US20040230208A1 - Article for positioning mesh over tissue - Google Patents

Article for positioning mesh over tissue Download PDF

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Publication number
US20040230208A1
US20040230208A1 US10/436,812 US43681203A US2004230208A1 US 20040230208 A1 US20040230208 A1 US 20040230208A1 US 43681203 A US43681203 A US 43681203A US 2004230208 A1 US2004230208 A1 US 2004230208A1
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US
United States
Prior art keywords
mesh
tissue
tack
hook
sheet
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
US10/436,812
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English (en)
Inventor
Vafa Shayani
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to US10/436,812 priority Critical patent/US20040230208A1/en
Priority to PCT/US2004/015146 priority patent/WO2004103414A2/fr
Publication of US20040230208A1 publication Critical patent/US20040230208A1/en
Priority to US11/753,303 priority patent/US7686822B2/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
    • A61B17/064—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
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes

Definitions

  • This invention relates to surgical devices and, more particularly, to surgical articles used to position and fix mesh over tissue for repair of abdominal wall defects.
  • the present invention provides a safe and efficient means or article for the application and subsequent repositioning of synthetic mesh to the abdominal wall with minimal risk of injury to abdominal tissue and organs.
  • the invention is an article suitable for positioning a sheet of surgical mesh over tissue and comprising a mesh engaging material associated with a tack adapted to be fastened to the tissue.
  • the mesh is releasably engaged and disengaged from the mesh engaging material associated with the tack so as to allow the positioning and subsequent repositioning and stretching of the mesh over the tissue.
  • the tack includes a head bearing a hook-type fiber material and a tissue anchoring member which depends from the head.
  • the tack is secured to the tissue and the mesh material is releasably engageable with the hook-type material carried by the tack. In this manner the mesh material can be positioned and repositioned over tissue as desired by the surgeon.
  • the tack secures a piece of the mesh engaging material to the tissue.
  • the mesh can then be pressed against the mesh engaging material secured to the tissue and is releasably held in place by the mesh engaging material.
  • FIG. 1 is an enlarged, partial front elevational view of a surgical tack provided with releasable mesh engagement element
  • FIG. 2 is a top plan view of a patch of surgical mesh suitable for releasable engagement to the mesh engagement element shown in FIG. 1;
  • FIG. 3 is a front elevational view of the entire surgical tack of FIG. 1;
  • FIG. 4 is a perspective view of the surgical tack of FIG. 3 provided with a slotted head
  • FIG. 5 is a perspective view of a tack similar to that of FIG. 3 and provided with a head configured to receive a Torx driver;
  • FIG. 6 is a perspective view of a tack similar to that of FIG. 3 and configured to receive a Phillips driver;
  • FIG. 7 is a perspective view of a tack similar to that of FIG. 3 and configured to receive an Allen driver;
  • FIG. 8 is an enlarged, fragmentary front elevational view depicting the releasable mesh engagement element held in place with a Q-ring type of tack.
  • FIGS. 1, 3 and 4 depict a preferred embodiment of the present invention in which article 10 comprises a surgical tack 11 having a releasable mesh engagement element or member 20 attached to the top of head 12 .
  • Head 12 has a circular, disk like figuration and includes a body 14 and top and bottom radial faces 16 and 18 , respectively.
  • the top face 16 of the head 12 is covered with a circular, disk shaped releasable mesh engagement member, such as patch 20 , which is preferably made of and includes hook-type Velcro® or the like latching fiber material 21 .
  • the mesh engagement member such as patch 20 may be secured to the top face 16 of the head 12 by any known means including, but not limited to, adhesive applied either directly to the top of the head 12 , to the lower surface of the mesh engagement member 20 , or both.
  • a tack driver cavity such as slot or straight slit 22 , extends across top face 16 and into the body 14 of head 12 .
  • the slot 22 is configured to receive a complementary driver.
  • the tack 11 additionally comprises an elongate spiral screw member or base 24 which extends generally away from the bottom radial face 18 of the head 12 .
  • the spiral screw member 24 terminates in a distal tissue piercing tip 26 .
  • FIGS. 5-7 depict alternate respective article embodiments 100 , 200 and 300 similar in structure to the article 10 except that the respective heads 112 , 212 and 312 of the tacks 111 , 211 and 311 respectively incorporate cavities 122 , 222 and 322 structured and shaped to accept Torx, Phillips or Allen drivers for driving and securing the tacks into tissue for the purposes described in more detail below.
  • the article 10 of the present invention is suitable for use in a variety of surgical procedures including, but not limited to, the repair of ventral hernias.
  • an incision is first made into a patient's abdominal cavity in order to access the site of the hernia (i.e., abdominal wall defect) using conventional surgical techniques.
  • site of the hernia i.e., abdominal wall defect
  • tacks capable of releasably holding a surgical mesh are secured around the perimeter of the abdominal wall defect using conventional tacking devices such as, for example, a surgical grasper, a tack driver, or alternatively, a tacking gun which has been pre-loaded with a predetermined number of the surgical tacks.
  • the tacks 11 are advantageously secured to the tissue around the abdominal wall defect sought to be repaired prior to the insertion of any mesh material into the abdominal cavity, and with the full view of the abdominal wall defect and surrounding internal organs. Thereafter, an appropriately sized sheet or patch of the biocompatible surgical mesh, for example, such as the sheet of mesh material 28 depicted in FIG. 2, is inserted through the incision and positioned over the site of the hernia with the peripheral edges thereof overlying the tacks.
  • an appropriately sized sheet or patch of the biocompatible surgical mesh for example, such as the sheet of mesh material 28 depicted in FIG. 2
  • the mesh material is then pressed into abutting contact against the tacks 11 and, more specifically, against the heads 12 thereof so as to cause the loop-type material comprising the fabric of the mesh 28 to become releasably intertwined, latched and engaged with the hook-type material 21 of tack 11 as shown in FIG. 1.
  • the mesh 28 may then be selectively disengaged or released from tack 11 , and then subsequently selectively stretched and re-attached or re-engaged with the latching fiber material until the optimal positioning and stretching of the mesh 28 over the tissue site has been achieved.
  • any one of a number of conventional tacking devices may be used to apply conventional surgical tacks to further secure and maintain the mesh 28 over the site of the hernia.
  • the hernia repair procedure is then completed in a conventional manner and the incision in the wall of the abdominal cavity is closed using conventional surgical sutures.
  • a plurality of patches such as patch 520 are positioned around the hernia site, and that a plurality of the tacks 511 are driven through the patches 520 respectively.
  • the mesh 528 is then releasably securable to the aforesaid plurality of patches in the same manner as that described above with respect to the tacks 11 .

