13-11-2014 дата публикации
Номер: US20140336673A1
Принадлежит:
The invention in certain aspects relates to a surgical fastener for fastening tissue segments having tissue surfaces. The fastener includes a first fastener member having a base and a piercing element connected to the base for piercing the tissue segments to be fastened, a second fastener member having an opening for receiving and retaining the piercing element of the first fastener member such that the tissue segments to be fastened are retained between the first and second fastening members, and means for promoting adhesion between the tissue surfaces. The invention also relates to related methods and devices for promoting adhesion of tissue segments and preventing fastener migration, especially in an endoscopic procedure for the treatment of GERD. 169-. (canceled)70. A method for fastening tissue , the method comprising:positioning a segment of tissue between first and second members of a tissue fastening device, wherein the second member is rotatably coupled to the first member, and the first member extends distally from a distal end of a tube;penetrating the segment of tissue with a penetrating member that projects from the first member; andapplying a tissue fastener to the segment of tissue, wherein at least a portion of the tissue fastener is supported from the first member during application of the tissue fastener.71. The method of claim 70 , wherein positioning the segment of tissue includes rotating the second member about the distal end of first member to hold the segment of tissue.72. The method of claim 70 , wherein penetrating the segment of tissue includes penetrating with the penetrating member extending at one of an obtuse angle and an acute angle from an exterior surface of the first member.73. The method of claim 72 , wherein penetrating the segment of tissue includes positioning the penetrating member in a gap between the first and second members.74. The method of claim 70 , wherein applying the tissue fastener includes penetrating the segment of ...
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