Surgical instrument having a fastener delivery mechanism

A - Human Necessities – 61 – B

Patent

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Details

A61B 17/068 (2006.01) A61B 17/064 (2006.01) A61B 17/00 (2006.01) A61F 2/00 (2006.01)

Patent

CA 2413903

A delivery device for delivering a plurality of fasteners, said delivery device comprising: a handle; a drive and indexing mechanism having proximal and distal ends, the driving and indexing mechanism operatively associated with the handle and comprising a moving member, having a sharp distal end for piercing tissue, and an elongate member spaced transversely from the moving member to define a passageway there between, the drive and indexing mechanism being configured to receive a plurality of fasteners arranged along the passageway between the moving member and the elongate member, each of the plurality of fasteners having a proximal end and a distal end, the moving member and the elongate member being moveable proximally and distally with respect to the handle and with respect to each other for delivering and indexing the fasteners along the passageway; and an actuator having at least two sequential positions, a first position wherein the moving member has been moved distally relative to the handle to pierce tissue, and a second position wherein the moving member has been moved proximally relative to the handle for completing the deployment within tissue of the distal end of a distal-most fastener from the passageway.

Instrument permettant de fixer divers types d'attaches, lequel comporte : un manche; un mécanisme de pousse et d'indexation présentant une extrémité proximale et une extrémité distale, ledit mécanisme étant activé à partir du manche et comprenant un élément mobile présentant une extrémité distale tranchante destinée à percer les tissus ainsi qu'un élément allongé espacé transversalement par rapport à l'élément mobile de façon que soit formé un passage entre ces deux éléments, ledit mécanisme étant configuré pour recevoir divers types d'attaches disposées dans le passage formé entre l'élément mobile et l'élément allongé, chacune desdites attaches comportant une extrémité proximale et une extrémité distale, l'élément mobile et l'élément allongé pouvant être déplacés de façon proximale et de façon distale par rapport au manche et l'un par rapport à l'autre pour la pose et l'indexation des attaches situées dans le passage; ainsi qu'un actionneur pouvant être placé dans au moins deux positions séquentielles, à savoir une première position, qui permet à l'élément mobile de se déplacer de façon distale par rapport au manche pour percer les tissus, et une seconde position, qui permet à l'élément mobile de se déplacer de façon proximale par rapport au manche pour compléter, dans les tissus, le déploiement de l'extrémité distale de l'attache occupant la position la plus distale dans le passage.

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