377044B2 (en) | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
KR101892745B1 (en) | 2007-06-25 | 2018-08-28 | 오쓰까 세이야꾸 가부시키가이샤 | Microspheres having core/shell structure |
US8470360B2 (en) | 2008-04-18 | 2013-06-25 | Warsaw Orthopedic, Inc. | Drug depots having different release profiles for reducing, preventing or treating pain and inflammation |
EP2197363B1 (en) | 2007-09-21 | 2016-11-02 | Covidien LP | Surgical device |
US8408480B2 (en) | 2008-04-25 | 2013-04-02 | Confluent Surgical, Inc. | Self-cleaning spray tip |
US8033483B2 (en) | 2008-04-25 | 2011-10-11 | Confluent Surgical Inc. | Silicone spray tip |
US8210453B2 (en) | 2008-09-12 | 2012-07-03 | Confluent Surgical, Inc. | Spray applicator |
ES2445164T3 (en) | 2009-10-06 | 2014-02-28 | Regents Of The University Of Minnesota | Bioreabsorbable embolization microspheres |
US20110293690A1 (en) | 2010-05-27 | 2011-12-01 | Tyco Healthcare Group Lp | Biodegradable Polymer Encapsulated Microsphere Particulate Film and Method of Making Thereof |
US9028495B2 (en) | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
US8518440B2 (en) | 2010-12-21 | 2013-08-27 | Confluent Surgical, Inc. | Biodegradable osmotic pump implant for drug delivery |
WO2013046115A1 (en) | 2011-09-26 | 2013-04-04 | Novolap Medical Ltd. | Surgical fastening device and method |
US10368870B2 (en) | 2013-11-08 | 2019-08-06 | C.R. Bard, Inc. | Surgical fastener |
US9615830B2 (en) | 2013-11-08 | 2017-04-11 | C.R. Bard, Inc. | Surgical fastener |
US9445814B2 (en) | 2013-11-08 | 2016-09-20 | C.R. Bard, Inc. | Surgical fastener |
-
2002
- 2002-10-22 WO PCT/US2002/033984 patent/WO2003034925A2/en active Application Filing
- 2002-10-22 US US10/493,509 patent/US8777969B2/en not_active Expired - Fee Related
- 2002-10-22 CA CA2464287A patent/CA2464287C/en not_active Expired - Fee Related
- 2002-10-22 EP EP02784245.9A patent/EP1437968B1/en not_active Expired - Fee Related
- 2002-10-22 JP JP2003537498A patent/JP4245481B2/en not_active Expired - Fee Related
- 2002-10-22 AU AU2002348033A patent/AU2002348033B2/en not_active Ceased
-
2014
- 2014-07-01 US US14/321,093 patent/US9402623B2/en not_active Expired - Lifetime
-
2016
- 2016-08-01 US US15/224,921 patent/US20160338694A1/en not_active Abandoned
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5735854A (en) * | 1996-04-12 | 1998-04-07 | Caron; Philippe | Device for applying a screw |
US5743914A (en) * | 1996-06-06 | 1998-04-28 | Skiba; Jeffry B. | Bone screw |
US5984927A (en) * | 1998-03-03 | 1999-11-16 | Ethicon, Inc. | Device for sutureless attachment of soft tissue to bone |
Cited By (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10258450B2 (en) | 2002-06-11 | 2019-04-16 | Covidien Lp | Hernia mesh tacks |
US9788833B2 (en) | 2003-06-13 | 2017-10-17 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US9987010B2 (en) | 2003-06-13 | 2018-06-05 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US10070860B2 (en) | 2003-06-13 | 2018-09-11 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US10098634B2 (en) | 2004-04-27 | 2018-10-16 | Covidien Lp | Absorbable fastener for hernia mesh fixation |
US10226248B2 (en) | 2013-01-18 | 2019-03-12 | Covidien Lp | Surgical fastener applier |
US10105135B2 (en) | 2013-03-12 | 2018-10-23 | Covidien Lp | Flex cable and spring-loaded tube for tacking device |
US10869671B2 (en) | 2013-03-14 | 2020-12-22 | Covidien Lp | Articulation joint for apparatus for endoscopic procedures |
US9867620B2 (en) | 2013-03-14 | 2018-01-16 | Covidien Lp | Articulation joint for apparatus for endoscopic procedures |
US10085746B2 (en) | 2013-06-28 | 2018-10-02 | Covidien Lp | Surgical instrument including rotating end effector and rotation-limiting structure |
US10188387B2 (en) | 2013-06-28 | 2019-01-29 | Covidien Lp | Articulating apparatus for endoscopic procedures |
US9783329B2 (en) | 2013-06-28 | 2017-10-10 | Covidien Lp | Articulating apparatus with shipping wedge |
US10588627B2 (en) | 2013-06-28 | 2020-03-17 | Covidien Lp | Articulating apparatus for endoscopic procedures with timing system |
