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WO1991007136A1 - Instrument d'anastomose - Google Patents

Instrument d'anastomose Download PDF

Info

Publication number
WO1991007136A1
WO1991007136A1 PCT/SE1990/000737 SE9000737W WO9107136A1 WO 1991007136 A1 WO1991007136 A1 WO 1991007136A1 SE 9000737 W SE9000737 W SE 9000737W WO 9107136 A1 WO9107136 A1 WO 9107136A1
Authority
WO
WIPO (PCT)
Prior art keywords
instrument
bonding agent
admission
anastomosis
hose
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.)
Ceased
Application number
PCT/SE1990/000737
Other languages
English (en)
Inventor
Billy Nilsson
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.)
IMMUNO SWEDEN AB
Original Assignee
IMMUNO SWEDEN AB
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 IMMUNO SWEDEN AB filed Critical IMMUNO SWEDEN AB
Publication of WO1991007136A1 publication Critical patent/WO1991007136A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

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
    • A61B17/00491—Surgical glue applicators
    • A61B2017/00495—Surgical glue applicators for two-component glue

Definitions

  • the present invention relates generally to an instru ⁇ ment for surgical stitching together portions of body flesh, tissue, membranes, etc.
  • the invention is a result of certain investigations in connection with anastomosis, and will be discussed below predominantly with reference had thereto, although the invention is by no means restricted only to that particular field.
  • the instrument according to the inven ⁇ tion will be called anastomosis-instrument hereinafter.
  • One object of the invention has been to provide an anastomosis-instrument which is so simple and inexpensive to manufacture that it may be used as a disposable instru ⁇ ment.
  • Another object of the invention has been to provide an anastomosis-instrument which is easy to handle, and which may be handled in a very reliable manner.
  • Still another object of the invention has been to provide an anastomosis-instrument which permits a simple and reliable application of a binding agent at the intended position whithin the anastomosis area.
  • a further object of the invention has been to provide an anastomosis-instrument which has some built-in safety functions or features.
  • Fig. 1 is a schematic side view of one embodiment of an anastomosis-instrument according to the invention, picked as an example;
  • Fig. 2 is a plan view, from above, of the instrument in fig. 1, where, however, the binding agent supplier has been omitted for clarity;
  • Fig. 3 - 6 illustrate the anastomosis-instrument ac ⁇ cording to the invention, partly in axial longitudinal section, in four different operation positions.
  • the anastomosis-instrument according to the invention has a tip end, generally denoted 11.
  • the instrument has a bonding agent applicator, generally denoted 12, which may be of any known type.
  • the applicator 12 is devised for admission of a two component bonding agent, preferably of the kind which is sold by IMMUNO AG, ien, Austria, under the registered Trade Mark “TISSUECOL” or under the registered Trade Mark “TISEEL".
  • An important feature of the anastomosis-instrumenmt according to the invention is the possibility to admit the bonding agent to the stitching area through the instrument, preferably all the way from the rear end of the handle portion 11 out to and through the tip portion.
  • a thin flexible hose 13 is passed from an adaptor 14 for the applicator 12 through the rear end of the handle portion 11 and through the instrument to the tip end 10 where the hose in the example is formed into an almost entirely closed ring 15, disposed between two opposing anvil or clamping surfaces 16, 17, as is shown in figs. 1, 2, 3, and 4.
  • the hose ring 15 is provided with suitable slots or other holes which serve as outlets for the bonding agent.
  • the hose 13 is comparatively rigid, so it may retain the toroid shape as shown in fig. 2, but still it is flex ⁇ ible enough to permit withdrawal axially in its channel 18 for a purpose which will be disclosed in more details below.
  • the instrument has a replaceable tip cone 19 which may be easily replaced after depressing a locking button 20.
  • the instrument which is preferably slightly angled as shown in figs. 1 and 3 - 6, e.g. by an angle of about 30°, comprises an outer tube 21, which is provided with a handle 22, e.g. in the shape of two opposite tabs or loops.
  • the handle end 11 comprises an operation grip 23 which is mov ⁇ able in relation to the outer tupe 21 and is connected to the tip cone 19 to permit operation thereof in such a manner that the clamping surfaces 16, 17 may be closed up toward each other, fig. 3 and 4.
  • the movement of the operation grip 23 is controlled and locked by means of a latch 24 which is movable in a slot 25 in the outer tube.
  • the latch may coope ⁇ rate with stop means (not shown) which may on one hand permit feeling of various positions of the tip cone 19 and thus the distance of the claimping surfaces 16, 17 from each other, and on the other hand may lock the movement of the grip 23 in closing direction beyond a predetermined limit position, viz. to prevent squeezing injuries by an undue closing up of the surfaces 16, 17.
  • the handle portion 11 also comprises an operation button 26 which over a flexible tube 27 is connected to a ring knife 28 at the tip end 10 of the instrument.
  • the ring knife 28 serves to cut off "dough-nuts" as is well known to those skilled in the art.
  • the button 26 is axially movable in relation to the reminder of the grip portion without causing any displacement of the tube 27 and ⁇ hus of the knife 28. This is a safety feature.
  • a pair of axially directed carrier fingers 29 within the button 26 to be pivoted apart from each other to engage with engagement surfaces 30, to permit axial displacement of the tube 27.
  • This pivoting of the fingers apart from each other may be effected by means of a wedge member 31 secured to the hose 13, which wedge on withdrawal of the hose 13 enteras at least partially between the fingers 29 and pivots these apart from each other. In this manner it is prevented that the ring knife 28 is pushed forwardly and possibly cuts off a portion of the hose 13 for admission of the bonding agent, which portion might runt the hazard of being left behind in the operation area.

