KR20170077136A - Modular tissue repair kit and devices and method related thereto - Google Patents

Abstract

An implant / anchor deployment device / module 100, a device kit 300 concept using such an implant / anchor deployment device / module, a system for deploying an implant / anchor 120 into tissue, Anchor deployment device / module, such as a method for deploying one or more implants / anchors / implants. Such a deployment device / module includes a body member 110 having a proximal end portion 114 and a distal end portion 112, and the distal end portion is configured such that the implant / anchor can be deployed therefrom. In addition, a proximal end portion is configured to be removably attached to the first end portion of the surgical device 200. In an exemplary embodiment, the surgical device includes a suture cutter as is known in the art of endoscopic techniques.

Description

[0001] MODULAR TISSUE REPAIR KIT AND DEVICES AND METHODS [0002] RELATED THERETO [0003]

The present invention relates to a modular tissue therapy kit, and more particularly to a tissue therapy kit comprising a modular implant / anchor deployment device that is coupled to another surgical device, and more particularly to a tissue therapy kit To such a modular implant / anchor deployment device that is removably attached to a base suture cutter. The present invention also features a surgical method that utilizes such modular tissue therapy kits and modular implant / anchor deployment devices and more particularly features a surgical method for use in the treatment of injured meniscus.

The best result of the meniscus treatment is obtained from the precise reduction implementation of the ruptured tissue. In arthroscopic surgery, meniscus is often difficult to access and more difficult to cure. This is due to the risk of neurovascular damage. Recently, methods representing the optimal standard of care are based on sutures. The least costly method is to use a suture that is carried using a long needle and a cannula as a guide. Such a method includes forming two cuts, one on the front and one on the back, in the direction of the needle. It should be noted that such a method has no risk of neurovascular injury. In addition, such methods also require arthroscopic knot tying and then also arthroscopically cutting the suture. Another technique involves the use of a hybrid in which a suture is carried through a spinal needle. Such a method is relatively inexpensive in terms of the cost of materials and equipment used, but this method is essentially labor intensive.

Many products have also been developed, in which the suture consists of a pre-tied knot or the product includes the use of staples and pushpins. A large number of suture based techniques also involve the use of implants or suture anchors coupled to sutures. Combined implants and sutures are used to treat the damaged meniscus, as is known in the art.

More particularly, specific surgical devices or surgical instruments specially constructed and / or designed to deploy an implant or suture anchor for meniscus or other tissue treatment are typically provided. Such devices / appliances include a handle and a tubular assembly extending from the handle and having a sharp distal end for insertion into tissue. A tubular assembly is additionally constructed such that one or two implants or others connected to the suture (s) are slidably disposed within the tubular assembly. The physician uses the handle to manipulate the device and insert a sharp distal end into the tissue (e.g., the meniscus) and through the tissue. After such insertion, each implant is deployed passively or actively. In passive deployment, the implant is retrieved from the tubular assembly as the implant interacts with the tissue during the retrieval of the device. In active deployment, the physician takes some action (e.g., pushing the slide) that forces the implant so that the implant is pushed out of the tubular assembly.

If the device includes a second implant, then such device is manipulated to cause the second implant to be moved from its storage position to the pre-deployment position within the tubular assembly. Such a device will be inserted back into the tissue, but will be inserted into another tissue location and the second implant will be deployed. The physician then takes the appropriate action to tighten the suture and also remove the device that was used to deploy the implant. After securing the implant and tightening the suture, the physician typically inserts a suture cutting device to cut the suture and typically removes the excess length of suture. As these sutures are pre-bundled, the sutures are arranged so that when the physician applies a longitudinal force to the suture, the suture is shortened and the knot is tightened.

Typically, the tubular assembly may also be provided in other configurations (e.g., straight distal end, curved, or offset distal end) to assist in implant deployment at different tissue locations. This means that a particular device is built for each configuration or that different tubular assemblies are built for each configuration and that they are mounted separately on the handle or handle assembly.

U.S. Publication No. 2013/0053884 discloses a closure system for closing an opening in tissue, such a system including a closure device and a fastener. Such a closure device also includes a shaft configured to deploy the fastener to close the opening in the tissue. Such a closure device also includes a shaft configured to deploy the fastener 500 to close the opening in the tissue. The fastener includes an opening formed therein, and the suture is received or pulled through the opening. The closure device also includes an outer shaft and an actuator (inner) shaft configured to deploy the fastener as a knot replacement or knot pusher. Also, the closure device is configured to trim the suture after deployment. More particularly, the closure device includes an outer shaft configured to close the suture by relative movement of the outer shaft and the actuator shaft, and a cutter formed or included within the actuator shaft.

In US Publication No. 2004/0002734 corresponding to USP 6,972,027, it can be seen that the suture anchor delivery system includes a handle and a needle extending from such a handle. Such suture anchor delivery systems also include a suture anchor assembly that is slidably received on a needle. In a particular embodiment, such a suture transfer system includes an insertion device and a suture anchor assembly disposed thereon. The suture delivery system is also configured to insert a suture anchor of the suture anchor assembly into the soft tissue to facilitate subsequent treatment of the soft tissue, such as meniscus, tendon, ligament, muscle, or the like. In the loaded state, the suture anchor is mounted on the needle.

U.S. Publication No. 2008/0091219, corresponding to USP 7,918, 868, discloses a device for sealing tissue, comprising: a housing; A first needle mounted on the housing; A second needle mounted on the housing; A suture having a leading portion and a trailing portion; A first structure associated with a first needle for passing a preceding portion of the suture from a proximal side of the tissue to a distal side of the tissue; And a second structure associated with a second needle for returning a previous portion of the suture back to a proximal side of the tissue from a distant side of the tissue. Also, pre-formed, non-tied knots formed within the trailing portion of the suture; And a support for releasably supporting a pre-formed, non-fastened knot with respect to the housing.

Also disclosed is a method for suturing a tissue, the method comprising: providing a suture having a leading portion and a trailing portion, wherein a pre-formed, non-tied knot is formed within the trailing end of the suture, ; Passing a preceding portion of the suture from a proximal side of the tissue to a distal side of the tissue; Returning the previous portion of the suture back to the proximal side of the tissue from a remote side of the tissue; Passing a preceding portion of the returned suture through a pre-formed, non-tightened knot formed within the posterior portion of the suture; And tightening the knot to secure the suture within the tissue.

US Patent Publication No. 2006/0009765 corresponding to USP 7,632,284 discloses an instrument kit for performing a meniscal tear treatment. Such kits include at least one instrument or template that can be inserted within the knee region along a path adjacent the rupture and can be used to at least partially cure the meniscal tear. Such an instrument kit may also include a handle configured to removably attach to the proximal end of the template. An instrument kit is used in combination with the meniscus treatment device to perform the treatment on the rupture part of the meniscus in the knee.

Such an instrument kit comprises at least one template having a elongated body defining the X, Y and Z axes. Preferably, the elongated body is configured to be inserted into the knee of the patient to approximate the path to the meniscus rupture. The elongated body has a length along the X-axis sufficient to approach the meniscus rupture and a reduced profile to aid passage through the rupture. When the template is subsequently removed from the knee, a meniscus treatment device with a corresponding dimension is introduced into the meniscus rupture along the path for treatment with an opening formed by the template.

Such an instrument kit may further comprise a handle adapted to be removably attached to the proximal end of each of the at least one template. Alternatively, the handle may be integrally formed with or fixedly secured to the proximal end of the at least one template. Also disclosed is a method of performing a therapeutic procedure or a meniscal treatment in the knee. Such a method includes introducing a selected elongated template within the patient's knee region to approximate the path to the meniscus rupture in the knee (e.g., forming a roughly path to the target site via the knee) .

U.S. Publication No. 201110160767, corresponding to USP 8,337,525, discloses a fibrous tissue treatment device comprising first and second tubular anchors having corresponding longitudinal passages and corresponding first and second inserts. Each insert has a shaft having a distal portion received within a longitudinal passage of the corresponding tubular anchor. The flexible strands join the first and second anchors. Also disclosed is a kit for soft tissue treatment that can be used for the treatment of meniscal problems. Although detailed descriptions and drawings are depicted in the field of application for the treatment of meniscal problems in knee surgery, the teachings also include rotator cuff reconstruction, acromioclavicular (AC) reconstruction, anterior cruciate ligament reconstruction (ACL) Such as muscles, ligaments, or tendons in arthroscopy or other open procedures, including fastening tendons, grafts, or strands to the tissue and bone.

In US Publication No. 2009/0228041, an arthroscopic meniscus tear treatment device is disclosed that includes a catch needle and a delivery needle that all penetrate into the ruptured meniscus and advance past the rupture. The suture is delivered from the delivery needle through the meniscus by the suture needle and into the catch needle. The catch needle has an internal mechanism for retaining the suture. The suture needle is then returned back to the home position inside the delivery needle, leaving the free end of the suture across the meniscus and within the catch needle. Subsequently, the apparatus returns to the outside of the meniscus plate, leaving stitches across the meniscus rupture part inside the meniscus. The pre-tied suture knot is then slid under the device and tightened with a knot pusher having an extended tip, thereby completing the treatment. Also disclosed is a system for treating a meniscus tear that may include sliding a pre-tied knot suture using a pusher. The pusher may be kit with the device as a separate component. Also, in particular, the geometric shape of the knot pusher is provided by the extended tip, so that it is more specific than other minimally invasive surgical knot pushers.

As described above, each of the above-described systems, methods and devices utilizes a specially configured suture anchor delivery device to localize the suture anchor to the targeted area and then deliver the suture anchor to the targeted area. This inevitably increases the number of parts associated with any kit, and requires controlled manufacture and storage of such devices.

Accordingly, it can be configured for use with other surgical devices, such as a suture cutter, to localize the implants / anchors in relation to the targeted local device, and to perform such other procedures in the process of delivering or deploying the implants / anchors to the targeted area It may be desirable to provide an implant deployment / delivery module / device that can utilize the functionality of the device or suture cutter. Preferably, such an implant deployment device / module does not increase the level of user's difficulty, compared to a method that implements the use of conventional delivery / deployment devices. Preferably, such an implant deployment / delivery module / device should also not require more cost than a conventional device.

