Surgical instrument for establishing compression anastomosis
First Claim
1. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising a body having a bore and including driver means and cutter means, means for imparting rotational movement to said cutter means, means for supporting the coupling members of said assembly, means for aligning said coupling members and means for driving said driver means for urging said coupling members into locking engagement and advancing and rotating said cutter means.
3 Assignments
0 Petitions
Accused Products
Abstract
A surgical instrument for installing a plurality of interlocking coupling members forming a compression anastomosis assembly, particularly suitable for use in achieving anastomosis of a resected tubular organ, with the instrument having a cutting portion designed and configured for rotational movement as the cutter advances to perform its intended functions of severing tissue and at least a portion of one of the members of the assembly. Also disclosed is a dual locking feature for alternately locking a driving component and an aligning component against movement where, in a first mode, the aligning component is operative when the driving component is locked and, in a second mode, the driving component is operative when the aligning component is locked. Additionally disclosed is a unique aligning component for aligning and exerting a compressive force on members of an associated coupling assembly. Lastly, there is disclosed a surgical instrument capable of assuming a variety of configurations to accommodate a number of anatomical orientations and operating situations.
719 Citations
31 Claims
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1. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising a body having a bore and including driver means and cutter means, means for imparting rotational movement to said cutter means, means for supporting the coupling members of said assembly, means for aligning said coupling members and means for driving said driver means for urging said coupling members into locking engagement and advancing and rotating said cutter means.
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2. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising
a body having a bore located therein and including a handle portion, an intermediate portion and a head portion, with said head portion having a recess intersecting said bore; -
said recess being dimensioned and configured to include therein driver means and cutter means; means for imparting rotational movement to said cutter means; means for supporting the coupling members of said assembly; means for aligning said coupling members; and means for driving said driver means for urging said coupling members into locking engagement and advancing and rotating said cutter means. - View Dependent Claims (3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
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23. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising
a body having a bore located therein and including a handle portion, an intermediate portion and a head portion, with said head portion having a recess intersecting said bore; -
said recess being dimensioned and configured to include therein driver means and cutter means; means for supporting the coupling members of said assembly; means for aligning said coupling members; means for driving said driver means for urging said coupling members into locking engagement and advancing said cutter means; and locking means for alternately locking said driving means and said aligning means. - View Dependent Claims (24, 25, 26)
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27. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising
a body having a bore located therein and including a handle portion, an intermediate portion and a head portion, with said head portion having a recess intersecting said bore; -
said recess being dimensioned and configured to include therein driver means and cutter means; means for supporting the coupling members of said assembly; means for aligning said coupling members, said aligning means comprising a core having a first end coupled to one of said coupling members and a second end coupled to a movable element, a knob coupled to said element, and guiding means disposed in said handle portion for directing the movement of said element and said knob for positioning said one coupling member relative to other said coupling members, with said guiding means including at least one elongated slot cooperating with at least one pin coupling said element and said knob for slidable conjoint axial movement; and means for driving said driver means for urging said coupling members into locking engagement and advancing said cutter means. - View Dependent Claims (28)
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29. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising
a body having a bore located therein and including a handle portion, an intermediate portion and a head portion, with said head portion having a recess intersecting said bore; -
said recess being dimensioned and configured to include therein driver means and cutter means; means for supporting the coupling members of said assembly; means for aligning said coupling members, said aligning means comprising a core having a first end coupled to one of said coupling members and a second end coupled to a movable element, a knob coupled to said element, and guiding means disposed in said handle portion for directing the movement of said element and said knob positioning said one coupling member relative to the other said coupling members, with said guiding means including at least one elongated slot cooperating with at least one pin coupling said element and said knob and further including means for applying a compressive force between at least two of said coupling members through a coaction of said pin and a curve disposed in one end of said slot; and
means for driving said driver means for urging said coupling members into locking engagement and advancing said cutter means.
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30. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising
a body having a bore located therein and including a handle portion, an intermediate portion and a head portion, with said head portion having a recess intersecting said bore; -
said recess being dimensioned and configured to include therein driver means and cutter means; means for supporting the coupling members of said assembly; means for aligning said coupling members, said aligning means comprising a core having a first end coupled to one of said coupling members and a second end coupled to a movable element, a knob coupled to said element, and guiding means disposed in said handle portion for directing the movement of said element and said knob positioning said one coupling member relative to the other said coupling members, with said guiding means including at least one elongated slot cooperating with at least one pin coupling said element and said knob, and with said slot further including one or more notches disposed along said slot for releasably locking said one coupling member in one or more positions relative to the other said coupling members; and said for driving said driver means for urging said coupling members in locking engagement and advancing said cutter means.
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31. A device for installing a coupling assembly having a plurality of coupling members for compression anastomosis of a tubular structure comprising
a body having a bore located therein and including a handle portion, an intermediate portion and a head portion, with said head portion having a recess intersecting said bore; -
said recess being dimensioned and configured to include therein driver means and cutter means; means for supporting the coupling members of said assembly; means for aligning said coupling members; means for driving said driver means for urging said coupling members into locking engagement and advancing said cutter means; and locking means for releasably locking said aligning means against movement.
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Specification