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Surgical fastener delivery and locking mechanism

a technology of surgical fasteners and locking mechanisms, which is applied in the direction of surgical staples, nails, medical science, etc., can solve the problems of inability to fully close inability to control the right side of the fastener, and inability to fix the hernia mesh properly, so as to avoid pain, control and stabilize the fastener, and avoid the effect of many patients

Inactive Publication Date: 2021-09-02
VIA SURGICAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The invention is a fastening device that can be used to close hernia mesh through a laparoscopic incision. The device has two insertion members that push the fastener out from the device and through the tissue to stabilize it in place. The device is controlled by the physician and allows for precise positioning and locking of the fastener. This avoids the need for additional fasteners and reduces patient pain and costly do-overs. The device is designed to ensure that every fastener is fully closed and locked precisely in the intended location before the device releases from the fastener.

Problems solved by technology

If a person has a hernia, they may suffer from pain, organ dysfunction, bowel obstruction, or other complications.
Unfortunately, fastening a hernia mesh via laparoscopic access is fraught with problems.
Fasteners do not always fully close properly in the right position and orientation to fasten the mesh properly.
However, an overabundance of foreign objects is thought to contribute greatly to patient pain.
If the surgeon does not realize that some of the fasteners have failed to fasten, then the entire procedure may require a do-over.

Method used

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  • Surgical fastener delivery and locking mechanism
  • Surgical fastener delivery and locking mechanism
  • Surgical fastener delivery and locking mechanism

Examples

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Embodiment Construction

[0047]The invention relates to a new locking concept for use with hernia mesh fasteners. In some prior art devices, the insertion mechanisms are pulled away before the fastener is fastened, raising the specter of risk that an unfastened fastener will be left in tissue. Using a device of the invention as described herein that risk is avoided by holding the loop in place by the loop inserter while the hook is passed thru it. Only once the hook is completely inserted into the loop and the fastener is locked the insertion needles are retracted. In order to accomplish this, a new insertion member with prongs is included in the device. The new insertion member allows for its retraction while the hook of the fastener is position inside the loop.

[0048]In certain embodiments, the prongs comprises a super-elastic material such as the nickel titanium alloy Nitinol. The prongs may be biased to the closed position but are temporarily deformed to the open position by being retracted back into the...

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Abstract

The invention provides a fastening device for laparoscopic hernia repair. The coordinated operation of two insertion members stabilizes a fastener during closure and locking to ensure that the fastener is locked in the intended location before the device releases from the fastener. One of the insertion members includes a pair of prongs that exhibit a closed configuration when they are disposed in a recess at an end of the fastener. The fastener has a hook at one end and a loop at the other end. The insertion members push the fastener out from the device and through the tissue. A curvature in at least one of the insertion members pushes the hook through the loop all while the prongs are in the recess in the fastener, thereby stabilizing the fastener with respect to the device.

Description

RELATED APPLICATIONS[0001]This application is a division of U.S. patent application Ser. No. 16 / 150,901, filed on Oct. 3, 2018 which is a continuation of U.S. patent application Ser. No. 15 / 132,861, filed Apr. 19, 2016, now U.S. Pat. No. 10,117,648, which claims the benefit of priority of U.S. Provisional Patent Application No.: 62 / 151,631, filed Apr. 23, 2015.[0002]The contents of the above applications are all incorporated by reference as if fully set forth herein in their entirety.FIELD OF THE INVENTION[0003]The invention generally relates to devices for hernia mesh fixation.BACKGROUND[0004]If a person has a hernia, they may suffer from pain, organ dysfunction, bowel obstruction, or other complications. This occurs when an organ protrudes through the wall that normally contains it. Hernias can occur in a number of parts of the body, and occur commonly in the abdomen. For example, the peritoneum that lines the abdomen may push out through a weakened area of the abdominal wall to f...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/064A61B17/068A61B17/04
CPCA61B17/0644A61B17/068A61B17/0485A61B2017/07278A61F2220/0016A61B2017/0409A61B17/064A61B2017/0645A61B2017/00862A61B2017/00867A61B17/0487A61B2017/07214A61B17/0469A61B2017/06176A61B17/0057
Inventor LEVY, ARIELEVIN, YEHONATANLEVIN, LENALEVIN, OFEK
Owner VIA SURGICAL
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