JP6461336B2 - Modular tissue repair kit and related devices and methods - Google Patents

Description

  The present invention relates to a modular tissue repair kit, and more particularly to a tissue repair kit comprising a modular implant / anchor deployment device coupled to another surgical device, and more Specifically, it relates to such a modular implant / anchor deployment device that is removably attached to a suture cutter on which the combination implant is deployed. The present invention also features a surgical method utilizing such a modular tissue repair kit and a modular implant / anchor deployment device, and more specifically, a surgical for use in repairing a damaged meniscus Features a surgical procedure.

  The best results for meniscal repair come from establishing a correct reduction of the fractured tissue. In arthroscopic surgery, the meniscus is often difficult to access and more difficult to repair. This is due to the risk of neurovascular damage. Currently, the golden rule of restoration is the use of stitching. The least expensive method involves reciprocating the suture using a long needle and cannula as a guide. Such a method involves making two incisions, once in front of the direction of the needle and once in the back. Note that such methods are not without the risk of neurovascular damage. In addition, such methods require knotting under arthroscopy, which then requires cutting the suture also under arthroscopy. Another technique involves the use of a hybrid in which the suture is reciprocated through the spinal puncture needle. Such methods are relatively inexpensive in terms of the materials used and the cost of the device, but these methods always require great effort.

  Many products have also been developed where the suture is configured with a pre-knotted knot or the product includes the use of staples and tacks. Techniques that utilize multiple sutures also involve the use of an implant or suture anchor that is coupled to the suture. As is known in the art, an implant and suture combination is used to repair a damaged meniscus.

  More specifically, a unique surgical device or surgical instrument typically configured and / or designed to deploy an implant or suture anchor for meniscus or other tissue repair is typically provided. Is done. Such a device / instrument comprises a handle and a tubular assembly extending from the handle having a sharp distal end for insertion into tissue. The tubular assembly is further configured such that one or two implants or the like connected to the suture are slidably disposed within the tubular assembly. The surgeon uses the handle to manipulate the device and insert the sharp distal end through tissue (eg, the meniscus). After such insertion, each implant is deployed either passively or actively. In passive deployment, the implant is extracted from the tubular assembly as the implant interacts with the tissue during an extraction operation from the device. In active deployment, the surgeon takes some action (eg, pushing a slide) to apply force to the implant, thereby pushing the implant out of the tubular assembly.

  If the device comprises a second implant, the device is manipulated to move the second implant from its storage position to a pre-deployment position within the tubular assembly. The device is again inserted into the tissue, but most likely to a different tissue location and a second implant is deployed. The surgeon takes the appropriate action to tighten the suture and remove the device that was used to deploy the implant. After securing the implant and tightening the suture, the surgeon typically inserts a suture cutting device to cut the suture and typically removes the excess length of the suture. Since these sutures are pre-tied, the sutures are arranged so that when the surgeon applies a longitudinal force to the sutures, it shortens the sutures and tightens the knot.

  Tubular assemblies are also typically provided in different configurations (eg, straight distal end, curved or offset distal end) to facilitate implant deployment at different tissue locations. This means that a unique device is assembled for each configuration, or different tubular assemblies are fabricated for each configuration and they are attached separately to the handle or handle assembly.

  A closure system for closing an opening in tissue is described in US Pat. No. 6,057,049, such a system comprising a closure device and a fastener. Such a closure device also includes a shaft configured to deploy a fastener to close the opening in the tissue. Such a closure device also includes a shaft configured to deploy a fastener 500 to close the opening in the tissue. The fastener includes an opening formed therein, and the suture is received or passed through the opening. The closure device also includes an outer shaft and an actuator (inner) shaft configured to deploy the fastener as either a knot change or a knot pusher. Further, the closure device is configured to trim the suture after deployment. More specifically, the closure device comprises a cutter formed or provided in the outer and actuator shafts configured to trim the suture by relative movement of the outer and actuator shafts. .

  U.S. Patent No. 6,099,077, which corresponds to U.S. Patent No. 6,057,049, describes a suture anchor delivery system that includes a handle and a needle extending therefrom. Such a suture anchor delivery system also includes a suture anchor assembly that is slidably received on the needle. In one particular embodiment, a suture delivery system includes an insertion device and a suture anchor assembly disposed thereon. The suture delivery system also inserts the suture anchor of the suture anchor assembly into the soft tissue and then facilitates repair of soft tissue such as the meniscus, tendon, ligament, muscle, or the like It is configured. In the loaded state, the suture anchor is mounted on the needle.

  Patent Document 5 corresponding to Patent Document 4 describes a device for suturing tissue, and the device includes a housing, a first needle attached to the housing, and a first needle attached to the housing. A suture having two needles, an anterior portion and a posterior portion, and a first structure associated with the first needle for passing the anterior portion of the suture from the near side of the tissue to the far side of the tissue; A second structure associated with the second needle for retracting the anterior portion of the suture back from the far side of the tissue to the near side of the tissue. Also included is a support for releasably supporting a pre-formed loose knot formed in the posterior portion of the suture and a pre-formed loose knot with respect to the housing.

  Also shown is a method for suturing tissue, the method comprising supplying a suture having an anterior portion and a posterior portion, wherein a pre-formed loose knot is attached to the posterior portion of the suture. Formed, passing the anterior portion of the suture from the near side of the tissue to the far side of the tissue, retracting the anterior portion of the suture from the far side of the tissue to the near side of the tissue; and Passing the retracted anterior portion of the suture through a pre-formed loose knot formed in the posterior portion of the suture and securing the suture to the tissue by tightening the knot.

  Patent Document 7 corresponding to Patent Document 6 describes an instrument kit for performing repair on meniscus tear. Such a kit comprises at least one instrument or template that is inserted into the knee region along a path adjacent to the tear and can be used to at least partially repair the meniscal tear. The instrument kit may also include a handle adapted to be removably attached to the proximal end of the template. An instrument kit for performing repair surgery for knee meniscal tears is used in combination with a meniscal repair device.

  Such an instrument kit comprises at least one template having an elongated body defining the X, Y, and Z axes. Preferably, the elongate body is adapted to be inserted into the patient's knee so that it is close to the path to the meniscal tear. The elongate body has a length along the X axis sufficient to access the meniscal tear and a reduced profile to facilitate passage therethrough. Then, after removing the template from the knee, a meniscus repair device sized in a corresponding manner will follow the path to the meniscal tear to repair using the opening formed by the template be introduced.

  Such an instrument kit may further comprise a handle configured and adapted to be removably attached to the proximal end of each of the at least one template. Alternatively, the handle may be either integrally formed with the proximal end of the at least one template or fixedly attached. Also shown are methods of performing knee repair surgery or meniscal repair. Such a method includes the step of introducing an elongated template selected in the patient's knee region to be close to the path to the meniscal tear in the knee (e.g., the path to the target site through the knee). As a whole).

  U.S. Pat. No. 6,057,038, which corresponds to U.S. Pat. No. 6,057,038, shows a fibrous tissue repair device comprising first and second tubular anchors having corresponding longitudinal passages and corresponding first and second inserters. Each inserter has a shaft whose distal portion is received within the longitudinal passage of the corresponding tubular anchor. A flexible strand joins the first and second anchors. Also shown is a kit for repairing soft tissue that can be used for meniscal repair. The illustration and drawing figures are shown in an application for meniscal repair in knee surgery, but include rotator cuff reconstruction, acromioclavicular (AC) reconstruction, anterior cruciate ligament reconstruction (ACL) To repair fibrous tissue, such as muscles, ligaments, or tendons in arthroscopic or other open surgery, and generally to secure tendons, grafts, or strands to fibrous tissue and bone That the teachings of can be used.

  Patent Document 10 describes an arthroscopic meniscal tear repair device that includes a catch needle and a transfer needle, both of which penetrate the tear meniscus and are fed over the tear. The suture is carried by the suture needle from the transfer needle through the meniscus and into the catch needle. The catch needle has an internal mechanism that holds the suture. The suture needle is then retracted back to the home position inside the transfer needle, leaving the meniscus and leaving the free end of the suture in the catch needle. The device is then retracted from the meniscus, leaving behind the seam on the meniscal tear inside the meniscus. The pre-knotted knot of suture is then slid down the device and tightened using a knot pusher with an extended tip to complete the repair. Also described is a system for repairing a meniscal tear that may include sliding a knot suture that has been previously tied with a pusher. The pusher may be kitted with the device as a separate component. Also, the geometry of the knot pusher is defined to be unique with respect to other minimally invasive surgical knot pushers, especially because of the expansion tip.

  As indicated in the above description, the systems, methods, and devices described above each utilize a uniquely fabricated suture anchor delivery device to localize the suture anchor with respect to the target area. The suture anchor is then delivered to the target area. This necessarily increases the number of parts associated with the kit, and further requires controlled manufacture and storage of such devices.

US application 2013/0053884 US Pat. No. 6,972,027 US Publication No. 2004/0002734 U.S. Patent No. 7,918,868 US Publication No. 2008/0091219 US Pat. No. 7,632,284 US Publication No. 2006/0009765 US Pat. No. 8,337,525 U.S. Open 2011/10160767 US Publication No. 2009/0228041

  Thus, in a process that is adaptable for use with another surgical device, such as a suture cutter, and that localizes the implant / anchor with respect to the target area device and also delivers or deploys the implant / anchor to the target area It would be desirable to provide an implant deployment / delivery module / device that can utilize the functionality of another surgical device or suture cutter such as Such implant deployment devices / modules preferably do not raise the level of difficulty for the user compared to methods embodying the use of conventional delivery / deployment devices. Such implant deployment / delivery modules / devices should also preferably not be more costly than conventional devices.

