DE1057729B - Surgical device for connecting two parts of the intestine - Google Patents
Surgical device for connecting two parts of the intestineInfo
- Publication number
- DE1057729B DE1057729B DEL21521A DEL0021521A DE1057729B DE 1057729 B DE1057729 B DE 1057729B DE L21521 A DEL21521 A DE L21521A DE L0021521 A DEL0021521 A DE L0021521A DE 1057729 B DE1057729 B DE 1057729B
- Authority
- DE
- Germany
- Prior art keywords
- intestinal
- cap
- pin
- parts
- knot
- 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.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
Description
DEUTSCHESGERMAN
In der Chirurgie kommt es oft vor, daß zwei Darmteile miteinander verbunden werden müssen, nachdem ein dazwischenliegender Teil aus irgendeinem Grunde entfernt worden ist.In surgery it often happens that two parts of the intestine have to be connected to one another, after an intermediate part has been removed for any reason.
Die Bildung der Verbindung bietet keine besonderen Schwierigkeiten, wenn die zu vereinigendien. Enden der Darmteile leicht erreichbar sind. Wenn aber eines der Enden sich an einer Stelle befindet, die sich von dem Chirurgen schwierig erreichen läßt, muß man seine Zuflucht zu einem zusätzlichen chirurgischen Eingriff nehmen, der die Operation erheblich erschwert und durch den sich oft direkte oder indirekte Gefahr für das Leben des Patienten ergibt.The formation of the connection does not present any particular difficulties when the unification takes place. end up the intestinal parts are easily accessible. But if one of the ends is at a point that is from If the surgeon makes it difficult to achieve, one must resort to an additional surgical one Intervention that makes the operation much more difficult and often direct or indirect Results in danger to the life of the patient.
Es ist eine chirurgische Vorrichtung zum Verbinden zweier Darmteile bekannt, die aus zwei zu einem etwa zylindrischen Körper zu vereinigenden Teilen, besteht, die in den Enden zweier miteinander zu verbindender Darmteile angeordnet werden können, wobei der erste Teil mit einem herausragenden Stift versehen ist, der mit einem in dem zweiten Teil angeordneten Halteorgan zusammenwirkt. Bei dieser bekannten Bauart eines Darmknoters kann die Verbindung zwischen den beiden Teilen des Knoters lediglich durch Manipulation des aus dem Körper des Patienten herausragenden Stückes eines der Teile zustandegebracht und aufrechterhalten werden. Die Anwendung dieser Bauart ist also auf Rektum-Kolon-Anastomose beschränkt. Ferner besteht der Nachteil, daß bei einem sitzenden Patienten trotz der Benutzung von Windungen u. dgl. ein Druck in Axialrichtung auf den Knoter ausgeübt wird. Es ist aber erwünscht, daß der Patient nach einer Darmoperation so bald wie möglich eine sitzende Haltung einnimmt. Es kann somit infolge des auftretenden Axialdruckes der äußerst verletzliche Darmteil leicht reißen.There is a surgical device for connecting two intestinal parts known from two to one approximately cylindrical body to be united, consists in the ends of two to be connected to one another Intestinal parts can be arranged, the first part being provided with a protruding pin which cooperates with a holding member arranged in the second part. With this well-known The connection between the two parts of the knot can only be through the design of an intestinal knot Manipulation of the piece of one of the parts protruding from the patient's body brought about and be sustained. The use of this design is therefore limited to rectum-colon anastomosis. Furthermore, there is the disadvantage that in a sitting patient, despite the use of windings and the like, a pressure is exerted on the knotter in the axial direction. But it is desirable that the Sit down as soon as possible after bowel surgery. So it can as a result of the axial pressure that occurs, the extremely vulnerable part of the intestine can easily tear.
