# US 2009/0275902 A1 · Fluid delivery system for surgical instruments > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2009/0275902 A1 - Document ID: US20090275902A1 - Status: Published application - Kind: A1 - Application number: 12/427,792 - Filed: 2009-04-22 - Published: 2009-11-05 - Earliest claimed: 2008-05-02 - Assignees: Tyco Healthcare Group LP - Inventors: Andrew Heeps; John Wojculewicz - Web page: https://patentgrep.com/patent/US20090275902A1 ## CPC - A61B 17/122: Clamps or clips, e.g. for the umbilical cord {(for the vas deferens A61F6/206)} - A61B 17/00491: {Surgical glue applicators} - A61B 17/064: Surgical staples, {i.e. penetrating the tissue} - A61B 17/0643: {with separate closing member, e.g. for interlocking with staple} - A61B 17/1285: {for minimally invasive surgery} - A61B 2017/00893: {pharmaceutically effective} - Y10T 24/44744: with position locking-means for engaging faces - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - Y10T: TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION ## Abstract There is provided a penetratable toothed fastener for clamping tissue during surgery. The toothed fastener includes first and second legs each having longitudinal rows of transverse teeth and a securing member configured to pass through the transverse teeth to hold first and second legs closed relative to each other and about tissue. A locking mechanism is provided to retain the securing member within the first and second legs of the toothed fastener. The toothed fastener additionally includes receptacles for the receipt of medicant materials and holes in the teeth to dispense the materials to clamped tissue. ## Claims ### Claim 1 A toothed fastener comprising: an upper leg and a lower leg, each of the upper and lower legs having a row of teeth, each tooth having a proximal face and a distal face; a longitudinally extending securing member; and a hole of predetermine diameter formed in each of the proximal and distal faces and of sufficient size to allow passage of the securing member therethrough, wherein the upper or lower legs are movable from an open position to a closed position wherein all of the holes are in longitudinal alignment enabling the securing member to pass through the holes in the teeth of the upper and lower legs to maintain the fastener in the closed position. ### Claim 2 (depends on 1) The toothed fastener as recited in claim 1, wherein each tooth has a pair of spaced apart holes formed in each of the distal and proximal faces. ### Claim 3 (depends on 2) The toothed fastener as recited in claim 2, wherein the securing member is a staple bar having first and second legs for passage through the pair of spaced apart holes. ### Claim 4 (depends on 3) The toothed fastener as recited in claim 3, wherein the securing member includes a backspan and the first and second legs extend distally from the backspan. ### Claim 5 (depends on 1) The toothed fastener as recited in claim 1, wherein the hole formed in the distal face of a distal most tooth is sized to engage the securing member in friction fit fashion. ### Claim 6 (depends on 1) The toothed fastener as recited in claim 1, wherein each of the teeth are hollow for receipt of material such that passage of the securing member through the holes of the teeth releases the material into the space between the upper and lower legs. ### Claim 7 (depends on 6) The toothed fastener as recited in claim 6, wherein the material is contained within a puncturable capsule. ### Claim 8 (depends on 6) The toothed fastener as recited in claim 6, wherein each of the upper and lower legs has a base, each base having an opening to the interior of the tooth for passage of material into the tooth. ### Claim 9 (depends on 8) The toothed fastener as recited in claim 8, further comprising a membrane covering the openings in each leg to retain the material within the teeth. ### Claim 10 (depends on 1) The toothed fastener as recited in claim 1, further comprising a connector affixed to a proximal end of each of the upper and lower legs. ### Claim 11 (depends on 10) The toothed fastener as recited in claim 10, wherein the connector includes at least one hole for passage of the longitudinally extending securing member. ### Claim 12 (depends on 10) The toothed fastener as recited in claim 10, wherein the connector is a living hinge is formed integrally with the proximal ends of the upper and lower legs. ### Claim 13 A system for applying a fastener to tissue: an applicator having a first and a second jaw; a toothed fastener positionable within the first and second jaws, the toothed fastener including a) an upper leg and a lower leg, each of the upper and lower legs having a row of teeth, each tooth having a proximal face and a distal face; b) a longitudinally extending securing member; and c) a hole of predetermine diameter formed in each of the proximal and distal faces and of sufficient size to allow passage of the securing member therethrough, wherein the upper and lower legs are movable from an open position to a closed position wherein all of the holes are in longitudinal alignment enabling the securing member to pass through the holes in the teeth of the upper and lower legs, wherein the first and second jaws are operable to move the upper and lower legs between the open and closed positions. ### Claim 14 (depends on 13) The system as recited in claim 13, wherein each tooth has a pair of spaced apart holes formed in the proximal and distal faces and the securing member is a staple bar having a backspan and first and second legs extending distally from the backspan such that the first and second legs pass through the pairs of spaced apart holes to secure the upper and lower legs in the closed position. ### Claim 15 (depends on 14) The system as recited in claim 14, wherein the applicator has a pusher engageable with the backspan of the staple bar to drive the staple bar distally relative to the toothed fastener. ### Claim 16 A toothed fastener comprising: an upper leg and a lower leg, each of the upper and lower legs having a row of transverse longitudinally extending teeth, each tooth having a proximal face and a distal face; a longitudinally extending securing member; and a hole of predetermine diameter formed in each of the proximal and distal faces, wherein the upper or lower legs are movable from an open position spaced apart to a closed position wherein all of the holes are in longitudinal alignment enabling the securing member to pass through the holes to maintain the fastener in the closed position. ### Claim 17 (depends on 16) The toothed fastener as recited in claim 16, wherein each of the teeth are hollow for receipt of material such that the material is released into spaces defined between the upper and lower legs. ### Claim 18 (depends on 6) The toothed fastener as recited in claim 6, wherein the material is contained within a puncturable capsule. ### Claim 19 (depends on 17) The toothed fastener as recited in claim 17, wherein each of the upper and lower legs has a base, each base having an opening to the interior of the tooth for passage of material into the tooth. ### Claim 20 (depends on 19) The toothed fastener as recited in claim 19, further comprising a membrane covering the openings in each leg to retain the material within the teeth.