# US 10,368,860 B2 · Absorbable surgical fasteners for securing prosthetic devices to tissue > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,860 B2 - Document ID: US10368860B2 - Status: Granted - Kind: B2 - Application number: 14/549,984 - Filed: 2014-11-21 - Published: 2016-05-26 - Granted: 2019-08-06 - Earliest claimed: 2014-11-21 - Assignees: Ethicon, Inc. - Applicants: Ethicon, Inc. - Inventors: Robert Nering; Glenn Cook; James A. Flint - Web page: https://patentgrep.com/patent/US10368860B2 ## CPC - A61B 17/064: Surgical staples, {i.e. penetrating the tissue} - A61B 17/068: Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) - A61B 17/10: for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines - A61B 2017/00004: {(bio)absorbable, (bio)resorbable or resorptive} - A61B 2017/0641: {having at least three legs as part of one single body} - A61F 2/0063: {Implantable repair or support meshes, e.g. hernia meshes} - A61F 2220/0016: with sharp anchoring protrusions, e.g. barbs, pins, spikes - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract A surgical fastener for anchoring medical devices to tissue includes first and second legs lying in a first plane, and third and fourth legs lying in a second plane that is orthogonal with the first plane. A bridge interconnects proximal ends of the four legs for forming a closed end of the surgical fastener. Each leg has a proximal end, a distal end, and an insertion tip with a distal point located at the distal end of the leg. Each leg has an insertion tool alignment guide that extends between the proximal and distal ends of the leg and along a longitudinal axis that is aligned with the distal point of the insertion tip. ## Claims ### Claim 1 A surgical fastener for anchoring medical devices to tissue comprising: first and second legs lying in a first plane; third and fourth legs lying in a second plane that is orthogonal with the first plane; a bridge interconnecting proximal ends of said legs for forming a closed end of said surgical fastener; each said leg having the proximal end, a distal end, and an insertion tip with a distal point located at the distal end of said leg, wherein said bridge has an outer perimeter, and wherein said insertion tips at the distal ends of said legs extend outside the outer perimeter of said bridge; each said leg having an insertion tool alignment guide formed in an outer surface of said leg that extends from the proximal end to the distal end of said leg and along a longitudinal axis that is aligned with said distal point of said insertion tip, wherein said insertion tool alignment guide terminates at an insertion tool seating surface that is proximal to said distal point of said insertion tip. ### Claim 2 (depends on 1) The surgical fastener as claimed in claim 1, wherein each said leg comprises a tissue engaging barb projecting toward the proximal end of said leg and outwardly away from said leg. ### Claim 3 (depends on 2) The surgical fastener as claimed in claim 2, wherein said tissue engaging barb projects proximally from a proximal end of said insertion tip at the distal end of said leg. ### Claim 4 (depends on 1) The surgical fastener as claimed in claim 1, wherein each said insertion tip has a proximal end with said insertion tool seating surface facing toward the proximal end of said leg, wherein said insertion tool seating surface is aligned with said insertion tool alignment guide and said distal point of said insertion tip. ### Claim 5 (depends on 4) The surgical fastener as claimed in claim 4, wherein said insertion tool seating surface defines a distal-most end of said insertion tool alignment guide. ### Claim 6 (depends on 1) The surgical fastener as claimed in claim 1, wherein said insertion tip extends along an axis that is coaxial with the longitudinal axis of said insertion tool alignment guide. ### Claim 7 (depends on 6) The surgical fastener as claimed in claim 6, wherein the longitudinal axis of said insertion tool alignment guide intersects said distal point of said insertion tip. ### Claim 8 (depends on 1) The surgical fastener as claimed in claim 1, wherein said surgical fastener is absorbable. ### Claim 9 (depends on 1) The surgical fastener as claimed in claim 1, wherein said insertion tool alignment guides formed in the outer surfaces of said first and second legs face away from one another, and wherein said insertion tool alignment guides formed in the outer surfaces of said third and fourth legs face away from one another. ### Claim 10 (depends on 1) The surgical fastener as claimed in claim 1, wherein each said insertion tool alignment guide comprises a groove. ### Claim 11 (depends on 10) The surgical fastener as claimed in claim 10, wherein said grooves formed in the outer surfaces of said first and second legs face away from one another, and wherein said grooves formed in the outer surfaces of said third and fourth legs face away from one another. ### Claim 12 (depends on 1) The surgical fastener as claimed in claim 1, wherein said legs have a length of about 1-4mm. ### Claim 13 A surgical fastener for anchoring medical devices to tissue comprising: first and second legs lying in a first plane; third and fourth legs lying in a second plane that is orthogonal with the first plane; a bridge interconnecting proximal ends of said first, second, third and fourth legs for forming a closed end of said surgical fastener; each said leg having the proximal end, a distal end, an outer surface that extends between the proximal and distal ends, and an insertion tip with a distal point located at the distal end of each said leg, wherein said bridge has an outer perimeter, and wherein said insertion tips at the distal ends of said legs extend outside the outer perimeter of said bridge; each of said first, second, third and fourth legs having an insertion tool alignment guide formed in the outer surface of each said leg that extends from the proximal end to the distal end of each said leg and along a longitudinal axis that is aligned with said distal point of said insertion tip, wherein said insertion tool alignment guide terminates at an insertion tool seating surface that is proximal to said distal point of said insertion tip. ### Claim 14 (depends on 13) The surgical fastener as claimed in claim 13, wherein said insertion tool alignment guides formed in the outer surfaces of said first and second legs face away from one another, and wherein said insertion tool alignment guides formed in the outer surfaces of said third and fourth legs face away from one another. ### Claim 15 (depends on 14) The surgical fastener as claimed in claim 14, wherein said insertion tool alignment guides formed in the outer surfaces of said legs comprise grooves. ### Claim 16 (depends on 15) The surgical fastener as claimed in claim 15, wherein said grooves formed in the outer surfaces of said first and second legs face away from one another, and wherein said grooves formed in the outer surfaces of said third and fourth legs face away from one another. ### Claim 17 (depends on 13) The surgical fastener as claimed in claim 13, wherein each said leg comprises a tissue engaging barb projecting toward the proximal end of said leg and outwardly away from said leg, and wherein said tissue engaging barb projects proximally from a proximal end of said insertion tip at the distal end of said leg. ### Claim 18 (depends on 13) The surgical fastener as claimed in claim 13, wherein each said insertion tip has a proximal end with said insertion tool seating surface facing toward the proximal end of said leg, wherein said insertion tool seating surface is aligned with said insertion tool alignment guide and said distal point of said insertion tip. ### Claim 19 (depends on 18) The surgical fastener as claimed in claim 18, wherein said insertion tool seating surface defines a distal-most end of said insertion tool alignment guide. ### Claim 20 (depends on 13) The surgical fastener as claimed in claim 13, wherein said insertion tip extends along an axis that is coaxial with the longitudinal axis of said insertion tool alignment guide, and wherein the longitudinal axis of said insertion tool alignment guide intersects said distal point of said insertion tip. ### Claim 21 (depends on 13) The surgical fastener as claimed in claim 13, wherein said legs have a length of about 1-4mm.