In the broadest aspect of the present invention, the present invention provides a surgical implant device / module that is configured and arranged to hold an implant / anchor for deployment, and which can also be used separately during a surgical procedure, , A suture cutter), wherein the module is additionally constructed and arranged. The functional portion of a conventional surgical device is used in combination with an implant deployment device / module to insert each implant / anchor, as well as the device / module, into the tissue and deploy each implant / anchor manually or actively.

In a particular embodiment, a typical surgical device is a suture cutter as is known to those skilled in the art. For example, such a suture cutter may be associated with a Smith & Nephew FastFix Suture System or other such suture system (e.g., the Smith & Nephew Fast-Fix 360 meniscus treatment system) as known in the art.

More particularly, the present invention relates to an implant / anchor deployment device / module, a modular kit concept for implementing such an implant / anchor deployment device / module, a system for deploying implants / anchors into tissue, / RTI > the method for treating damaged tissue using such an implant / anchor, such as a method for expanding anchor / implant, In a further further aspect / embodiment of the present invention, the implant / anchor deployment device / module is operatively associated with a surgical device in which the feature is deployed to deploy the anchor / implant from the implant / anchor deployment device / module.

More particularly, such an implant deployment device / module is configured and arranged to hold an implant / anchor for deployment, and the module includes a conventional surgical device (e. G., An implant deployment device / For example, a suture cutter). The functional portion of a conventional surgical device is used in combination with an implant deployment device / module to allow each implant to be inserted into the tissue, thereby allowing each implant / anchor to be deployed passively or actively. In a particular embodiment, a typical surgical device is a suture cutter as is known to those skilled in the art. For example, such a suture cutter may be associated with a Smith & Nephew FastFix Suture System or other such suture system (e.g., the Smith & Nephew Fast-Fix 360 meniscus treatment system) as known in the art. Such implants / anchors may also include suture anchors such as those known to those skilled in the art.

According to one aspect of the invention, a modular implant / anchor deployment device for use with a surgical device is featured. Such deployment devices include a body member having a proximal end portion and a distal end portion and a distal end portion configured to allow the implant / anchor to deploy from the distal end portion. Also, a proximal end portion is configured to be removably attached to the first end portion of the surgical device. In a further aspect / embodiment, the proximal end portion of the body member is further configured to include an enlarged portion for receiving the first end portion of the surgical apparatus therein.

In yet another aspect / embodiment, the surgical device includes a first member including a first end portion of the surgical device. Additionally, a proximal end portion of the body member is additionally configured to be removably attached to the opposing structure of the first member of the surgical device including the first end portion. In further aspects / embodiments, the proximal end portion of the body member may be configured to include a connection, mechanism, or structure configured to removably couple with a complementary feature, mechanism, sub-structure, or the like provided within the opposing structure of the first member Lt; / RTI > In a more particular aspect / embodiment, the complementary feature may comprise an opening, an artifact, or the like provided in a surgical device (e.g., a suture cutter) for an intended function of the device or for coupling with an anchor deployment device, (E.g., a surface machining portion), a recessed region or depression, an opening, or the like.

A connection, mechanism or structure removably associated with a complementary feature forms a locking mechanism, structure or connection, wherein such locking mechanism, structure or connection is fixed, coupled, attached, or integral with the proximal end portion of the body member And a portion of the securing mechanism is arranged to removably engage a complementary feature of the inner member.

In an exemplary embodiment, the anchoring mechanism forms a mechanism of a latching type, and such a mechanism engages or removably couples to the surgical device distal end or suture cutter inner member to limit axial movement along the retrieval direction do. More particularly, the securing mechanism includes a cantilevered structure that is bonded, attached to, or otherwise formed integrally with, the proximal end portion of the body member. Such cantilevered structures also include prongs or prong-like elements that extend outwardly from the cantilevered structure and into the lumen to engage complementary features.

In a further aspect / embodiment, the anchoring mechanism also includes a manipulating portion configured to allow the physician to manipulate the cantilevered structure to separate the protuberance from the complementary feature. For example, a manipulation portion may be configured and arranged such that the physician can move the limb or the limb outwardly from engagement with the complementary feature, thereby allowing the surgical device to be removed or removed from the deployment device .

In yet another aspect / embodiment, the surgical device includes a second member having a lumen extending along a major axis. Additionally, the surgical device first member is disposed within the second member lumen, and the first and second members can be moved relative to each other. In a more particular embodiment / embodiment, the second member can be moved relative to the first member along the major axis.

In yet a further aspect / embodiment, such a modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the proximal end portion of the body member. Additionally, movement of the second member along the major axis in one direction moves each of the at least one implant / anchor to the pre-deployment position.

In yet another aspect / embodiment, such a modular implant / anchor deployment device further includes a plurality of implants / anchors, wherein the plurality of implants / anchors are movably disposed on the body member distal end portion, Movement of the second member along the major axis causes the second implant / anchor to be moved to the pre-deployment position after deployment of the first implant / anchor.

In yet another aspect / embodiment, the distal end of the body member distal end portion is configured for insertion into tissue.

Also in a more particular aspect / embodiment, the surgical device is a suture cutter having a movable outer member and an inner member, wherein the inner member is removably attached to the proximal end portion of the body member.

In yet another particular aspect / embodiment, the body member includes a lumen extending along a major axis within at least the distal end portion and a slot-like opening communicating with the lumen extending along the major axis. As described herein, in yet a further aspect / embodiment, such a modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the body member distal end portion. More particularly, each of the at least one implant / anchor is movably disposed within the slot-like opening such that a portion of the implant / anchor extends above the outer surface of the body member distal end portion. In a further particular embodiment, the movement of the second member along the major axis in one direction is achieved by moving each of the at least one implant / anchor to a pre-deployment position (e.g., from a stored initial or intermediate position to a pre-deployment position) .

In yet a further aspect / embodiment, each of the at least one implant / anchor, or each such plurality of such implants / anchors is configured and arranged such that each of the implants / anchors is joined together by a suture.

In yet another aspect / embodiment, the body member distal end portion is configured and arranged to have a given profile in the X-Y-Z direction. In a further aspect / embodiment, a profile is provided such that the longitudinal axis of the body member distal end portion is parallel to the longitudinal axis of the surgical device first member, or the long axis of the body member distal end portion is angled with respect to the longitudinal axis of the surgical device first member Profiles are given. In yet a further aspect, the long axis of the distal end portion is arcuate or curvilinear, such that the curved segment or portion lies within a single plane or forms, for example, a three-dimensional structure.

In a further aspect / embodiment, the distal end portion of the body member is further configured to have a given geometric shape selected to assist in navigation of the distal end portion toward the targeted region. In a more particular embodiment in which the present invention can include a plurality of such modular implant / anchor deployment devices, the geometry of the at least one body member distal end portion is different from the geometry of the other body member distal end portion.

According to yet another aspect of the present invention, there is provided another implant deployment device / module capable of delivering or deploying an implant, such as a suture anchor, into tissue. Such an implant deployment device / module includes an implant retention member that holds one or more implants for deployment; The implant retaining member has a first end and a second end. The retaining member first end is configured such that one or more implants can be deployed therefrom to be inserted into the tissue. A retaining member second end is configured to be removably attached to an end portion of the surgical device. When the retaining member second end is removably secured to the surgical device end portion, the functional portion of the surgical device is operatively coupled to the retaining member second end.

Also in additional aspects / embodiments, the retaining member second end may also be configured to include a connection, mechanism, or structure that is configured to removably couple with a complementary feature, mechanism, sub-structure, or the like provided within the surgical device end portion . In this way, when a mechanism or other and complementary feature or the like is placed, respectively, the mechanism is removably associated with the complementary feature, and the implant retaining member can not be moved axially with respect to the surgical device.

In further aspects / embodiments, the retaining member proximal end portion is further configured to include a connection, a mechanism, or a structure. In a more particular aspect / embodiment, the complementary feature comprises an opening provided in a surgical device (e.g. a suture cutter) for the intended function of the device or for coupling with an anchor deployment device, For example, surface machining), recessed regions or depressions, apertures, or the like.

A connection, mechanism or structure removably associated with a complementary feature forms a locking mechanism, structure or connection, wherein such locking mechanism, structure or connection is fixed, coupled, attached to, or integral with, And a portion of the securing mechanism is arranged to removably engage a complementary feature of the inner member.

In an exemplary embodiment, the securing mechanism forms a mechanism of a latch type, which is engaged or removably coupled to the surgical device distal end or suture cutter inner member to limit axial movement along the retrieval direction. More particularly, the securing mechanism includes a cantilevered structure that is bonded, attached to, or otherwise formed integrally with, the retaining member proximal end portion. Such cantilevered structures also include protruding or branchlike elements extending outwardly from the cantilevered structure and into the lumen to engage complementary features.

In a further aspect / embodiment, the anchoring mechanism also includes a manipulating portion configured to allow the physician to manipulate the cantilevered structure to separate the protuberance from the complementary feature. For example, a manipulation portion may be configured and arranged such that the physician can move the limb or the limb outwardly from engagement with the complementary feature, thereby allowing the surgical device to be removed or removed from the deployment device .

In yet another aspect / embodiment, the retaining member first end is configured to have a given profile in the X-Y-Z direction. In a further aspect / embodiment, a profile is provided such that the long axis of the second end of the retaining member corresponds to the long axis of the first end of the retaining member, or a long axis of the second end of the retaining member is angled with respect to the long axis of the first end of the retaining member Profiles are given. In yet another aspect / embodiment, the distal end portion or retaining member second end is configured and arranged to have an arcuate or curvilinear profile, such arcuate or curvilinear profile being such that the curvilinear segment or portion lies within a single plane For example, to form a three-dimensional structure.

In yet another aspect / embodiment, an implant deployment device / module is used in combination with a surgical device. In addition, the surgical device may be a suture cutter.

In the illustrated embodiment, the surgical device second member is movable relative to the surgical device first member, but such should not be limiting with respect to the scope of the present invention. It is conceivable that the first member is movable relative to the second member and thus is within the scope of the present invention. Additionally, the body member proximal end can be fixed to the first end portion of the surgical device, and the first member is moved within the lumen of the body member to move each implant anchor along the longitudinal axis to the pre-deployment position You can think of what you can do.

