Tissue fixation devices and assemblies for deploying the same
View Patent ↗Tissue fasteners carried on a tissue piercing deployment wire fasten tissue layers of a mammalian body together include a first member, a second member, and a connecting member extending between the first and second members. One of the first and second members has an elongated slot permitting fastener deployment while avoiding excessive tissue compression.
1. A fastener assembly for use in a mammalian body, comprising:
a fastener including a first tubular member and a second tubular member each tubular member having an outer surface, wherein the first and second tubular members each have first and second ends, and a connecting member fixed to each of the first and second tubular members intermediate the first and second ends and extending between the first and second tubular members, wherein the first and second tubular members are separated by the connecting member, and wherein the first tubular member has a longitudinal axis, an outer surface, and a through channel along the axis, the through channel extends through the first tubular member from the first end to the second end of the first tubular member, the connecting member being formed of a plastic, permanently deformable material;
an elongated slot extending through the outer surface of the first tubular member and in communication with the through channel;
a deployment wire arranged to be slidingly received by the through channel of the first tubular member and to pierce into tissue to enable deployment of the first tubular member and reduced tissue compression; and
a pusher that pushes the first tubular member into the tissue while on the deployment wire.
2. The assembly of claim 1 wherein the elongated slot is substantially parallel to the through channel.
3. The assembly of claim 1 wherein the pusher is also arranged to be slidingly received on the deployment wire.
4. The assembly of claim 1 wherein the connecting member of the fastener is flexible, and wherein the assembly further comprises a guide tube extending over the deployment wire and the fastener, the other one of the first and second tubular members being disposed next to the one of the first and second tubular members within the guide tube.
5. The assembly of claim 1 wherein the first and second tubular members are arranged to be side by side when the one of the first and second tubular members is slidingly received on the deployment wire.
6. The assembly of claim 1 wherein one end of the one of the first and second tubular members of the fastener further includes a pointed tip.
7. The assembly of claim 6 wherein the pointed tip comprises a truncated cone.
8. The assembly of claim 1 wherein the through channel of the fastener comprises a through bore.
9. The assembly of claim 1 wherein the first tubular member, the second tubular member, and the connecting member of the fastener are all formed of plastic material.
10. The assembly of claim 9 wherein the first tubular member, the second tubular member, and the connecting member of the fastener are all formed in one piece.
11. The assembly of claim 1 wherein the connecting member of the fastener is formed of plastic elastic material.
12. The assembly of claim 11 wherein the connecting member of the fastener is formed of one of polyurethane, thermoplastic elastomer, and polypropylene.
13. The assembly of claim 1 wherein the fastener includes a color pigment contrasting with body tissue color to enable visualization of the fastener with an endoscope.
14. The assembly of claim 1 wherein the fastener is formed of metal.
15. The assembly of claim 1 wherein the fastener is formed of a shape memory material.
16. The assembly of claim 15 wherein the fastener is formed of Nitinol.
17. The assembly of claim 1 wherein the first tubular member of the fastener is self-deployable when the deployment wire is received by the elongated slot.