  In its broadest aspect, the present invention provides that the implant deployment device / module is configured and arranged to hold the implant / anchor for deployment, and the modules may be used separately during surgery. Features a modular kit concept that is further constructed and arranged to be removably secured to a conventional surgical device (eg, a suture cutter). The functionality of conventional surgical devices is used in combination with an implant deployment device / module, whereby the device / module and even each implant / anchor is inserted into tissue and each implant / anchor is passively or actively Deploy with either.

  In certain embodiments, the conventional surgical device is a suture cutter as is known to those skilled in the art. For example, a suture cutter may be associated with a Smith & Nephew FastFix Structure System or other such suturing system known in the art (e.g., one that accompanies the Smith & Nephew Fast-Fix 360 Mental Repair System). .

  More specifically, the present invention relates to implant / anchor deployment devices / modules, modular kit concepts embodying such implant / anchor deployment devices / modules, systems for deploying implants / anchors in tissue And methods for treating damaged tissue using such implants / anchors, such as, for example, methods for deploying one or more anchors / implants in meniscal repair surgery. In a still further aspect / embodiment of the present invention, the implant / anchor deployment device / module is operative to a surgical device having functions utilized to deploy the anchor / implant from the implant / anchor deployment device / module. Combined.

  More specifically, such an implant deployment device / module is configured and arranged to hold the implant / anchor for deployment, and the module is surgically removed after being detached from the implant deployment device / module. Further configured and arranged to be removably secured to a conventional surgical device (eg, suture cutter) that may be used in some cases. The functionality of conventional surgical devices is used in combination with an implant deployment device / module, thereby allowing each implant to be inserted into tissue and deploying each implant / anchor either passively or actively. In certain embodiments, the conventional surgical device is a suture cutter as is known to those skilled in the art. For example, a suture cutter may be associated with a Smith & Nephew FastFix Structure System or other such suturing system known in the art (e.g., one that accompanies the Smith & Nephew Fast-Fix 360 Mental Repair System). . In addition, such implants / anchors can comprise suture anchors as known to those skilled in the art.

  According to one aspect of the invention, a modular implant / anchor deployment device for use with a surgical device is featured. Such a deployment device comprises a body member having a proximal end portion and a distal end portion, the distal end portion configured to allow an implant / anchor to be deployed therefrom. The proximal end portion is also configured to be removably attached to the first end portion of the surgical device. In further aspects / embodiments, the proximal end portion of the body member is further configured to include an enlarged portion for receiving therein the first end portion of the surgical device.

  In yet a further aspect / embodiment, the surgical device comprises a first member that includes the first end portion of the surgical device. In addition, the proximal end portion of the body member is further configured to be removably attached to the opposing structure of the first member of the surgical device that includes the first end portion. In a further aspect / embodiment, the proximal end portion of the body member removably engages with a complementary feature, mechanism, substructure, or the like provided in the opposing structure of the first member. Further configured to comprise a connector, mechanism, or structure configured as described above. In a more specific aspect / embodiment, the complementary feature is within the surgical device (eg, a suture cutter) for either the intended function of the device or the purpose of engaging the anchor deployment device. Provided with openings, artifacts (eg, surface artifacts), recessed areas or recesses, openings, or the like provided.

  A connector, mechanism, or structure that removably engages the complementary feature is secured, coupled, attached, or integrally formed to the proximal end portion of the body member. A locking mechanism, structure, or connector is formed that is configured to be removably engaged with a complementary feature of the inner member.

  In an exemplary embodiment, the locking mechanism is latched or removably engaged with the distal end of the surgical device or the inner member of the suture cutter to inhibit axial movement in the direction of withdrawal. A latching type mechanism is formed. More specifically, the securing mechanism comprises a cantilever structure that is coupled to, attached to, or otherwise integrally formed with the proximal end portion of the body member. Such a cantilever structure also includes a protrusion or prong-like element that extends outwardly therefrom and penetrates into the lumen to engage a complementary feature.

  In further aspects / embodiments, the fixation mechanism also comprises an operating portion configured to allow the surgeon to operate the cantilever structure so that the protrusion can be disengaged from the complementary feature. For example, the manipulating portion may allow the surgeon to move the prongs or protrusions in an outward direction to disengage the complementary features so that the surgical device can be detached from the deployment device. Or may be configured and arranged to allow separation.

  In still further aspects / embodiments, the surgical device comprises a second member having a lumen that extends along the long axis. In addition, the first member of the surgical device is disposed within the lumen of the second member, and the first member and the second member are movable relative to each other. In a more specific aspect / embodiment, the second member is movable along the major axis with respect to the first member.

  In still further aspects / embodiments, such a modular implant / anchor deployment device further comprises one or more implants / anchors that are movably disposed on the proximal end portion of the body member. In addition, as the second member moves in one direction along the major axis, each of the at least one implant / anchor moves to a pre-deployment position.

  In still further aspects / embodiments, such a modular implant / anchor deployment device further comprises a plurality of implants / anchors movably disposed on the distal end portion of the body member, the second As the member moves in one direction along the long axis, the second implant / anchor is moved to a pre-deployment position after deployment of the first implant / anchor.

  In a still further aspect / embodiment, the tip of the distal end portion of the body member is configured to be inserted into tissue.

  In an even more specific aspect / embodiment, the surgical device is a suture cutter having a movable outer member and an inner member, the inner member being removably attached to the proximal end portion of the body member. .

  In an even more specific aspect / embodiment, the body member communicates with a lumen that extends at least along the major axis in the distal end portion and a lumen that also extends along the major axis. A grooved opening. As indicated herein, in still further aspects / embodiments, such a modular implant / anchor deployment device is movably disposed on the distal end portion of the body member 1. One or more implants / anchors are further provided. More specifically, each of the at least one implant / anchor is movably disposed within the grooved opening such that a portion of the implant / anchor extends above the outer surface of the distal portion of the body member. Established. In an even more specific embodiment, when the second member moves in one direction along the major axis, each of the at least one implant / anchor is moved to a pre-deployment position (eg, storage position, initial position, or Move from intermediate position to pre-deployment position.

  In still further aspects / embodiments, each of the at least one implant / anchor or each of a plurality of such implants / anchors is constructed and arranged such that each of the implants / anchors are coupled together by a suture. The

  In still further aspects / embodiments, the distal end portion of the body member is constructed and arranged to have a given profile in the XYZ directions. In a further aspect / embodiment, the given profile is such that the major axis of the distal end portion of the body member is parallel to the major axis of the first member of the surgical device, or the given profile The profile is such that the major axis of the distal end portion of the body member forms an angle with the major axis of the first member of the surgical device. In a still further aspect, the long axis of the distal end portion is arcuate or curved so that the curved segment or portion is in a single plane or forms a three-dimensional structure It is.

  In yet a further aspect / embodiment, the distal end portion of the body member is further configured to have a given geometric shape selected to facilitate guiding the distal end portion to the target region. Is done. In a more specific aspect, the present invention can comprise a plurality of such modular implant / anchor deployment devices, wherein the geometry of the distal end portion of at least one body member is another body member. Different from the geometrical shape of the distal end portion.

  According to yet another aspect of the present invention, another implant deployment device / module that can deliver or deploy an implant, such as a suture anchor, into tissue is featured. Such an implant deployment device / module includes an implant retention member that retains one or more implants for deployment, the implant retention member having a first end and a second end. The first end of the retention member is configured to be inserted into the tissue and from which one or more implants can be deployed. The second end of the retaining member is configured to be removably secured to the end portion of the surgical device. When the second end of the retaining member is removably secured to the end portion of the surgical device, the functionality of the surgical device is operably coupled to the second end of the retaining member.

  In still further aspects / embodiments, the second end of the retention member is removably engaged with a complementary feature, mechanism, substructure, or the like provided on the end portion of the surgical device. It is also configured to include a connector, mechanism, or structure that is configured to do so. In this way, when the mechanism or the like and the complementary feature or the like are respectively positioned, the mechanism removably engages the complementary feature and the implant retaining member is It is not axially movable relative to the surgical device.

  In further aspects / embodiments, the proximal end portion of the retention member is further configured to include a connector, mechanism, or structure. In a more specific aspect / embodiment, the complementary feature is within the surgical device (eg, a suture cutter) for either the intended function of the device or the purpose of engaging the anchor deployment device. Provided with openings, artifacts (eg, surface artifacts), recessed areas or recesses, openings, or the like provided.

  A connector, mechanism, or structure that removably engages the complementary feature is secured, coupled, attached, or integrally formed with the proximal end portion of the retaining member, A locking mechanism, structure, or connector is formed that is configured to be removably engaged with a complementary feature of the inner member.

  In an exemplary embodiment, the locking mechanism is latched or removably engaged with the distal end of the surgical device or the inner member of the suture cutter to inhibit axial movement in the direction of withdrawal. A latching type mechanism is formed. More specifically, the fixation mechanism comprises a cantilever structure that is coupled to, attached to, or otherwise integrally formed with the proximal end portion of the retaining member. Such a cantilever structure also includes a protrusion or prong-like element that extends outwardly therefrom and penetrates into the lumen to engage a complementary feature.

  In further aspects / embodiments, the fixation mechanism also comprises an operating portion configured to allow the surgeon to operate the cantilever structure so that the protrusion can be disengaged from the complementary feature. For example, the manipulating portion may allow the surgeon to move the prongs or protrusions in an outward direction to disengage the complementary features so that the surgical device can be detached from the deployment device. Or may be configured and arranged to allow separation.

  In still further aspects / embodiments, the first end of the retaining member is configured to have a given profile in the XYZ direction. In further aspects / embodiments, the given profile is such that the major axis of the second end of the retaining member corresponds to the major axis of the first end of the retaining member, or the given profile The outer shape is such that the long axis of the second end of the holding member forms an angle with respect to the long axis of the first end of the holding member. In still further aspects / embodiments, the distal end portion or the second end of the retaining member is arranged such that the curved segments or portions are in a single plane or form a three-dimensional structure Constructed and arranged to have such an arcuate or curved outer shape.

