CA2248346A1 - Method and anastomotic instrument for use when performing an end-to-side anastomosis - Google Patents

Method and anastomotic instrument for use when performing an end-to-side anastomosis

Info

Publication number
CA2248346A1
CA2248346A1 CA002248346A CA2248346A CA2248346A1 CA 2248346 A1 CA2248346 A1 CA 2248346A1 CA 002248346 A CA002248346 A CA 002248346A CA 2248346 A CA2248346 A CA 2248346A CA 2248346 A1 CA2248346 A1 CA 2248346A1
Authority
CA
Canada
Prior art keywords
passage
instrument
vessel
side anastomosis
anastomosis
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
CA002248346A
Other languages
French (fr)
Other versions
CA2248346C (en
Inventor
Jorgen A. Rygaard
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.)
Bernafon AG
Oticon AS
Original Assignee
Bernafon Ag
Jorgen A. Rygaard
Oticon A/S
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
Priority to JP53846697A priority Critical patent/JP3207440B2/en
Priority to KR1019980708700A priority patent/KR100298040B1/en
Priority to PCT/DK1996/000197 priority patent/WO1997040754A1/en
Priority to DK96914864T priority patent/DK0904019T3/en
Priority to AU56848/96A priority patent/AU705749B2/en
Priority to EP96914864A priority patent/EP0904019B1/en
Priority to US09/142,682 priority patent/US6066148A/en
Priority to CA002248346A priority patent/CA2248346C/en
Application filed by Bernafon Ag, Jorgen A. Rygaard, Oticon A/S filed Critical Bernafon Ag
Priority to AT96914864T priority patent/ATE217775T1/en
Priority to DE69621355T priority patent/DE69621355T2/en
Priority to ES96914864T priority patent/ES2179197T3/en
Publication of CA2248346A1 publication Critical patent/CA2248346A1/en
Priority to NO985052A priority patent/NO985052L/en
Application granted granted Critical
Publication of CA2248346C publication Critical patent/CA2248346C/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
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1152Staplers for performing anastomosis in a single operation applying the staples on the outside of the lumen
    • 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

Abstract

In a method of establishing an end-to-side anastomosis by using an instrument (501) with a passage (502D) for a bypass vessel, terminated by a circumferential anvil (502A, 503B), about which the end of the bypass vessel may be everted and then inserted through an anastomosis opening in a second vessel, such as a coronary artery, after which the tissue edges to be joined are first clamped together by clamping slides (505) and then stapled together by stapling plungers (506) so as to interconnect the two vessels, the main novel feature is that the stapling plungers (506) are arranged to move at an angle to the passage (502D) instead of parallel to it. With this arrangement, it is possible to use a greater number of staples than has been possible in previous related methods. Preferably also, the instrument is adapted to be divided lengthwise of the passage (502D).
CA002248346A 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis Expired - Fee Related CA2248346C (en)

Priority Applications (12)

Application Number Priority Date Filing Date Title
KR1019980708700A KR100298040B1 (en) 1996-04-30 1996-04-30 Methods and anastomosis apparatus for use when performing end-to-side anastomosis
DE69621355T DE69621355T2 (en) 1996-04-30 1996-04-30 ANASTOMOSIS INSTRUMENT FOR USE IN A TERMINOLATERAL ANASTOMOSIS
AU56848/96A AU705749B2 (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis
EP96914864A EP0904019B1 (en) 1996-04-30 1996-04-30 Anastomotic instrument for use when performing an end-to-side anastomosis
US09/142,682 US6066148A (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis
CA002248346A CA2248346C (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis
JP53846697A JP3207440B2 (en) 1996-04-30 1996-04-30 Anastomotic device for use when performing end-to-end anastomosis
PCT/DK1996/000197 WO1997040754A1 (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis
DK96914864T DK0904019T3 (en) 1996-04-30 1996-04-30 Anastomosis instrument for use in performing end-to-side anastomosis
ES96914864T ES2179197T3 (en) 1996-04-30 1996-04-30 INSTRUMENT TO PERFORM ANASTOMOSIS, USEFUL FOR THE EXECUTION OF A TERMINAL-LATERAL ANASTOMOSIS.
AT96914864T ATE217775T1 (en) 1996-04-30 1996-04-30 ANASTOMOTIC INSTRUMENT FOR USE IN A TERMINOLATERAL ANASTOMOSIS
NO985052A NO985052L (en) 1996-04-30 1998-10-29 Method and anastomotic instrument for use in the practice of end-to-end

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CA002248346A CA2248346C (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis
PCT/DK1996/000197 WO1997040754A1 (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis

Publications (2)

Publication Number Publication Date
CA2248346A1 true CA2248346A1 (en) 1997-11-06
CA2248346C CA2248346C (en) 2002-07-09

Family

ID=25680514

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002248346A Expired - Fee Related CA2248346C (en) 1996-04-30 1996-04-30 Method and anastomotic instrument for use when performing an end-to-side anastomosis

Country Status (12)

Country Link
US (1) US6066148A (en)
EP (1) EP0904019B1 (en)
JP (1) JP3207440B2 (en)
KR (1) KR100298040B1 (en)
AT (1) ATE217775T1 (en)
AU (1) AU705749B2 (en)
CA (1) CA2248346C (en)
DE (1) DE69621355T2 (en)
DK (1) DK0904019T3 (en)
ES (1) ES2179197T3 (en)
NO (1) NO985052L (en)
WO (1) WO1997040754A1 (en)

