Surgical fastener deployment system

Patent metadata

Field	Value
Publication number	US-9539005-B2
Application number	US-201314075493-A
Country	US
Kind code	B2
Filing date	Nov 8, 2013
Priority date	Nov 8, 2013
Publication date	Jan 10, 2017
Grant date	Jan 10, 2017

Abstract

A deployment device and an associated surgical fastener as well as their methods of use are disclosed. In one embodiment, the deployment device includes a restraining mechanism constructed and arranged to temporarily limiting movement of a surgical fastener back span. The surgical fastener includes two legs extending in a distal direction from opposing ends of the back span. The legs are in a first closed position with a first shape. The deployment device also includes a spreader configured and arranged to engage the legs of the surgical fastener in the first closed position. When the spreader is moved in a distal direction relative to the back span, the spreader spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from distally moving by the restraining mechanism.

First claim

What is claimed is:

1. A deployment device comprising:
a handle;
an elongated shaft extending from the handle, at a distal portion of the shaft:
a restraint that temporarily limits distal movement of a back span of a surgical fastener, the surgical fastener including two legs extending in a distal direction from opposing ends of the back span, wherein the legs have a first closed position with a first shape;
a spreader that engages the legs of the surgical fastener in the first closed position, wherein moving the spreader in a distal direction relative to the back span spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from moving distally by the restraint; and
an anvil, wherein as the surgical fastener is deployed in a distal direction, the legs are formed against the anvil, and wherein the anvil forms the legs to a second shape with a width that is larger than a width of the first shape.

2. The deployment device of claim 1 , wherein the restraint temporarily prevents distal movement of the back span.

3. The deployment device of claim 1 , wherein the first shape is a closed loop.

4. The deployment device of claim 1 , wherein the restraint releases the back span after the spreader spreads the legs of the surgical fastener to the open position.

5. The deployment device of claim 1 , wherein the restraint comprises a hook that temporarily prevents movement of the back span.

6. The deployment device of claim 1 , further comprising a pusher that pushes the back span of the surgical fastener in a distal direction to deploy the surgical fastener.

7. The deployment device of claim 6 , wherein the restraint is the pusher.

8. The deployment device of claim 1 , further comprising a ramp that engages the back span to release the surgical fastener during deployment.

9. The deployment device of claim 1 , wherein the spreader includes one or more grooves that guide the legs of the fastener as the spreader is moved in the distal direction.

10. The deployment device of claim 1 , further comprising the surgical fastener.

11. The deployment device of claim 1 , wherein the restraint engages the back span in a first plane, and the spreader engages the legs in a second plane different from the first plane.

12. A deployment device comprising:
a surgical fastener;
a handle;
an elongated shaft extending from the handle, at a distal portion of the shaft:
a restraint that engages a back span of the surgical fastener to temporarily limit distal movement of the back span, the surgical fastener including two legs extending in a distal direction from opposing ends of the back span, wherein the legs have a first closed position with a first shape; and
a spreader configured and arranged to engage the legs of the surgical fastener in the first closed position, wherein moving the spreader in a distal direction relative to the back span spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from moving distally by the restraint, wherein the restraint engages the back span in a first plane and the spreader engages the legs in a second plane different from the first plane.

13. The deployment device of claim 12 , wherein the restraint is disposed on the spreader.

14. The deployment device of claim 12 , wherein the restraint temporarily prevents distal movement of the back span.

15. The deployment device of claim 12 , wherein the first shape is a closed loop.

16. The deployment device of claim 12 , wherein the restraint releases the back span after the spreader spreads the legs of the surgical fastener to the open position.

17. The deployment device of claim 16 , wherein the spreader includes a camming surface that controls the restraint.

18. The deployment device claim 12 , wherein the restraint comprises a deflectable hook that temporarily prevents movement of the back span.

19. The deployment device of claim 12 , further comprising a pusher that pushes the back span of the surgical fastener in a distal direction to deploy the system of surgical fastener.

20. The deployment device of claim 19 , wherein the restraint is the pusher.

21. The deployment device of claim 12 , further comprising a ramp that engages the back span to release the surgical fastener during deployment.

22. The deployment device of claim 12 , further comprising an anvil, wherein as the surgical fastener is deployed, the legs are formed against the anvil.

23. The deployment device of claim 22 , wherein the anvil forms the legs to a second shape with a width that is larger than a width of the first shape.

24. The deployment device of claim 12 , wherein the spreader includes one or more grooves that guide the legs of the fastener as the spreader is moved in the distal direction.

25. The deployment device of claim 12 , further comprising cannulas that guide the legs of the surgical fastener as they are deployed.

26. The deployment device of claim 25 , wherein the cannulas are selectively extendable from a distal end of the deployment device.

27. The deployment device of claim 25 , wherein the cannulas have open sides.

28. The deployment device of claim 27 , wherein the open sides of the cannulas permit the legs to pass through the cannulas and the back span to pass over the cannulas.

29. The deployment device of claim 28 , wherein the open sides of the cannulas permit the legs to pass through the cannulas and the back span to pass over the cannulas.

30. The deployment device of claim 29 , wherein the restraint is disposed on the spreader.

31. A deployment device comprising:
a surgical fastener;
a handle;
an elongated shaft extending from the handle, at a distal portion of the shaft:
a restraint that temporarily limits distal movement of a back span of the surgical fastener, the surgical fastener including two legs extending in a distal direction from opposing ends of the back span, wherein the legs have a first closed position with a first shape;
a spreader that engages the legs of the surgical fastener in the first closed position, wherein moving the spreader in a distal direction relative to the back span spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from moving distally by the restraint; and
an anvil, wherein as the surgical fastener is deployed the legs are formed against the anvil, and wherein the anvil forms the legs to a second shape with a width that is larger than a width of the first shape.

32. The deployment device of claim 31 , wherein the restraint temporarily prevents distal movement of the back span.

33. The deployment device of claim 31 , wherein the first shape is a closed loop.

34. The deployment device of claim 31 , wherein the restraint releases the back span after the spreader spreads the legs of the surgical fastener to the open position.

35. The deployment device of claim 31 , further comprising a pusher that pushes the back span of the surgical fastener in a distal direction to deploy the surgical fastener.

36. The deployment device of claim 35 , wherein the restraint is the pusher.

Assignees

• Bard Inc C R

Inventors

• Gupta Saurav V
• Ranucci Kevin J
• Bachman Alan
• Reed Scott

Classifications

• A61B2017/00867

  shape memory effect · CPC title

• A61B17/068 Primary

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title

• A61B2017/0649

  Coils or spirals · CPC title

• A61B17/083

  Clips, e.g. resilient · CPC title

• A61B17/0644 Primary

  penetrating the tissue, deformable to closed position · CPC title