  In still further aspects / embodiments, the implant deployment device / module is used in combination with a surgical device. The surgical device may also be a suture cutter.

  In the illustrated embodiment, the second member of the surgical device is movable relative to the first member of the surgical device, but this should not be a limitation on the scope of the present invention. It is contemplated that the first member is movable relative to the second member and is therefore within the scope of the present invention. In addition, the proximal end of the body member can be secured to the first end portion of the surgical device, and the first member moves within the body member lumen to deploy each implant anchor along the longitudinal axis. It is also contemplated to move to the previous position.

  According to yet another aspect of the invention, a system for deploying an implant / anchor in tissue is featured. Such a system comprises a surgical device configured to perform a procedure that is not directly related to implant / anchor deployment, and a modular implant / anchor deployment device as described herein. . In a more specific embodiment, such a system comprises at least one modular implant / anchor deployment device, one or more modular implant / anchor deployment devices, a plurality of such modular implant / anchor deployment devices. Or multiple (eg, 3-6 or more) such modular implant / anchor deployment devices.

  In certain aspects / embodiments, each such modular implant / anchor deployment device comprises a body member having a proximal end portion and a distal end portion, from which the implant / anchor is deployed. Configured to be. The proximal end portion is also configured to be removably attached to the first end portion of the surgical device. In further aspects / embodiments, the proximal end portion of the body member is further configured to include an enlarged portion for receiving the first end portion of the surgical device therein.

  In yet a further aspect / embodiment, the surgical device comprises a first member that includes the first end portion of the surgical device. In addition, the proximal end portion of the body member is further configured to be removably attached to the opposing structure of the first member of the surgical device that includes the first end portion. In a further aspect / embodiment, the proximal end portion of the body member removably engages with a complementary feature, mechanism, substructure, or the like provided in the opposing structure of the first member. Further configured to comprise a connector, mechanism, or structure configured as such. In a more specific aspect / embodiment, the complementary feature is within the surgical device (eg, a suture cutter) for either the intended function of the device or the purpose of engaging the anchor deployment device. Provided with openings, artifacts (eg, surface artifacts), recessed areas or recesses, openings, or the like provided.

  A connector, mechanism, or structure that removably engages the complementary feature is secured, coupled, attached, or integrally formed to the proximal end portion of the body member. A locking mechanism, structure, or connector is formed that is configured to be removably engaged with a complementary feature of the inner member.

  In an exemplary embodiment, the locking mechanism is latched or removably engaged with the distal end of the surgical device or the inner member of the suture cutter to inhibit axial movement in the direction of withdrawal. A latching type mechanism is formed. More specifically, the securing mechanism comprises a cantilever structure that is coupled to, attached to, or otherwise integrally formed with the proximal end portion of the body member. Such a cantilever structure also includes a protrusion or prong-like element that extends outwardly therefrom and penetrates into the lumen to engage a complementary feature.

  In further aspects / embodiments, the fixation mechanism also comprises an operating portion configured to allow the surgeon to operate the cantilever structure so that the protrusion can be disengaged from the complementary feature. For example, the manipulating portion may allow the surgeon to move the prongs or protrusions in an outward direction to disengage the complementary features so that the surgical device can be detached from the deployment device. Or may be configured and arranged to allow separation.

  In still further aspects / embodiments, the surgical device comprises a second member having a lumen that extends along the long axis. In addition, the first member of the surgical device is disposed within the lumen of the second member, and the first member and the second member are movable relative to each other. In a more specific aspect / embodiment, the second member is movable along the major axis with respect to the first member.

  In still further aspects / embodiments, such a modular implant / anchor deployment device further comprises one or more implants / anchors that are movably disposed on the distal end portion of the body member. In addition, as the second member of the surgical device moves in one direction along the long axis, each of the at least one implant / anchor moves from a storage position, an initial position, or an intermediate position to a pre-deployment position. To do.

  In still further aspects / embodiments, such a modular implant / anchor deployment device further comprises a plurality of implants / anchors movably disposed on the distal end portion of the body member, the surgical device As the second member of the first member moves in one direction along the major axis, the second implant / anchor is moved to a pre-deployment position after deployment of the first implant / anchor.

  In a still further aspect / embodiment, the tip of the distal end portion of the body member is configured to be inserted into tissue.

  In an even more specific aspect / embodiment, the surgical device is a suture cutter having a movable outer member and an inner member, the inner member being removably attached to the proximal end portion of the body member. .

  In an even more specific aspect / embodiment, the body member communicates with a lumen that extends at least along the major axis in the distal end portion and a lumen that also extends along the major axis. A grooved opening. As indicated herein, in still further aspects / embodiments, such a modular implant / anchor deployment device is movably disposed on the distal end portion of the body member 1. One or more implants / anchors are further provided. More specifically, each of the at least one implant / anchor is movable within the grooved opening such that a portion of each implant / anchor extends above the outer surface of the distal portion of the body member. Arranged. In an even more specific embodiment, as the second member of the surgical device moves in one direction along the major axis, each of the at least one implant / anchor moves to a pre-deployment position (eg, storage Position, initial position, or intermediate position to pre-deployment position).

  In still further aspects / embodiments, each of the at least one implant / anchor or each of a plurality or multiple such implants / anchors are configured such that each of the implants / anchors is coupled to each other by a suture. Arranged configuration.

  In still further aspects / embodiments, the distal end portion of the body member is constructed and arranged to have a given profile in the XYZ directions. In a further aspect / embodiment, the given profile is such that the major axis of the distal end portion of the body member is parallel to the major axis of the first member of the surgical device, or the given profile The profile is such that the major axis of the distal end portion of the body member forms an angle with the major axis of the first member of the surgical device. In still further aspects / embodiments, the distal end portion has an arcuate or curved profile that is arranged so that the curved portion is in a single plane or to form a three-dimensional curved structure. It is constituted and arranged.

  In still further aspects / embodiments, the distal end portion of the body member further has a given geometric shape selected to facilitate guiding the distal end portion to the target tissue region. Composed. In a more specific aspect, the present invention can comprise a plurality of such modular implant / anchor deployment devices, wherein the geometry of the distal end portion of at least one body member is another body member. Different from the geometrical shape of the distal end portion.

  According to yet another aspect of the invention, a system for treating damaged tissue using such a deployed implant / anchor is featured. In a more specific aspect / embodiment, it features a method for deploying one or more anchors / implants during a tissue repair operation, such as a repair operation to repair a damaged meniscus.

  Such a method includes providing at least one modular implant / anchor deployment device and a surgical device configured to perform a procedure not directly related to implant / anchor deployment. The provided at least one modular implant / anchor deployment device also includes a body member having a proximal end portion and a distal end portion, the distal end portion configured to allow the implant / anchor to be deployed therefrom. . Further, the proximal end portion is configured to be removably attached to the first end portion of the surgical device.

  Such a method removably secures the proximal end portion of the body member to the first end portion of the surgical device, and further at least the modular implant / anchor deployment device and the surgical device are coupled. The method further includes the step of inserting the portion into the patient's body. In addition, such a method further includes positioning the distal end portion of the body member at a desired location within the body and deploying the implant / anchor from the distal end portion of the body member. In yet a further aspect / embodiment, such placing step includes manipulating the combined surgical device such that the distal end portion is placed at the desired body location. In further aspects / embodiments, the proximal end portion of the body member is further configured to include an enlarged portion for receiving the first end portion of the surgical device therein.

  In a further aspect / embodiment, such a method further includes manipulating the surgical device such that the distal end portion passes through the meniscus after positioning the distal end portion of the body member. Such deploying also includes deploying the implant / anchor after such manipulation. Further, after completing the step of deploying the implant / anchor, such a method further includes disconnecting the proximal end portion of the body member and the first end portion of the surgical device, thereby subsequently Surgical devices can be used in the intended manner. In a more specific embodiment, after such a deployment step, such a method includes withdrawing the combined deployment device and surgical device from the body before performing such a disconnecting step. including.

  In further aspects / embodiments, the proximal end portion of the body member is removable from complementary features, features, substructures, or the like provided within the opposing structure of the first member of the surgical device. Is further configured to include a connector, mechanism, or structure that is configured to engage. In a more specific aspect / embodiment, the complementary feature is within the surgical device (eg, a suture cutter) for either the intended function of the device or the purpose of engaging the anchor deployment device. Provided with openings, artifacts (eg, surface artifacts), recessed areas or recesses, openings, or the like provided. Such a step of releasably securing the proximal end portion of the body member to the first end portion of the surgical device may also cause the connector, mechanism or structure of the body member to be complementary features of the surgical device. Or further removably engaging the same. More specifically, the protrusion is removably engaged with the opening.

  A connector, mechanism, or structure that removably engages the complementary feature is secured, coupled, attached, or integrally formed to the proximal end portion of the body member. A locking mechanism, structure, or connector is formed that is configured to be removably engaged with a complementary feature of the inner member.

  In an exemplary embodiment, the locking mechanism is latched or removably engaged with the distal end of the surgical device or the inner member of the suture cutter to inhibit axial movement in the direction of withdrawal. A latching type mechanism is formed. More specifically, the securing mechanism comprises a cantilever structure that is coupled to, attached to, or otherwise integrally formed with the proximal end portion of the body member. Such a cantilever structure also includes a protrusion or prong-like element that extends outwardly therefrom and penetrates into the lumen to engage a complementary feature.

  In further aspects / embodiments, the fixation mechanism also comprises an operating portion configured to allow the surgeon to operate the cantilever structure so that the protrusion can be disengaged from the complementary feature. For example, the manipulating portion may allow the surgeon to move the prongs or protrusions in an outward direction to disengage the complementary features so that the surgical device can be detached from the deployment device. Or may be configured and arranged to allow separation.

  In yet a further aspect / embodiment, a provided surgical device comprises a first member that includes a first end portion of the surgical device, and the proximal end portion of the body member includes the first end portion. Further configured to be removably attached to the opposing structure of the first member of the surgical device including. In addition, such step of removably securing includes removably securing the proximal end portion of the body member to the opposing structure of the first member.

  In yet a further aspect / embodiment, the provided surgical device is a suture cutter having a movable outer member and an inner member, the inner member removably attached to the proximal end portion of the body member.

  In yet a further aspect / embodiment, a provided surgical device comprises a second member having a lumen extending along the long axis, the first member of the surgical device being a second member And the first member and the second member are movable relative to each other. In a more specific aspect / embodiment, the second member is movable along the major axis with respect to the first member.

  In yet a further aspect / embodiment, the provided modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the distal end portion of the body member. In addition, such a method may include moving the second member of the surgical device in one direction along the major axis to move each of the at least one implant / anchor (eg, storage position, initial position, The method further includes moving to a pre-deployment position (or from an intermediate position).

  In still further aspects / embodiments, the provided modular implant / anchor deployment device further comprises a plurality or multiple implants / anchors. Also, such movement of the second member of the surgical device in one direction along the major axis causes the second implant / anchor to move to a pre-deployment position after deployment of the first implant / anchor. Can be.

  In an even more specific aspect / embodiment, the body member communicates with a lumen that extends at least along the major axis in the distal end portion and a lumen that also extends along the major axis. A grooved opening. In still further aspects / embodiments, as indicated herein, such a modular implant / anchor deployment device is movably disposed on the proximal end portion of the body member 1. One or more implants / anchors are further provided. More specifically, each of the at least one implant / anchor is movably disposed within the grooved opening such that a portion of the implant / anchor extends above the outer surface of the distal portion of the body member. Established.

  In an even more specific embodiment, as the second member of the surgical device moves in one direction along the major axis, each of the at least one implant / anchor moves to a pre-deployment position (eg, storage Position, initial position, or intermediate position to pre-deployment position). In addition, such a method includes moving the second member “in one direction” along the long axis, thereby moving each of the implants / anchors in the grooved opening to a pre-deployment position. Further included.

  In still further aspects / embodiments, each of the at least one implant / anchor or each of a plurality or multiple such implants / anchors are configured such that each of the implants / anchors is coupled to each other by a suture. Arranged configuration. Further, such methods include manipulating the suture to engage the damaged tissue following the deployment of at least one implant / anchor or multiple or multiple such implants / anchors.

  In still further aspects / embodiments, the surgical device is a suture cutter, and such a method includes disconnecting the coupled suture cutter and the modular implant / anchor deployment device; Cutting a suture (eg, an excess length of suture) using the cut suture cutter.

  In still further aspects / embodiments, the distal end portion of the body member is constructed and arranged to have a given profile in the XYZ directions. In a more specific aspect / embodiment, the given profile is such that the major axis of the distal end portion of the body member is parallel to the major axis of the first member of the surgical device, or The given profile is such that the major axis of the distal end portion of the body member is at an angle with respect to the major axis of the first member of the surgical device. In still further aspects / embodiments, the distal end portion has an arcuate or curved profile arranged to form the three-dimensional structure such that the curved portion is in a single plane. Configured and arranged.

  In still further aspects / embodiments, the distal end portion of the body member is configured to have a given geometric shape that is established to facilitate guidance of the distal end portion to the target tissue region. Is possible. In a more specific aspect, the present invention can comprise a plurality or multiple (eg, 3-6 or more) such modular implant / anchor deployment devices, distal to at least one body member. The geometry of the end portion is different from the geometry of the distal end portion of another body member.

  In a further aspect / embodiment, such a method includes selecting a given modular implant / anchor deployment device having a desired profile or geometry, and disposing a distal end portion of the body member. Such a step operates a modular implant / anchor deployment device selected such that the distal end portion of the body member having the desired profile or geometry is positioned near the target tissue region or repair site. Including the steps of:

  In yet a further aspect / embodiment, such a method further includes passing at least one segment of the distal end portion through tissue or meniscus and then deploying the implant / anchor. Thereafter, such a method includes withdrawing the distal end portion from the tissue and, if there is another implant / anchor to be deployed, placing the distal end portion in a different location and providing another implant / anchor. Repeating the process to deploy

  According to yet another aspect of the invention, a surgical device kit is featured. Such a surgical device kit includes a surgical device configured to perform a procedure not directly related to implant / anchor deployment and at least one modular implant / anchor deployment device. In a further aspect / embodiment, the surgical device is a suture cutter.

  Each of the at least one modular implant / anchor deployment device comprises a body member having a proximal end portion and a distal end portion. The distal end portion is configured such that the implant / anchor can be deployed therefrom. The proximal end portion is configured to be removably attached to the first end portion of the surgical device.

  In a further aspect / embodiment, the proximal end portion of the body member is within the opposing structure of the enlarged portion for receiving the first end portion of the surgical device therein and the first member of the surgical device. Further comprising one or both of a complementary feature, mechanism, substructure, or the like provided on the connector, mechanism, or structure configured to removably engage Composed. In a more specific aspect / embodiment, the complementary feature is within the surgical device (eg, a suture cutter) for either the intended function of the device or the purpose of engaging the anchor deployment device. Provided with openings, artifacts (eg, surface artifacts), recessed areas or recesses, openings, or the like provided. Such a step of releasably securing the proximal end portion of the body member to the first end portion of the surgical device may also cause the connector, mechanism or structure of the body member to be complementary features of the surgical device. Or further removably engaging the same. More specifically, the protrusion is removably engaged with the opening.

  A connector, mechanism, or structure that removably engages the complementary feature is secured, coupled, attached, or integrally formed to the proximal end portion of the body member. A locking mechanism, structure, or connector is formed that is configured to be removably engaged with a complementary feature of the inner member.

  In an exemplary embodiment, the locking mechanism is latched or removably engaged with the distal end of the surgical device or the inner member of the suture cutter to inhibit axial movement in the direction of withdrawal. A latching type mechanism is formed. More specifically, the securing mechanism comprises a cantilever structure that is coupled to, attached to, or otherwise integrally formed with the proximal end portion of the body member. Such a cantilever structure also includes a protrusion or prong-like element that extends outwardly therefrom and penetrates into the lumen to engage a complementary feature.

  In further aspects / embodiments, the fixation mechanism also comprises an operating portion configured to allow the surgeon to operate the cantilever structure so that the protrusion can be disengaged from the complementary feature. For example, the manipulating portion may allow the surgeon to move the prongs or protrusions in an outward direction to disengage the complementary features so that the surgical device can be detached from the deployment device. Or may be configured and arranged to allow separation.

  In yet a further aspect / embodiment, a provided surgical device comprises a first member that includes a first end portion of the surgical device, and the proximal end portion of the body member includes the first end portion. Further configured to be removably attached to the opposing structure of the first member of the surgical device including. In addition, such releasably securing includes removably securing the proximal end portion of the body member to the opposing structure of the first member.

  In yet a further aspect / embodiment, the distal end portion of the body member is further configured to have a given geometric shape selected to facilitate guiding the distal end portion to the target region. Is done.

  In still further aspects / embodiments, such a surgical kit further comprises a plurality or multiple modular implant / anchor deployment devices, wherein the distal end portion of each body member is a distal end to the target region Further configured to have a given geometric shape selected to facilitate the guidance of the portion. Also, the geometric shape of the distal end portion of at least one body member of the kit is different from the geometric shape of the distal end portion of another body member of the kit.

  In still further aspects / embodiments, the suture cutter has a movable outer member and an inner member, and the end of the inner member is removably attached to the proximal end portion of the body member.

  In still further aspects / embodiments, the distal end portion of the body member has a given geometric shape or profile established to facilitate the guidance of the distal end portion to the target region. Further configured. For example, the distal end portion can comprise a straight geometric shape, wherein the distal end is formed at an angle with respect to the major axis of the body member, or is curved or arcuate It is arranged and configured to have the following geometric shape. Such curvature and angle can be established to be in one of two different directions, in the same plane or in different planes, or to form a three-dimensional structure. In this way, the surgeon can be provided with a number of different modular implant / anchor deployment devices from which the surgeon can select the most suitable for performing a given tissue repair procedure.

  In still further aspects / embodiments, such a surgical device kit embodies one or more, multiple, or multiple modular implant / anchor deployment devices as described herein. can do.

  Other aspects and embodiments of the invention are described below.

Definitions The invention is most clearly understood by reference to the following definitions.

  A USP or USP number shall be understood to mean a US patent number, and a US publication number shall be understood to mean a US published patent application number.

  The phrases “including”, “comprising”, and “comprising” as used in the description directed to the invention and the claims are used in an unconstrained form and thus include, but are not limited to Should be interpreted to mean. Also, the phrase “couple” is intended to mean either an indirect or direct connection. Thus, when the first component is coupled to the second component, the connection is through a direct connection or through an indirect connection through other components, devices, and connections. It may be. Furthermore, the phrases “axial” and “axially” generally mean that they are along or substantially parallel to the central axis or longitudinal axis, and “radial” or “diameter”. The phrase “in the direction” generally means perpendicular to the central longitudinal axis.

  In addition, phrases such as “up”, “down”, “upper”, “lower” and the like are used for convenience when referring to the attached drawings. In general, “up”, “upper”, “upward” and similar phrases refer to the direction toward the proximal end of an instrument, device, apparatus or system, and are referred to as “down”, “lower”, “downward” and Similar phrases refer to the direction toward the distal end of the instrument, device, apparatus, or system, but are for illustrative purposes only, and these phrases are not intended to limit the disclosure.

  As used herein, the phrase “cut” or “cut” refers to bone, cartilage, ligament, or tissue when used in describing the methods, instruments, or devices of the invention. Should be understood to encompass any of a number of techniques or operations known in the art for surgically operating, such as but not limited to bone or Includes tissue trimming, shaping, excision, abrasion, or polishing.

  The term tissue, as used below, is understood to be a part or structure of the human body including but not limited to skin, subcutaneous material, cartilage, muscle, bone, bone tissue (eg, vertebrae), and ligaments. Shall be. More specifically, the term tissue shall be understood to specifically include or refer to a portion or structure of the human body associated with a knee or knee joint.

  For a more complete understanding of the nature and desired subject matter of the present invention, reference is made to the following detailed description taken in conjunction with the accompanying drawings. In the accompanying drawings, like reference numerals designate corresponding parts throughout the several views.

1 is a perspective view of a modular suture anchor delivery device according to the present invention without a suture anchor. FIG. FIG. 6 is another perspective view of a modular suture anchor delivery device according to the present invention comprising a suture and a suture anchor. 1 is a side cross-sectional view of a modular suture anchor delivery device comprising a suture anchor. FIG. 1B is an end view of a modular suture anchor delivery device according to the present invention as shown in FIG. 1B. FIG. FIG. 5 is a perspective view of a sleeve member for a modular suture anchor delivery device according to the present invention. It is the schematic of a sleeve member. FIG. 10 is a perspective view of a surgical device suture anchor and a non-functional modular suture anchor delivery device. FIG. 3 is an exploded side view of a modular suture anchor delivery device and function of a surgical device. FIG. 10 is another perspective view of a modular suture anchor delivery device when coupled to or attached to the end of a surgical device. 1 is a perspective view of a surgical device that can be used with the modular suture anchor delivery device of the present invention. FIG. FIG. 4B is an exploded view of the distal tip region of the surgical device of FIG. 4A when in the open position. FIG. 4B is another exploded view of the distal tip region of the surgical device of FIG. 4A when in the closed position. FIG. 4 is an exemplary diagram illustrating an exemplary device kit that can include one or more suture anchor delivery devices according to the present invention. 2 is another perspective view of the suture anchor delivery device of FIG. 1 when mounted on another surgical device, including a partially exploded view showing the anchor mounted on the delivery device. FIG. FIG. 10 is another perspective view of one embodiment of a suture anchor delivery device when separated from other surgical devices.

  The present invention can be used in connection with treating or repairing damaged tissue, such as tissue all related to the structure of the knee, and more particularly, tissue related to repairing the damaged meniscus. Featuring certain devices, methods, systems, and device kits. More specifically, the present invention relates to an implant / anchor deployment device / module, the concept of a modular kit embodying one or more such implant / anchor deployment devices / modules, implant / anchor in tissue Systems for deployment and methods for treating damaged tissue using such implants / anchors, such as, for example, methods for deploying one or more anchors / implants in meniscal repair surgery It is characterized by.

  Such an implant / anchor deployment device / module is also configured and arranged so that it can be removably secured to a conventional surgical device (eg, a suture cutter) that may be used during surgery. Is done. However, such surgical devices are not of the type normally associated with deploying such implants / anchors (eg, suture anchors) in tissue. The function of such a surgical device is to allow each implant / anchor to be placed against a target tissue region within the body, and for each implant / anchor deployment device / module to be either passive or active. Used in combination with an implant / anchor deployment device / module so that it can be used to deploy an anchor.

  In certain embodiments, the conventional surgical device is a suture cutter as is known to those skilled in the art. In a more specific embodiment, the suture cutter is a Smith & Nephew FastFix Structure System or other such suturing system known in the art (e.g., the Smith & Newfast-Fix 360 Repair Rep). It is incidental. The design and function of the suture cutter may be particularly suitable for use with the implant / anchor deployment device / module of the present invention, which means that the implant / anchor deployment device / module is adapted for such use. It is within the scope of the present invention that the device / module is used with other surgical devices that can be obtained or adapted for use with the functionality of such other surgical devices. It shall not be considered limited to surgical devices.

  Since the modular concept is embodied in the implant / anchor deployment device / module of the present invention, the surgical device can be placed on the desired target tissue site to treat tissue where any number of implants / anchors are damaged. It can be used with any number of any such implant / anchor deployment devices / modules so that they can be deployed. Furthermore, the modularity embodied in the present invention, when the required number of implants / anchors are deployed, is also intended by the surgeon or other surgical personnel to subsequently have the surgical device disconnected. Allows the implant / anchor deployment device / module to be disconnected or disconnected from the surgical device so that it can be used in a structured manner. In other words, a unique device need not be fabricated or manufactured solely for the purpose of delivering and deploying an implant / anchor to a target tissue site.

  Also, the implant / anchor deployment device / module may be coupled to, secured to, or attached to the surgical device using any of a number of techniques known in the art. , Such coupling, attachment, or fixation, even after the implant / anchor deployment device / module has been detached from the surgical device, detached, or no longer fixed in any other way. Does not affect your ability to perform its intended function. For example, when the surgical device is a suture cutter, the surgeon can detach or remove the suture cutter from the implant / anchor deployment device / module, and the surgeon then uses the suture cutter. Thus, a suture such as a suture coupled to the implant / anchor can be cut.

  Reference will now be made to various figures of the drawings, wherein like reference numerals refer to like parts, and FIGS. FIGS. 6-7 show sutures as known in the art such as surgical devices, and more specifically the suture cutters shown in FIGS. 4A-4C. Various views of such an implant / anchor deployment device / module 100 when attached to a thread cutter are shown.

  4A-4C, a perspective view of a surgical device that can be used with the modular suture anchor delivery device of the present invention (FIG. 4A), the surgical device of FIG. 4A when in the open position. An exploded view of the distal tip region of FIG. 4B (FIG. 4B) and another exploded view of the distal tip region of the surgical device of FIG. 4A when in the closed position (FIG. 4C) are shown. In the illustrated embodiment, such a surgical device typically comprises a concentrically disposed member, an inner member 202 and an outer member 204 that are movable relative to each other. A yarn cutter device 200 is provided. The suture cutter device 200 also includes a handle 210 to which two concentrically arranged members are operably coupled. These members can be tubular or other shapes known in the art.

  In the illustrated embodiment, the inner member 202 is maintained in a fixed relationship with respect to the handle 210 and the outer member 204 is movably coupled to the handle 210. More specifically, the outer member 204 is coupled to or connected to a sliding mechanism 212 that is movably disposed within the handle 210. The outer member 204 and the sliding mechanism 212 move the end of the outer member toward the handle so that when the sliding mechanism is moved in one direction (backward), it is in the open position as shown in FIG. 4B. The end of the outer member so that the pulling and sliding mechanism is in a relatively closed position as shown in FIG. 4C when moved in the second direction or in the opposite direction (forward) The parts are coupled to bias the part toward the distal end of the inner member. Note that such an arrangement is not limiting. Thus, for example, the outer member 204 is arranged and configured in a fixed relationship with the handle, and the inner member 202 moves in one of two directions (eg, two opposing directions). It can also be arranged and configured as possible.

  In such a suture cutter device 200, one member (eg, inner member 202) is typically used to grasp and hold the suture while the other member (eg, outer member 204). Is typically moved relative to “one member” or the inner member to cut the suture in a guillotine. For example, the outer member or sleeve of the cutter device is moved axially to expose the portion of the inner member that grips the suture and again axially in the opposite direction to cut the suture being gripped. Move. As is known to those skilled in the art, in such a gripping step, the end of the suture may move into and out of the inner member 202 such that the suture enters and exits a recessed area 205 further provided in the inner member. Threaded through an opening or opening in the distal end. As further described herein, the inner member 202 and outer member 204 of such a suture cutter device 200 can be used to secure the implant / anchor deployment device / module 100 to the cutter device so that the implant / anchor is Used by the implant / anchor deployment device / module 100 according to the present invention so that it can be deployed.

  1-3, a perspective view (FIG. 1A) of a modular suture anchor delivery device 100 without a suture anchor, another of a modular suture anchor delivery device comprising a suture and a suture anchor. FIG. 1B is a perspective view (FIG. 1B), a cross-sectional side view of a modular suture anchor delivery device with a suture anchor (FIG. 1C), and an end view of a modular suture anchor delivery device as shown in FIG. 1B (FIG. 1D). ), A perspective view of a sleeve member for a modular suture anchor delivery device (FIG. 1E), a schematic view of the sleeve member (FIG. 1F), a modular suture anchor without the suture anchor, including the function of the surgical device A perspective view of the delivery device (FIG. 2A), an exploded side view of the modular suture anchor delivery device, including the functionality of the surgical device Figure 2B), and another perspective view of a modular suture anchor delivery device when either coupled to an end of the surgical device, or attached (Figure 3) is shown. Such an implant / anchor deployment device / module 100 includes a body portion 110 having a distal end portion 112 and a proximal end portion 114. For convenience, the implant / anchor deployment device / module 100 will be referred to hereinafter using the phrase “anchor deployment module 100”, but this abbreviated notation is the invention for such a module or device. It shall not be deemed to change the scope of

  Reference in the following description will also generally be made to a suture cutter, which is the term that can be used in surgery and is used to deliver and deploy implants / anchors. It should not be considered limiting as it should be understood to encompass conventional surgical devices that can be used with the inventive implant deployment module 100. Furthermore, the term implant, anchor, or suture anchor in the following description should also be understood to relate to or correspond to the term “implant / anchor” unless otherwise indicated.

  The tip 113 or end of the distal end portion 112 is configured to be suitable for the intended use and for the particular surgical procedure in which the tip is to be inserted or passed, for example. Or molded. In the exemplary embodiment, the tip 113 is a sharp or non-scratching tip used to puncture or penetrate living tissue (eg, the meniscus). In addition, at least a segment or portion of the proximal end portion 114 is configured and arranged such that the anchor deployment module 100 can be removably secured to the suture cutter 200 or other conventional surgical device.

  The distal end portion 112 is also configured to receive one or more anchors 120 intended to be deployed therefrom according to a particular surgical or treatment protocol / surgery that is compliant or implemented. The distal end portion 112, including at least the suture anchor 120, or at least a segment thereof, includes a groove 116 in its outer surface 111 that passes through the body member into the lumen 115 (eg, a grooved opening). Both lumen 115 and groove 116 extend along the length or major axis of the distal end portion. The lumen and / or groove may also be configured to extend along the entire length of the body member 110 including the proximal end portion 114.

  Lumen 115 and groove 116 in the region of distal end portion 112 are further configured and arranged such that each of one or more suture anchors 120 is movably received therein. More specifically, as shown, the first portion 124 of each suture anchor 120 is movably received within the lumen 115 and the second portion 123 of the suture anchor includes a groove. And extends outwardly from the groove and over the outer surface 111 of the body 110. More specifically, the first portion 124 of the suture anchor within the lumen is configured to be larger than the groove and remain movably disposed within the lumen. .

  The second portion of the suture anchor is also preferably configured to receive (eg, movably receive) and hold a suture 130 (eg, at least one suture for each anchor). For example, as shown in FIGS. 1-2, the second portion of the suture anchor includes one or more openings 122 through which the suture is inserted and received by the second portion. In addition, as is known in the art, the suture 130 can be configured in any of a number of ways. In particular, referring to FIGS. 1B and 3, a suture 130 treats, for example, damaged tissue after the suture has penetrated between both suture anchors 120 and the suture anchor 120 has been deployed. (E.g., pulling opposite edges of a wound meniscus towards each other). In a further embodiment, as shown in FIGS. 1B and 1C, each suture anchor can comprise a plurality of such openings 122, and the suture is sutured to a given suture anchor. Can be screwed into a plurality of openings to secure the. In the exemplary embodiment, suture 130 is pre-tied so that when the surgeon applies a longitudinal force to the end of the suture, thereby shortening the suture and tightening the knot. Arranged.

  Although two suture anchors 120 are illustrated, the distal end portion 112 may have any number of implants / anchors, such as one such suture anchor, one or more such suture anchors. It is to be understood that a plurality of such suture anchors, or multiple (eg, 3-6 or more) such suture anchors may be configured. Since each of the suture anchors 120 is movably disposed within the distal end portion 112, each of the suture anchors includes the distal end portion 112 and its tip as further described herein. From section 113, it can be passively or actively deployed. Also, as further described herein, such a suture anchor 120 may be positioned on the distal end portion 112 from a storage position, an initial position, or some intermediate position to a distal end relative to the storage position. It can be moved to the tip 113 or the pre-deployment position near the end of the part.

  The proximal end portion 114 of the body 110 is configured and arranged to receive a portion of the structure of the surgical device to which it is to be attached / coupled so that the anchor deployment module 100 can be It can be removably fixed to. In this way, the proximal end portion 114 can be adapted to be secured to a given structural feature or function of the surgical device.

  In a more specific aspect / embodiment, the proximal end portion 114 of the body portion 110 is configured and arranged to receive a portion of the structure of the suture cutter 200 so that the anchor deployment module 100 can be sutured. It can be removably secured to the thread cutter. In the illustrated embodiment, the proximal end portion 114 is one of the suture cutter inner member 202 or outer member 204 using any of a number of techniques known to those skilled in the art. It is configured and arranged to be removably fixed to. In a more specific exemplary embodiment, the proximal end portion 114 is removably secured to the inner member 202 of the suture cutter.

  In an even more exemplary embodiment, at least one segment or portion of the proximal end portion 114 comprises a structure that complements the portion of the suture cutter to which the distal end portion is secured. In a more specific embodiment, the structure of the suture cutter portion is a tubular or cylindrical member as shown for either the inner member 202 or the outer member 204 and is complementary to the proximal end portion 114. The structure includes a pocket or socket 117 (eg, a cylindrical pocket or socket) configured to receive one of the inner and outer tubular members of the suture cutter. More specifically, the complementary structure of the proximal end portion 114 is an open having a size and shape that removably receives (eg, slidably receives) the distal end 203 of the inner member 202 of the suture cutter 200. An end pocket or socket 117 is provided.

  As described further herein, such a socket 117 limits axial movement of the distal end 203 of the suture cutter in at least one direction when secured to the proximal end portion. Also configured. More specifically, as further described herein, the depth of the socket at least prevents axial movement of the distal end 203 of the suture cutter / inner member when secured to the proximal end portion. Established to constrain in one direction, the socket cross-section is established to minimize the lateral or radial movement of the distal portion of the suture cutter.

  In a further embodiment, anchor deployment device 100 and surgical device 200 further comprise a mechanism 140 that cooperates with open end socket 117 to removably secure distal end 203 of the inner member within the open end socket. As shown herein, such a mechanism embodies or uses any of a number of techniques known to those skilled in the art to perform such functions. be able to.

  In more specific embodiments, such a mechanism 140 includes a locking mechanism 142 coupled to the open end socket 117 or proximal end portion 114 of the anchor deployment device, and a complementary provided on the surgical device. Mechanism, more specifically, the distal end 203 of its internal member. In use, the locking mechanism secures or couples the distal end of the inner member to the proximal end portion 114 (eg, in the open end socket 117) of the body member, and also the distal end of the inner member. At least during insertion, delivery, and deployment of the suture anchor 120 remain coupled or attached to the proximal portion of the body member during normal operation of the coupled device (eg, open end) Engages with a complementary mechanism such that it is not pulled out of the socket 117).

  In a still further exemplary embodiment, the locking mechanism 142 is fixed, coupled, attached to the proximal end portion 114 of the body member, more specifically its open end socket 117, or A structure is integrally formed and a portion of the securing mechanism is arranged to be removably engaged with a complementary mechanism of the inner member. More specifically, a portion of the securing mechanism is configured and arranged to pass through an opening 117 (eg, a groove, opening) in the proximal end portion 114 of the body member and into the lumen 115.

  In this manner, when the distal end 203 of the inner member is inserted into the open end socket 117, the securing mechanism portion engages a complementary mechanism (eg, inner member) of the surgical device; Thereby, the surgical device 200 is removably secured to the anchor deployment device. As indicated herein, such engagement inhibits / minimizes at least axial movement of the inner member in a direction to withdraw the distal end of the suture cutter from the open end socket. Also, as indicated herein, the open end socket provides at least axial movement of the inner member in the opposite direction (ie, the direction opposite to withdrawing the distal end of the suture cutter from the open end socket). It is also configured to suppress / minimize (eg, having such a size).

  In the exemplary embodiment, the securing mechanism 142 is latched or releasably engaged with the distal end of the surgical device or the inner member of the suture cutter to inhibit axial movement in the direction of withdrawal. A mating latching type mechanism is formed. More specifically, the locking mechanism 142 is coupled to, attached to, or otherwise integrally formed with the proximal end portion 114 of the body member, more specifically its open end socket 117. A cantilever structure 143. Such a cantilever structure 143 also extends outwardly from there and protrudes inwardly through the groove 117 or opening and into the open end socket as shown in FIG. 1D. Also provided with 144 or prong-like elements. The cantilever structure 143 biases the protrusion 144 in an inward direction so that the protrusion engages the complementary mechanism of the inner member and is engaged during operation of the combined surgical and anchor deployment device. It is also arranged and configured to remain together.

  The locking mechanism 140 also includes an operating portion 145 configured to allow the surgeon to operate the cantilever structure 143 so that the protrusion 144 can be disengaged from the complementary mechanism of the inner member. For example, the operating portion 145 allows the surgeon to move the projection 144 in an outward direction to disengage the complementary mechanism, thereby allowing the surgical device to be withdrawn from the open end socket 117. Can be configured and arranged to allow In the exemplary embodiment, the manipulation portion 145 forms a structure (eg, a round button-shaped member) that can be grasped by the surgeon during surgery. In still further aspects / embodiments, the locking mechanism 140 is also configured and arranged so as not to interfere with the movement of the movable sleeve 170, as further described herein.

  With respect to complementary mechanisms, such mechanisms are within the surgical device for either the intended function of the device or the purpose of engaging the anchor deployment device 100, as described herein. Provided with openings, artifacts (eg, surface artifacts), recessed areas, openings, or the like provided. In an exemplary embodiment, such as when the surgical device is a suture cutter as is known in the art, the complementary mechanism is the distal end 203 of the inner member of such a suture cutter. A recessed region 205 (for example, see FIG. 4B) provided in the inside is provided.

  As known to those skilled in the art, conventional suture cutters may be configured with an axially extending opening or lumen in the distal end and recessed from the distal end. Extends inwardly into the area. In use, the end of the suture is introduced into this axially extending opening so as to penetrate into and exit out of the recessed area 205. After the suture is pulled to the desired extent and into the recessed area, the outer member 202 is manipulated to cut the suture by guillotine.

  In an exemplary embodiment, such recessed area 205 can comprise a front wall 205a and a bottom surface 205b. In use, when the protrusion 144 extends inward and engages a complementary mechanism, the protrusion is received within the recessed area 205 and is disposed near the front wall 205a, thereby Limit the axial movement of the inner member in at least the drawing direction. In a further embodiment, the end face of the protrusion rests on or is spaced from the bottom surface 205b.

  Such bottom surface 205b may also be arranged to slope upward (eg, to facilitate movement of the suture end) toward the rear end of the recessed region 205. As described herein, the depth of the open end socket 117 can be adjusted or set to limit the movement of the inner member in a direction opposite to the direction of withdrawal. More specifically, the depth of the open end socket is set to prevent the protrusion 144 from disengaging from the recessed area 205 by sliding up such an inclined surface, or Adjusted.

  In the illustrated embodiment, the open end socket 117 is illustrated as being essentially formed from a solid structure, which is a number of techniques known to those skilled in the art. It is not a limitation to form or establish such an open end socket using any of these as it is within the scope of the present invention. For example, such open end sockets can be made from a framework of members that, when combined and arranged, define the general shape and size of the open end socket. Such a framework may also be configured to include an open area between the members forming the framework. Such open end sockets are also preferably established such that radial movement of the surgical device is limited.

