Apparatus and method for delivering surgical tissue connectors into an abdominal cavity and removing the surgical tissue connectors from the abdominal cavity
An apparatus and its method of use in delivering surgical tissue connectors into an area of the body and removing the surgical tissue connectors from the body area. The tissue connectors are connected to a base which allows for easy adjustment of the tissue connectors along a cord. The base includes a locking mechanism which impinges a sliding knot in the cord, and, in alternate configurations of the locking mechanism and knot, impinges on the sliding knot to prevent sliding in a loosening direction but allow sliding in a tightening direction, or allows sliding in a loosening direction.
1. A tissue connector apparatus comprising:
a tissue connector ( 14 ), having a base ( 68 ) with a side surface ( 74 ), the side surface ( 74 ) having a center axis that defines mutually perpendicular axial and radial directions relative to the base ( 68 ), the base ( 68 ) having a radius dimension between the center axis and the side surface, the base having a proximal end surface ( 78 ) and a distal end surface ( 80 ) at axially opposite ends of the side surface ( 74 );
a hook ( 72 ) secured to the base ( 68 ); and
a cord ( 16 , 54 , 56 , 114 , 112 , 116 ) characterized by a first end ( 54 ) and a second end ( 56 ), and said cord second end characterized by a first portion ( 114 ), a second portion ( 116 ) and an intermediate portion ( 112 ), said cord connected to and extending from the base proximal end surface ( 78 ); and
a releasable one-way cord lock through which the cord second end ( 56 , 114 , 112 , 116 ) passes, said releasable one-way cord lock being operable to lock the cord second end ( 56 , 114 , 112 , 116 ) to the base ( 68 ) and thereby adjust the length of the cord ( 56 , 114 ) extending from the tissue connector ( 14 );
wherein the tissue connector ( 14 ) has an interior bore ( 102 ), and a pin ( 106 ) extending across the interior bore, and an intermediate portion of the cord ( 112 ) is tied in a knot around the pin ( 106 ), thereby attaching the cord second end ( 54 ) to the tissue connector ( 14 ); and
the releasable one-way cord lock comprises a lock pin ( 126 ) axially slidably disposed in a first axially extending slot ( 124 ) disposed in the base, said lock pin ( 126 ) extending across the interior bore of the base ( 68 ), and a sleeve ( 128 ) surrounding the base side surface ( 74 ) and axially slidable between first and second positions relative to the first base ( 68 ), said sleeve ( 128 ) secured to the lock pin ( 126 ), whereby movement of the sleeve ( 128 ) causes the lock pin ( 126 ) to engage against the cord intermediate portion ( 112 ) to prevent movement of the cord first end ( 54 ) away from the proximal end surface ( 78 ) of the tissue connector ( 14 ).
2. The apparatus of claim 1 , wherein the lock pin extends from the sleeve, through the first axially extending slot ( 124 ) to a second axially extending slot ( 124 ), and projects through the first and second axially extending slots and is secured to the sleeve.
3. The apparatus of claim 1 , further comprising a biasing device ( 132 ) disposed within the bore ( 102 ), said biasing device operable to urge the lock pin ( 126 ) toward the intermediate portion ( 112 ).
4. The apparatus of claim 2 , further comprising a biasing device ( 132 ) disposed within the bore ( 102 ), said biasing device operable to urge the lock pin ( 126 ) toward the intermediate portion ( 112 ).
5. The apparatus of claim 1 , further comprising:
a side hole ( 118 ) in the base ( 68 ), wherein
a portion ( 116 ) of the cord extends through the side hole ( 118 ) to the exterior of the tissue connector ( 14 ).
6. The apparatus of claim 2 , further comprising:
a side hole ( 118 ) in the base ( 68 ), wherein
a portion ( 116 ) of the cord extends through the side hole ( 118 ) to the exterior of the tissue connector ( 14 ).
7. The apparatus of claim 3 , further comprising:
a side hole ( 118 ) in the base ( 68 ), wherein
a portion ( 116 ) of the cord extends through the side hole ( 118 ) to the exterior of the tissue connector ( 14 ).
8. The apparatus of claim 1 , further comprising:
an additional tissue connector disposed at the first end of the cord.
9. The apparatus of claim 8 , wherein the additional tissue connector ( 12 ) is also characterized by:
an additional base ( 18 ) with a side surface ( 24 ), the side surface ( 24 ) having a center axis that defines mutually perpendicular axial and radial directions relative to the base ( 18 ), the additional base having a radius dimension between the center axis and the side surface, the base having a proximal end surface ( 28 ) and a distal end surface ( 30 ) at axially opposite ends of the base side surface ( 24 );
the additional base proximal end surface ( 28 ) having a tapered configuration that tapers as the proximal end surface ( 28 ) extends axially away from the additional base side surface ( 24 );
an additional hook ( 22 ) secured to the additional base ( 18 );
wherein the first end ( 54 ) is secured to the additional base proximal end surface ( 28 ).
10. The apparatus of claim 9 , further comprising:
a third tissue connector connected to the additional tissue connector through a second cord ( 134 ).
11. The apparatus of claim 1 wherein the hook comprises:
a shank portion ( 44 ) that extends axially from the base distal end surface ( 30 ), the shank portion ( 44 ) being parallel with and radially spaced from the center axis, the hook having a bent portion ( 48 ) that extends from the shank portion ( 44 ) across the center axis to an end tip ( 52 ) of the hook ( 22 ), the hook end tip ( 52 ) and the hook shank portion ( 44 ) each being radially spaced on opposite sides of the center axis by radial distance dimensions that are smaller than the base radius dimension.
12. The apparatus of claim 1 , further comprising:
a tissue connector delivery and removal tube ( 142 ), the tube having an interior bore with an interior diameter dimension that is larger than a diameter dimension of the base side surface ( 74 ).
13. The apparatus of claim 1 , further comprising:
the base proximal end surface ( 78 ) having a conical configuration.
14. The apparatus of claim 1 , further comprising:
the length of cord ( 16 ) extending from the base proximal end surface ( 78 ) being adjustable in length.
15. The apparatus of claim 1 , further comprising:
the base distal end surface ( 50 ) having a circular peripheral edge ( 88 ) that is coaxial with the center axis; and
the hook bent portion ( 98 ) and the hook end tip ( 100 ) do not extend radially beyond the distal end surface peripheral edge.