EP1538995A4 - Appareil d'anastomose intratubulaire - Google Patents
Appareil d'anastomose intratubulaireInfo
- Publication number
- EP1538995A4 EP1538995A4 EP03738475A EP03738475A EP1538995A4 EP 1538995 A4 EP1538995 A4 EP 1538995A4 EP 03738475 A EP03738475 A EP 03738475A EP 03738475 A EP03738475 A EP 03738475A EP 1538995 A4 EP1538995 A4 EP 1538995A4
- Authority
- EP
- European Patent Office
- Prior art keywords
- anastomosis
- crimping
- support element
- anastomosis ring
- crimping support
- 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.)
- Withdrawn
Links
- 230000003872 anastomosis Effects 0.000 title claims abstract description 316
- 210000000056 organ Anatomy 0.000 claims abstract description 149
- 238000002788 crimping Methods 0.000 claims description 263
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims description 48
- 208000005168 Intussusception Diseases 0.000 claims description 41
- 238000005304 joining Methods 0.000 claims description 11
- 238000004891 communication Methods 0.000 claims description 8
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 210000000936 intestine Anatomy 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 4
- 239000012781 shape memory material Substances 0.000 abstract 1
- 238000005520 cutting process Methods 0.000 description 28
- 238000000034 method Methods 0.000 description 17
- 210000001519 tissue Anatomy 0.000 description 13
- 230000007704 transition Effects 0.000 description 13
- 210000001035 gastrointestinal tract Anatomy 0.000 description 11
- 230000007246 mechanism Effects 0.000 description 11
- 210000003200 peritoneal cavity Anatomy 0.000 description 10
- 229910000734 martensite Inorganic materials 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 7
- 230000003213 activating effect Effects 0.000 description 5
- 230000036760 body temperature Effects 0.000 description 5
- 238000011109 contamination Methods 0.000 description 5
- 230000014759 maintenance of location Effects 0.000 description 4
- 230000009466 transformation Effects 0.000 description 4
- 206010061218 Inflammation Diseases 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 3
- 229910045601 alloy Inorganic materials 0.000 description 3
- 239000000956 alloy Substances 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 230000004054 inflammatory process Effects 0.000 description 3
- 208000025865 Ulcer Diseases 0.000 description 2
- 210000001072 colon Anatomy 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 239000000356 contaminant Substances 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000000968 intestinal effect Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 230000001338 necrotic effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000002271 resection Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 231100000397 ulcer Toxicity 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000012190 activator Substances 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 210000002429 large intestine Anatomy 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 238000003892 spreading Methods 0.000 description 1
- 230000003874 surgical anastomosis Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 230000001131 transforming effect Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods 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
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
- A61B2017/1117—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus adapted for discharge after necrotisation, e.g. by evacuation, expulsion or excretion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
Definitions
- Figure 17 illustrates a cross-sectional view of an intussuscepted bowel with a crimping support element positioned for crimping
- Apparatus for utilizing a contractible anastomosis ring and crimping support element is disclosed hereinbelow together with the method for performing an intussusception and anastomosis procedure therewith.
- tubular support shaft 428 is rotated thereby to disengage the bayonet fastening mechanism (not shown) formed at a distal end of the alternatively configured crimping support applicator member 425, from bayonet locking recesses 84 and engagement recesses 82 of crimp support element 68 (as disclosed hereinabove in relation to Figure 6).
