Medical securing device for securing an object with a securing member

Abstract

A medical securing device for securing an object with a securing member into a tissue comprises an elongated sheath comprising proximal and distal ends, and a securing member introduction device having proximal and distal ends, said distal end being configured to extend from the sheath. The medical securing device comprises also a guiding trail. At least one point of the securing member introduction device is configured to travel along said first guiding trail and thereby control a defined movement of the distal end of said securing member introduction device when extending from the sheath and so to introduce the securing member to the object and to secure said object to the tissue with the securing member.

1 . A medical securing device for securing an object with a securing member into a tissue comprising:
 an elongated sheath comprising proximal and distal ends,   a securing member introduction device having proximal and distal ends, and the distal end of the securing member introduction device being configured to extend from the sheath,   a retrieval device having proximal and distal ends, and the distal end of the retrieval device being configured to extend from the sheath,   an actuating member for projecting the retrieval device from the sheath,   a first guiding rail and a second guiding rail, said second guiding rail being arranged to the actuating member,   a portion of the securing member introduction device is configured to travel along the first guiding rail and thereby control a defined movement of the distal end of the securing member introduction device so that the distal end of the securing member introduction device is configured to exhibit a non-linear movement when extending from the sheath, wherein the distal end of the securing member introduction device comprises a tip portion which comprises a pre-curved needle, and so to introduce a portion of the securing member to the object and to secure the object to the tissue with the securing member, and   a portion of the retrieval device is configured to travel along the second guiding rail and thereby control a defined movement of the distal end of the retrieval device so that the distal end of the retrieval device is configured to exhibit a non-linear movement when extending from the sheath and so to capture the portion of the securing member introduced by the securing member introduction device, and to secure the portion of the securing member to the object or to the tissue.   
     
     
         2 . The medical securing device of  claim 1 , wherein the first guiding rail is a non-linear guiding rail and the second guiding rail is a linear guiding rail. 
     
     
         3 . The medical securing device of  claim 1 , wherein the actuating member is configured for projecting also the securing member introduction device from the sheath. 
     
     
         4 . The medical securing device of  claim 1 , wherein the actuating member is configured to provide a back-and-forth movement of the retrieval device, when operated. 
     
     
         5 . The medical securing device of  claim 1 , wherein the retrieval device comprises a facing element at the distal end thereof for facing the distal end of the securing member introduction device and to introduce the portion of the securing member to the distal end of the retrieval device, and thereby allowing the retrieval device to capture the portion of the securing member and to secure the portion of the securing member to the object or to the tissue. 
     
     
         6 . The medical securing device of  claim 1 , wherein the retrieval device is configured to be extended from the sheath before the securing member introduction device, and wherein a facing element of the retrieval device is a hole or slit, through which the distal end of the securing member introduction device is configured to move and introduce the portion of the securing member to the hole or slit, and thereby allowing the retrieval device to capture the portion of the securing member and to secure the portion of the securing member to the object or to the tissue after the securing member introduction device is moved away from the facing element. 
     
     
         7 . The medical securing device of  claim 1 , wherein the securing member introduction device is configured to be extended from the sheath before the retrieval device. 
     
     
         8 . The medical securing device of  claim 1 , wherein the distal end of the retrieval device comprises a facing element and the distal end of the securing member introduction device comprises a counterpart portion, to which said portion of said securing member is attached, whereupon said counterpart portion with the portion of said securing member is configured to be captured by the facing element of said distal end of the retrieval device, thereby allowing said retrieval device to secure the portion of the securing member to the object or to the tissue. 
     
     
         9 . The medical securing device of  claim 8 , wherein the counterpart portion comprises a snap locking member or a magnet. 
     
     
         10 . The medical securing device of  claim 1 , wherein the distal end of the retrieval device comprises a facing element with a suction or under pressure providing element or comprises a hook-shaped portion so to engage and capture at least a portion of said securing member, by the facing element using said suction or under pressure or the hook-shaped portion, and thereby allowing said facing element of said distal end of the retrieval device to capture the portion of said securing member. 
     
     
         11 . The medical securing device of  claim 1 , wherein the securing member is a suture. 
     
     
         12 . The medical securing device of  claim 3 , wherein the actuating member is configured to provide a back-and-forth movement of the securing member introduction device, when operated. 
     
     
         13 . The medical securing device of  claim 1 , wherein the actuating member comprises a spring, pre-stringed spring, pressure accumulator, or hydraulic or pneumatic arrangement, or wherein the actuating member comprises a push rod for providing at least one movement of the back-and-forth movement of the retrieval device. 
     
     
         14 . The medical securing device of  claim 3 , wherein the actuating member comprises a spring, pre-stringed spring, pressure accumulator, or hydraulic or pneumatic arrangement, or wherein the actuating member comprises a push rod for providing at least one movement of the back-and-forth movement of the securing member introduction device. 
     
     
         15 . The medical securing device of  claim 1 , wherein the elongated sheath comprises a conduit between the proximal and distal ends thereof for receiving at least one guiding wire, the distal end of the guiding wire being fixed to the object and thereby for guiding a support portion of the distal end of the elongated sheath along said guiding wire and to support the support portion to the object. 
     
     
         16 . The medical securing device of  claim 15 , wherein the distal end of the elongated sheath comprises a cutting member for cutting the guiding wire in the vicinity of the object or the tissue. 
     
     
         17 . The medical securing device of  claim 1 , wherein the elongated sheath comprises a conduit between the proximal and distal ends thereof for introducing under pressure into the distal end or to a support portion of the elongated sheath in order to suck and thereby to support the elongated sheath or the support portion to the object or to the tissue via the force induced by the under pressure or for applying counterforce for the introduction movement of the securing member. 
     
     
         18 . The medical securing device of  claim 1 , wherein the distal end of the securing member introduction device is configured to travel outside of the first guiding rail. 
     
     
         19 . A medical securing device for securing an object with a securing member into a tissue comprising:
 an elongated sheath comprising proximal and distal ends,   a securing member introduction device having proximal and distal ends, and the distal end of the securing member introduction device being configured to extend from the sheath,   a retrieval device having proximal and distal ends, and the distal end of the retrieval device being configured to extend from the sheath,   an actuating member for projecting the securing member introduction device from the sheath,   a first guiding rail and a second guiding rail, said first guiding rail being arranged to the actuating member,   a portion of the securing member introduction device is configured to travel along the first guiding rail and thereby control a defined movement of the distal end of the securing member introduction device so that the distal end of the securing member introduction device is configured to exhibit a non-linear movement when extending from the sheath, wherein the distal end of the securing member introduction device comprises a tip portion which comprises a pre-curved needle, wherein the distal end of the securing member introduction device is configured to travel outside of the first guiding rail, and so to introduce a portion of the securing member to the object and to secure the object to the tissue with the securing member, and   a portion of the retrieval device is configured to travel along the second guiding rail and thereby control a defined movement of the distal end of the retrieval device so that the distal end of the retrieval device is configured to exhibit a non-linear movement when extending from the sheath and so to capture the portion of the securing member introduced by the securing member introduction device, and to secure the portion of the securing member to the object or to the tissue.