Zum Stand der Technik gehört ferner eine Vorrichtung der genannten Art, bei der ein Kupplungsstift in dem einen Teil der Vorrichtung angeordnet ist, der ins Innere des zweiten Teiles reicht und in seiner Länge so bemessen ist, daß er in seiner Arbeitslage im wesentlichen aus der Vorrichtung nicht vorsteht. Zur Verbindung der Teile kann eine Schnappverbindung verwendet werden, wobei elastische Mittel· zur Erzeugung eines definierten Preßdrucks Anwendung rinden können.The prior art also includes a device of the type mentioned, in which a coupling pin in the one part of the device is arranged, which extends into the interior of the second part and in his Length is dimensioned so that it does not protrude from the device in its working position substantially. A snap connection can be used to connect the parts, with elastic means for Generating a defined pressing pressure can apply.
Hier werden die zu verbindenden Darmteile jedoch in radialer Richtung miteinander verbunden, und es ist unmöglich, diesen Darmknoter in dem Fall zu benutzen, daß eines der Darmenden schwer zu erreichen ist.Here, however, the intestinal parts to be connected are connected to one another in the radial direction, and it is impossible to use this intestinal knotter in the event that one of the intestinal ends is difficult to reach is.
Aufgabe der Erfindung ist es, eine Vorrichtung zum Verbinden zweier Darmteile zu schaffen, die die
Nachteile der bekannten Darmknoter nicht aufweist. Dies geschieht nach der Erfindung bei einer Vorrich-Chirurgische
Vorrichtung
zum Verbinden zweier DarmteileThe object of the invention is to create a device for connecting two intestinal parts which does not have the disadvantages of the known intestinal knotters. According to the invention, this takes place in a device-surgical device
for connecting two parts of the intestine
Anmelder:Applicant:
Lameris Instrumenten N. V.,
Utrecht (Niederlande)Lameris Instruments NV,
Utrecht (Netherlands)
Vertreter: Dr.-Ing. K. Hoffmeister, Patentanwalt,
Hannover, Königstr. 23Representative: Dr.-Ing. K. Hoffmeister, patent attorney,
Hanover, Königstr. 23
Beanspruchte Priorität:
Niederlande vom 29. März 1954Claimed priority:
Netherlands of March 29, 1954
I. Boerema, Amsterdam (Niederlande),
ist als Erfinder genannt wordenI. Boerema, Amsterdam (Netherlands),
has been named as the inventor
tung der genannten Gattung, die aus zwei stauchend miteinander zu kuppelnden Teilen, zwischen welchen· die zu verbindenden Darmenden eingeklemmt werden können, und Kupplungsorganen besteht, die aus einem mit dem einen Teil verbundenen, in dessen Inneres ragenden Stift, der sich in der gekuppelten Lage gleichfalls durch das Innere des zweiten Teils erstreckt, und aus einem mit dem Stift zusammenarbeitenden Halteorgan, durch das der zweite Teil an den ersten Teil gepreßt werden kann, bestehen, dadurch, daß der an dem einen Teil der Vorrichtung befestigte Stift eine solche Länge hat, daß er in. entkuppelter Lage der Vorrichtung über einen in bezug auf die Länge des ersten Teiles großen Abstand an diesem Teil vorsteht und in der gekuppelten· Lage der Vorrichtung nicht an der Vorrichtung vorsteht, daß das Halteorgan hohl, innerhalb des zweiten Teiles der Vorrichtung beweglich und in bezug auf den Stift in einer bestimmten Stellung fixierbar ist und daß eine gleichfalls innerhalb des zweiten Teiles liegende, sich auf dem Halteorgan abstützende Feder vorgesehen ist, die diesen zweiten Teil in Richtung des ersten Teiles preßt.of the genus mentioned, which consists of two parts to be coupled with one another in compression, between which the intestinal ends to be connected can be clamped, and coupling organs consists of one with the one part connected, in its interior protruding pin, which is in the coupled position also extends through the interior of the second part, and of a retaining member cooperating with the pin, through which the second part is attached the first part can be pressed, in that the one part of the device attached pin has such a length that it in. Decoupled position of the device on a in relation on the length of the first part large distance protrudes on this part and in the coupled · position of the Device does not protrude on the device that the holding member is hollow, within the second part of the Device is movable and can be fixed with respect to the pin in a certain position and that one also provided lying within the second part, supported on the holding member spring is that presses this second part in the direction of the first part.