According to yet another aspect of the present invention, a system for deploying an implant / anchor in a tissue is provided. Such a system includes a surgical device configured to perform an implant that is not directly related to the deployment of an implant / anchor and a modular implant / anchor deployment device as described herein. In a more particular embodiment, such a system includes at least one modular implant / anchor deployment device, at least one modular implant / anchor deployment device, a plurality of such modular implant / anchor deployment devices, or multiple (e.g., 6 or more) of such modular implant / anchor deployment devices.

In a particular aspect / embodiment, each such modular implant / anchor deployment device includes a body member having a proximal end portion and a distal end portion, wherein the distal end portion is configured such that the implant / anchor can be deployed from the distal end portion do. Also, a proximal end portion is configured to be removably attached to the first end portion of the surgical device. In a further aspect / embodiment, the proximal end portion of the body member is further configured to include an enlarged portion for receiving the first end portion of the surgical apparatus therein.

In yet another aspect / embodiment, the surgical device includes a first member including a first end portion of the surgical device. Additionally, a proximal end portion of the body member is additionally configured to be removably attached to the opposing structure of the first member of the surgical device including the first end portion. In further aspects / embodiments, the proximal end portion of the body member may be configured to include a connection, mechanism, or structure configured to removably couple with a complementary feature, mechanism, sub-structure, or the like provided within the opposing structure of the first member . In a more particular aspect / embodiment, the complementary feature comprises an opening provided in a surgical device (e.g. a suture cutter) for the intended function of the device or for coupling with an anchor deployment device, For example, surface machining), recessed regions or depressions, apertures, or the like.

A connection, mechanism or structure removably associated with a complementary feature forms a locking mechanism, structure or connection, wherein such locking mechanism, structure or connection is fixed, coupled, attached, or integral with the proximal end portion of the body member And a portion of the securing mechanism is arranged to removably engage a complementary feature of the inner member.

In an exemplary embodiment, the securing mechanism forms a mechanism of a latch type, which is engaged or removably coupled to the surgical device distal end or suture cutter inner member to limit axial movement along the retrieval direction. More particularly, the securing mechanism includes a cantilevered structure that is bonded, attached to, or otherwise formed integrally with, the proximal end portion of the body member. Such cantilevered structures also include protruding or branchlike elements extending outwardly from the cantilevered structure and into the lumen to engage complementary features.

In a further aspect / embodiment, the anchoring mechanism also includes a manipulating portion configured to allow the physician to manipulate the cantilevered structure to separate the protuberance from the complementary feature. For example, a manipulation portion may be configured and arranged such that the physician can move the limb or the limb outwardly from engagement with the complementary feature, thereby allowing the surgical device to be removed or removed from the deployment device .

In yet another aspect / embodiment, the surgical device includes a second member having a lumen extending along a major axis. Additionally, the surgical device first member is disposed within the second member lumen, and the first and second members can be moved relative to each other. In a more particular embodiment / embodiment, the second member can be moved relative to the first member along the major axis.

In yet a further aspect / embodiment, such a modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the body member distal end portion. Additionally, movement of the surgical device second member along a major axis in one direction moves each of the at least one implant / anchor from a stored, initial or intermediate position to a pre-deployment position.

In yet another aspect / embodiment, such a modular implant / anchor deployment device further includes a plurality of implants / anchors, wherein the plurality of implants / anchors are movably disposed on the body member distal end portion, Movement of the surgical device second member along the major axis causes the second implant / anchor to be moved to the pre-deployment position after deployment of the first implant / anchor.

In yet another aspect / embodiment, the distal end of the body member distal end portion is configured for insertion into tissue.

Also in a more particular aspect / embodiment, the surgical device is a suture cutter having a movable outer member and an inner member, wherein the inner member is removably attached to the proximal end portion of the body member.

In yet another particular aspect / embodiment, the body member includes a lumen extending along a major axis within at least the distal end portion and a slot-like opening communicating with the lumen extending along the major axis. As described herein, in yet a further aspect / embodiment, such a modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the body member distal end portion. More particularly, each of the at least one implant / anchor is movably disposed within the slot-like opening such that a portion of each implant / anchor extends above the outer surface of the body member distal end portion. In a further aspect / embodiment, the movement of the surgical device second member along the major axis in one direction is achieved by moving each of the at least one implant / anchor to a pre-deployment position (e.g., pre-deployment from a stored initial or intermediate position Position.

In yet another aspect / embodiment, each of the at least one implant / anchor, or a plurality of such or multiple such implants / anchors are configured and arranged such that each of the implants / anchors is joined together by a suture.

In yet another aspect / embodiment, the body member distal end portion is configured and arranged to have a given profile in the X-Y-Z direction. In a further aspect / embodiment, a profile is provided such that the longitudinal axis of the body member distal end portion is parallel to the longitudinal axis of the surgical device first member, or the long axis of the body member distal end portion is angled with respect to the longitudinal axis of the surgical device first member Profiles are given. In still further aspects / embodiments, the distal end portion is constructed and arranged to have an arcuate or curvilinear profile, such arcuate or curvilinear profile being such that the curvilinear portion lies within a single plane or, for example, Are arranged to form a curved structure.

In a further aspect / embodiment, the distal end portion of the body member is further configured to have a given geometric shape selected to help navigate the distal end portion toward the targeted tissue region. In a more particular embodiment in which the present invention can include a plurality of such modular implant / anchor deployment devices, the geometry of the at least one body member distal end portion is different from the geometry of the other body member distal end portion.

According to yet another aspect of the present invention, a method for treating damaged tissue using such a deployed implant / anchor is provided. In a more particular aspect / embodiment, a method for deploying one or more anchors / implants during a tissue treatment procedure, such as a treatment procedure for treating a damaged meniscus, is characterized.

The method includes providing at least one modular implant / anchor deployment device and a surgical device configured to perform an operation that is not directly related to the deployment of the implant / anchor. It is provided that the at least one modular implant / anchor deployment device also includes a body member having a proximal end portion and a distal end portion, wherein the distal end portion is configured such that the implant / anchor can be deployed from the distal end portion. Also, a proximal end portion is configured to be removably attached to the first end portion of the surgical device.

Such a method further includes the step of removably securing the proximal end portion of the body member to the first end portion of the surgical device as well as inserting the modular implant / anchor deployment device and at least the combined portion of the surgical device into the patient's body . Additionally, the method further comprises positioning the body member distal end portion at a desired position in the body and deploying the implant / anchor from the body member distal end portion. In still further aspects / embodiments, such positioning includes manipulating the combined surgical device such that the distal end portion is located at the desired body location. In a further aspect / embodiment, the proximal end portion of the body member is further configured to include an enlarged portion for receiving the first end portion of the surgical apparatus therein.

In a further aspect / method, the method further comprises the step of manipulating the surgical device such that the distal end portion passes through the meniscus after the step of positioning the body member distal end portion. Further, such a deployment step includes the step of deploying the implant / anchor after such manipulating step. Further, after completion of the step of deploying the implant / anchor, such a method may include de-connecting the proximal end portion of the body member from the first end portion of the surgical device, To be used in a non-contact manner. In a more specific embodiment, after such deployment, such a method includes withdrawing the combined deployment device and the surgical device from the body prior to performing such a de-coupling step.

In a further aspect / embodiment, the distal end of the body member proximal end portion < RTI ID = 0.0 > (s) < / RTI > includes a connection, mechanism or structure configured to removably engage a complementary feature, mechanism, sub- . In a more particular aspect / embodiment, the complementary feature comprises an opening provided in a surgical device (e.g. a suture cutter) for the intended function of the device or for coupling with an anchor deployment device, For example, surface machining), recessed regions or depressions, apertures, or the like. The step of removably securing the proximal end portion of the body member to the first end portion of the surgical device further includes the step of removably coupling the body member, the connecting portion, the mechanism or the structure to the surgical device complementary feature or the like . More specifically, the projection removably engages the opening.

A connection, mechanism or structure removably associated with a complementary feature forms a locking mechanism, structure or connection, wherein such locking mechanism, structure or connection is fixed, coupled, attached, or integral with the proximal end portion of the body member And a portion of the securing mechanism is arranged to removably engage a complementary feature of the inner member.

In an exemplary embodiment, the securing mechanism forms a mechanism of a latch type, which is engaged or removably coupled to the surgical device distal end or suture cutter inner member to limit axial movement along the retrieval direction. More particularly, the securing mechanism includes a cantilevered structure that is bonded, attached to, or otherwise formed integrally with, the proximal end portion of the body member. Such cantilevered structures also include protruding or branchlike elements extending outwardly from the cantilevered structure and into the lumen to engage complementary features.

In a further aspect / embodiment, the anchoring mechanism also includes a manipulating portion configured to allow the physician to manipulate the cantilevered structure to separate the protuberance from the complementary feature. For example, a manipulation portion may be configured and arranged such that the physician can move the limb or the limb outwardly from engagement with the complementary feature, thereby allowing the surgical device to be removed or removed from the deployment device .

In yet another aspect / embodiment, the provided surgical device includes a first member including a first end portion of the surgical device, wherein the proximal end portion of the body member includes a first end portion, To be removably attached to the structure. Additionally, the step of removably securing includes removably securing the proximal end portion of the body member to the opposing structure of the first member.

Also in a further aspect / embodiment, the surgical device provided is a suture cutter having a movable outer member and an inner member, wherein the inner member is removably attached to the proximal end portion of the body member.

In yet a further aspect / embodiment, the provided surgical device comprises a second member having a lumen extending along a major axis, the first device being disposed within the second member lumen, the first and second members being attached to each other Lt; / RTI > In a more particular embodiment / embodiment, the second member can be moved relative to the first member along the major axis.

