Slitted 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 a configuration alterable by a deployment wire to permit release of the fastener from the deployment wire after deployment and without causing excessive tissue trauma.
1. A fastener assembly for use in a mammalian body, comprising:
a deployment wire having an end arranged to pierce into tissue to be fastened;
a fastener including a first member and a second member connected to the first member, only the first member having a through channel dimensioned to be slidingly received on the deployment wire and a slit configured to be made larger so that the deployment wire can be snapped onto and released from the through channel; and
a pusher that pushes the fastener into the tissue while on the deployment wire,
the pusher being tubular having a distal end, a sidewall, a lumen, and an opening in the sidewall communicating with the lumen,
wherein the pusher is carried on the deployment wire, the deployment wire extending through the sidewall opening, into the lumen, and beyond the distal end of the pusher, and
wherein only the first member of the fastener is carried on the deployment wire between the deployment wire end and a distal end of the first member configured to pierce into the tissue upon being pushed by the pusher.
2. The assembly of claim 1 wherein the first member includes first and second ends, the slit extending between the first and second ends and communicating with the through channel.
3. The assembly of claim 2 wherein the through channel has a diameter, wherein the slit has a width, and wherein the width of the slit is less than the diameter of the through channel.
4. The fastener assembly of claim 1 wherein a connecting member extends between the first and second members.
5. The assembly of claim 4 wherein the first member, the second member, and the connecting member of the fastener are all formed of plastic material.
6. The assembly of claim 4 wherein the first member includes first and second ends, the slit extending between the first and second ends and communicating with the through channel.
7. The assembly of claim 6 wherein the slit includes an elongated slot.
8. The assembly of claim 4 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 second member being disposed next to the first member within the guide tube.
9. The assembly of claim 4 wherein the first and second members are arranged to be side by side when the first member is slidingly received on the deployment wire.
10. The assembly of claim 4 wherein one end of the first member of the fastener further includes a pointed tip.
11. The assembly of claim 10 wherein the first member, the second member, and the connecting member of the fastener are all formed in one piece.
12. The assembly of claim 4 wherein the fastener is formed of a shape memory material.
13. The assembly of claim 4 wherein the first member is formed of a shape memory material.
14. The assembly of claim 4 further comprising a guide tube extending over the deployment wire and the fastener.
15. The assembly of claim 1 wherein the first member slit communicates with the through channel to enable the through channel to be received by the deployment wire and wherein the deployment wire includes a piercing tip, the piercing tip having a cross-sectional dimension and the fastener member having a cross-sectional dimension and wherein the cross-sectional dimension of the piercing tip is greater than the cross-sectional area of the fastener member.