Nach einer Ausfü'hrungsform der Erfindung ist mit dem Stift ein biegsames Führungsorgan kuppelbar, das durch eine Öffnung in dem beim Halteorgan befindlichen Ende des zweiten Teiles eingeführt werde» kann und über welches ein als eine Hülse ausgebildetes Betätigungsorgan, das gleichfalls durch die Öffnung geführt werden kann, derart beweglich ist, daßAccording to one embodiment of the invention, a flexible guide member can be coupled to the pin, which is inserted through an opening in the end of the second part located at the holding member » can and via which an actuator designed as a sleeve, which also through the opening can be performed, is so movable that
90Ϊ 527/1990Ϊ 527/19
Claims (1)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL1057729X | 1954-03-29 |
Publications (1)
Publication Number | Publication Date |
---|---|
DE1057729B true DE1057729B (en) | 1959-05-21 |
Family
ID=19868026
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DEL21521A Pending DE1057729B (en) | 1954-03-29 | 1955-03-24 | Surgical device for connecting two parts of the intestine |
Country Status (1)
Country | Link |
---|---|
DE (1) | DE1057729B (en) |
Cited By (182)
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DE1466871B1 (en) * | 1965-08-21 | 1972-09-07 | Niiex Chirurgitscheskoi Appara | Surgical device for joining hollow organs |
US3771526A (en) * | 1972-02-07 | 1973-11-13 | P Rudie | Anastomosis clamp |
US4154241A (en) * | 1977-07-29 | 1979-05-15 | Rudie Peter S | Anastomosis clamp |
US4198982A (en) * | 1978-03-31 | 1980-04-22 | Memorial Hospital For Cancer And Allied Diseases | Surgical stapling instrument and method |
WO1983000807A1 (en) * | 1981-09-03 | 1983-03-17 | United States Surgical Corp | Surgical stapler apparatus with curved shaft |
EP0095970A2 (en) * | 1982-05-28 | 1983-12-07 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US4567891A (en) * | 1981-12-31 | 1986-02-04 | Kanshin Nikolai N | Device for establishing compression anastomoses |
EP0173451A1 (en) * | 1984-08-09 | 1986-03-05 | Minnesota Mining And Manufacturing Company | Flexible surgical stapler and handle actuator assembly and firing head assembly suitable therefor |
US4606343A (en) * | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
US4607637A (en) * | 1983-07-22 | 1986-08-26 | Anders Berggren | Surgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements for performing anastomosis |
US4624257A (en) * | 1982-06-24 | 1986-11-25 | Anders Berggren | Surgical instrument for performing anastomosis |
US4667673A (en) * | 1984-03-12 | 1987-05-26 | American Cyanamid Company | Anastomotic device applicator and method |
US4754909A (en) * | 1984-08-09 | 1988-07-05 | Barker John M | Flexible stapler |
US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
US5158222A (en) * | 1987-05-26 | 1992-10-27 | United States Surgical Corp. | Surgical stapler apparatus |
US5285944A (en) * | 1987-05-26 | 1994-02-15 | United States Surgical Corporation | Surgical stapler apparatus |
US5344059A (en) * | 1992-05-19 | 1994-09-06 | United States Surgical Corporation | Surgical apparatus and anvil delivery system therefor |
US5368215A (en) * | 1992-09-08 | 1994-11-29 | United States Surgical Corporation | Surgical apparatus and detachable anvil rod therefor |
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US7901416B2 (en) | 2001-03-05 | 2011-03-08 | Tyco Healthcare Group, L.P. | Apparatus and method for performing a bypass procedure in a digestive system |
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