Fastener delivery and deployment mechanism and method for placing the
fastener in minimally invasive surgery
    34.
    发明授权
    Fastener delivery and deployment mechanism and method for placing the fastener in minimally invasive surgery 失效
    用于将紧固件放置在微创手术中的紧固件递送和部署机构和方法

    公开(公告)号:US5891160A

    公开(公告)日:1999-04-06

    申请号:US985355

    申请日:1997-12-04

    摘要: A one-piece fastener or staple includes a base that contacts tissue and a prong that extends through the tissue. A suture lead is anchored to the base and a needle is attached to the suture lead. A tool positions the fastener adjacent to the tissue, and is operated to drive the prong and the suture needle through the tissue. The tool includes a needle grabber that is operated to grab the needle and pull the needle out of the patient. Since the suture lead is attached to the fastener, a prosthesis can be placed on the suture lead and pushed down to the tissue. A cassette is releasably mounted on the tool and contains the fastener, the suture lead and the suture needle. Alternative forms of the anchor have sutures attached to a base at locations that are spaced apart from each other, and sutures associated with each of two adjacent anchors can be tied together or sutures associated with a single anchor can be tied together. A suture threadably connected to an anchor can be used as a running suture. A prosthetic device can have a running suture associated therewith that is threadably attached to each of a plurality of anchors. Another form of the system includes a running suture with loops that can have additional anchors attached thereto as needed if the surgeon decides to add further anchors to the system to customize the system to the particular patient.

    摘要翻译: 单件紧固件或订书钉包括接触组织的基部和延伸穿过组织的插脚。 缝合线被锚固到基部并且针被附接到缝合线。 工具将紧固件邻近组织定位,并且被操作以通过组织驱动叉和缝合针。 该工具包括用于抓住针头并将针从患者中拉出的针抓取器。 由于缝线引导件连接到紧固件上,假体可以放置在缝合线上并向下推到组织。 盒可释放地安装在工具上并且包含紧固件,缝合线和缝合针。 锚的替代形式具有在彼此间隔开的位置处附接到基部的缝合线,并且与两个相邻锚固件中的每一个相关联的缝线可以被捆绑在一起,或者可以将与单个锚相关联的缝线连接在一起。 螺纹连接到锚固件的缝合线可以用作运行缝合线。 假体装置可以具有与其相关联的运行缝合线,该缝合线可螺纹连接到多个锚固件中的每一个上。 系统的另一种形式包括具有循环的运行缝合线,如果外科医生决定向系统添加另外的锚点以根据特定患者定制系统,则可以根据需要具有连接到其上的附加锚固件。