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

Instrument d'anastomose doté d'un moyen permettant de replier les parties terminales extérieures de premiers et seconds tissus tubulaires sur des surfaces de serrage (16, 17) situées sur l'instrument, afin de former des parties de rebord annulaires permettant l'application d'un agent de liaison, et doté d'un moyen permettant de refermer les surfaces de serrage l'une vers l'autre, entre lesquelles se trouvent les parties de rebord annulaires. L'instrument est doté de moyens (12, 13, 14, 15) permettant l'admission d'un agent de liaison jusqu'à la surface de connexion par l'intermédiaire de l'instrument, de préférence depuis son extrémité arrière jusqu'à la partie de pointe (10) dudit instrument, de préférence en forme d'un tuyau (13) mince et souple, que l'on fait passer dans l'instrument.
PCT/SE1990/000737 1989-11-17 1990-11-15 Instrument d'anastomose Ceased WO1991007136A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE8903871-5 1989-11-17
SE8903871A SE465201B (sv) 1989-11-17 1989-11-17 Anastomiinstrument med bindemedelsapplikator

Publications (1)

Publication Number Publication Date
WO1991007136A1 true WO1991007136A1 (fr) 1991-05-30

Family

ID=20377508

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE1990/000737 Ceased WO1991007136A1 (fr) 1989-11-17 1990-11-15 Instrument d'anastomose

Country Status (3)

Country Link
AU (1) AU6881691A (fr)
SE (1) SE465201B (fr)
WO (1) WO1991007136A1 (fr)

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5383899A (en) * 1993-09-28 1995-01-24 Hammerslag; Julius G. Method of using a surface opening adhesive sealer
US5653730A (en) * 1993-09-28 1997-08-05 Hemodynamics, Inc. Surface opening adhesive sealer
US5759194A (en) * 1993-09-28 1998-06-02 Hemodynamics, Inc. Vascular patch applicator
US5843124A (en) * 1993-09-28 1998-12-01 Hemodynamics, Inc. Surface opening adhesive sealer
WO2001062162A1 (fr) * 2000-02-22 2001-08-30 Power Medical Interventions, Inc. Mecanisme d'apport de fluide utilise avec des instruments anastomoses, d'agrafage et de resection
US6843403B2 (en) 1999-06-02 2005-01-18 Power Medical Interventions, Inc. Surgical clamping, cutting and stapling device
US6846307B2 (en) 1999-06-02 2005-01-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US8740932B2 (en) 2001-11-30 2014-06-03 Covidien Lp Surgical device
US8858589B2 (en) 2002-01-08 2014-10-14 Covidien Lp Surgical device
US9017371B2 (en) 2007-09-21 2015-04-28 Covidien Lp Surgical device having multiple drivers
US9033868B2 (en) 1999-06-02 2015-05-19 Covidien Lp Couplings for interconnecting components of an electro-mechanical surgical device
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US9204877B2 (en) 2007-09-21 2015-12-08 Covidien Lp Surgical device having a rotatable jaw portion
JP2016507294A (ja) * 2013-01-21 2016-03-10 エシコン・インコーポレイテッドＥｔｈｉｃｏｎ， Ｉｎｃ． 吻合ステープラーのためのシーラント送達装置
US9861362B2 (en) 2002-06-14 2018-01-09 Covidien Lp Surgical device

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3805793A (en) * 1973-03-21 1974-04-23 S Wright Anastomotic apparatus
SE435896B (sv) * 1978-03-27 1984-10-29 Senco Products Kirurgiskt heftinstrument for sammanfogning av rorformiga kroppsorgan

