Surgical fastener applying device, kits and methods for endoscopic procedures

Abstract

A surgical device is provided and includes a handle housing, an endoscopic assembly, and a follower assembly. The endoscopic assembly extends distally from the handle housing and includes an inner tube defining a longitudinal axis. The inner tube includes a distal portion defining a pair of opposed tines. The endoscopic assembly is configured to support a plurality of anchors at least partially therein. The follower assembly is disposed at least partially within the inner tube at a location proximal of the plurality of anchors, and includes a head and a shaft. A portion of the head is disposed between the pair of opposed tines. Actuation of the endoscopic surgical device causes rotation of the inner tube about the longitudinal axis relative to the handle housing, and causes distal advancement of the follower assembly relative to the inner tube.

1 . (canceled) 
     
     
         2 . A surgical device, comprising:
 a housing;   an elongated portion extending distally from the housing, defining a longitudinal axis, including a pair of tines, and configured to support a plurality of anchors at least partially therein; and   a follower assembly disposed at least partially within the elongated portion, the follower assembly including a head and a plate, a portion of the head is disposed between the pair of tines, the plate including a plurality of longitudinally-spaced fingers,   wherein actuation of the surgical device causes distal advancement of the follower assembly relative to the elongated portion.   
     
     
         3 . The surgical device according to  claim 2 , wherein follower assembly includes a shaft, and where the head of the follower assembly is disposed at a distal end of the shaft. 
     
     
         4 . The surgical device according to  claim 3 , wherein each finger of the plurality of fingers of the plate of the follower assembly is biased away from the shaft. 
     
     
         5 . The surgical device according to  claim 2 , wherein the follower assembly is movable from a first position where at least one finger of the plurality of fingers is positioned proximally of the pair of tines to a second position where the at least one finger of the plurality of fingers is positioned distally of the pair of tines. 
     
     
         6 . The surgical device according to  claim 2 , further comprising a coil disposed within the elongated portion. 
     
     
         7 . The surgical device according to  claim 6 , wherein the head of the follower assembly is disposed in operative engagement with the coil. 
     
     
         8 . The surgical device according to  claim 7 , wherein the follower assembly is longitudinally movable relative to the coil. 
     
     
         9 . The surgical device according to  claim 2 , further comprising a plurality of anchors disposed at least partially within the elongated portion. 
     
     
         10 . The surgical device according to  claim 9 , wherein each anchor of the plurality of anchors is disposed distally of the head of the follower assembly. 
     
     
         11 . A surgical device, comprising:
 an elongated portion defining a longitudinal axis, including a pair of tines, and configured to support a plurality of anchors at least partially therein; and   a follower assembly disposed at least partially within the elongated portion, the follower assembly including a shaft, a first ring disposed in mechanical cooperation with the shaft, and a second ring disposed in mechanical cooperation with the shaft, wherein the first ring and the second ring are longitudinally movable relative to the shaft, and wherein the second ring is longitudinally movable relative to the first ring,   wherein actuation of the surgical device causes distal advancement of at least a portion of the follower assembly relative to the elongated portion.   
     
     
         12 . The surgical device according to  claim 11 , wherein the first ring includes a pair of fingers, each finger of the pair of fingers of the first ring extends between the pair of tines of the elongated portion. 
     
     
         13 . The surgical device according to  claim 12 , wherein the second ring includes a pair of fingers, each finger of the pair of fingers of the second ring extends between the pair of tines of the elongated portion. 
     
     
         14 . The surgical device according to  claim 11 , wherein the shaft of the follower assembly includes a head, and wherein a portion of the head is disposed between the pair of tines. 
     
     
         15 . The surgical device according to  claim 14 , further comprising a plurality of anchors disposed at least partially within the elongated portion, wherein each anchor of the plurality of anchors is disposed distally of the head of the follower assembly. 
     
     
         16 . The surgical device according to  claim 11 , wherein a proximal portion of the shaft of the follower assembly includes a first profile, wherein a distal portion of the shaft of the follower assembly includes a second profile, and wherein the first profile is different from the second profile. 
     
     
         17 . The surgical device according to  claim 16 , wherein the first ring is positionable on the distal portion of the shaft and is physically prevented from being positioned on the proximal portion of the shaft. 
     
     
         18 . The surgical device according to  claim 16 , wherein after a predetermined amount of longitudinal movement of the shaft of the follower assembly relative to the elongated portion, the proximal portion of the shaft forces the first ring distally relative to the elongated portion. 
     
     
         19 . The surgical device according to  claim 16 , wherein the second ring is positionable on the distal portion of the shaft and on the proximal portion of the shaft. 
     
     
         20 . The surgical device according to  claim 11 , wherein the first ring defines a first aperture, wherein the second ring defines a second aperture, and wherein the first aperture has a different profile than the second aperture. 
     
     
         21 . The surgical device according to  claim 11 , further comprising an inner tube disposed at least partially within the elongated portion.