CA2483719A1 - Applier for fastener for single lumen access anastomosis - Google Patents
Applier for fastener for single lumen access anastomosis Download PDFInfo
- Publication number
- CA2483719A1 CA2483719A1 CA002483719A CA2483719A CA2483719A1 CA 2483719 A1 CA2483719 A1 CA 2483719A1 CA 002483719 A CA002483719 A CA 002483719A CA 2483719 A CA2483719 A CA 2483719A CA 2483719 A1 CA2483719 A1 CA 2483719A1
- Authority
- CA
- Canada
- Prior art keywords
- ring
- applier
- proximal
- distal
- arms
- 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
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0408—Rivets
-
- 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
- A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
Abstract
Creating an anastomosis, or the surgical formation of a passage between two normally distinct vessels or lumens, is enhanced by an applier that introduces a ring device without the need for a separate anvil to form a hollow rivet shaped attachment. Moreover, the ring device may be advantageously formed in a cylindrical shape from molded polymer material or stamped from sheet metal with proximal and distal rings connected by proximal and distal arms that respectively form hinged, ring shaped so appose tissue walls. A center ring or portion sits in the attachment site. The applier causes actuating by moving the rings relative to one another. A latching mechanism locks the rings in the actuating state.
Claims (20)
1.~An applier for an anastomosis ring device having proximal, center, and distal rings connected respectively by proximal and distal hinged arms, the ring device having a generally cylindrical shape when unactuated and a rivet shape when actuated, the applier comprising:
an elongate implement portion;
a handle connected to the implement portion;
an actuating member internally engaged to a selected one of the rings of the anastomosis device;
an arresting member internally engaged to a selected second of the rings of the anastomosis device; and a control coupled to the handle operably configured to cause movement of the actuating member, and thus the engaged ring, toward the arresting member, and thus the selected second ring, causing actuating the interposed hinged arms of the ring device.
an elongate implement portion;
a handle connected to the implement portion;
an actuating member internally engaged to a selected one of the rings of the anastomosis device;
an arresting member internally engaged to a selected second of the rings of the anastomosis device; and a control coupled to the handle operably configured to cause movement of the actuating member, and thus the engaged ring, toward the arresting member, and thus the selected second ring, causing actuating the interposed hinged arms of the ring device.
2. ~The applier of claim 1, wherein the actuating member is engaged to the distal ring.
3. ~The applier of claim 2, wherein the arresting member is internally engaged to the proximal ring.
4. ~The applier of claim 3, further comprising a second control coupled to the handle and operably configured to cause distal movement of the arresting member toward the actuating member.
5.~The applier of claim 3, wherein the arresting member engages the center ring, the applier further comprising:
a second actuating member engaged to the proximal ring; and a second control coupled to the handle and operably configured to distally move the proximal ring toward the center ring.
a second actuating member engaged to the proximal ring; and a second control coupled to the handle and operably configured to distally move the proximal ring toward the center ring.
6. The applier of claim 1, wherein the actuating member is engaged to the center ring.
7. ~The applier of claim 6, wherein the implement portion further comprises a shaft connected to the handle and distally contacting the proximal ring of the ring device, the applier further comprising a second actuating member internally engaged to the distal ring of the ring device.
8. ~The applier of claim 1, wherein the actuating member distally terminates in a catch.
9. ~The applier of claim 8, wherein the actuating member includes a releasing surface responsive to an actuated condition of the ring device to disengage the actuating member from the selected ring of the ring device.
10. ~The applier of claim 9, further comprising a distal tip illuminator connected to the implement portion.
11. ~The applier of claim 1, wherein the implement portion is dimensionally sized for endoscopic surgical use.
12. ~An applier for an anastomotic ring device having a center circular portion longitudinally connected by a plurality of proximal arms to a proximal ring and by a plurality of distal arms to a distal ring, the ring expanding each plurality of arms by compressing a respective ring toward the center circular portion, the applier comprising:
a first member operative to internally engage and longitudinally move a selected one of a group consisting of the proximal ring, center circular portion, and distal ring; and a second member operative to internally engage another one of the group to thereby mechanically ground for actuating at least one plurality of arms.
a first member operative to internally engage and longitudinally move a selected one of a group consisting of the proximal ring, center circular portion, and distal ring; and a second member operative to internally engage another one of the group to thereby mechanically ground for actuating at least one plurality of arms.