In yet a further aspect / embodiment, the provided modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the body member distal end portion. Additionally, such a method may be performed along the major axis in one direction to move each of the at least one implant / anchor to a pre-deployment position (e.g., from a stored, initial or intermediate position) Further comprising the steps of:

In yet another aspect / embodiment, the provided modular implant / anchor deployment device further comprises a plurality of or multiple implants / anchors. Further, such movement of the surgical device second member along the major axis in one direction may also cause the second implant / anchor to be moved to the pre-deployment position after deployment of the first implant / anchor.

In yet another particular aspect / embodiment, the body member includes a lumen extending along a major axis within at least the distal end portion and a slot-like opening communicating with the lumen extending along the major axis. As described herein, and in further aspects / embodiments, such a modular implant / anchor deployment device further comprises one or more implants / anchors movably disposed on the proximal end portion of the body member. More particularly, each of the at least one implant / anchor is movably disposed within the slot-like opening such that a portion of the implant / anchor extends above the outer surface of the body member distal end portion.

In a further aspect / embodiment, the movement of the surgical device second member along the major axis in one direction is achieved by moving each of the at least one implant / anchor to a pre-deployment position (e.g., pre-deployment from a stored initial or intermediate position Position. Additionally, the method further comprises moving the second member along the major axis in a "one direction ", thereby moving each of the implants / anchors in the slot-like opening to the pre-deployment position.

In yet a further aspect / embodiment, each of the at least one implant / anchor, or a plurality of such or multiple such implants / anchors is configured and arranged such that each of the implants / anchors is joined together by the suture (s). The method also includes manipulating the suture (s) after deployment of the at least one implant / anchor or multiple or multiple such implants / anchors to join the injured tissue.

In yet another aspect / embodiment wherein the surgical device is a suture cutter, such a method comprises the step of releasably coupling the combined suture cutter from the modular implant / anchor deployment device and thereafter removing the suture (e.g., the excess length of the suture ≪ / RTI > using a separate suture cutter.

In yet another aspect / embodiment, the body member distal end portion is configured and arranged to have a given profile in the X-Y-Z direction. In a more particular aspect / embodiment, a profile is provided such that the longitudinal axis of the body member distal end portion is parallel to the longitudinal axis of the surgical device first member, or the longitudinal axis of the body member distal end portion is angled relative to the longitudinal axis of the surgical device first member The profile is given. In still further aspects / embodiments, the distal end portion is constructed and arranged to have an arcuate or curvilinear profile, such arcuate or curvilinear profile being such that the curvilinear portion lies within a single plane or, for example, Are arranged to form a structure.

In a further aspect / embodiment, the distal end portion of the body member may be configured to have a given geometry configured to assist in navigating the distal end portion toward the targeted tissue region. In a more particular embodiment in which the present invention may include multiple or multiple (e.g., three to six or more) such modular implant / anchor deployment devices, at least one body member distal end portion The geometry differs from the geometry of the other distal end portion of the body member.

In a further aspect / method, such a method comprises selecting a given modular implant / anchor deployment device having a desired profile or geometry, such step of positioning the distal end portion of the body member, And manipulating the selected modular implant / anchor deployment device such that the distal end portion of the body member distal end having the distal end is positioned proximate the targeted tissue site or treatment site.

In yet another aspect / embodiment, the method further comprises passing a segment of at least the distal end portion through the tissue or meniscus, and thereafter deploying the implant / anchor. Thereafter, such a method comprises the steps of: withdrawing the distal end portion from the tissue; positioning the distal end portion in another position, if there is another implant / anchor to be deployed; and deploying the other implant / anchor And repeating the process for generating the second image.

According to yet another aspect of the present invention, a surgical device kit is provided. Such a surgical device kit includes a surgical device configured to perform an operation that is not directly related to the deployment of the implant / anchor and the at least one modular implant / anchor deployment device. In a further aspect / embodiment, the surgical device is a suture cutter.

Each of the at least one modular implant / anchor deployment device includes a body member having a proximal end portion and a distal end portion. The distal end portion is configured such that the implant / anchor is deployed from the distal end portion. A proximal end portion is configured to be removably attached to the first end portion of the surgical device.

In a further aspect / embodiment, an enlarged portion for receiving the first end portion of the surgical device therein, and an additional feature for removing the complementary feature, mechanism, or sub-structure or other provided in the opposed structure of the surgical apparatus first member A proximal end portion of the body member is additionally configured to include one or both of a connection, a mechanism, or a structure configured to possibly be coupled. In a more particular aspect / embodiment, the complementary feature comprises an opening provided in a surgical device (e.g. a suture cutter) for the intended function of the device or for coupling with an anchor deployment device, For example, surface machining), recessed regions or depressions, or openings. The step of removably securing the proximal end portion of the body member to the first end portion of the surgical device further includes the step of removably coupling the body member, the connecting portion, the mechanism or the structure to the surgical device complementary feature or the like . More specifically, the projection removably engages the opening.

A connection, mechanism or structure removably associated with a complementary feature forms a locking mechanism, structure or connection, wherein such locking mechanism, structure or connection is fixed, coupled, attached, or integral with the proximal end portion of the body member And a portion of the securing mechanism is arranged to removably engage a complementary feature of the inner member.

In an exemplary embodiment, the securing mechanism forms a mechanism of a latch type, which is engaged or removably coupled to the surgical device distal end or suture cutter inner member to limit axial movement along the retrieval direction. More particularly, the securing mechanism includes a cantilevered structure that is bonded, attached to, or otherwise formed integrally with, the proximal end portion of the body member. Such cantilevered structures also include protruding or branchlike elements extending outwardly from the cantilevered structure and into the lumen to engage complementary features.

In a further aspect / embodiment, the anchoring mechanism also includes a manipulating portion configured to allow the physician to manipulate the cantilevered structure to separate the protuberance from the complementary feature. For example, a manipulation portion may be configured and arranged such that the physician can move the limb or the limb outwardly from engagement with the complementary feature, thereby allowing the surgical device to be removed or removed from the deployment device .

In yet another aspect / embodiment, the provided surgical device includes a first member including a first end portion of the surgical device, wherein the proximal end portion of the body member includes a first end portion, To be removably attached to the structure. Additionally, the step of removably securing includes removably securing the proximal end portion of the body member to the opposing structure of the first member.

In a further aspect / embodiment, the distal end portion of the body member is additionally constructed so as to have a given geometric shape selected to assist navigation of the distal end portion toward the targeted region.

In a further aspect / embodiment, such a surgical kit further comprises a plurality of or a plurality of such modular implant / anchor deployment devices, wherein the distal end portion of each body member comprises a distal end portion of the distal end portion To have a given geometry shape selected to assist. In addition, the geometry of the at least one body member distal end portion of the kit is different from the geometry of the other body member distal end portion of the kit.

Also in a further aspect / embodiment, the suture cutter has a movable outer member and an inner member, the end of the inner member being removably attached to the proximal end portion of the body member.

In still further aspects / embodiments, the body member distal end portion is additionally configured to have a given geometric shape or profile constructed to assist navigation of the distal end portion toward the targeted area. For example, the distal end portion may represent a distal end of a straight geometric shape formed at an angle to the longitudinal axis of the body member, or may be arranged to exhibit a curved or arcuate geometric shape. Such curvilinear and angles can be constructed to be in the same plane or in different planes, or to form a three-dimensional structure, so as to be one of two different directions. In this way, the physician can be provided with a large number of different modular implant / anchor deployment devices from which the physician can choose the one that is optimal to perform the given tissue treatment procedure.

In still further aspects / embodiments, such surgical device kits may implement one or more, multiple, or multiple modular implant / anchor deployment devices as described herein.

Other aspects and embodiments of the invention are described below.

Justice

The invention can best be understood with reference to the following definitions:

It is to be understood that the USP or USP number means a U.S. patent number, and that the U.S. publication number means U.S. patent application number.

It is to be understood that the terms "including" and "including" as used in the description and claims of the present invention are used in an open-ended form and therefore should be construed to mean " including but not limited to. Also, the terms "coupled" or "coupled" are intended to mean a direct or indirect connection. Accordingly, if the first component is coupled to the second component, such connection may be through a direct connection, or may be through an indirect connection via another component, device, and connection. Additionally, the terms "axial" and "in the axial direction" generally refer to along or substantially parallel to a central or longitudinal axis, while the terms "radial" and &Quot; axis "

Additionally, directional terms such as "above", "below", "upper", "lower" and the like are used for convenience with reference to the accompanying drawings. In general, the terms "upper," "upper," "upward," and like terms refer to directions toward the proximal end of an instrument, apparatus, apparatus or system, and "lower," "lower," " Refers to the direction toward the distal end of an instrument, device, apparatus or system, but is for illustrative purposes only, and such term shall not limit the disclosure.

The term " cutting "or" cutting, " as used herein, when used in the description of a method, apparatus, or apparatus of the present invention, is well known in the art for surgically operating bones, cartilage, ligaments, Including, but not limited to, trimming, shaping, ablating, ablating or polishing bone or tissue.

The term tissue as used below is to be understood as a part or structure of the body including, but not limited to, skin, subcutaneous material, cartilage, muscle, bone, bone structure (e.g., vertebrae) and ligaments. More specifically, it should be understood that the term tissue includes or refers to parts or structures of the human body, particularly those associated with the knee or knee joint.

BRIEF DESCRIPTION OF THE DRAWINGS For a more complete understanding of the nature and desired objects of the present invention, reference is made to the following detailed description, taken together with the accompanying drawings, in which like reference characters identify corresponding parts throughout the several views.
1A is a perspective view showing a modular suture anchor transmission device according to the present invention without a suture anchor;
1B is another perspective view showing a modular suture anchor delivery device according to the present invention in the presence of a suture and a suture anchor.
1C is a cross-sectional side view of a modular suture anchor delivery device with a suture anchor.
1D is an end view showing a modular suture anchor transmission device according to the present invention, such as that shown in Fig. 1B.
1E is a perspective view illustrating a sleeve member for a modular suture anchor transmission device according to the present invention.
1F is a schematic view of the sleeve member.
2A is a perspective view showing functional portions of a modular suture anchor transmission device and a surgical device without a suture anchor.
2B is an exploded side view of the functional parts of the modular suture anchor delivery device and the surgical device.
Figure 3 is another perspective view showing a modular suture anchor delivery device when engaged or attached to an end of a surgical device.
4A is a perspective view of a surgical device that may be used with the modular suture anchor delivery device of the present invention.
Figure 4b is an exploded view of the distal end region of the surgical device of Figure 4a, when in the open position.
Figure 4c is another exploded view of the distal end region of the surgical device of Figure 4a, when in the closed position.
5 is a drawing illustrating an exemplary device kit that may include one or more suture anchor delivery devices in accordance with the present invention.
Figure 6 is another perspective view of the suture anchor transmission device of Figure 1 when mounted on another surgical device, including partial exploded views showing the anchors that can be mounted to the delivery device.
7 is another perspective view showing an embodiment of a suture anchor delivery device when separated from another surgical device.