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US5957879A (en) 1997-01-24 1999-09-28 Heartport, Inc. Methods and devices for maintaining cardiopulmonary bypass and arresting a patient's heart
US6056762A (en) 1997-05-22 2000-05-02 Kensey Nash Corporation Anastomosis system and method of use
US6063114A (en) * 1997-09-04 2000-05-16 Kensey Nash Corporation Connector system for vessels, ducts, lumens or hollow organs and methods of use
NL1007349C2 (en) * 1997-10-24 1999-04-27 Suyker Wilhelmus Joseph Leonardus System for the mechanical production of anastomoses between hollow structures; as well as device and applicator for use therewith.
US7022131B1 (en) 1998-05-29 2006-04-04 By-Pass Inc. Methods and devices for vascular surgery
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
AU761192B2 (en) 1998-06-10 2003-05-29 Converge Medical, Inc. Sutureless anastomosis systems
US6461320B1 (en) * 1998-08-12 2002-10-08 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US6206913B1 (en) * 1998-08-12 2001-03-27 Vascular Innovations, Inc. Method and system for attaching a graft to a blood vessel
US7018387B2 (en) * 1998-10-22 2006-03-28 Innovative Interventional Technologies B.V. Mechanical anastomosis system for hollow structures
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
MXPA01009475A (en) 1999-03-19 2004-03-19 By Pass Inc Vascular surgery.
US6695859B1 (en) 1999-04-05 2004-02-24 Coalescent Surgical, Inc. Apparatus and methods for anastomosis
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US6726694B2 (en) 1999-04-16 2004-04-27 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) Intraluminally directed anvil apparatus and related methods and systems
US7160311B2 (en) 1999-04-16 2007-01-09 Integrated Vascular Interventional Technologies, L.C. (Ivit Lc) Locking compression plate anastomosis apparatus
US6569173B1 (en) 1999-12-14 2003-05-27 Integrated Vascular Interventional Technologies, L.C. Compression plate anastomosis apparatus
US7981126B2 (en) 1999-04-16 2011-07-19 Vital Access Corporation Locking compression plate anastomosis apparatus
US6623494B1 (en) * 1999-04-16 2003-09-23 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) Methods and systems for intraluminally directed vascular anastomosis
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US6719769B2 (en) 1999-11-15 2004-04-13 Cardica, Inc. Integrated anastomosis tool with graft vessel attachment device and cutting device
US7048751B2 (en) * 2001-12-06 2006-05-23 Cardica, Inc. Implantable medical device such as an anastomosis device
US6428550B1 (en) * 1999-05-18 2002-08-06 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
US6673088B1 (en) * 1999-05-18 2004-01-06 Cardica, Inc. Tissue punch
US7682368B1 (en) 1999-07-28 2010-03-23 Cardica, Inc. Anastomosis tool actuated with stored energy
US7300444B1 (en) * 1999-07-28 2007-11-27 Cardica, Inc. Surgical system and method for connecting hollow tissue structures
US20050154406A1 (en) * 1999-07-28 2005-07-14 Cardica, Inc. Method for anastomosing vessels
US7850703B2 (en) 1999-07-28 2010-12-14 Cardica, Inc. System for performing anastomosis
US7766924B1 (en) 1999-07-28 2010-08-03 Cardica, Inc. System for performing anastomosis
US6391038B2 (en) * 1999-07-28 2002-05-21 Cardica, Inc. Anastomosis system and method for controlling a tissue site
US7063712B2 (en) * 2001-04-27 2006-06-20 Cardica, Inc. Anastomosis method
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
CA2320600C (en) * 1999-10-01 2007-09-11 United States Surgical Corporation Anastomosis instrument and method for performing same
US6926730B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6736825B2 (en) 1999-12-14 2004-05-18 Integrated Vascular Interventional Technologies, L C (Ivit Lc) Paired expandable anastomosis devices and related methods
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
US6776785B1 (en) * 2000-10-12 2004-08-17 Cardica, Inc. Implantable superelastic anastomosis device
US6746459B2 (en) 2000-10-19 2004-06-08 Terumo Kabushiki Kaisha End-to-side blood vessel anastomosis method and instruments therefor
US6966917B1 (en) * 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US6471713B1 (en) 2000-11-13 2002-10-29 Cardica, Inc. System for deploying an anastomosis device and method of performing anastomosis
US20020095166A1 (en) * 2001-01-16 2002-07-18 Jaime Vargas Incision tensioning system and method for using the same
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US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
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Also Published As

Publication number Publication date
NO985052D0 (en) 1998-10-29
KR20000065109A (en) 2000-11-06
AU5684896A (en) 1997-11-19
KR100298040B1 (en) 2001-10-29
CA2248346C (en) 2002-07-09
EP0904019B1 (en) 2002-05-22
JPH11506382A (en) 1999-06-08
WO1997040754A8 (en) 1999-06-17
AU705749B2 (en) 1999-06-03
NO985052L (en) 1998-12-30
US6066148A (en) 2000-05-23
JP3207440B2 (en) 2001-09-10
DE69621355D1 (en) 2002-06-27
EP0904019A1 (en) 1999-03-31
ATE217775T1 (en) 2002-06-15
DK0904019T3 (en) 2002-08-26
DE69621355T2 (en) 2003-01-02
WO1997040754A1 (en) 1997-11-06
ES2179197T3 (en) 2003-01-16

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