WO2007009021A3 - Compressible tissue anchor assemblies - Google Patents

Compressible tissue anchor assemblies Download PDF

Info

Publication number
WO2007009021A3
WO2007009021A3 PCT/US2006/027157 US2006027157W WO2007009021A3 WO 2007009021 A3 WO2007009021 A3 WO 2007009021A3 US 2006027157 W US2006027157 W US 2006027157W WO 2007009021 A3 WO2007009021 A3 WO 2007009021A3
Authority
WO
WIPO (PCT)
Prior art keywords
anchor
tissue
arms
tissue anchor
anchor assemblies
Prior art date
Application number
PCT/US2006/027157
Other languages
French (fr)
Other versions
WO2007009021A2 (en
Inventor
Richard C Ewers
Shirley Vong
Vahid Saadat
Tracy D Maahs
Marvin C Elmer
Original Assignee
Usgi Medical Inc
Richard C Ewers
Shirley Vong
Vahid Saadat
Tracy D Maahs
Marvin C Elmer
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
Priority claimed from US11/179,082 external-priority patent/US7736379B2/en
Application filed by Usgi Medical Inc, Richard C Ewers, Shirley Vong, Vahid Saadat, Tracy D Maahs, Marvin C Elmer filed Critical Usgi Medical Inc
Priority to ES06787107.9T priority Critical patent/ES2688601T3/en
Priority to EP06787107.9A priority patent/EP1901665B1/en
Publication of WO2007009021A2 publication Critical patent/WO2007009021A2/en
Publication of WO2007009021A3 publication Critical patent/WO2007009021A3/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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/0482—Needle or suture guides
    • 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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A61B2017/00827—Treatment of gastro-esophageal reflux
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter

Abstract

Apparatus and methods for optimizing anchoring force are described herein. In the securing tissue folds, over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchor (10) having expandable arms (12) configured to minimize contact area between the anchor (10) and tissue. When the anchor (10) is in its expanded configuration, a load is applied to the anchor (10) until it is optimally configured to accommodate a range of deflection while the anchor (10) itself exerts a substantially constant force against the tissue. Various devices e.g., stops, spring member, fuses, strain gauges, etc., can be used to indicate when the anchor (10) has been deflected to a predetermined level within the optimal rang. Moreover, other factors to affect the anchor (10) characteristics include, e.g., varying the number of arms (12) or struts (12) of the anchor (10), positioning of the arms (12), configuration of the arms (12), the length of the collars (14, 16), etc.
PCT/US2006/027157 2005-07-11 2006-07-11 Compressible tissue anchor assemblies WO2007009021A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
ES06787107.9T ES2688601T3 (en) 2005-07-11 2006-07-11 Compressive fabric anchor sets
EP06787107.9A EP1901665B1 (en) 2005-07-11 2006-07-11 Compressible tissue anchor assemblies

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US11/179,082 US7736379B2 (en) 2004-06-09 2005-07-11 Compressible tissue anchor assemblies
US11/179,082 2005-07-11
US11/404,423 US7678135B2 (en) 2004-06-09 2006-04-14 Compressible tissue anchor assemblies
US11/404,423 2006-04-14

Publications (2)

Publication Number Publication Date
WO2007009021A2 WO2007009021A2 (en) 2007-01-18
WO2007009021A3 true WO2007009021A3 (en) 2009-05-28

Family

ID=37637952

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/027157 WO2007009021A2 (en) 2005-07-11 2006-07-11 Compressible tissue anchor assemblies

Country Status (4)

Country Link
US (3) US7678135B2 (en)
EP (1) EP1901665B1 (en)
ES (1) ES2688601T3 (en)
WO (1) WO2007009021A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use

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US20130138151A1 (en) 2013-05-30
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US8382800B2 (en) 2013-02-26
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US20100174312A1 (en) 2010-07-08
US8740940B2 (en) 2014-06-03

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