The present invention features devices, methods, systems, and device kits that may be utilized in connection with the treatment or treatment of tissue associated with the treatment of injured tissue and more specifically damaged meniscus such as tissue associated with the structure of the knee. More particularly, the present invention relates to an implant / anchor deployment device / module, a modular kit concept for implementing one or more such an implant / anchor deployment device / module, a system for deploying an implant / anchor into tissue, Anchors / anchors, such as a method for expanding one or more anchors / implants in an implant / anchor.

Such an implant / anchor deployment device / module is also configured and arranged such that it can be removably secured to a conventional surgical device (e.g., a suture cutter) that may also be utilized during surgical procedures. However, such a surgical device is not a surgical device of the type generally associated with the deployment of such implants / anchors (e.g., suture anchors) into tissue. The function of such a surgical device is used in combination with an implant / anchor deployment device / module whereby each implant / anchor can be placed against a targeted tissue area in the body and thus an implant / anchor deployment device / module can be used So that each implant / anchor can be deployed either passively or actively.

In a particular embodiment, a typical surgical device is a suture cutter as is known to those skilled in the art. In a more specific embodiment, the suture cutter is associated with a Smith & Nephew FastFix Suture System or other such suture system (e.g., the Smith & Nephew Fast-Fix 360 meniscus treatment system) known in the art. While the design and functional sections of the suture cutter may be particularly suited for use with the implant / anchor deployment device / module of the present invention, this should not be construed as limiting the present invention to such a particular surgical device, Since it is within the scope of the present invention that an anchor deployment device / module is used in conjunction with other surgical devices, such other surgical devices may be configured for that use, or the device / May be configured for such other surgical apparatus to be used together.

Because of the modular concept embodied in the implant / anchor deployment device / module of the present invention, a surgical device can be used with any of a large number of such implant / anchor deployment devices / modules, Any number of implants / anchors may be deployed at the desired targeted tissue location. Also, when the necessary number of implants / anchors have been developed, the modularity embodied in the present invention also allows a physician or other operative to separate or de-connect the implant / anchor deployment device / module from the surgical device, The surgeon can then use the surgical device separated in the intended manner. In other words, no specific device need be made or manufactured for the purpose of transferring and deploying the implant / anchor to the targeted tissue location.

Anchor / anchor deployment device / module can also be attached, fixed or attached to a surgical device using any of a number of techniques known in the art, but such attachment, anchor deployment, Does not affect the ability of the surgical device to perform its intended function after the module has been detached, detached or otherwise no longer secured to the surgical device. For example, when the surgical device is a suture cutter, the physician can separate or remove the suture cutter from the implant / anchor deployment device / module, after which the physician uses the suture cutter to remove the implant / Sutures such as sutures can be cut.

1 to 3 illustrate various views of an implant / anchor deployment device / module 100 and its features in accordance with the present invention, wherein like numerals refer to like parts throughout the several views, 6 and FIG. 7 illustrate the use of such an implant / anchor deployment device / module (not shown) when mounted to a surgical device, more particularly a suture cutter such as the suture cutter shown in FIGS. 4A- 0.0 > 100 < / RTI >

Referring now to Figs. 4A-4C, there is shown a perspective view of a surgical device (Fig. 4A) that may be used with the modular suture anchor delivery device of the present invention; An exploded view of the distal end region of the surgical device of Figure 4a (Figure 4b) when in an open position; And another exploded view of the distal end region of the surgical device of Fig. 4a (Fig. 4c) when in the closed position. In the illustrated embodiment, such a surgical device includes a suture cutter device 200, which typically includes two concentrically disposed members, i.e., an inner member 202 movable relative to one another, 204). The suture cutter device 200 also includes a handle 210, with two concentrically disposed members operably coupled to the handle. Such members may have a tubular shape or other shapes known in the art.

The inner member 202 is held stationary with respect to the handle 210 and the outer member 204 is movably coupled to the handle 210. In the illustrated embodiment, More particularly, the outer member 204 is coupled or coupled to a sliding mechanism 212 movably disposed within the handle 210. The movement of the slide mechanism along one direction (reverse direction) pulls the end of the outer member toward the handle so as to be in the open position as shown in Fig. 4B, and the slide along the direction opposite to the second direction or one direction The outer member 204 and the sliding mechanism 212 are engaged such that movement of the mechanism urges the end of the outer member toward the distal end of the inner member to be in a relatively closed position as shown in Figure 4c. It should be appreciated that such an arrangement is non-limiting. Thus, for example, the outer member 204 can be arranged and configured in a fixed relationship with the handle, and the inner member 202 can be moved in two directions (e.g., two opposing directions) As shown in FIG.

In such a suture cutter device 200, one member (e.g., the inner member 202) is typically used to grasp and hold the suture and the other member (e.g., the outer member 204) To "one member" or inner member to cut the suture in a guillotine fashion. For example, the cutter device outer member or sleeve is axially moved to expose a portion of the inner member that grips the suture, and is moved again in the opposite direction along the axial direction to cut the gripped suture. So that the end of the suture passes through an opening or an opening in the distal end of the inner member 202 so that the suture is inserted into the recessed area 205 also provided in the inner member, And advances to the outside. An inner member 202 and an outer member 204 of such a suture cutter device 200 are used by the implant / anchor deployment device / module 100 according to the present invention, as described further herein, / Anchor deployment device / module 100 can be secured to the cutter device and thus the implant / anchor can be deployed.

Referring now to Figures 1-3, there is shown a perspective view of a modular suture anchor delivery device 100 without a suture anchor (Figure 1A); Another perspective view of a modular suture anchor delivery device having a suture and a suture anchor (Figure 1b); Sectional side view of a modular suture anchor delivery device having suture anchors (Figure 1c); An end view (Fig. 1D) of a modular suture anchor transmission device as shown in Fig. 1B; A perspective view of a sleeve member for modular suture anchor delivery (Fig. 11e); A schematic view of the sleeve member (Figure 1F); A perspective view of a modular suture anchor delivery device without a suture anchor and including the function of a surgical device (Fig. 2a); An exploded side view (Fig. 2b) of a modular suture anchor delivery device, including the function of a surgical device; And another perspective view (FIG. 3) illustrating a modular suture anchor delivery device when engaged or attached to an end of a surgical device. Such an implant / anchor deployment device / module 100 includes a body 110 having a distal end portion 112 and a proximal end portion 114. For convenience, the implant / anchor deployment device / module 100 will be referred to below using the term "anchor deployment module 100 ", but it should be understood that a brief description assumes that the scope of the invention is changed to such module You should not.

References in the following description will also generally be made with respect to a suture cutter, but this should also not be considered to be limiting, as these terms may be used in surgical procedures and may be used in conjunction with the present invention to deliver and deploy an implant / anchor It should be understood to include any conventional surgical device that can be used with the implant deployment module 100 of FIG. Further, in the following description, unless otherwise indicated, it should be understood that the terms implant (s), anchor (s) or suture anchor (s) are also related or equivalent to the term "implant / anchor" .

The distal end portion 113 or end of the distal end portion 112 is configured or shaped to conform to intended use and subsequent surgical procedures such as, for example, inserting or passing a distal end into a tissue. In the illustrated embodiment, the tip 113 is a sharp or atraumatic tip used to pierce or puncture a bodily tissue (e.g., a meniscus). Additionally, a fragment or portion of at least proximal end portion 114 is configured and arranged such that anchor deployment module 100 can be removably secured to suture cutter 200 or other conventional surgical device.

Distal end portion 112 is also configured to receive one or more anchors 120 that are intended to deploy from a distal end portion in accordance with a particular surgical or treatment protocol / procedure to be followed or enforced. A distal end portion 112 or at least a piece thereof that includes a suture anchor 120 includes a slot 116 within its outer surface 111 that extends through the body member into the lumen 115 For example, a slot-like opening). Both lumen 115 and slot 116 extend along the length or major axis of the distal end portion. Lumens and / or slots may also be arranged so that they extend along the entire length of the body member 110 including the proximal end portion 114.

The lumen 115 and slot 116 in the region of the distal end portion 112 are additionally constructed and arranged such that each of the one or more suture anchors 120 is movably received therein. As more particularly and as shown, the first portion 124 of each suture anchor 120 is movably received within the lumen 115 and the second portion 123 of the suture anchor is inserted through the slot and from the slot Outwardly and over the outer surface 111 of the body 110. [ More specifically, the first portion 124 of the suture anchor in the lumen is configured to be larger than the slot, such that the first portion is movably disposed within the lumen.

The second portion of the suture anchor is also preferably positioned to receive (e.g., moveably receive) and maintain the suture 130 (e.g., at least one suture for each anchor) . For example and as shown in Figures 1 and 2, the suture anchor second portion includes at least one opening 122 through which the suture can be inserted and received by the second portion . Additionally and as is known in the art, the suture 130 can be arranged in any of a number of ways. 1B and 3, when the suture extends between and through both suture anchors 120 and once the suture anchor 120 is deployed, for example to treat the damaged tissue (e. The suture 130 may be arranged so that the suture can be tightened in order to pull the opposite edges of the damaged meniscus toward one another. In a further embodiment, and as shown in FIGS. 1B and 1C, each suture anchor can include a plurality of such openings 122, and the suture can be inserted into the plurality of openings 122 to secure the suture to a given suture anchor Can be sewn through. In the exemplary embodiment, when the physician applies a longitudinal force to the end of the suture, the suture (s) 130 are pre-bundled and arranged such that the application shortens the suture and tightens the knot.