- Retracting apparatus 400 causes disengagement of crimp support element 414 from crimping support applicator member 425.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Physiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
L'invention concerne un appareil d'anastomose intratubulaire permettant d'assembler des parties d'un organe creux après une invagination et comprenant un anneau et un support de jonction. L'anneau d'anastomose présente une longueur d'un fil formé dans un alliage à mémoire de forme variant entre un état plastique à une température basse et une conception de jonction élastique à une température plus élevée, définissant une forme circulaire et présentant des extrémités chevauchantes; l'anneau joignant des parties adjacentes de l'organe contre le support, entraînant l'anastomose entre ceux-ci. Le support présente une paroi latérale cylindrique et des parois terminales transversales à celle-ci; une ouverture permettant de faciliter le flux et des organes permettant de mettre en contact fonctionnel le support et un applicateur permettant de positionner le support de manière adjacente à l'anneau, aux fins de jonction mutuelle des parties des parois de l'organe. Dans une chirurgie effractive d'excision d'une partie de l'intestin malade ou posant des problèmes, l'excision est effectuée au moyen d'un anneau d'anastomose et d'un support de jonction, de manière à obtenir une anastomose, réduisant ainsi sensiblement le risque de fuite et aucune agrafe, ni suture ne restant dans l'intestin ayant subi une anastomose.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IL150855A IL150855A (en) | 2002-07-22 | 2002-07-22 | Intratubular anastomosis apparatus |
| IL15085502 | 2002-07-22 | ||
| US10/237,359 US6884250B2 (en) | 2002-07-22 | 2002-09-09 | Intratubular anastomosis apparatus |
| US237359 | 2002-09-09 | ||
| PCT/IL2003/000596 WO2004008936A2 (fr) | 2002-07-22 | 2003-07-21 | Appareil d'anastomose intratubulaire |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| EP1538995A2 EP1538995A2 (fr) | 2005-06-15 |
| EP1538995A4 true EP1538995A4 (fr) | 2009-02-25 |
Family
ID=30772078
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP03738475A Withdrawn EP1538995A4 (fr) | 2002-07-22 | 2003-07-21 | Appareil d'anastomose intratubulaire |
Country Status (6)
| Country | Link |
|---|---|
| EP (1) | EP1538995A4 (fr) |
| JP (1) | JP4166785B2 (fr) |
| CN (1) | CN100518668C (fr) |
| AU (1) | AU2003245013B2 (fr) |
| CA (1) | CA2493134C (fr) |
| WO (1) | WO2004008936A2 (fr) |
Families Citing this family (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8394114B2 (en) | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
| CN100548226C (zh) * | 2008-02-27 | 2009-10-14 | 刘忠臣 | 套入式胶环锁扣固定肠吻合环 |
| SE533609C2 (sv) * | 2009-03-25 | 2010-11-02 | Carponovum Ab | Monteringsverktyg för anastomosanordning |
| EP2616021B1 (fr) | 2010-09-17 | 2014-04-16 | Thomas Menzel E | Applicateur d'anneau gastrique pour l'obésité |
| TWI626922B (zh) * | 2012-09-20 | 2018-06-21 | 卡波諾凡股份有限公司 | 用於吻合裝置的固定工具 |
| CN107374685B (zh) * | 2017-07-09 | 2023-08-15 | 杨西群 | 基于形状记忆合金的软组织套切吻合器 |
| CN108670338A (zh) * | 2018-06-08 | 2018-10-19 | 陈琳琳 | 吻合器 |
| CN114423360B (zh) * | 2019-04-10 | 2024-12-13 | 维兰德·K·沙马 | 具有嵌入式引流机构的磁性吻合装置 |
| CN110293603B (zh) * | 2019-05-08 | 2021-07-20 | 江苏大学 | 可实现套料加工的自恢复形状记忆合金热熔刀头 |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4964863A (en) * | 1987-06-10 | 1990-10-23 | Moskovsky Gorodskoi Nauchno-Issledovatelsky Institut Skoroi Pomoschi Imeni N.V. Sklifosovskogo | Device for establishing esophagoenterostomies |
| WO1999065409A1 (fr) * | 1998-06-10 | 1999-12-23 | Advanced Bypass Technologies, Inc. | Systemes d'anastomose sans suture |
| US6171320B1 (en) * | 1996-12-25 | 2001-01-09 | Niti Alloys Technologies Ltd. | Surgical clip |
