Surgical needle device
Various surgical introducer needle and anchor systems are provided. The systems can include an introducer needle and a tissue support implant or sling device. The implant device can include one or more anchoring devices. The introducer needle device can include a handle assembly and a needle assembly. The needle assembly can include a generally hollow needle, and a wire traversable therein. The wire can include a distal tip adapted to selectively retract or withdraw from the engaged anchoring device upon deployment of the anchor and/or implant.
1. A surgical needle device, comprising:
a needle including a lumen, a proximal portion, and a wire, a first portion of the wire being disposed within the lumen, the wire being movable with respect to the lumen from a first position to a second position, the wire having a distal end portion configured to be coupled to an anchor device such that a second portion of the wire is disposed within a lumen defined by the anchor device and a third portion of the wire extends from a distal end portion of the anchor device when the wire is in the first position; and
a handle assembly including an actuator, and a body portion having a proximal portion and a distal portion, the distal portion of the body being operatively coupled to the proximal portion of the needle, and the actuator being in operative communication with a portion of the wire, the handle assembly including a spring member operatively coupled to the wire and configured to bias the wire to the first position, the actuator defining a recess, at least a portion of the spring member being disposed within the recess defined by the actuator, the handle assembly defining a longitudinal axis, the spring member being disposed coaxial with the longitudinal axis of the handle assembly, the actuator defining a longitudinal axis, the longitudinal axis of the actuator being disposed parallel to the longitudinal axis of the handle assembly, the actuator having a first portion and second portion, the first portion of the actuator being disposed on a first side of the longitudinal axis of the handle assembly, the second portion of the actuator being disposed on a second side of the longitudinal axis of the handle assembly, the first side of the longitudinal axis of the handle assembly being disposed opposite the second side of the longitudinal axis of the handle assembly.
2. The device of claim 1 , wherein the anchor device includes one or more extending tines to facilitate soft tissue engagement.
3. The device of claim 1 , wherein a distal portion of the needle includes a barb guard to abuttably receive the anchor device.
4. The device of claim 1 , wherein the actuator is a first actuator, the handle assembly including a second actuator.
5. The device of claim 1 , wherein a distal portion of the needle includes a curved length.
6. The device of claim 1 , wherein the needle includes a barb guard, the anchor being spaced from the barb guard when the anchor is coupled to the wire and when the wire is in the first position, at least a portion of the anchor being configured to move towards the barb guard in response to the wire moving from the first position to the second position.
7. The device of claim 1 , wherein the anchor is configured to disengage from the wire in response to the wire being moved to the second position, the device being configured to provide an audible indication in response to the anchor member disengaging from the wire.
8. A surgical needle device, comprising:
a needle including a straight length, a curved length, a lumen, a distal portion, and a wire, a portion of the wire being disposed within the lumen, the wire being configured to move from a first position with respect to the lumen to a second position with respect to the lumen, the wire having a distal end portion defining a distal tip having a first size, a shoulder having a second size larger than the first size, and a narrowed portion having a third size smaller than the second size, the shoulder being disposed between the distal tip and the narrowed portion, the distal end portion of the wire being configured to be coupled to an anchor device such that a portion of the distal end portion of the wire extends from a distal end portion of the anchor device when the wire is in the first position, the wire being biased to the first position; and
a handle assembly including a body and an actuator, the actuator being operatively connected with the wire, the body having a distal end portion and a proximal end portion, the actuator defining a recess configured to receive at least a portion of a spring member, the handle assembly defining a longitudinal axis, the spring member being disposed coaxial with the longitudinal axis of the handle assembly, the actuator defining a longitudinal axis, the longitudinal axis of the actuator being disposed parallel to the longitudinal axis of the handle assembly, the actuator having a first portion and second portion, the first portion of the actuator being disposed on a first side of the longitudinal axis of the handle assembly, the second portion of the actuator being disposed on a second side of the longitudinal axis of the handle assembly, the first side of the longitudinal axis of the handle assembly being disposed opposite the second side of the longitudinal axis of the handle assembly.
9. The device of claim 8 , wherein the anchor device includes one or more extending tines to facilitate soft tissue engagement.
10. The device of claim 8 , wherein the distal portion of the needle includes a barb guard to abuttably receive the anchor device.
11. The device of claim 8 , wherein the needle includes a barb guard, the anchor being spaced from the barb guard when the anchor is coupled to the wire and when the wire is in the first position, at least a portion of the anchor being configured to move towards the barb guard in response to the wire moving from the first position to the second position.
12. A surgical implant system, comprising:
a sling implant having opposing end portions and a support portion, and at least one anchor provided at one of the opposing end portions;
an implant introducer tool including:
a needle having a lumen, a distal portion, and a wire, at least a portion of the wire being disposed within the lumen, the wire being configured to move from a first position with respect to the lumen and a second position with respect to the lumen, the wire having a portion that is configured to extend distally from the at least one anchor when the at least one anchor is coupled to the wire and when the wire is in the first position; and
a handle assembly having a body, and an actuator operatively connected with the wire, the body having a distal end portion and a proximal end portion, wherein the needle extends from the distal end portion of the body, the handle member includes a spring member operatively coupled to the wire and configured to bias the wire to the first position, the actuator defining a recess, at least a portion of the spring member being disposed within the recess defined by the actuator, the handle assembly defining a longitudinal axis, the spring member being disposed coaxial with the longitudinal axis of the handle assembly, the actuator defining a longitudinal axis, the longitudinal axis of the actuator being disposed parallel to the longitudinal axis of the handle assembly, the actuator having a first portion and second portion, the first portion of the actuator being disposed on a first side of the longitudinal axis of the handle assembly, the second portion of the actuator being disposed on a second side of the longitudinal axis of the handle assembly, the first side of the longitudinal axis of the handle assembly being disposed opposite the second side of the longitudinal axis of the handle assembly.
13. The system of claim 12 , wherein the at least one anchor includes one or more extending tines to facilitate soft tissue engagement.
14. The system of claim 13 , wherein the distal portion of the needle includes a barb guard, the at least one anchor being spaced from the barb guard when the at least one anchor is coupled to the wire and when the wire is in the first position, at least a portion of the at least one anchor being configured to move towards the barb guard in response to the wire moving from the first position to the second position.
15. The system of claim 12 , wherein the actuator is a first actuator, the handle includes a second actuator.
16. The system of claim 12 , wherein a portion of the needle includes a curved length.
17. The system of claim 12 , wherein the at least one anchor includes an anchor device provided at each of the opposing end portions of the sling implant.
18. The system of claim 12 , wherein the sling implant is constructed at least in part of a polymer mesh material.
19. The system of claim 12 , wherein the distal portion of the needle includes a barb guard having an angled barb surface, and the at least one anchor has an angled anchor surface that aligns with the angled barb surface.
20. The system of claim 12 , wherein a distal tip of the wire extends through a lumen defined by the at least one anchor.