13. ~The applier of claim 12, wherein the center circular portion of the ring device comprises a center ring, the second member engaged to center ring.
14. ~The applier of claim 13, wherein the second member further operably configured to longitudinally move the center ring.
15. ~The applier of claim 13, wherein the first and second members comprise a releasable engagement mechanism responsive to an actuated condition of the anastomotic device.
16. ~The applier of claim 13, further comprising a handle operably configured to position the first member.
17, ~the applier of claim 16, further comprising a cannula supporting the first and second members and operatively configured to distally receive the anastomotic device, dimensioned for endoscopic use.
18. An applier for an anastomotic ring device having a center ring longitudinally connected by a plurality of proximal arms to a proximal ring and by a plurality of distal arms to a distal ring, the ring expanding each plurality of arms by compressing a respective ring toward the center circular portion, the applier comprising:
a means for inserting an unactuated anastomotic ring device to an anastomotic surgical site;
a means for inwardly compressing proximal and distal rings to actuate both plurality of arms.
a means for inserting an unactuated anastomotic ring device to an anastomotic surgical site;
a means for inwardly compressing proximal and distal rings to actuate both plurality of arms.
19. The applier of claim 18, further comprising a means fox compressing one of a group consisting of the proximal and distal rings toward the center ring to actuate one interposed plurality of arms.
20. The applier of claim 18, further comprising a handle means for independently actuating either plurality of arms.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/675,077 US7452363B2 (en) | 2003-09-30 | 2003-09-30 | Applier for fastener for single lumen access anastomosis |
US10/675,077 | 2003-09-30 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2483719A1 true CA2483719A1 (en) | 2005-03-30 |
CA2483719C CA2483719C (en) | 2012-05-15 |
Family
ID=34313979
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2483719A Expired - Fee Related CA2483719C (en) | 2003-09-30 | 2004-09-29 | Applier for fastener for single lumen access anastomosis |
Country Status (11)
Country | Link |
---|---|
US (1) | US7452363B2 (en) |
EP (1) | EP1520530B1 (en) |
JP (1) | JP4658556B2 (en) |
CN (1) | CN1640367A (en) |
AT (1) | ATE448736T1 (en) |
AU (2) | AU2004216629A1 (en) |
BR (1) | BRPI0404238B1 (en) |
CA (1) | CA2483719C (en) |
DE (1) | DE602004024162D1 (en) |
ES (1) | ES2334131T3 (en) |
MX (1) | MXPA04009610A (en) |
Cited By (1)
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US10524783B2 (en) | 2013-11-08 | 2020-01-07 | C.R. Bard, Inc. | Surgical fastener deployment system |
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-
2003
- 2003-09-30 US US10/675,077 patent/US7452363B2/en active Active
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2004
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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US10524783B2 (en) | 2013-11-08 | 2020-01-07 | C.R. Bard, Inc. | Surgical fastener deployment system |
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ES2334131T3 (en) | 2010-03-05 |
EP1520530A1 (en) | 2005-04-06 |
DE602004024162D1 (en) | 2009-12-31 |
CA2483719C (en) | 2012-05-15 |
EP1520530B1 (en) | 2009-11-18 |
BRPI0404238B1 (en) | 2014-02-25 |
US7452363B2 (en) | 2008-11-18 |
US20050070926A1 (en) | 2005-03-31 |
MXPA04009610A (en) | 2005-07-12 |
JP2005103301A (en) | 2005-04-21 |
AU2011202355B2 (en) | 2012-04-26 |
AU2004216629A1 (en) | 2005-04-14 |
JP4658556B2 (en) | 2011-03-23 |
CN1640367A (en) | 2005-07-20 |
BRPI0404238A (en) | 2005-05-24 |
AU2011202355A1 (en) | 2011-06-09 |
ATE448736T1 (en) | 2009-12-15 |
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