US9668730B2 (en) | 2013-06-28 | 2017-06-06 | Covidien Lp | Articulating apparatus for endoscopic procedures with timing system |
US11266401B2 (en) | 2013-06-28 | 2022-03-08 | Covidien Lp | Articulating apparatus for endoscopic procedures with timing system |
US10786250B2 (en) | 2013-06-28 | 2020-09-29 | Covidien Lp | Surgical instrument including rotating end effector and rotation-limiting structure |
US10653507B2 (en) | 2013-07-24 | 2020-05-19 | Covidien Lp | Expanding absorbable tack |
US10335146B2 (en) | 2014-04-02 | 2019-07-02 | Coviden Lp | Surgical fastener applying apparatus, kits and methods for endoscopic procedures |
US10617409B2 (en) | 2016-10-21 | 2020-04-14 | Covidien Lp | Surgical end effectors |
US10743859B2 (en) | 2016-10-21 | 2020-08-18 | Covidien Lp | Surgical end effectors |
US11298123B2 (en) | 2016-10-21 | 2022-04-12 | Covidien Lp | Surgical end effectors |
US11382614B2 (en) | 2016-10-21 | 2022-07-12 | Covidien Lp | Surgical end effectors |
US11596396B2 (en) | 2016-10-21 | 2023-03-07 | Covidien Lp | Surgical end effectors |
US10888309B2 (en) | 2017-01-31 | 2021-01-12 | Covidien Lp | Surgical fastener devices with geometric tubes |
US11298126B2 (en) | 2018-05-02 | 2022-04-12 | Covidien Lp | Shipping wedge for end effector installation onto surgical devices |
US11779328B2 (en) | 2018-05-02 | 2023-10-10 | Covidien Lp | Shipping wedge for end effector installation onto surgical devices |
US11116500B2 (en) | 2018-06-28 | 2021-09-14 | Covidien Lp | Surgical fastener applying device, kits and methods for endoscopic procedures |
US11523817B2 (en) | 2019-06-27 | 2022-12-13 | Covidien Lp | Endoluminal pursestring device |
US11197675B2 (en) | 2019-12-19 | 2021-12-14 | Covidien Lp | Positioning guide for surgical instruments and surgical instrument systems |
USD944985S1 (en) | 2019-12-19 | 2022-03-01 | Covidien Lp | Positioning guide cuff |
USD944984S1 (en) | 2019-12-19 | 2022-03-01 | Covidien Lp | Tubular positioning guide |
Also Published As
Publication number | Publication date |
---|---|
AU2002348033B2 (en) | 2008-05-29 |
US9402623B2 (en) | 2016-08-02 |
CA2464287C (en) | 2011-02-08 |
WO2003034925A2 (en) | 2003-05-01 |
US20040204723A1 (en) | 2004-10-14 |
CA2464287A1 (en) | 2003-05-01 |
JP4245481B2 (en) | 2009-03-25 |
US8777969B2 (en) | 2014-07-15 |
US20140316446A1 (en) | 2014-10-23 |
JP2005506868A (en) | 2005-03-10 |
EP1437968B1 (en) | 2013-04-10 |
EP1437968A2 (en) | 2004-07-21 |
WO2003034925A3 (en) | 2004-02-26 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US9402623B2 (en) | Surgical fasteners | |
AU2002348033A1 (en) | Surgical fasteners | |
JP3611889B2 (en) | Spiral surgical scissors | |
US20070162030A1 (en) | Multi-pronged compressive absorbable tack | |
AU719161B2 (en) | Suture spring device | |
US5108422A (en) | Skin fastener | |
US5478353A (en) | Suture tie device system and method for suturing anatomical tissue proximate an opening | |
CA2115131C (en) | Receiverless surgical fasteners | |
US5478354A (en) | Wound closing apparatus and method | |
US4994073A (en) | Skin fastener | |
US5423857A (en) | Three piece surgical staple | |
US5500000A (en) | Soft tissue repair system and method | |
US5425747A (en) | Suture | |
US10368860B2 (en) | Absorbable surgical fasteners for securing prosthetic devices to tissue | |
JP2017533042A (en) | Clips and applicators for tissue closure | |
US20070049969A1 (en) | Mechanical method and apparatus for sequential tissue fastening | |
US5593423A (en) | Skin fastener | |
WO2016109021A1 (en) | Curved surgical fasteners for securing prosthetic devices to tissue | |
WO1997007741A1 (en) | Suture tie device system and method for suturing anatomical tissue proximate an opening | |
US10568627B2 (en) | Surgical fasteners for mesh and tissue fixation |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: TYCO HEALTHCARE GROUP LP, MASSACHUSETTS Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:KAYAN, HELMUT;REEL/FRAME:039303/0836 Effective date: 20030721 Owner name: COVIDIEN LP, MASSACHUSETTS Free format text: CHANGE OF NAME;ASSIGNOR:TYCO HEALTHCARE GROUP LP;REEL/FRAME:039517/0214 Effective date: 20120928 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |