US20050187565A1 - Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same - Google Patents

Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same Download PDF

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Publication number
US20050187565A1
US20050187565A1 US10/783,717 US78371704A US2005187565A1 US 20050187565 A1 US20050187565 A1 US 20050187565A1 US 78371704 A US78371704 A US 78371704A US 2005187565 A1 US2005187565 A1 US 2005187565A1
Authority
US
United States
Prior art keywords
fastener
members
tissue
assembly
connecting member
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US10/783,717
Other languages
English (en)
Inventor
Steve Baker
Brett Carter
Stefan Kraemer
Clifton Alferness
John Adams
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Endogastric Solutions Inc
Original Assignee
ENDO GASTRIC SOLUTIONS Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by ENDO GASTRIC SOLUTIONS Inc filed Critical ENDO GASTRIC SOLUTIONS Inc
Priority to US10/783,717 priority Critical patent/US20050187565A1/en
Assigned to ESOPHYX, INC. reassignment ESOPHYX, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ALFERNESS, CLIFTON A., CARTER, BRETT J., BAKER, STEVE G., KRAEMER, STEFAN J. M., ADAMS, JOHN M.
Priority to US10/949,737 priority patent/US7632287B2/en
Priority to EP05713502A priority patent/EP1725173A4/en
Priority to JP2006554157A priority patent/JP2007522878A/ja
Priority to PCT/US2005/004619 priority patent/WO2005081817A2/en
Priority to CNA2005800113761A priority patent/CN101056588A/zh
Priority to US11/172,363 priority patent/US20060009792A1/en
Publication of US20050187565A1 publication Critical patent/US20050187565A1/en
Priority to US11/811,392 priority patent/US20080004638A1/en
Assigned to ENDO GASTRIC SOLUTIONS, INC. reassignment ENDO GASTRIC SOLUTIONS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ESOPHYX, INC.
Assigned to ENDOGASTRIC SOLUTIONS, INC. reassignment ENDOGASTRIC SOLUTIONS, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: ENDO GASTRIC SOLUTIONS, INC.
Assigned to CHICAGO GROWTH PARTNERS, LP, DE NOVO VENTURES III, LP, MPM BIOVENTURES III PARALLEL FUND, L.P., MPM BIOVENTURES III, L.P., MPM BIOVENTURES III-QP, L.P., MPM BIOVENTURES II-QP, L.P., MPM ASSET MANAGEMENT INVESTORS 2000 B LLC, MPM ASSET MANAGEMENT INVESTORS 2003 BVIII LLC, MPM BIOVENTURES GMBH & CO. PARALLEL-BETEILIGUNGS KG, MPM BIOVENTURES II, L.P., MPM BIOVENTURES III GMBH & CO. BETEILIGUNGS KG, OAKWOOD MEDICAL INVESTORS IV (QP), L.L.C., OAKWOOD MEDICAL INVESTORS IV, L.L.C., FOUNDATION MEDICAL PARTNERS II, L.P, ADVANCED TECHNOLOGY VENTURES VII (B), L.P., ADVANCED TECHNOLOGY VENTURES VII (C), L.P., ADVANCED TECHNOLOGY VENTURES VII, L.P., ATV ENTREPRENEURS VII, L.P. reassignment CHICAGO GROWTH PARTNERS, LP SECURITY AGREEMENT Assignors: ENDOGASTRIC SOLUTIONS, INC.
Priority to US12/460,247 priority patent/US8337523B2/en
Priority to US12/460,510 priority patent/US8657837B2/en
Priority to US12/590,203 priority patent/US8911473B2/en
Assigned to ENDOGASTRIC SOLUTIONS, INC. reassignment ENDOGASTRIC SOLUTIONS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: OAKWOOD MEDICAL INVESTORS IV (QP), L.L.C., OAKWOOD MEDICAL INVESTORS IV, L.L.C., ADVANCED TECHNOLOGY VENTURES VII (B), L.P., ADVANCED TECHNOLOGY VENTURES VII (C), L.P., ADVANCED TECHNOLOGY VENTURES VII, L.P., ATV ENTREPRENEURS VII, L.P., FOUNDATION MEDICAL PARTNERS II, L.P., CHICAGO GROWTH PARTNERS, LP, DE NOVO VENTURES III, LP, MPM ASSET MANAGEMENT INVESTORS 2000 B LLC, MPM ASSET MANAGEMENT INVESTORS 2003 BVIII LLC, MPM BIOVENTURES GMBH & CO. PARALLEL-BETEILIGUNGS KG, MPM BIOVENTURES II, L.P., MPM BIOVENTURES III GMBH & CO. BETEILIGUNGS KG, MPM BIOVENTURES III PARALLEL FUND, L.P., MPM BIOVENTURES III, L.P., MPM BIOVENTURES III-QP, L.P., MPM BIOVENTURES II-QP, L.P.
Priority to US13/604,276 priority patent/US10064615B2/en
Priority to US13/678,474 priority patent/US8961540B2/en
Priority to US16/115,015 priority patent/US11090037B2/en
Priority to US17/378,672 priority patent/US20210338230A1/en
Abandoned legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A61B2017/00827—Treatment of gastro-esophageal reflux
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419—H-fasteners

Definitions

  • the connecting member of the fastener may be formed of plastic elastic material.
  • the connecting member may be formed of a plastic, permanently deformable material.
  • the plastic material may include a color pigment contrasting with body tissue color to enable visualization of the fastener with an endoscope.
  • FIG. 24 is a perspective view of the fastener of FIG. 13 showing the fastener embedded within a layer of tissue;
  • the pusher 166 may be utilized to push the first member 172 of the fastener 162 through the tissue layers 180 and 182 on the tissue piercing wire 164 . This is illustrated in FIG. 6 . As the pusher 166 pushes the first member 172 through the tissue layers 180 and 182 , the connecting member 176 follows along beside and immediately adjacent to the first member 172 of the fastener 162 and the pusher 166 . As may be seen in FIG.
  • the tissue piercing wire 164 is then retracted within the pusher 166 to release the first member 172 .
  • the first member 172 being thus released from the tissue piercing wire 164 will return to its original configuration substantially parallel to the second member 174 and substantially perpendicular to the connecting member 176 .
  • the tissue piercing wire 164 and pusher 166 may be withdrawn.
  • FIG. 11 shows another fastener 200 embodying the present invention.
  • the fastener 200 is illustrated in an initial stage of deployment by the tissue piercing deployment wire 164 , the pusher 166 , and the guide tube 168 to fasten tissue layers 180 and 182 together.
  • FIG. 12 shows the fastener 200 after deployment fastening tissue layers 180 and 182 together.
  • the fastener 200 may be deployed as previously described in connection with FIGS. 5-9 .
  • FIG. 20 illustrates the second member 214 of the fastener 210 in its deployed configuration within the slot 370 .
  • the connecting member 216 is permitted to assume its preshaped configuration and the second member 214 is permitted to slide along the tissue piercing wire 164 within the notch 226 .
  • the pusher 166 may now push the first member 212 through the tissue layers 180 and 182 on the tissue piercing wire 164 .
  • the tissue piercing wire 164 need not be fully retracted to free the second member 314 from the tissue piercing wire 164 after it has been deployed.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)
US10/783,717 2004-02-20 2004-02-20 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same Abandoned US20050187565A1 (en)

Priority Applications (15)

Application Number Priority Date Filing Date Title
US10/783,717 US20050187565A1 (en) 2004-02-20 2004-02-20 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US10/949,737 US7632287B2 (en) 2004-02-20 2004-09-23 Tissue fixation devices and assemblies for deploying the same
CNA2005800113761A CN101056588A (zh) 2004-02-20 2005-02-14 组织紧固器和一种经口腔内窥胃食管瓣阀复原装置和使用所述装置的组件
PCT/US2005/004619 WO2005081817A2 (en) 2004-02-20 2005-02-14 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
JP2006554157A JP2007522878A (ja) 2004-02-20 2005-02-14 組織固定装置、経口内視鏡胃食道フラップ弁治療装置及び該装置を用いるアッセンブリ
EP05713502A EP1725173A4 (en) 2004-02-20 2005-02-14 FABRIC ATTACHMENT DEVICES AND GASTRO-OESOPHAGIAN VALVE RESTORATION DEVICE AND ASSEMBLY USING SUCH DEVICES
US11/172,363 US20060009792A1 (en) 2004-02-20 2005-06-29 Tissue fixation assembly having prepositioned fasteners and method
US11/811,392 US20080004638A1 (en) 2004-02-20 2007-06-08 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US12/460,247 US8337523B2 (en) 2004-02-20 2009-07-15 Tissue fixation assembly having prepositioned fasteners and method
US12/460,510 US8657837B2 (en) 2004-02-20 2009-07-18 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US12/590,203 US8911473B2 (en) 2004-02-20 2009-11-04 Tissue fixation devices and assemblies for deploying the same
US13/604,276 US10064615B2 (en) 2004-02-20 2012-09-05 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US13/678,474 US8961540B2 (en) 2004-02-20 2012-11-15 Tissue fixation assembly having prepositioned fasteners and method
US16/115,015 US11090037B2 (en) 2004-02-20 2018-08-28 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US17/378,672 US20210338230A1 (en) 2004-02-20 2021-07-17 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/783,717 US20050187565A1 (en) 2004-02-20 2004-02-20 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same

Related Child Applications (4)

Application Number Title Priority Date Filing Date
US10/949,737 Continuation-In-Part US7632287B2 (en) 2004-02-20 2004-09-23 Tissue fixation devices and assemblies for deploying the same
US11/172,363 Continuation-In-Part US20060009792A1 (en) 2004-02-20 2005-06-29 Tissue fixation assembly having prepositioned fasteners and method
US11/811,392 Continuation US20080004638A1 (en) 2004-02-20 2007-06-08 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US12/460,510 Continuation US8657837B2 (en) 2004-02-20 2009-07-18 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same

Publications (1)

Publication Number Publication Date
US20050187565A1 true US20050187565A1 (en) 2005-08-25

Family

ID=34861313

Family Applications (6)

Application Number Title Priority Date Filing Date
US10/783,717 Abandoned US20050187565A1 (en) 2004-02-20 2004-02-20 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US11/811,392 Abandoned US20080004638A1 (en) 2004-02-20 2007-06-08 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US12/460,510 Active 2025-03-05 US8657837B2 (en) 2004-02-20 2009-07-18 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US13/604,276 Active 2025-10-25 US10064615B2 (en) 2004-02-20 2012-09-05 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US16/115,015 Active 2024-12-06 US11090037B2 (en) 2004-02-20 2018-08-28 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US17/378,672 Abandoned US20210338230A1 (en) 2004-02-20 2021-07-17 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same

Family Applications After (5)

Application Number Title Priority Date Filing Date
US11/811,392 Abandoned US20080004638A1 (en) 2004-02-20 2007-06-08 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US12/460,510 Active 2025-03-05 US8657837B2 (en) 2004-02-20 2009-07-18 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US13/604,276 Active 2025-10-25 US10064615B2 (en) 2004-02-20 2012-09-05 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US16/115,015 Active 2024-12-06 US11090037B2 (en) 2004-02-20 2018-08-28 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same
US17/378,672 Abandoned US20210338230A1 (en) 2004-02-20 2021-07-17 Tissue fixation devices and a transoral endoscopic gastroesophageal flap valve restoration device and assembly using same

Country Status (5)

Country Link
US (6) US20050187565A1 (zh)
EP (1) EP1725173A4 (zh)
JP (1) JP2007522878A (zh)
CN (1) CN101056588A (zh)
WO (1) WO2005081817A2 (zh)

Cited By (90)

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US11219443B2 (en) 2014-08-22 2022-01-11 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
EP3542729A1 (en) * 2018-03-21 2019-09-25 Medtronic Vascular Inc. Stent migration device and method
US10646325B2 (en) * 2018-03-21 2020-05-12 Medtronic Vascular, Inc. Stent migration device and method
US11998185B2 (en) 2022-09-08 2024-06-04 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone

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US11090037B2 (en) 2021-08-17
US8657837B2 (en) 2014-02-25
WO2005081817A2 (en) 2005-09-09
EP1725173A2 (en) 2006-11-29
US20190021720A1 (en) 2019-01-24
EP1725173A4 (en) 2012-02-22
JP2007522878A (ja) 2007-08-16
US20120330328A1 (en) 2012-12-27
WO2005081817A3 (en) 2006-12-14
US20210338230A1 (en) 2021-11-04
CN101056588A (zh) 2007-10-17
US10064615B2 (en) 2018-09-04
US20100030243A1 (en) 2010-02-04
US20080004638A1 (en) 2008-01-03

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