CA2617275A1 - Mechanical anastomosis system for hollow structures - Google Patents

Mechanical anastomosis system for hollow structures Download PDF

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Publication number
CA2617275A1
CA2617275A1 CA002617275A CA2617275A CA2617275A1 CA 2617275 A1 CA2617275 A1 CA 2617275A1 CA 002617275 A CA002617275 A CA 002617275A CA 2617275 A CA2617275 A CA 2617275A CA 2617275 A1 CA2617275 A1 CA 2617275A1
Authority
CA
Canada
Prior art keywords
arms
applicator
elements
joining
shank
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002617275A
Other languages
French (fr)
Other versions
CA2617275C (en
Inventor
Wilhelmus Joseph Leonardus Suyker
Paulus Thomas Wilhelmus Suyker
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Innovative Interventional Technologies BV
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2617275A1 publication Critical patent/CA2617275A1/en
Application granted granted Critical
Publication of CA2617275C publication Critical patent/CA2617275C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135End-to-side connections, e.g. T- or Y-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S227/00Elongated-member-driving apparatus
    • Y10S227/901Surgical clip appliers
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S227/00Elongated-member-driving apparatus
    • Y10S227/902Surgical clips or staples

Abstract

A system for making anastomoses between hollow structures by mechanical means is provided with a device in the shape of an annular or tubular element comprising circumferentially provided means, such as pin-shaped elements, for joining the abutting walls of the hollow structures together. An applicator is intended for moving said annular or tubular element in position and activating the joining means thereof, so as to make the anastomosis. Possibly, intraluminal joining means can be inserted without using an annular or tubular element.

Claims (26)

1. An applicator for use with a device for intraluminally making anastomoses between abutting walls of hollow structures, said device including joining elements to hold the abutting walls of the hollow structures together, said applicator comprising:

a shank-like element;
a head located at a distal end of the shank-like element for supporting the device to be positioned thereon and for activating the joining elements, said head being radially expandable, and having an axially-contractible element adapted to move said joining elements of the device from a starting position to a joining position in order to hold the abutting walls of the hollow structures together;
a control element for controlling the radial expansion of the head of the applicator, and for controlling the axially-contractible element of the head;
wherein the joining elements comprise a plurality of pin-shaped elements which are provided in associated pairs on a hollow element, and each associated pair of said pin-shaped elements has two free ends which are spaced apart when said applicator is in a starting position; and wherein the axially-contractible element of said applicator is adapted to move at least the free ends of each associated pair of pin-shaped elements towards each other to a joining position.
2. A system for connecting a first hollow structure to a second hollow structure, comprising:
a connector including an element selected from the group consisting of annular element and a tubular element that is expandable from a first diameter to a second, larger diameter, and at least two deformable outer elements extending from the element; and an applicator having a proximal end; a distal end; a longitudinal axis; a movable element movable between at least a first position and a second position, the movable element configured to expand the connector from the first diameter to the second diameter when the connector is associated with the applicator when the movable element is moved from the first position to the second position; and a sleeve at least partially disposed about the movable element of the applicator, said sleeve being movable between a first position and a second position whereby the sleeve causes at least a portion of deformable elements of the connector to deform outwardly away from the longitudinal axis, and wherein said at least two deformable outer elements extend in a proximal direction when said connector is associated with said applicator.
3. The system of claim 2, wherein the connector further comprises at least two deformable inner elements extending from the element in a distal direction when said connector is associated with said applicator, and wherein at least a portion of the inner elements is deformable outwardly away from the longitudinal axis when said connector is associated with said applicator.
4. The system of claim 3, wherein the outer elements and inner elements are configured to clamp the first and second hollow tissue structures between the inner elements and the outer elements when the sleeve moves to the second position.
5. The system of claim 4, wherein the movable element comprises a plurality of arms that move from a first position to a second position to thereby expand the connector.
6. The system of claim 5, wherein each of the arms comprises a deflection surface at a distal portion thereof.
7. The system of claim 6, wherein each deflection surface is positioned such that when said movable element is in the second position, at least some of the inner and outer elements abut against said deflection surfaces during at least a part of said movement of said sleeve.
8. The system of claim 6, wherein each of said arms comprises a notch in a distal portion thereof, and the system further comprises an elastic band located in said notches.
9. The system of claim 6, wherein said arms are connected at a proximal portion by an annular part.
10. The system of claim 9, wherein said arms comprise a material with elastic properties.
11. An applicator for use in a system including joining elements for making an anastomosis between hollow structures, said applicator comprising:

a head provided with a plurality of arms, each said arm having a proximal end and a distal end, and wherein each said arm is movable from a first position at which the distal ends of the arms are separated by a first distance which is less than a distance of separation between the proximal ends of said arms when said arms are in the first position, to a second position, at which the distal ends of said arms are separated by a second distance, the second distance being greater than the first distance;
and a shank like element associated with said head such that relative movement of said shank-like element and said head causes arms to move from said first position toward second position, and wherein the distal ends of the arms are adapted to hold and position said joining elements for making an anastomosis between the hollow structures.
12. The applicator according to claim 11, wherein a proximal portion of each said arm is attached to an attachment member.
13. The applicator according to claim 12, wherein at locations of attachment of said arms to said attachment member, said arms are arranged around a portion of said shank-like element such that relative movement of said head and said shank-like element expand the arms radially outwardly, relative to an axis of said shank-like element.
14. The applicator according to claim 13, wherein said arms expand from said first position to said second position by deformation.
15. The applicator according to claim 11, wherein the shank-like element comprises a part located proximate to a distal end of said shank-like element for causing movement of the arms from the first position toward the second position.
16. The applicator according to claim 15, wherein the part proximate to the distal end of the shank-like element comprises a surface portion in engagement with each said arm such that relative movement between the shank-like element and the head results in movement of the arms from the first position toward the second position.
17. The applicator according to claim 16, wherein the arms move from the first position to the second position by deformation.
18. The applicator according to claim 11, wherein said applicator further comprises a detainer for controlling movement of said joining elements.
19. The applicator according to claim 18, wherein the detainer comprises a plurality of surface portions positioned to engage surface portions of said joining elements to thereby limit the movement of said joining elements relative to the detainer.
20. The applicator according to claim 18, wherein said detainer is axially moveable relative to said arms.
21. The applicator according to claim 20, wherein said detainer is associated with said arms such that axial movement of said detainer results in positioning of said joining elements for making anastomosis by engagement between a surface of each said joining element and a surface of each said arm.
22. The applicator according to claim 21, wherein said surface portions of said arms which engage said joining elements are arranged such that said joining elements deform towards a joining position as said detainer is moved axially relative to said terms.
23. The applicator according to claim 21, wherein said surface portions of said detainer are arranged such that said joining elements can become disengaged from said detainer when said joining elements are in the joining position.
24. The applicator according to claim 18, further comprising a plurality of surface portions positioned to limit the extent of movement of said arms.
25. The applicator according to claim 24, wherein said surface portions positioned to limit the extent of movement of said arms form part of said detainer.
26. The applicator according to claim 24, wherein said surface portions positioned to limit the extent of movement of said arms form part of said head.
CA002617275A 1997-10-24 1998-10-22 Mechanical anastomosis system for hollow structures Expired - Fee Related CA2617275C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
NL1007349A NL1007349C2 (en) 1997-10-24 1997-10-24 System for the mechanical production of anastomoses between hollow structures; as well as device and applicator for use therewith.
NL1007349 1997-10-24
CA002347767A CA2347767C (en) 1997-10-24 1998-10-22 Mechanical anastomosis system for hollow structures

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CA002347767A Division CA2347767C (en) 1997-10-24 1998-10-22 Mechanical anastomosis system for hollow structures

Publications (2)

Publication Number Publication Date
CA2617275A1 true CA2617275A1 (en) 1999-05-06
CA2617275C CA2617275C (en) 2010-01-05

Family

ID=19765890

Family Applications (2)

Application Number Title Priority Date Filing Date
CA002617275A Expired - Fee Related CA2617275C (en) 1997-10-24 1998-10-22 Mechanical anastomosis system for hollow structures
CA002347767A Expired - Fee Related CA2347767C (en) 1997-10-24 1998-10-22 Mechanical anastomosis system for hollow structures

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA002347767A Expired - Fee Related CA2347767C (en) 1997-10-24 1998-10-22 Mechanical anastomosis system for hollow structures

Country Status (10)

Country Link
US (5) US6485496B1 (en)
EP (2) EP1024754B1 (en)
JP (2) JP2001520908A (en)
AT (2) ATE433713T1 (en)
AU (1) AU742208B2 (en)
CA (2) CA2617275C (en)
DE (2) DE69837554T2 (en)
DK (1) DK1808135T3 (en)
NL (1) NL1007349C2 (en)
WO (1) WO1999021491A1 (en)

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ATE359030T1 (en) 2007-05-15
EP1024754A1 (en) 2000-08-09
US20100106172A1 (en) 2010-04-29
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US20030195534A1 (en) 2003-10-16
US7666198B2 (en) 2010-02-23
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ATE433713T1 (en) 2009-07-15
CA2617275C (en) 2010-01-05
EP1808135B1 (en) 2009-06-17
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US20030055441A1 (en) 2003-03-20
US8182498B2 (en) 2012-05-22
CA2347767A1 (en) 1999-05-06
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US7022127B2 (en) 2006-04-04
US6485496B1 (en) 2002-11-26
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WO1999021491A1 (en) 1999-05-06
DE69837554T2 (en) 2007-12-27
US20040215221A1 (en) 2004-10-28
DE69837554D1 (en) 2007-05-24
NL1007349C2 (en) 1999-04-27
EP1808135A1 (en) 2007-07-18

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