Although two suture anchors 120 are shown, any number of implants / anchors, such as one such suture anchor, one or more such suture anchors, a plurality of such suture anchors, or multiple (e.g., It should be appreciated that the distal end portion 112 can be arranged to have such suture anchors (e.g., six or more). As each of the suture anchors 120 is movably disposed within the distal end portion 112, each of the suture anchors is configured to be passive or distal from the distal end portion 112 and its distal end portion 113, as described further herein. Can be actively deployed. As also discussed further herein, such suture anchor 120 may be moved from a position, an initial position, or some intermediate position stored on distal end portion 112 to a pre-deployment position, such pre-deployment position Is closer to the distal end (113) or end of the distal end portion than the storage position.

The proximal end portion 114 of the body 110 is configured and arranged to receive a portion of the structure of the surgical device attached / mated so that the anchor deployment module 100 can be removably secured to the surgical device. In this manner, the proximal end portion 114 can be configured to be secured to a given structural feature or to a functional portion of a surgical device.

In a more particular aspect / embodiment, the proximal end portion 114 of the body 110 is configured to receive a portion of the structure of the suture cutter 200, such that the anchor deployment module 100 is removably secured to the suture cutter Configured and arranged. In the illustrated embodiment, the proximal end portion 114 is configured to be removably secured to either the inner member 202 or the outer member 204 of the suture cutter using any of a number of techniques known to those skilled in the art Configured and arranged. In a more specific exemplary embodiment, the proximal end portion 114 is removably secured to the suture cutter inner member 202.

In yet another exemplary embodiment, a segment or portion of at least proximal end portion 114 includes a structure that complements a portion of a suture cutter to which a proximal end portion is secured. In a more particular embodiment, the structure of the suture cutter portion is a tubular or cylindrical member, as shown for the inner member 202 or the outer member 204, and the complementary structure of the proximal end portion 114, A pocket or socket 117 (e.g., a cylindrical pocket or socket) configured to receive one of the inner and outer tubular members of the housing. More particularly, the complementary structure of the proximal end portion 114 is dimensioned to removably receive (e. G., Slidably receive) the distal end 203 of the inner member 202 of the suture cutter 200 And an open ended pocket or socket 117 defined and shaped.

As further described herein, such a socket 117 is also configured to limit axial movement of the suture cutter distal end 203 in at least one direction when the distal end of the suture cutter is secured to the proximal end portion. As the suture cutter / inner member distal end is fixed to the proximal end portion and the cross-sectional surface of the socket is determined to minimize lateral or radial movement of the distal portion of the suture cutter, as described more particularly and further herein, The depth of the socket is determined to limit axial movement of the suture cutter / inner member distal end 203.

In an additional embodiment, the anchor deployment device 100 and the surgical device 200 include a mechanism 140 (FIG. 1) cooperating with the open-ended socket 117 to removably secure the inner member distal end 203 within the open- ). As described herein, such a mechanism may or may employ any of a number of techniques known to those skilled in the art to achieve such functionality.

In a more particular embodiment such a mechanism 140 includes a securing mechanism 142 coupled to the open ended socket 117 or proximal portion 114 of the anchor deployment device and a locking mechanism 142 on the surgical device, Lt; RTI ID = 0.0 > 203 < / RTI > In use, the securing mechanism is coupled to a complementary mechanism to secure or engage the inner member distal end to the body member proximal end portion 114 (e.g., within the open ended receptacle 117) The distal end is joined or attached to the proximal portion of the body member (e.g., open end socket 117) during at least the insertion, delivery, and deployment of the suture anchor (s) And is not recovered from the exhaust gas.

In yet another exemplary embodiment, the securing mechanism 142 includes a body member proximal end portion 114, more particularly a structure that is fixedly coupled, attached, or integrally formed with the open ended socket 117, Is also arranged such that a portion of the securing mechanism is removably coupled to the complementary mechanism of the inner member. More specifically, a portion of the securing mechanism is configured and arranged to extend through openings 117 (e.g., slots, openings) in the body member proximal end portion 114 and into the lumen 115.

In this manner, when the inner member distal end 203 is inserted into the open ended socket 117, such anchoring mechanism portion is engaged with a complementary mechanism (e.g., an inner member) of the surgical device, The device 200 is removably secured to the anchor deployment device. As described herein, such engagement prevents / minimizes at least any axial movement of the inner member from the open ended socket along the withdrawal direction of the distal end of the suture cutter. Also, as described herein, an open ended socket (not shown) is also included to prevent / minimize any axial movement of the inner member along the opposite direction (i.e., the direction opposite to the withdrawal of the distal end of the suture cutter from the open ended socket) (E.g., size is determined).

In the illustrative illustrative embodiment, the anchoring mechanism 142 forms a mechanism of a latch type, which mechanism is capable of engaging or releasably attaching to the surgical device distal end or suture cutter inner member to limit axial movement along the retrieval direction Lt; / RTI > More particularly, the securing mechanism 142 includes a cantilevered structure 143 that is coupled to, attached to, or otherwise formed integrally with, the body member proximal end portion 114, more particularly with its open ended socket 117 . 1D, such a cantilevered structure 143 also includes a projection 144 that extends outwardly therefrom and extends inwardly through the slot 117 or opening and into the open ended socket, Element. The cantilevered structure 143 is also arranged to bias the projections 144 inwardly so that the projections engage the complementary mechanism of the inner member and remain engaged during operation of the combined surgical and anchor deployment devices.

The anchoring mechanism 140 also includes an operating portion 145 configured to allow the physician to manipulate the cantilevered structure 143 to disengage the projection 144 from the complementary mechanism of the inner member. For example, to allow a physician to move the protuberance 144 outwardly from engagement with a complementary mechanism, thereby allowing the surgical device to be retrieved from the open-ended socket 117, Can be configured and arranged. In an exemplary embodiment, the manipulating portion 145 forms a structure (e.g., a round button-shaped member) that the physician can grasp during the procedure. As further described in further aspects / embodiments and further herein, a securing mechanism is also constructed and arranged such that the securing mechanism 140 does not interfere with the movement of the movable sleeve 170.

With respect to the complementary mechanism, such mechanism may include an opening provided in the surgical device, a processing portion (e.g., a portion of the anchor deployment device 100) Surface machining), depressed regions or depressions, or openings, and the like. In an illustrative, illustrative embodiment, when the surgical device is a suture cutter, as is known in the art, the complementary mechanism is a recessed region 205 (FIG. 2) provided in the inner member distal end 203 of such suture cutter (See, for example, FIG. 4B).

As is known to those skilled in the art, a conventional suture cutter can be constructed with an axially extending opening, or the lumen in the distal end also extends inwardly from the distal end to the recessed area. In use, the end of the suture is introduced into this axially extending opening such that the end of the suture extends into the depressed area 205 and typically to the outside thereof. After the suture is pulled to the desired extent into the recessed area, the outer member 202 is manipulated to cut the suture in a guillotine fashion.

In an exemplary embodiment, such a recessed area 205 may include a front wall 205a and a bottom surface 205b. In use, when the projection 144 extends inwardly to engage a complementary mechanism, the projection is received in the recessed area 205 and is disposed proximate the front wall 205a, At least in the axial direction. In a further embodiment, the end surfaces of the projections rest on or separate from the lower end surface 205b.

Such a lower end surface 205b may also be arranged to be inclined upwardly toward the rear end of the recessed area 205 (e.g., to facilitate movement of the suture end). As described herein, the depth of open ended socket 117 can be adjusted or set to limit movement of the inner member along a direction opposite to the retrieval direction. More specifically, the depth of the open ended socket can be set or adjusted to prevent the protrusion 144 from starting to separate from the recessed area 205 by sliding upwards along such inclined surface.

Although the open ended socket 117 is shown as being formed essentially of a solid structure in the described embodiment, this is not limiting, as any of the numerous techniques known to those skilled in the art may be used to make such Since it is also within the scope of the present invention to form or construct an open ended socket. For example, such open ended sockets can be configured with a skeleton of members that, when assembled and arranged, form the general shape and size of the open ended socket. Such a framework may also be configured to include an open region between the members forming the framework. Preferably, such an open ended socket is also constructed so that movement in the radial direction of the surgical device is limited.

In an additional embodiment, such an anchor deployment device 100 includes a movable sleeve 170 configured and arranged to be movable about a body member 110, more particularly about its proximal end portion 114, ) (See FIG. 2A). More particularly, such a movable sleeve 170 includes a first portion 172 and a second portion 174 extending generally axially from the first portion. In addition, the second portion may be secured (e.g., bonded, vibration welded, brazed, etc.) to the first portion in any of a number of ways.

The movable sleeve 170 is axially movable about the body member and the proximal end portion 114 such that the movable sleeve is movable toward the distal end 113 of the distal end portion 112 in a first direction When moved, the movable sleeve, more particularly the sleeve second portion 174, is brought into contact with at least one of the anchors 120. Further movement of the movable sleeve 170 along the first direction advances the anchor (s) from its initial or storage position to any of a number of other positions including the pre-deployment position. In an alternative embodiment, when the anchor deployment device 100 is assembled in its final form, the anchor 120 closest to the tip 113 may be located in the pre-deployment position. After deployment of the anchor closest to the tip, the surgeon can use the movable sleeve 170 to move the next nearest anchor to the pre-deployment position.

As described above, the securing mechanism 140 is configured so that the securing mechanism does not interfere with the movement of the movable sleeve 170 when the securing mechanism extends outwardly and thus over the proximal end portion 114 of the body member 110. [ Are arranged and arranged. In a further aspect / embodiment, the movable sleeve 170 and the securing mechanism are each configured so as to minimize the lateral profile of the securing mechanism and thereby structure the movable sleeve so that the securing mechanism can pass through the movable sleeve . More specifically, a movable sleeve first portion 172 is arranged with an axial extending slot 117, an opening or opening, and such axial extending slot, opening or opening is defined by a securing mechanism 142 Is sized and arranged such that it is slidably received in the axial extension slot 173. [

Also, the movable sleeve second portion 174 can also be configured such that a portion of the securing mechanism 142 that extends over the proximal portion of the body member is also slidably received therein. In an exemplary illustrative embodiment, the movable sleeve second portion 174 is a cylindrical member shaped into a hoop having an open area 175 disposed in a hoop. This open area 175 is constructed such that a portion of the securing mechanism 142 extending above the body member proximal portion is movably received therein. Such a structure is not limiting, as it is understood by those of ordinary skill in the art, that the anchor (s) can be moved in the manner described, and the axial stiffness sufficient to prevent contact with the securing mechanism while the sleeve is being moved axially Because it is within the scope of the present invention that the movable sleeve second portion 174 forms any of a number of constructions such as those known to those skilled in the art. For example, the movable sleeve second portion 174 may be a partial hoop or partially box shaped configuration (e.g., two or three sides of the box configuration).

