WO2010141874A3 - Apparatus for delivering staples to a target tissue - Google Patents

Apparatus for delivering staples to a target tissue Download PDF

Info

Publication number
WO2010141874A3
WO2010141874A3 PCT/US2010/037482 US2010037482W WO2010141874A3 WO 2010141874 A3 WO2010141874 A3 WO 2010141874A3 US 2010037482 W US2010037482 W US 2010037482W WO 2010141874 A3 WO2010141874 A3 WO 2010141874A3
Authority
WO
WIPO (PCT)
Prior art keywords
target tissue
pilot member
pilot
stakes
push rod
Prior art date
Application number
PCT/US2010/037482
Other languages
French (fr)
Other versions
WO2010141874A2 (en
Inventor
Charles L. Euteneuer
Rebecca Mccarville
Duane Frion
Nathaniel Zenz-Olsen
Diane M. Feehan
Original Assignee
Rotation Medical, Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Rotation Medical, Inc. filed Critical Rotation Medical, Inc.
Priority to CA2763932A priority Critical patent/CA2763932C/en
Priority to AU2010256474A priority patent/AU2010256474B2/en
Priority to JP2012514191A priority patent/JP5706401B2/en
Priority to EP10728055.4A priority patent/EP2437669B1/en
Publication of WO2010141874A2 publication Critical patent/WO2010141874A2/en
Publication of WO2010141874A3 publication Critical patent/WO2010141874A3/en

Links

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
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • 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
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30721—Accessories
    • A61F2/30749—Fixation appliances for connecting prostheses to the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491—Sewing machines for surgery
    • 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
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • 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
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • 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
    • A61B2017/00862—Material properties elastic or resilient
    • 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
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Rheumatology (AREA)
  • Rehabilitation Therapy (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

A device for attaching a sheet-like implant to a target tissue includes a pilot member and a staple push rod. In some embodiments, the pilot member has a distal end and at least a pair of prongs extending from the distal end. The prongs are configured to form pilot holes when the distal end of the pilot member is pressed against the target tissue. The staple push rod is disposed within at least a portion of the pilot member and slidable relative thereto. The staple push rod includes at least a pair of stakes. Each stake is dimensioned to engage a surface of a staple to apply pushing forces thereto. Each stake is positioned relative to a prong along an inner surface of the pilot member so that the stakes advance into the pilot holes when the stakes are moved in a distal direction. Methods for attaching a sheet-like implant to a target tissue are also disclosed.
PCT/US2010/037482 2009-06-04 2010-06-04 Methods and apparatus for delivering staples to a target tissue WO2010141874A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA2763932A CA2763932C (en) 2009-06-04 2010-06-04 Methods and apparatus for delivering staples to a target tissue
AU2010256474A AU2010256474B2 (en) 2009-06-04 2010-06-04 Apparatus for delivering staples to a target tissue
JP2012514191A JP5706401B2 (en) 2009-06-04 2010-06-04 Device for transporting staples to a target tissue
EP10728055.4A EP2437669B1 (en) 2009-06-04 2010-06-04 Apparatus for delivering staples to a target tissue

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US18419809P 2009-06-04 2009-06-04
US61/184,198 2009-06-04
US25380009P 2009-10-21 2009-10-21
US61/253,800 2009-10-21
US31305110P 2010-03-11 2010-03-11
US61/313,051 2010-03-11

Publications (2)

Publication Number Publication Date
WO2010141874A2 WO2010141874A2 (en) 2010-12-09
WO2010141874A3 true WO2010141874A3 (en) 2011-01-27

Family

ID=42370951

Family Applications (3)

Application Number Title Priority Date Filing Date
PCT/US2010/037480 WO2010141872A1 (en) 2009-06-04 2010-06-04 Apparatus for fixing sheet-like materials to a target tissue
PCT/US2010/037482 WO2010141874A2 (en) 2009-06-04 2010-06-04 Methods and apparatus for delivering staples to a target tissue
PCT/US2010/037526 WO2010141907A1 (en) 2009-06-04 2010-06-04 Apparatus having bowstring-like staple delivery to a target tissue

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2010/037480 WO2010141872A1 (en) 2009-06-04 2010-06-04 Apparatus for fixing sheet-like materials to a target tissue

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/US2010/037526 WO2010141907A1 (en) 2009-06-04 2010-06-04 Apparatus having bowstring-like staple delivery to a target tissue

Country Status (6)

Country Link
US (18) US8821536B2 (en)
EP (3) EP2437669B1 (en)
JP (3) JP5706401B2 (en)
AU (3) AU2010256415B2 (en)
CA (3) CA2763919C (en)
WO (3) WO2010141872A1 (en)

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US8920464B2 (en) 2014-12-30
US11051808B2 (en) 2021-07-06
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US20200000462A1 (en) 2020-01-02
US20140288593A1 (en) 2014-09-25
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US9931119B2 (en) 2018-04-03
US8668718B2 (en) 2014-03-11
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JP2012528704A (en) 2012-11-15
US20140188161A1 (en) 2014-07-03
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US8763878B2 (en) 2014-07-01
WO2010141874A2 (en) 2010-12-09
US20240000450A1 (en) 2024-01-04
US20140163680A1 (en) 2014-06-12
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US10568622B2 (en) 2020-02-25
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US11793510B2 (en) 2023-10-24
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US20150112370A1 (en) 2015-04-23

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