| US20020049459A1 (en) * | 2000-10-19 | 2002-04-25 | Yukitoshi Kato | End-to-side blood vessel anastomosis method and instruments therefor |
Family Cites Families (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US326757A (en) | 1885-09-22 | Combined jelly-glass and money-box | ||
| US5197648A (en) | 1988-11-29 | 1993-03-30 | Gingold Bruce S | Surgical stapling apparatus |
| US5171252A (en) | 1991-02-05 | 1992-12-15 | Friedland Thomas W | Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip |
| US5197649A (en) | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
| US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
| US5344059A (en) | 1992-05-19 | 1994-09-06 | United States Surgical Corporation | Surgical apparatus and anvil delivery system therefor |
| CA2146508C (fr) | 1994-08-25 | 2006-11-14 | Robert H. Schnut | Enclume pour agrafeuse circulaire |
| US6117148A (en) | 1997-10-17 | 2000-09-12 | Ravo; Biagio | Intraluminal anastomotic device |
| US6113612A (en) * | 1998-11-06 | 2000-09-05 | St. Jude Medical Cardiovascular Group, Inc. | Medical anastomosis apparatus |
| CN1352539A (zh) * | 1999-03-19 | 2002-06-05 | 拜帕斯公司 | 血管手术 |
| IL136702A (en) * | 2000-06-12 | 2005-11-20 | Niti Alloys Tech Ltd | Surgical clip |
| US20020055751A1 (en) * | 2000-11-09 | 2002-05-09 | Schraft Rolf Dieter | Device and procedure for joining hollow organs |
| CN1323645C (zh) * | 2002-07-22 | 2007-07-04 | 尼蒂医学技术有限公司 | 改进的肠子套叠和吻合的装置 |
-
2003
- 2003-07-21 CA CA002493134A patent/CA2493134C/fr not_active Expired - Fee Related
- 2003-07-21 CN CNB038174855A patent/CN100518668C/zh not_active Expired - Fee Related
- 2003-07-21 WO PCT/IL2003/000596 patent/WO2004008936A2/fr not_active Ceased
- 2003-07-21 JP JP2005505162A patent/JP4166785B2/ja not_active Expired - Fee Related
- 2003-07-21 EP EP03738475A patent/EP1538995A4/fr not_active Withdrawn
- 2003-07-21 AU AU2003245013A patent/AU2003245013B2/en not_active Ceased
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4964863A (en) * | 1987-06-10 | 1990-10-23 | Moskovsky Gorodskoi Nauchno-Issledovatelsky Institut Skoroi Pomoschi Imeni N.V. Sklifosovskogo | Device for establishing esophagoenterostomies |
| US6171320B1 (en) * | 1996-12-25 | 2001-01-09 | Niti Alloys Technologies Ltd. | Surgical clip |
| WO1999065409A1 (fr) * | 1998-06-10 | 1999-12-23 | Advanced Bypass Technologies, Inc. | Systemes d'anastomose sans suture |
| US20020049459A1 (en) * | 2000-10-19 | 2002-04-25 | Yukitoshi Kato | End-to-side blood vessel anastomosis method and instruments therefor |
Non-Patent Citations (1)
| Title |
|---|
| See also references of WO2004008936A2 * |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2005533623A (ja) | 2005-11-10 |
| CA2493134A1 (fr) | 2004-01-29 |
| AU2003245013B2 (en) | 2006-12-14 |
| CA2493134C (fr) | 2007-06-26 |
| EP1538995A2 (fr) | 2005-06-15 |
| CN100518668C (zh) | 2009-07-29 |
| WO2004008936A2 (fr) | 2004-01-29 |
| CN1671328A (zh) | 2005-09-21 |
| JP4166785B2 (ja) | 2008-10-15 |
| WO2004008936A3 (fr) | 2004-07-15 |
| AU2003245013A1 (en) | 2004-02-09 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
| 17P | Request for examination filed |
Effective date: 20050207 |
|
| AK | Designated contracting states |
Kind code of ref document: A2 Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LI LU MC NL PT RO SE SI SK TR |
|
| AX | Request for extension of the european patent |
Extension state: AL LT LV MK |
|
| DAX | Request for extension of the european patent (deleted) | ||
| A4 | Supplementary search report drawn up and despatched |
Effective date: 20090128 |
|
| 17Q | First examination report despatched |
Effective date: 20090623 |
|
| STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
| 18D | Application deemed to be withdrawn |
Effective date: 20091104 |