The movable sleeve second portion 174 is also arranged to be fixed to the movable sleeve first portion such that the axial movement of the first portion is also transmitted to the second portion. In a particular embodiment, the length of the second portion is set such that when the second portion is moved axially by the first portion, such axial movement is transmitted to each of the anchor (s) on the body member distal end portion . More specifically, the second portion 174 imparts an axial force on the anchor closest to the second portion, which again imparts an axial force on the anchor closest to the distal end 113. Such an axial force may be used to move the anchor from any position (e.g., initial, stored, or intermediate) such that an anchor closer to the distal end 113 is placed in the pre-deployment position.

As described herein, the anchor 120 may be deployed from the anchor deployment device 100 either passively or actively (i.e., by application of force). In the case of passive deployment, as the anchor 120 interacts with the tissue during recovery of the anchor deployment device, the anchor is withdrawn from the distal end portion 112 when the nearest anchor is in the pre-deployment position. For example, when the suture anchor is to be deployed along the posterior side of the meniscus, the anchor deployment device is pulled back through the meniscus tissue and leaves an anchor along the posterior side of the meniscus so that the suture anchor (e.g., 2 portion 122) interact with the meniscus tissue.

In the active deployment, the physician takes some action that applies force to the anchor such that the anchor is pushed out of the distal end portion 112. For example, when the sleeve is pushed further in the first direction, the dimension of the movable sleeve 170 (e.g., the second portion 174 thereof) is determined such that the nearest anchor is pushed out of the distal end portion, Or otherwise configured. In an alternative embodiment, the anchor deployment device 100 is arranged to include a member that acts upon the anchor to cause the anchor to deploy in response to some action of the function under the control of the physician.

In a more particular embodiment (see FIG. 2B), the movable sleeve 170 is operatively coupled to the suture cutter outer member 204 such that movement of the outer member in response to actuation of the slide mechanism 212 is activated Shaped sleeve in the first direction. In yet a more particular embodiment, a member or rod (e.g., a plunger 214) is coupled to the outer member 204 such that the slide mechanism axially moves the plunger in response to movement of the slide mechanism, (212) are arranged. In response to the pushing movement toward the distal end portion, the movable sleeve is also moved in the axial direction along the first direction so that the pushing acts on the movable sleeve 170, more particularly on the movable sleeve first portion 172, The plunger 214 is also constructed and arranged.

In the illustrative exemplary embodiment (see Fig. 2B), the bushing 214 is configured to include a stepped region 215, wherein the stepped region is configured such that the stepped region comprises an end surface of the movable sleeve first portion 172 So as to extend vertically to a distance sufficient to move the movable sleeve 170 in the first direction. In a further embodiment, the proximal end portion 114 is configured to include a slot-like opening in which the stepped region 215 of the plunger 214 is movably received. This slot-like opening extends along the long axis of the proximal end portion 114 with a sufficient distance that the plunger 214 can move the next nearest anchor or second anchor from its initial position to its pre-deployed position . In a further embodiment, the slot-like opening includes an end surface, which limits the additional axial movement along the axial direction of the stepped region, the plunger and thus the sleeve when the deployment device is engaged with the surgical device. do. In a particular embodiment, the end surface is positioned to correspond to one of the positions corresponding to the pre-deployment position or the active deployment of the anchor.

Referring now to Figure 1f, there is shown a schematic diagram of an alternative embodiment for a movable sleeve 170a in accordance with the present invention. Such a movable sleeve 170a includes a first portion 172a, a bridging or second portion 174a and a pushing member 176a. The first portion 172a is operatively engaged, attached or secured to the cross-linking / second portion 174a such that the axial movement of the first portion is transmitted to the cross-linking / The second portion is operatively engaged, attached or fixed to the push portion 176a such that the axial movement of the first portion is also transmitted to the push member. Except as otherwise provided herein, the details of the first and second portions will be referred to the foregoing description.

The bridging or second portion 174a extends over a distance between the first portion and the pushing member 176a such that the pushing member pushes the anchor (s) and the anchor is moved relative to the second portion 174 in the manner described above Constructed, arranged, and arranged to be movable. Accordingly, the bridging or second portion 174a has a stiffness sufficient to move the pushing member and avoids interference with the securing mechanism.

The push member 176a may have any of a number of configurations sufficient to move the anchor (s) in response to axial movement of the movable sleeve 170. In one embodiment, the pushing member 176a extends from the bridging / second portion 174a and is arranged to engage an end surface of the anchor second portion 123 as described above with respect to the second portion of Figure < RTI ID = 0.0 > 1e & . In another embodiment, a pushing member 176a is configured to include a first piece and a second piece that are joined together. The second piece is arranged to be slidably disposed within the lumen 115 such that an axial force applied to the pushing member is applied or transmitted to the anchor first portion 124 which is also disposed within the lumen. The first segment is secured between the bridge / second segment and the second segment such that the axial force applied to the second segment is transferred to the second segment. A first segment may also be constructed to accommodate any axial deviation between the cross-linking / second portion and the second segment.

As described herein, the present invention also contemplates that one or more anchor deployment devices 100a-c as well as one or more surgical devices, such as slotted cannulas or introducers 310, and one or more deployment devices, And a surgical device kit (300) or a device kit including a surgical device that can be combined. As noted above, such a surgical device may be a suture cutter 200 as is known to those skilled in the art. Such a device kit 300 is particularly advantageous as it allows the physician to utilize the modular concept implemented in such an anchor deployment device with optimal effectiveness while minimizing the number and cost of parts associated with the surgical procedure being performed.

In particular, such a device kit 300 may be arranged such that it can provide any of a number of configurations of such an anchor deployment device for such use during surgical procedures. For example, an anchor deployment device 100a having an anchor deployment device or distal portion 112 thereof having a straight distal end portion 112a, an anchor deployment device 100b having a distal end portion curved in one direction 112b , And an anchor deployment device 100c having a curved distal end portion 112c in the other direction. The anchor deployment device may be configured to provide any of a variety of geometric shapes. This geometric configuration is exemplary because it is within the scope of the present invention to provide the distal end portion 112, and such distal end portions are: (a) curved and of a certain degree of curvature (B) is a distal end portion at an angle with respect to the long axis of the proximal end portion, and (c) is a distal end portion forming a three-dimensional shape or structure. Such a different geometric configuration would be such that when secured to the surgical device, the selected anchor deployment device would be allowed to enter the body and be located at or near the targeted tissue site, Which allows the physician to select the most appropriate configuration for the navigation of the distal end portion 112 to allow deployment of the distal end portion 112. [

The modularity of such an anchor deployment device 100 also allows for the creation of surgical kits that can be customized to some degree. For example, when deployment of a number of suture anchors is expected, multiple or multiple (e.g., one or more) sutures having similar or identical geometric shapes (e.g., all linear geometric shapes) Three to six, or more) of anchor deployment devices. In this way, the physician can select a device kit having an anchor deployment device with the desired geometry, and then, during the procedure, connect and disconnect the individual anchor deployment devices to and from the surgical device as needed, A desired number of suture anchors can be deployed.

Since the anchor deployment device of the present invention can be used in combination with existing surgical devices not specially configured for deployment of the suture anchor, there is no need to create a unique device for such deployment. This reduces the number of parts and allows one surgical device to be used to perform more than one function during the procedure. This can also lead to a reduction in expenditure associated with surgical procedures, which not only requires a unique anchor deployment device, but also an anchor deployment device that is modular and therefore less costly than providing a unique device Because.

6 and 7 and also as described herein, the present invention also features a method of deploying a suture anchor 120 utilizing an anchor deployment device of the present invention. Such a method includes selecting an appropriate anchor deployment device 100, 100a-100c from surgical device kit 300 for use during a given surgical procedure. In particular, an anchor deployment device having a suitable geometry and configuration for assisting entry into the body (e.g., the knee joint) and navigating to the desired targeted tissue site, as well as selecting the suture anchor 120 and sleeve 170 do.

After selecting the desired anchor deployment device 100, a physician or other operative may slide the anchor deployment devices 100, 100a-100c on the distal end of the surgical device (e.g., the suture cutter 200) Connect the device to the distal end of the surgical device. More particularly, when the surgical device is the suture cutter 200, the inner member 202 of the suture cutter is coupled to the proximal end portion 114 of the anchor deployment device 100. More specifically, the distal end 203 of the suture cutter inner member 202 is connected to the proximal end portion 203 of the anchor deployment device 100 such that the securing mechanism 140 removably couples or connects the suture cutter and the anchor deployment device, Lt; RTI ID = 0.0 > 114 < / RTI > The physician may also take such other action (s) (e.g., moving the nearest anchor to the pre-deployment position) for later deployment of the anchor as needed.

When using the suture cutter 200 as a manipulation platform, the physician manipulates the suture cutter and thereby manipulates the anchor deployment device such that the joined devices are properly inserted into the body (e.g., the knee joint). The physician continues to operate the suture cutter to further navigate the anchor deployment device and thereby position the distal end portion 112 thereof at or near the targeted tissue site, e.g., a meniscus. Thereafter, the physician takes such additional action as is necessary to ensure that the anchor 120 is properly positioned for deployment at the desired location. For example, when the tissue to be treated is a half-moon plate, the doctor using the suture cutter 200 is still able to move the tissue (e.g., a meniscus) to a position where the anchor deployment device 100 wants to deploy the suture anchor 120. [ To pass through.