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)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
US10/436,812 2003-05-13 2003-05-13 Article for positioning mesh over tissue Abandoned US20040230208A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US10/436,812 US20040230208A1 (en) 2003-05-13 2003-05-13 Article for positioning mesh over tissue
PCT/US2004/015146 WO2004103414A2 (fr) 2003-05-13 2004-05-13 Article pour positionner un filet sur un tissu
US11/753,303 US7686822B2 (en) 2003-05-13 2007-05-24 Hernia repair method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/436,812 US20040230208A1 (en) 2003-05-13 2003-05-13 Article for positioning mesh over tissue

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/753,303 Division US7686822B2 (en) 2003-05-13 2007-05-24 Hernia repair method

Publications (1)

Publication Number Publication Date
US20040230208A1 true US20040230208A1 (en) 2004-11-18

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Family Applications (2)

Application Number Title Priority Date Filing Date
US10/436,812 Abandoned US20040230208A1 (en) 2003-05-13 2003-05-13 Article for positioning mesh over tissue
US11/753,303 Expired - Fee Related US7686822B2 (en) 2003-05-13 2007-05-24 Hernia repair method

Family Applications After (1)

Application Number Title Priority Date Filing Date
US11/753,303 Expired - Fee Related US7686822B2 (en) 2003-05-13 2007-05-24 Hernia repair method

Country Status (2)

Country Link
US (2) US20040230208A1 (fr)
WO (1) WO2004103414A2 (fr)

Cited By (24)