  In yet a further embodiment, such anchor deployment device 100 is movably disposed about the body member 110, and more specifically around its proximal end portion 114 (see FIG. 2A). And a movable sleeve 170 configured and arranged as described above. More specifically, such a movable sleeve 170 includes a first portion 172 and a second portion 174 that extends generally axially from the first portion. In addition, the second portion is secured to the first portion in any of a number of ways (eg, adhesive, vibration welding, brazing, etc.).

  When the movable sleeve 170 is moved in the first direction toward the tip 113 of the distal end portion 112, the movable sleeve, more specifically the second portion 174 of the sleeve, is anchored 120. Axially movable about the body member and the proximal end portion 114 to contact at least one of the two. As the movable sleeve 170 moves further in the first direction, the anchor advances from the initial or storage position to any one of a number of other positions, including the pre-deployment position. In an alternative embodiment, when the anchor deployment device 100 is assembled to its final configuration, the anchor 120 closest to the tip 113 can be placed in a pre-deployment position. After deploying the anchor that is positioned closest to the tip, the surgeon uses the movable sleeve 170 to move the next closest anchor to the pre-deployment position.

  As shown above, the locking mechanism 140 is constructed and arranged so that it does not interfere with the movement of the movable sleeve 170, but it is configured so that the locking mechanism is outward and thus the proximal end of the body member 110. This is because it extends above the portion 114. In still further aspects / embodiments, the movable sleeve 170 and the locking mechanism each have a structure that minimizes the lateral profile of the locking mechanism and that the movable sleeve passes by the locking mechanism. Composed. More specifically, the movable sleeve first portion 172 slides into a groove 173 in which a portion of the locking mechanism 142 that extends above the proximal portion of the body member extends axially. Arranged to include axially extending grooves 117, openings, or openings that are sized and arranged to be acceptable.

  In addition, the second portion 174 of the movable sleeve can also be configured such that the portion of the locking mechanism 142 that extends above the proximal portion of the body member is slidably received therein. . In the exemplary embodiment, the movable sleeve second portion 174 is a ring-shaped cylindrical member having an open region 175 disposed in the ring. This open region 175 is established such that the portion of the locking mechanism 142 that extends above the proximal portion of the body member is movably received therein. This construction is sufficient for the movable sleeve second portion 174 to move the anchor in the manner described, and to avoid contact with the locking mechanism while the sleeve is moving axially. It is not a limitation to form any of a number of structures as known to those skilled in the art with a good axial stiffness as it is within the scope of the present invention. For example, the movable sleeve second portion 174 may take the form of a partial ring or a partial box shape (eg, a box-shaped two-sided or three-sided).

  The movable sleeve second portion 174 is also arranged to be secured to the movable sleeve first portion such that axial movement of the first portion is also transmitted to the second portion. Is done. In certain embodiments, the length of the second portion is such that when the second portion is moved axially by the first portion, such axial movement is on the distal end portion of the body member. Established to be communicated to each of the anchors. More specifically, the second portion 174 transmits axial force to the anchor closest to the second portion which then transmits axial force to the anchor closer to the distal end 113. Such an axial force is used to move the anchor from any position (eg, initial position, storage position, or intermediate position) so that the anchor closest to the distal end 113 is disposed in the pre-deployment position. Can be done.

  As shown herein, the anchor 120 can be deployed from the anchor deployment device 100 either passively or actively (ie, by applying a force). For passive deployment, when the closest anchor is in the pre-deployment position, the anchor is withdrawn from the distal end portion 112 while the anchor 120 interacts with the tissue during the extraction movement of the anchor deployment device. For example, when the suture anchor is deployed along the back side of the meniscus, the suture anchor (eg, its second portion 122) may be pulled back through the meniscal tissue to cause the anchor to retract the anchor of the meniscus. Interacts with the meniscal tissue while leaving along the backside.

  In active deployment, the surgeon takes some action to apply force to the anchor to be pushed out of the distal end portion 112. For example, the movable sleeve 170 may be dimensioned or configured in some other manner such that the nearest anchor is pushed out of the distal end portion when the sleeve is pushed further in the first direction. (Eg, its second portion 174). In an alternative embodiment, anchor deployment device 100 is configured to include a member that acts on and deploys the anchor in response to some action of function under the control of the surgeon.

  In a more specific embodiment (see FIG. 2B), the movable sleeve 170 is sewn so that the movable sleeve moves in the first direction when the outer member moves in response to the action of the sliding mechanism 212. Operatively coupled to the outer member 204 of the yarn cutter. In an even more specific embodiment, a member or bar (eg, push rod 214) is coupled to outer member 204, and sliding mechanism 212 is responsive to movement of the sliding mechanism such that the sliding mechanism axially pushes the push rod. Arranged to move to. The push rod 214 is constructed and arranged to act on the movable sleeve 170, more specifically the first portion 172 of the movable sleeve, and thereby towards the distal end portion. The movable sleeve is moved in the axial direction in the first direction in response to the movement of the push rod.

  In the exemplary embodiment (see FIG. 2B), the push rod 214 includes a stepped region 215 that extends a sufficient distance in the vertical direction, which engages the end surface of the movable first portion 172 of the sleeve. And thereby the movable sleeve 170 is configured to move in the first direction. In still further embodiments, the proximal end portion 114 is configured with a grooved opening in which the stepped region 215 of the push rod 214 is movably received. This slotted opening extends a sufficient distance along the long axis of the proximal end portion 114 so that the push rod 214 moves the next closest or second anchor from the initial position to the pre-deployment position. Makes it possible to move up to. In a further embodiment, the grooved opening comprises an axial stepped region, a push rod, and thereby an end face that inhibits further axial movement of the sleeve when the deployment device is coupled to the surgical device. In certain embodiments, the end face is positioned to correspond to one of a pre-deployment position or a position corresponding to active deployment of the anchor.

  Referring now to FIG. 1F, a schematic diagram of an alternative embodiment for a movable sleeve 170a according to the present invention is shown. Such movable sleeve 170a includes a first portion 172a, a bridge or second portion 174a, and a push member 176a. The first portion 172a is operably coupled, attached or fixed to the bridge / second portion 174a such that axial movement of the first portion is transmitted to the bridge / second portion. The bridge / second part is operably coupled to or attached to the push part 176a so that the axial movement of the first part transmitted to the bridge / second part is also transmitted to the push member Or fixed. Unless stated otherwise herein, reference is made to the above description for details on the first and second parts.

  The bridge or second portion 174a bridges the distance between the first portion and the push member 176a, and the push member pushes the anchor so that they are as described above for the second portion 174. Established, configured and arranged to be able to move. Therefore, the bridge or the second portion 174a has such a structure that it has sufficient rigidity to move the push member and avoids interference with the fixing mechanism.

  The push member 176a can have any of a number of configurations sufficient to cause movement of the anchor in response to axial movement of the movable sleeve 170. In one embodiment, the push member 176a extends from the bridge / second portion 174a and engages with the end face of the second portion 123 of the anchor, such as that described above for the second portion of FIG. 1E. Arranged to match. In another embodiment, push member 176a is configured to comprise a first segment and a second segment that are coupled together. The second segment is slidable within the lumen 115 such that an axial force applied to the push member is applied to or transmitted to the first portion 124 of the anchor that is also disposed within the lumen. It is arranged to be arranged. The first segment is fixed between the bridge / second portion and the second segment so that the axial force applied to the second portion is transmitted to the second segment. The first segment can also be configured to accommodate an axial difference between the bridge / second portion and the second segment.

  As indicated herein, the present invention provides a surgical device kit 300, or one or more anchor deployment devices 100a-c according to the present invention, such as a slotted cannula or introducer 310 or Also featured is a device kit that includes a surgical device to which a plurality of surgical devices and one or more deployment devices can be operatively coupled. As indicated above, such a surgical device may be a suture cutter 200 as is known to those skilled in the art. Such a device kit 300 allows the surgeon to take full advantage of the modular concept embodied in such an anchor deployment device while providing the number of parts associated with the surgery being performed. And particularly advantageous in minimizing costs.

  In particular, such device kit 300 can be arranged to provide a number of configurations of such anchor deployment devices for such applications during surgery. For example, the provided anchor deployment device includes an anchor deployment device 100a having a straight distal end portion 112a, or an anchor deployment device having a distal end portion 112b that is curved in one direction. Device 100b and may be configured to include any of a number of suitable geometries with anchor deployment device 100c having a distal end portion 112c that is curved in another direction. These geometric configurations are (a) a distal end portion 112 configured and arranged to be curved and of any degree of bending, (b) relative to the long axis of the proximal end portion. It is exemplary since it is within the scope of the present invention to have a distal end portion having an angled major axis and (c) a distal end portion forming a three-dimensional shape or structure. Such different geometries allow the selected anchor deployment device to enter the body and surgically guide the distal end portion 112 to be placed proximally or at the target tissue site. It provides a mechanism for the surgeon to use in selecting the configuration that is optimal when secured to the device, and allows the surgeon to subsequently deploy the anchor at such a site.

  Since such an anchor deployment device 100 employs a modular approach, it is possible to create a surgical kit with some level of customization. For example, in anticipation of deploying a large number of suture anchors, the surgical device kit has a similar or the same geometric shape suitable for surgery (eg, all linear geometric shapes). It may be arranged to include multiple or multiple (eg, 3-6 or more) anchor deployment devices. In that way, the surgeon selects a device kit having an anchor deployment device with the desired geometry, so that the desired number of suture anchors can be deployed as needed during surgery. Individual anchor deployment devices can be connected to the surgical device and disconnected from the surgical device.