After placing the distal end portion at the desired position, the physician will take appropriate action to deploy the suture anchor 120. For example, in the case of a manual deployment, the physician manipulates the surgical device to cause the suture anchor 120 to be withdrawn from the distal end portion, for example, by interaction of the suture anchor and tissue. In the case of active deployment, the physician takes the appropriate action to cause the suture anchor to move outward from the distal end portion (e.g., by applying a force with the suture anchor, thereby causing the suture anchor to move out of the distal end portion .

If there is another suture anchor to be deployed, the surgeon withdraws at least the distal end portion 112 from the targeted tissue and then causes the second suture anchor to be moved to the pre-deployment position as described above on the distal end portion. When the second suture anchor is thus positioned in the pre-deployment position, the physician again manipulates the suture cutter to position the distal end portion of the anchor deployment device at another targeted tissue site. Thereafter, the physician also uses the suture cutter 200 to appropriately position the anchor deployment device 100 (e.g., the distal end portion thereof) at a location where the next suture anchor 120 is to be deployed. The physician then repeats the process described above for deploying the suture anchor and for retrieving the distal end portion.

If additional suture anchors are to be deployed and no additional suture anchors are placed / placed on the distal end portion, the surgeon withdraws the combined suture cutter and anchor deployment device from the body. Then, a physician or other operative is used or the empty anchor deployment device is removed from the suture anchor, another loaded anchor deployment device is selected, and the loaded anchor deployment device is attached to the surgical device / suture cutter. The physician then repeats the process described above for positioning, positioning, and deploying additional suture anchors.

In the absence of any additional suture anchors to be deployed, the surgeon withdraws the combined suture cutter and anchor deployment device from the body. The physician or other surgeon then removes or removes the used or empty deployment device from the surgical device / suture cutter. Thereafter, the physician may use the separate surgical device in an intended manner. For example, if the surgical device is a suture cutter, the physician may use a separate suture cutter to cut the extra length of the suture (s), such as the suture (s) that may have the suture anchor. As described herein, a physician may take such other actions as needed to tighten the suture according to surgical procedures.

Although a preferred embodiment of the present invention has been described using specific terms, it will be understood that such description is for illustrative purposes only, and variations and modifications may be made without departing from the spirit and scope of the following claims.

Include by reference

All patents, published patent applications and other references disclosed herein are expressly incorporated herein by reference in their entirety.

Equalization

Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents will be included in the following claims.

Claims (33)

A modular implant / anchor deployment device for use with a surgical device configured to perform an operation that is not directly related to the deployment of an implant / anchor,
A body member having a proximal end portion and a distal end portion, the distal end portion configured to allow the implant / anchor to deploy therethrough; And
Wherein the proximal end portion is configured to removably attach to a first end portion of the surgical device. The method according to claim 1,
Wherein the surgical device comprises a first member comprising a first end portion of a surgical device and the proximal end portion of the body member is removably attached to an opposing structure of a first member of a surgical device comprising the first end portion, Wherein the modular implant / anchor deployment device further comprises: 3. The method according to claim 1 or 2,
Wherein the proximal end portion of the body member is further configured to include a first mechanism and the first mechanism is configured to removably engage a complementary mechanism provided within an opposing structure of the first member, Device. The method of claim 3,
Wherein the complementary mechanism comprises a recessed area and wherein the body member first mechanism includes a protrusion removably engaged with a recessed area of an opposing structure of the surgical device first member, the modular implant / anchor deployment device . 5. The method according to any one of claims 1 to 4,
Wherein the proximal end portion of the body member is further configured to include an enlarged portion for receiving therein an opposing structure of the surgical device first member. 6. The method according to any one of claims 1 to 5,
The surgical device includes a second member having a lumen extending along a major axis;
The first member being disposed within the second member lumen; And
Wherein the first and second members are movable relative to each other. The method according to claim 6,
Wherein the second member is movable with respect to the first member along a major axis. The method according to claim 6,
Further comprising one or more implants / anchors movably disposed on the body member distal end portion; And wherein movement of the surgical device second member along the long axis in one direction moves each of the one or more implants / anchors to a pre-deployment position. The method according to claim 6,
Further comprising a plurality of implants / anchors movably disposed on the body member distal end portion; And the movement of the surgical device second member along the long axis in one direction causes movement of the second implant / anchor to the pre-deployment position after deployment of the first implant / anchor, the modular implant / anchor deployment device . 10. The method according to any one of claims 1 to 9,
Wherein a distal end of the body member distal end portion is configured for insertion into a tissue. 11. The method according to any one of claims 1 to 10,
Wherein the surgical device is a suture cutter having a movable outer member and an inner member, the inner member being removably attached to the distal end portion of the body member. A system for deploying an implant / anchor in an organization, the system comprising:
A surgical device configured to perform an operation that is not directly related to the deployment of the implant / anchor; And
At least one modular implant / anchor deployment device,
Each of said at least one modular expansion device comprising:
A body member having a proximal end portion and a distal end portion, the distal end portion configured to allow the implant / anchor to deploy therethrough; And
Wherein the proximal end portion is configured to be removably attached to a first end portion of the surgical device. 13. The method of claim 12,
The surgical device comprising a first member comprising a first end portion of the surgical device; And
Wherein the proximal end portion of the body member is removably attached to an opposing structure of the first member of the surgical device. The method according to claim 12 or 13,
Wherein the proximal end portion of the body member is further configured to include a first mechanism and the first mechanism is configured to removably engage a complementary mechanism provided within an opposing structure of the surgical device first member. 15. The method according to any one of claims 12 to 14,
Wherein the proximal end portion of the body member is further configured to include an enlarged portion for receiving therein an opposing structure of the first member including the first end portion of the surgical apparatus. 16. The method according to any one of claims 12 to 15,
The surgical device includes a second member having a lumen extending along a major axis;
The first member being disposed within the second member lumen; And
Wherein the first and second members are movable relative to each other. 17. The method of claim 16,
The second member being movable with respect to the first member along a major axis. 17. The method of claim 16,
Further comprising one or more implants / anchors removably disposed on the body member distal end portion; And movement of the surgical device second member along the long axis in one direction moves each of the one or more implants / anchors to a pre-deployment position. 19. The method according to any one of claims 1 to 18,
Further comprising a plurality of implants / anchors movably disposed on the body member distal end portion; And after the deployment of the first implant / anchor, movement of the surgical device second member along the long axis in one direction moves the second implant / anchor to the pre-deployment position. 20. The method according to any one of claims 12 to 19,
Wherein a distal end of the body member proximal end portion is configured for insertion into tissue. 21. The method according to any one of claims 12 to 20,
Wherein the surgical device is a suture cutter having a movable outer member and an inner member, the inner member being removably attached to the proximal end portion of the body member. 22. The method according to any one of claims 12 to 21,
Further comprising a plurality of modular implant / anchor deployment devices, wherein the distal end portion of each body member is additionally configured to have a given geometry shape selected to help navigate the targeted region of the distal end portion, Wherein the geometry of one body member distal end portion is different than the geometry of the other body member distal end portion. A method for deploying an implant / anchor during a tissue therapy procedure comprising:
Providing a surgical device configured to perform at least one modular implant / anchor deployment device, and a procedure not directly related to the deployment of the implant / anchor;
Each of said at least one modular implant / anchor deployment device comprising:
A body member having a proximal end portion and a distal end portion, the distal end portion configured to allow the implant / anchor to deploy therethrough; And
The proximal end portion being configured to be removably attached to a first end portion of the surgical device; Providing step;
Removably securing the proximal end portion of the body member to a first end portion of the surgical device;
Inserting the modular implant / anchor deployment device and at least a combined portion of the surgical device into a patient's body;
Positioning the proximal end portion of the body member at a desired position within the body; And
Expanding the implant / anchor from the body member distal end portion. 24. The method of claim 23,
Further comprising manipulating the surgical device such that the distal end portion passes through the meniscus after positioning the body member distal end portion. 25. The method according to claim 23 or 24,
Wherein the expanding step comprises expanding the implant / anchor after the manipulating step. 26. The method according to any one of claims 23 to 25,
After completing the step of deploying the implant / anchor, the method includes releasably connecting the proximal end portion of the body member from the first end portion of the surgical device, thereby causing the surgical device to move in a manner Gt; to < RTI ID = 0.0 > use, < / RTI > 27. The method according to any one of claims 23 to 26,
The surgical device comprising a first member comprising a first end portion of the surgical device; Wherein the proximal end portion of the body member is removably attached to an opposing structure of a first member of a surgical device including the first end portion, ≪ / RTI > removably securing a portion of the first member to the opposing structure of the first member. 28. The method according to any one of claims 23 to 27,
Wherein the provided surgical device is a suture cutter having a movable outer member and an inner member, the suture cutter inner member being removably attached to the proximal end portion of the body member. The Surgical Device Kit is:
A surgical device configured to perform an operation that is not directly related to the deployment of the implant / anchor; And
At least one modular implant / anchor deployment device,
Each of said at least one modular implant / anchor deployment device comprising:
A body member having a proximal end portion and a distal end portion, the distal end portion configured to allow the implant / anchor to deploy therethrough; And
Wherein the proximal end portion is configured to be removably attached to a first end portion of the surgical device. 30. The method of claim 29,
The proximal end portion of the body member comprises:
An enlarged portion for receiving a first end portion of the surgical apparatus therein, and
And a mechanism configured to removably engage a complementary mechanism of the first end portion of the surgical device. 32. The method according to claim 29 or 30,
Wherein the distal end portion of the body member is further configured to have a given geometry selected to assist in navigating the distal end portion to the targeted region. 32. The method according to any one of claims 29 to 31,
Further comprising a plurality of modular implant / anchor deployment devices, wherein the distal end portion of each body member is further configured to have a given geometric shape selected to assist navigation of the distal end portion to a targeted area, Wherein the geometry of the body member distal end portion of the body member distal end portion is different from the geometry of the other body member distal end portion. 33. The method according to any one of claims 29 to 32,
Wherein the surgical device is a suture cutter having a movable outer member and an inner member and wherein the end of the suture cutter inner member is removably attached to the proximal end portion of the body member.

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