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3805793A (en) * 1973-03-21 1974-04-23 S Wright Anastomotic apparatus
SE435896B (sv) * 1978-03-27 1984-10-29 Senco Products Kirurgiskt heftinstrument for sammanfogning av rorformiga kroppsorgan

Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6287323B1 (en) 1993-09-28 2001-09-11 Hemodynamics, Inc. Method of catheterization and inhibition of arterial bleeding
WO1995008951A1 (fr) * 1993-09-28 1995-04-06 Hemodynamics Applicateur de pansement vasculaire
US5529577A (en) * 1993-09-28 1996-06-25 Hemodynamics, Inc. Surface opening adhesive sealer
US5653730A (en) * 1993-09-28 1997-08-05 Hemodynamics, Inc. Surface opening adhesive sealer
US5665106A (en) * 1993-09-28 1997-09-09 Hemodynamics, Inc. Vascular patch applicator
US5665107A (en) * 1993-09-28 1997-09-09 Hemodynamics, Inc. Surface opening adhesive sealer
US5759194A (en) * 1993-09-28 1998-06-02 Hemodynamics, Inc. Vascular patch applicator
US5843124A (en) * 1993-09-28 1998-12-01 Hemodynamics, Inc. Surface opening adhesive sealer
US5383899A (en) * 1993-09-28 1995-01-24 Hammerslag; Julius G. Method of using a surface opening adhesive sealer
US9364200B2 (en) 1999-06-02 2016-06-14 Covidien Lp Electro-mechanical surgical device
US9033868B2 (en) 1999-06-02 2015-05-19 Covidien Lp Couplings for interconnecting components of an electro-mechanical surgical device
US6843403B2 (en) 1999-06-02 2005-01-18 Power Medical Interventions, Inc. Surgical clamping, cutting and stapling device
US6846307B2 (en) 1999-06-02 2005-01-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6846308B2 (en) 1999-06-02 2005-01-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6846309B2 (en) 1999-06-02 2005-01-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6849071B2 (en) 1999-06-02 2005-02-01 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US10314659B2 (en) 1999-06-02 2019-06-11 Covidien Lp Electro-mechanical surgical device
US9113847B2 (en) 1999-06-02 2015-08-25 Covidien Lp Electro-mechanical surgical device
US9078654B2 (en) 1999-06-02 2015-07-14 Covidien Lp Surgical device
JP2010042310A (ja) * 2000-02-22 2010-02-25 Power Medical Interventions Llc 吻合、ステープル吻合及び切除器具用の流体搬送機構
JP2003532455A (ja) * 2000-02-22 2003-11-05 パワー メディカル インターベンションズ，インコーポレイテッド 吻合、ステープル吻合及び切除器具用の流体搬送機構
WO2001062162A1 (fr) * 2000-02-22 2001-08-30 Power Medical Interventions, Inc. Mecanisme d'apport de fluide utilise avec des instruments anastomoses, d'agrafage et de resection
US8740932B2 (en) 2001-11-30 2014-06-03 Covidien Lp Surgical device
US8858589B2 (en) 2002-01-08 2014-10-14 Covidien Lp Surgical device
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US9861362B2 (en) 2002-06-14 2018-01-09 Covidien Lp Surgical device
US9282961B2 (en) 2007-09-21 2016-03-15 Covidien Lp Surgical device having multiple drivers
US9017371B2 (en) 2007-09-21 2015-04-28 Covidien Lp Surgical device having multiple drivers
US10117651B2 (en) 2007-09-21 2018-11-06 Covidien Lp Surgical device having a rotatable jaw portion
US9204877B2 (en) 2007-09-21 2015-12-08 Covidien Lp Surgical device having a rotatable jaw portion
US10420548B2 (en) 2007-09-21 2019-09-24 Covidien Lp Surgical device having multiple drivers
US10881397B2 (en) 2007-09-21 2021-01-05 Covidien Lp Surgical device having a rotatable jaw portion
US11317909B2 (en) 2007-09-21 2022-05-03 Covidien Lp Surgical device having multiple drivers
JP2016507294A (ja) * 2013-01-21 2016-03-10 エシコン・インコーポレイテッドＥｔｈｉｃｏｎ， Ｉｎｃ． 吻合ステープラーのためのシーラント送達装置
US9895150B2 (en) 2013-01-21 2018-02-20 Ethicon, Inc. Sealant delivery device for anastomotic stapler

Also Published As

Publication number Publication date
SE8903871L (sv) 1991-05-18
AU6881691A (en) 1991-06-13
SE8903871D0 (sv) 1989-11-17
SE465201B (sv) 1991-08-12

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