Source: http://www.google.ca/patents/US9144483
Timestamp: 2017-11-25 04:05:31
Document Index: 17736488

Matched Legal Cases: ['Application No. 07716311', 'Application No. 10189230', 'Application No. 13164488', 'Application No. 2', 'Application No. 2', 'Application No. 2', 'Application No. 07758616', 'Application No. 07758616', 'Application No. 10189230', 'Application No. 2008', 'Application No. 2008', 'Application No. 2012226178', 'Application No. 2', 'Application No. 2008', 'Application No. 10189230', 'Application No. 2012']

Patent US9144483 - Placing fixation devices - Google Patents
A fixation device can be delivered to the body of a patient by coupling the fixation device to a delivery instrument at a head of the fixation device. Engaging the fixation device to the delivery instrument at the fixation device's head allows the fixation device to be secured to a tissue and/or ligament...http://www.google.ca/patents/US9144483?utm_source=gb-gplus-sharePatent US9144483 - Placing fixation devices
Publication number US9144483 B2
Application number US 11/331,777
Also published as CA2636215A1, CA2636215C, DE602007011204D1, EP1978891A1, EP1978891B1, EP2305128A2, EP2305128A3, EP2305128B1, US20070173864, WO2007087132A1
Publication number 11331777, 331777, US 9144483 B2, US 9144483B2, US-B2-9144483, US9144483 B2, US9144483B2
Patent Citations (327), Non-Patent Citations (84), Referenced by (2), Classifications (21), Legal Events (1)
Placing fixation devices
US 9144483 B2
1. An instrument for delivering an implant to tissue of a patient, comprising:
a deployment mechanism disposed at a distal portion of the elongate body member, the deployment mechanism including a carrier capable of extending from a retracted position to an extended position, the carrier comprising a side slot for receiving a portion of a fixation device of the implant, the fixation device including a head engaged to a flexible shaft, and a first and second protrusion extending from the flexible shaft, the first and second protrusions each being angled relative to a longitudinal axis of the flexible shaft and collectively encapsulating a distal end of a sling material of the implant, the distal portion of the elongate body member having a slot that is disposed adjacent to and in alignment with the side slot of the carrier when the carrier is in its refracted position, the first and second protrusions defing a T-shaped protrusion having a lock button disposed therein, the flexible shaft including a plurality of circular protrusions disposed thereon for engaging the lock button; and
a catch disposed on the elongate body member, the catch defining at least one opening for receiving, through the lock button, the carrier holding the fixation device, retaining the head of the fixation device within the catch, and allowing the carrier to retract, such that the fixation device is released from the side slot of the carrier when the carrier is retracted from the catch.
2. The instrument of claim 1, wherein the sling material comprises a mesh material.
3. The instrument of claim 2, wherein the mesh material comprises a plurality of tangs.
4. The instrument of claim 1, wherein the sling material comprises a graft.
5. The instrument of claim 1, wherein the flexible shaft comprises a plurality of barbs.
6. The instrument of claim 1, wherein the of the fixation device includes a pointed tip.
7. The instrument of claim 1, wherein the head of the fixation device is sized to be received by the carrier of the deployment mechanism.
8. The instrument of claim 1, wherein the flexible shaft extends into at least a portion of the sling material forming a support segment to provide strength to the sling material.
9. The instrument of claim 1, wherein the slot of the distal portion of the elongate body member is sized to allow a portion of the flexible shaft of the fixation device to extend through the slot of the distal portion from the carrier to an area external to the distal portion of the elongate body member.
10. The instrument of claim 1, wherein the first protrusion and the second protrusion define a proximal end of the fixation device, the proximal end of the fixation device being movable between a first width and a second width less than the first width, the proximal end of the fixation device being biased to the first width.
11. The instrument of claim 1, wherein the slot of the distal portion of the elongate body is disposed distally of the side slot of the carrier when the carrier is in its retracted position.
As shown in FIG. 1A, a fixation device 306 is engaged to the distal portion 106 of the delivery instrument 100 by placing the fixation device head 328 in an extendable carrier (shown in FIG. 1C). The carrier 124 comprises a side slot. When coupling the fixation device 306 to the carrier 124, the shaft 300 of the fixation device 306 is sized to pass through the side slot and the fixation device head 328 is positioned on top of an opening at a distal end of the carrier. The diameter of the fixation device head 328 is larger than the diameter of a lumen of the carrier. As such, the fixation device head 328 is positioned over the distal opening of the carrier while a portion of the shaft 300 of the fixation device resides within the lumen of the carrier. As such, when the fixation head deployment mechanism 110 is depressed, the carrier 124 drives the fixation device head 328 through a tissue until the fixation device head 328 is secured in a catch. Once secured in a catch, the carrier retracts to its original position and thus disengages from the fixation device head 328. Once the fixation device head 328 is secured in the catch, the delivery instrument 100 may be withdrawn a distance to pull the fixation device 306 a desired distance through the tissue. Finally, the fixation device head 328 is disengaged from the carrier once the fixation device has been successfully placed in a tissue. An embodiment of these components will be shown in detail in FIGS. 1B and 1C.
Each fixation device 306 a, 306 b, 306 c and 306 d is placed individually at the discretion of the user by drawing the fixation device 306 a, 306 b, 306 c and 306 d through ligament of tissue until the desired length of “leg” is achieved. As such, a head of the first fixation device 306 a is engaged to the delivery instrument 100, driven through a tissue, secured in a catch, positioned in the tissue by withdrawing the delivery instrument 100, and disengaged from the catch. Next, the head of the second fixation device 306 b is engaged to the delivery instrument 100 and the steps are repeated. The above-identified procedure is followed for all additional fixation devices 306 c, 306 d, etc.
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International Classification A61F2/00, A61B17/06, A61B17/00, A61B17/29, A61B17/062, A61B17/04
Cooperative Classification A61B2017/06176, A61B17/0469, A61B17/0482, A61B2017/06052, A61F2/0045, A61B17/0401, A61B2017/0427, A61B17/0625, A61B2017/0437, A61B2017/0464, A61B2017/2927, A61B2017/0412, A61B2017/0417, A61B2017/00805, A61B2017/0409