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US20100256523A1 (en) * 2009-03-04 2010-10-07 Margaret Uznanski Specimen retrieval apparatus
US20110087067A1 (en) * 2009-10-09 2011-04-14 Tyco Healthcare Group Lp Internal retractor systems
US20110087249A1 (en) * 2009-10-09 2011-04-14 Tyco Healthcare Group Lp Internal Tissue Anchors
US8317808B2 (en) 2008-02-18 2012-11-27 Covidien Lp Device and method for rolling and inserting a prosthetic patch into a body cavity
WO2013004947A1 (fr) * 2011-07-07 2013-01-10 Aspide Medical Dispositif comprenant une pluralite d'implants pour la fixation de materiel prothetique
US20130158572A1 (en) * 2010-07-16 2013-06-20 Sofradim Production Prosthesis having a radiopaque element
US8753359B2 (en) 2008-02-18 2014-06-17 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US8758373B2 (en) 2008-02-18 2014-06-24 Covidien Lp Means and method for reversibly connecting a patch to a patch deployment device
US8808314B2 (en) 2008-02-18 2014-08-19 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US8827135B2 (en) 2008-03-14 2014-09-09 Transenterix, Inc. Hernia stapler with integrated mesh manipulator
US8870049B2 (en) 2008-03-14 2014-10-28 Transenterix, Inc. Hernia stapler
US8888811B2 (en) 2008-10-20 2014-11-18 Covidien Lp Device and method for attaching an implant to biological tissue
US8906045B2 (en) 2009-08-17 2014-12-09 Covidien Lp Articulating patch deployment device and method of use
US9034002B2 (en) 2008-02-18 2015-05-19 Covidien Lp Lock bar spring and clip for implant deployment device
US9044235B2 (en) 2008-02-18 2015-06-02 Covidien Lp Magnetic clip for implant deployment device
EP2939605A1 (fr) * 2014-04-28 2015-11-04 Covidien LP Agrafe chirurgicale comportant un couvercle
US9301826B2 (en) 2008-02-18 2016-04-05 Covidien Lp Lock bar spring and clip for implant deployment device
US9393093B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9393002B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9398944B2 (en) 2008-02-18 2016-07-26 Covidien Lp Lock bar spring and clip for implant deployment device
US9833240B2 (en) 2008-02-18 2017-12-05 Covidien Lp Lock bar spring and clip for implant deployment device
US9999424B2 (en) 2009-08-17 2018-06-19 Covidien Lp Means and method for reversibly connecting an implant to a deployment device
US11234701B2 (en) 2018-09-21 2022-02-01 Covidien Lp Powered surgical tack applier
US11389159B2 (en) 2018-09-21 2022-07-19 Covidien Lp Powered surgical tack applier