  Since the anchor deployment device of the present invention is used in combination with existing surgical devices that are not specifically configured for suture anchor deployment, there is no need to create a unique device for such deployment. Absent. This reduces the number of parts and allows multiple functions to be performed using a single surgical device during surgery. This is also because surgical anchoring devices are one-module, since a unique anchor deployment device is not required, and thus will be less costly than implementing a unique device. The costs associated with can be reduced.

  Referring now also to FIGS. 6-7, and as shown herein, the present invention also features a method for deploying a suture anchor 120 using the anchor deployment device of the present invention. To do. Such a method includes selecting a suitable anchor deployment device 100, 100a-c from the surgical device kit 300 for use in a given surgical procedure. In particular, an anchor deployment device having a suitable geometric shape or configuration to facilitate entry into the body (eg, into a knee joint) and to facilitate navigation to a desired target tissue site, and Selecting a suture anchor 120 and a sleeve 170;

  After selecting the desired anchor deployment device 100, the surgeon or other surgical personnel can slide the anchor deployment devices 100, 100a-c over the distal end of the surgical device (e.g., suture cutter 200), An anchor deployment device is connected to the distal end of the surgical device. More specifically, when the surgical device is a suture cutter 200, the suture cutter inner member 202 is coupled to the proximal end portion 114 of the anchor deployment device 100. More specifically, the distal end 203 of the inner member 202 of the suture cutter is located near the anchor deployment device 100 such that the locking mechanism 140 movably couples or connects the suture cutter and anchor deployment device to each other. At the distal end portion 114, it is inserted into a socket 117 or other structure. The surgeon can also take other actions (e.g., moving the closest anchor to a pre-deployment position) that may be necessary to later deploy the anchor.

  Using the suture cutter 200 as an operating platform, the surgeon operates the suture cutter so that the device coupled thereto is properly inserted into the body (eg, into the knee joint). Also operate. The surgeon continues to manipulate the suture cutter to further guide the anchor deployment device so that its distal end portion 112 is positioned at or near the target tissue site, such as the meniscus. The surgeon then takes the necessary additional action so that the anchor 120 is placed in a position that is appropriate for deployment to the desired position. For example, when the tissue to be treated is the meniscus, the surgeon uses the suture cutter 200 as is to puncture the tissue with the anchor deployment device 100 and place the anchor deployment device 100 into the tissue (eg, meniscus). Through and to where the suture anchor 120 is deployed.

  After positioning the distal end portion at the desired location, the surgeon takes appropriate action to deploy the suture anchor 120. For example, in a passive deployment, the surgeon manipulates the surgical device to withdraw the suture anchor 120 from the distal end portion, such as through the interaction of the suture anchor and tissue. For active deployment, the surgeon moves the suture anchor out of the distal end portion (eg, by applying force to the suture anchor and thereby moving out of the distal end portion) Take action.

  If there is a separate suture anchor to be deployed, the surgeon withdraws at least the distal end portion 112 from the target tissue and then the second suture anchor as described herein. Move to pre-deployment position on the part. When the second suture anchor is so positioned in the pre-deployment position, the surgeon again operates the suture cutter to place the distal end portion of the anchor deployment device at another target tissue site. . The surgeon then uses the suture cutter 200 as is to properly position the anchor deployment device 100 (eg, its distal end portion) where the next suture cutter 200 is to be deployed. The surgeon then repeats the process described above to deploy the suture anchor and withdraw the distal end portion.

  When an additional suture anchor is to be deployed and the suture anchor is no longer positioned / disposed at the distal end portion, the surgeon will have the combined suture cutter and anchor deployment device in the body. Pull out from. The surgeon or other surgical personnel then removes the used or empty anchor deployment device from the suture anchor, selects the anchor loaded anchor deployment device, and surgically loads the loaded anchor deployment device. Attach to device / suture cutter. The surgeon then repeats the process described above to place, position and deploy additional suture anchors.

  If there are no more suture anchors to be deployed, the surgeon pulls the combined suture cutter and anchor deployment device out of the body. The surgeon or other surgical personnel then removes or removes the used or empty deployment device from the surgical device / suture cutter. The surgeon can then use the detached surgical device in the intended manner. For example, if the surgical device is a suture cutter, the surgeon may use a detached suture cutter to remove an extra length of suture, such as a suture that may be provided with a suture anchor. Can be cut. As shown herein, the surgeon takes such other actions as needed to tighten the suture in response to the surgical procedure.

  While preferred embodiments of the invention have been described using specific language, such description is for illustrative purposes only and modifications and variations are possible without departing from the spirit or scope of the following claims. It will be understood that this can be done.

Literature Citation All patents, published patent applications, and other references disclosed herein are expressly incorporated herein by reference.

Equivalents Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Will. Such equivalents are intended to be encompassed by the following claims.

100 Implant / Anchor Deployment Device / Module 100a Anchor Deployment Device 100b Anchor Deployment Device 100c Anchor Deployment Device 110 Body Part 111 Outer Surface 112 Distal End Part 112a Distal End Part 112b Distal End Part 112c Distal End Part 113 Tip 114 Proximal end portion 115 Lumen 116 Groove 117 Pocket or socket 120 Suture anchor 122 Opening 123 Second portion 124 First portion 140 Mechanism 142 Fixing mechanism 143 Cantilever structure 144 Protruding portion 145 Operation portion 170 Sleeve 170a Movable Sleeve 172 first part 172a first part 174 second part 174a bridge or second part 175 open area 176a push member 200 suture cutter device 2 2 the inner member 203 distal end 204 outer member 205 recessed areas 205a front wall 205b bottom surface 210 handle 212 sliding mechanism 214 push rod 215 stepped region 300 surgical device kit 310 slotted cannula or introducer 500 fasteners

Claims (15)

A modular implant / anchor deployment device for use with a surgical device configured to perform surgery not directly related to implant / anchor deployment, comprising:
The surgical device includes a first member including a first end portion and a second end portion of the surgical device, a second member having a lumen extending along a long axis, and the first member A handle coupled to the second end portion such that two members are movable;
The first member is disposed within a lumen of the second member;
The first member and the second member are movable relative to each other;
The surgical device comprising a body member having a proximal end portion and a distal end portion, further comprising one or more implants / anchors movably disposed on the distal end portion of the body member. When the second member of the first member moves in one direction along the major axis, each of the one or more implants / anchors moves to a pre-deployment position, and the distal end portion has the implant / anchor from there Configured to be deployed,
It said proximal end portion, modular implant / anchor deployment device, characterized in that it is adapted to be removably attached to the first end portion of the surgical device. The proximal end portion of the front SL body member, according to the surgical said first member facing further configured claim to be removably attached to the structure 1 of a device comprising a first end portion Modular implant / anchor deployment device. The proximal end portion of the body member includes a first mechanism configured to removably engage a complementary mechanism provided in an opposing structure of the first member. Further configured,
Alternatively or additionally, the complementary mechanism comprises a recessed area, and the first mechanism of the body member is removably engaged with the recessed area of the opposing structure of the first member of the surgical device. A modular implant / anchor deployment device according to claim 1 or 2, comprising mating protrusions.   The proximal end portion of the body member is further configured to include an enlarged portion for receiving therein an opposing structure of the first member of the surgical device. A modular implant / anchor deployment device according to claim 1. Further comprising a plurality of implant / anchor that is movably disposed on the distal end portion of the front Stories body member, the second member of the surgical device is moved in one direction along said long axis 5. The modular implant / anchor deployment device according to any one of claims 1 to 4, wherein the second implant / anchor is moved to a pre-deployment position after deployment of the first implant / anchor.   6. A modular implant / anchor deployment device according to claim 5, wherein the second member is movable along the major axis with respect to the first member.   The modular implant / anchor deployment device according to any one of the preceding claims, wherein the tip of the distal end portion of the body member is configured to be inserted into tissue. The surgical device is a suture cutter having a movable outer member and an inner member, the inner member being the first member removably attached to a distal end portion of the body member. A modular implant / anchor deployment device according to any one of the preceding claims. A system for deploying an implant / anchor in tissue,
A surgical device configured to perform a procedure not directly related to implant / anchor deployment;
At least one modular implant / anchor deployment device;
The surgical device includes a first member including a first end portion and a second end portion of the surgical device, a second member having a lumen extending along a long axis, and the first member A handle coupled to the second end portion such that two members are movable;
The first member is disposed within a lumen of the second member;
The first member and the second member are movable relative to each other;
Each of the at least one modular deployment device includes:
The surgical device comprising a body member having a proximal end portion and a distal end portion, further comprising one or more implants / anchors movably disposed on the distal end portion of the body member. When the second member of the first member moves in one direction along the major axis, each of the one or more implants / anchors moves to a pre-deployment position, and the distal end portion has the implant / anchor from there Configured to be deployed,
It said proximal end portion, a system characterized in that it is configured to be removably attached to the first end portion of the surgical device. The proximal end portion of the front SL body member system according to further configured claim 9 so as to be removably attached to the structure opposite the first member of the surgical device. The proximal end portion of the body member is configured to removably engage a complementary mechanism provided in an opposing structure of the first member of the surgical device. Further configured to include a mechanism;
Alternatively or additionally, the proximal end portion of the body member includes an enlarged portion for receiving an opposing structure of the first member including the first end portion of the surgical device. The system according to claim 9 or 10, further configured. The system according to any one of claims 9 to 11, wherein the second member is movable along the major axis with respect to the first member. The tip portion of the proximal end portion of the body member as claimed in any one of configured claim 9 1 2 to be inserted into the tissue system. The surgical device is a suture cutter having an outer member and an inner member movable, said inner member, claim 9 which is removably attached to the proximal end portion of the body member 1 3 The system according to one item. Further comprising a plurality of modular implant / anchor deployment devices, wherein the distal end portion of each body member is selected to facilitate guidance of the distal end portion to a target region further configured to have a shape, the geometry of the distal end portion of at least one body member, according to claim 9 to 1 4 that is different from the geometry of the distal end portion of another body member The system according to any one of the above.

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