# US 9,005,241 B2 · Means and method for reversibly connecting a patch to a patch deployment device

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- Number: US 9,005,241 B2
- Document ID: US9005241B2
- Status: Granted
- Kind: B2
- Application number: 14/269,302
- Filed: 2014-05-05
- Published: 2014-08-28
- Granted: 2015-04-14
- Earliest claimed: 2008-02-18
- Assignees: Covidien LP
- Applicants: Covidien LP
- Inventors: Ofek Levin; Arie Levy
- Web page: https://patentgrep.com/patent/US9005241B2

## CPC

- A61F 2/0063: {Implantable repair or support meshes, e.g. hernia meshes}
- A61B 17/00: Surgical instruments, devices or methods (A61B18/00 takes precedence; dental tools A61C3/00; eye surgery A61F9/007; ear surgery A61F11/20)
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/064: Surgical staples, {i.e. penetrating the tissue}
- A61B 17/0643: {with separate closing member, e.g. for interlocking with staple}
- A61B 17/068: 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 2017/00292: {mounted on or guided by flexible, e.g. catheter-like, means}
- A61F 2002/0072: {Delivery tools therefor}
- 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)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

The present invention generally relates to devices and methods for reversibly coupling an implant to a deployment device.

## Claims

### Claim 1

A method for closing an aperture in biological tissue comprising:
providing an instrument having an elongate shaft, a deployment scaffold connected to the elongate shaft, and attachment members, the attachment members having end portions configured to pierce a surgical implant when the attachment members are in a retaining configuration, wherein the deployment scaffold is configured to releasably retain the surgical implant;
contacting the surgical implant to the deployment scaffold of the instrument such that the surgical implant may be pierced by the end portions of the attachment members;
coupling the deployment scaffold and the surgical implant to a stapling device;
engaging the stapling device to cause the end portions of the attachment members to pierce the surgical implant and to transition the attachment members from the releasing configuration to a retaining configuration; and
separating the instrument from the stapling device;
inserting the instrument into a surgical site of a patient;
deploying the surgical implant;
releasing the surgical implant from the instrument by rotating the attachment members relative to the deployment scaffold from the retaining configuration to the releasing configuration, the end portions of the attachment members are positioned closer to a top surface of the deployment scaffold when the attachment members are in the retaining configuration; and
attaching the surgical implant to biological tissue, thereby covering the aperture in biological tissue.

### Claim 2 (depends on 1)

The method according to claim 1, wherein prior to inserting the instrument, the method further comprises attaching the surgical implant to the instrument.

### Claim 3 (depends on 1)

The method according to claim 1, wherein coupling the deployment scaffold and the surgical implant includes the deployment scaffold in a partially closed configuration when it is coupled to the stapling device, thereby allowing for stretching of the surgical implant when the deployment scaffold is in an open configuration.

### Claim 4 (depends on 1)

The method according to claim 1, wherein coupling the deployment scaffold and the surgical implant includes the stapling device temporarily holding the attachment members in the releasing configuration in order to facilitate piercing of the surgical implant by the end portions of the attachment members.

### Claim 5 (depends on 1)

The method according to claim 1, further comprising adjusting a position and an orientation of the surgical implant relative to the aperture in biological tissue.

### Claim 6 (depends on 5)

The method according to claim 5, wherein adjusting the position and the orientation of the surgical implant is performed prior to releasing the surgical implant.

### Claim 7 (depends on 1)

The method according to claim 1, wherein the aperture in biological tissue is an aperture in an abdominal wall.

### Claim 8 (depends on 1)

The method according to claim 1, wherein deploying the surgical implant is accomplished in a controlled and continuous manner.

### Claim 9 (depends on 1)

The method according to claim 1, further comprising:
assessing deployment of the surgical implant relative to the aperture in biological tissue;
retracting the surgical implant; and
re-deploying the surgical implant.

### Claim 10 (depends on 1)

The method according to claim 1, wherein releasing the surgical implant and attaching the surgical implant are performed sequentially.

### Claim 11 (depends on 1)

The method according to claim 1, wherein releasing the surgical implant and attaching the surgical implant are performed simultaneously.

### Claim 12 (depends on 1)

The method according to claim 1, wherein inserting the instrument includes the deployment scaffold configured to releasably retain the surgical implant on the top surface thereof.

### Claim 13 (depends on 1)

The method according to claim 1, wherein releasing the implant includes rotating the attachment members from the retaining configuration where the end portions of the attachment members are spaced from the top surface of the deployment scaffold by a first distance and the releasing configuration where the end portions of the attachment members are spaced from the top surface of the deployment scaffold by a second distance that is greater than the first distance.
