CA2450959A1 - Anastomotic device - Google Patents

Anastomotic device Download PDF

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Publication number
CA2450959A1
CA2450959A1 CA002450959A CA2450959A CA2450959A1 CA 2450959 A1 CA2450959 A1 CA 2450959A1 CA 002450959 A CA002450959 A CA 002450959A CA 2450959 A CA2450959 A CA 2450959A CA 2450959 A1 CA2450959 A1 CA 2450959A1
Authority
CA
Canada
Prior art keywords
tube
walls
lumens
adjacent lumens
adjacent
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
CA002450959A
Other languages
French (fr)
Other versions
CA2450959C (en
Inventor
Adrian Edward Park
Charles Francis Knapp
William Edward Charash
Hua Cui
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.)
Park Medical LLC
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2450959A1 publication Critical patent/CA2450959A1/en
Application granted granted Critical
Publication of CA2450959C publication Critical patent/CA2450959C/en
Anticipated expiration legal-status Critical
Expired - Lifetime 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, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, 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
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/064—Blood vessels with special features to facilitate anastomotic coupling

Abstract

The present invention is directed to gastrointestinal or enteric (including biliary) anastomosis and the like. The anastomotic device of the invention i s a three dimensional woven tube (10) of wire preferably formed from a thermal , smart memory metal. The outer loops or ends (20) of the tube fold or loop ba ck on deployment in a manner which holds the luminal interface of the anastomot ic site into apposition at the deployment site. The women tube (10) is deployed using a canula (24) with a retractable outer sleeve (26).

Claims (5)

1. An anastomotic device for joining of lumens or hollow viscera which is adapted to be deployed at a luminal interface of two adjacent lumens , comprising a woven tube of wire with longitudinally spaced ends having an overlapping wire mesh design and having as unobstructed exterior end interior the tube being longitudinally extendable to cause the tube to become longer in length sad smaller is diameter, the tube being constructed from a thermal, shape memory alloy having circumferentially sparxd outer loops at each of the longitudinally spaced ends of the woven tube of was such that heat causes the tube to become larger is diameter sad to contract longitudinally and become axially compressed and flattened and the outer loops of the tube to deform and event after being inserted into holes of walls of the two adjacent lumens, the loops of the tube thermally deforming and evening to form petals is a manner directly opposed or interdigitated with each other which compresses and holds the walls of the two adjacent lemons in apposition, sufficient force being applied to the walls of the two adjacent lumens such that the holes between the two adjacent lumens are enlarged for drainage and leakage outside the two adjacent lumens is prevented.
2. The device of claim 1, wherein the thermal, shape memory alloy is a titanium-nickel alloy.
3. The device of claim 1, wherein the opposed petals ate interdigitated.
4. An anastomotic delivery device having a streamlined end, comprising a woven tube of wire with longitudinally spaced ends having an overlapping wire mesh design and having as unobstructed exterior and interior, the tube having circumferentially spaced outer loops at each of the longitudinally spaced ends of the woven tube of wire, a canula having as end designed to allow the tube to be slipped over the canula and pulled longitudinally causing the tuba to become longer in length and smaller is diameter, an outer sleeve adapted to be pushed ever the tube up to the streamlined end of the device thereby providing a smooth surface far inserting through walls of two adjacent lumens at a luminal interface in a body, and subsequently retracted, a wire having a tip, initially retracted in the canula, and adapted to be exposed at the tip to create holes in the walls of the two adjacent lumens to assist a surgeon when passing the device through the walls of the lumens, the tube being constructed from a thermal, shape memory alloy such that when the sleeve is retracted heat from the body causes the tube to become larger in diameter and to contract longitudinally and become axially compressed and flattened and causes the outer loops of the tube to deform and evert to foam petals in a manner directly opposed or interdigitated with each other which compresses and holds the walls of the two adjacent lumens in apposition, sufficient force being applied to the walls of the two adjacent lumens such that the holes between the two adjacent lumens are enlarged for drainage and leakage outside the two adjacent lumens is prevented.
5. The device of claim 4, wherein the thermal, shape memory alloy is a titanium-nickel alloy.

7. The device of claim 4, wherein tire opposed petals are interdigitated.

13. The device of claim 4, wherein the streamlined end is moveable in a direction opposed to the retractable sleeve when the sleeve is retracted to expose both of the longitudinally spaced ends of the woven tube of wire to the body heat.
CA2450959A 2001-06-20 2002-06-20 Anastomotic device Expired - Lifetime CA2450959C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US29961801P 2001-06-20 2001-06-20
US60/299,618 2001-06-20
PCT/US2002/019566 WO2003000142A2 (en) 2001-06-20 2002-06-20 Anastomotic device

Publications (2)

Publication Number Publication Date
CA2450959A1 true CA2450959A1 (en) 2003-01-03
CA2450959C CA2450959C (en) 2011-01-04

Family

ID=23155556

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2450959A Expired - Lifetime CA2450959C (en) 2001-06-20 2002-06-20 Anastomotic device

Country Status (11)

Country Link
US (1) US20030032967A1 (en)
EP (1) EP1401337B1 (en)
JP (1) JP4201702B2 (en)
KR (1) KR100891045B1 (en)
CN (1) CN100415180C (en)
AT (1) ATE512631T1 (en)
BR (1) BR0210509A (en)
CA (1) CA2450959C (en)
MX (1) MXPA03012055A (en)
NZ (1) NZ530597A (en)
WO (1) WO2003000142A2 (en)

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AU2005203522B2 (en) * 2003-09-30 2012-08-02 Ethicon Endo-Surgery, Inc. Applier for a surgical device
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Also Published As

Publication number Publication date
EP1401337A2 (en) 2004-03-31
WO2003000142A3 (en) 2003-03-27
CN1531411A (en) 2004-09-22
KR20040024563A (en) 2004-03-20
JP2004535864A (en) 2004-12-02
WO2003000142A2 (en) 2003-01-03
NZ530597A (en) 2006-10-27
KR100891045B1 (en) 2009-03-31
US20030032967A1 (en) 2003-02-13
EP1401337B1 (en) 2011-06-15
WO2003000142B1 (en) 2003-05-08
JP4201702B2 (en) 2008-12-24
MXPA03012055A (en) 2005-07-01
CA2450959C (en) 2011-01-04
BR0210509A (en) 2004-06-22
ATE512631T1 (en) 2011-07-15
CN100415180C (en) 2008-09-03

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Effective date: 20220620