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US8951285B2 (en) 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
US9883943B2 (en) 2006-12-05 2018-02-06 Valtech Cardio, Ltd. Implantation of repair devices in the heart
WO2010004546A1 (fr) 2008-06-16 2010-01-14 Valtech Cardio, Ltd. Dispositifs d’annuloplastie et procédés de mise en place de ceux-ci
US11259924B2 (en) 2006-12-05 2022-03-01 Valtech Cardio Ltd. Implantation of repair devices in the heart
US11660190B2 (en) 2007-03-13 2023-05-30 Edwards Lifesciences Corporation Tissue anchors, systems and methods, and devices
US7812002B2 (en) * 2007-03-21 2010-10-12 Quark Pharmaceuticals, Inc. Oligoribonucleotide inhibitors of NRF2 and methods of use thereof for treatment of cancer
US8382829B1 (en) 2008-03-10 2013-02-26 Mitralign, Inc. Method to reduce mitral regurgitation by cinching the commissure of the mitral valve
US8715342B2 (en) 2009-05-07 2014-05-06 Valtech Cardio, Ltd. Annuloplasty ring with intra-ring anchoring
US8940044B2 (en) 2011-06-23 2015-01-27 Valtech Cardio, Ltd. Closure element for use with an annuloplasty structure
US8241351B2 (en) 2008-12-22 2012-08-14 Valtech Cardio, Ltd. Adjustable partial annuloplasty ring and mechanism therefor
US8545553B2 (en) 2009-05-04 2013-10-01 Valtech Cardio, Ltd. Over-wire rotation tool
US10517719B2 (en) 2008-12-22 2019-12-31 Valtech Cardio, Ltd. Implantation of repair devices in the heart
US8926696B2 (en) 2008-12-22 2015-01-06 Valtech Cardio, Ltd. Adjustable annuloplasty devices and adjustment mechanisms therefor
US9011530B2 (en) 2008-12-22 2015-04-21 Valtech Cardio, Ltd. Partially-adjustable annuloplasty structure
FR2941144B1 (fr) 2009-01-22 2012-04-27 Sofradim Production Agrafeuse chirurgicale pour le prepositionnement et la fixation de prothese en textile, methode de chargement de celle-ci et agrafe chirurgicale auto-agrippante
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US8683895B2 (en) * 2010-02-23 2014-04-01 Kensey Nash Corporation Single revolution snap action drive for surgical fasteners
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US10531866B2 (en) 2016-02-16 2020-01-14 Cardiovalve Ltd. Techniques for providing a replacement valve and transseptal communication
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US9398944B2 (en) 2008-02-18 2016-07-26 Covidien Lp Lock bar spring and clip for implant deployment device
US9833240B2 (en) 2008-02-18 2017-12-05 Covidien Lp Lock bar spring and clip for implant deployment device
US10695155B2 (en) 2008-02-18 2020-06-30 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US8317808B2 (en) 2008-02-18 2012-11-27 Covidien Lp Device and method for rolling and inserting a prosthetic patch into a body cavity
US9005241B2 (en) 2008-02-18 2015-04-14 Covidien Lp Means and method for reversibly connecting a patch to a patch deployment device
US10182898B2 (en) 2008-02-18 2019-01-22 Covidien Lp Clip for implant deployment device
US10159554B2 (en) 2008-02-18 2018-12-25 Covidien Lp Clip for implant deployment device
US9034002B2 (en) 2008-02-18 2015-05-19 Covidien Lp Lock bar spring and clip for implant deployment device
US9393002B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9044235B2 (en) 2008-02-18 2015-06-02 Covidien Lp Magnetic clip for implant deployment device
US8758373B2 (en) 2008-02-18 2014-06-24 Covidien Lp Means and method for reversibly connecting a patch to a patch deployment device
US8808314B2 (en) 2008-02-18 2014-08-19 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US9393093B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9301826B2 (en) 2008-02-18 2016-04-05 Covidien Lp Lock bar spring and clip for implant deployment device
US9107726B2 (en) 2008-02-18 2015-08-18 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US8753359B2 (en) 2008-02-18 2014-06-17 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US8870049B2 (en) 2008-03-14 2014-10-28 Transenterix, Inc. Hernia stapler
US8827135B2 (en) 2008-03-14 2014-09-09 Transenterix, Inc. Hernia stapler with integrated mesh manipulator
US8888811B2 (en) 2008-10-20 2014-11-18 Covidien Lp Device and method for attaching an implant to biological tissue
US8734473B2 (en) 2009-02-18 2014-05-27 Covidien Lp Device and method for rolling and inserting a prosthetic patch into a body cavity
US20100256523A1 (en) * 2009-03-04 2010-10-07 Margaret Uznanski Specimen retrieval apparatus
US8430826B2 (en) 2009-03-04 2013-04-30 Covidien Lp Specimen retrieval apparatus
US8906045B2 (en) 2009-08-17 2014-12-09 Covidien Lp Articulating patch deployment device and method of use
US9999424B2 (en) 2009-08-17 2018-06-19 Covidien Lp Means and method for reversibly connecting an implant to a deployment device
US20110087249A1 (en) * 2009-10-09 2011-04-14 Tyco Healthcare Group Lp Internal Tissue Anchors
US20110087067A1 (en) * 2009-10-09 2011-04-14 Tyco Healthcare Group Lp Internal retractor systems
US20130158572A1 (en) * 2010-07-16 2013-06-20 Sofradim Production Prosthesis having a radiopaque element
US10076395B2 (en) * 2010-07-16 2018-09-18 Sofradim Production Prosthesis having a radiopaque element
WO2013004947A1 (fr) * 2011-07-07 2013-01-10 Aspide Medical Dispositif comprenant une pluralite d'implants pour la fixation de materiel prothetique
US9980723B2 (en) 2011-07-07 2018-05-29 Aspide Medical Device for attachment of prosthesis
FR2977472A1 (fr) * 2011-07-07 2013-01-11 Aspide Medical Dispositif comprenant une pluralite d'implants pour la fixation de materiel prothetique
EP2939605A1 (fr) * 2014-04-28 2015-11-04 Covidien LP Agrafe chirurgicale comportant un couvercle
US11234701B2 (en) 2018-09-21 2022-02-01 Covidien Lp Powered surgical tack applier
US11389159B2 (en) 2018-09-21 2022-07-19 Covidien Lp Powered surgical tack applier

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US7686822B2 (en) 2010-03-30
WO2004103414A2 (fr) 2004-12-02
WO2004103414A3 (fr) 2005-06-30
US20070219569A1 (en) 2007-09-20

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