Apparatus and method for performing compressional anastomoses

• US 5,503,635 A
• Filed: 11/12/1993
• Issued: 04/02/1996
• Est. Priority Date: 11/12/1993
• Status: Expired due to Fees

• Current Assignee: LSI Solutions, Inc.
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Sauer, Jude S., Greenwald, Roger J., Hammond, John F., Tiberio, Theodore J., Shaw, Jeffrey M.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/151,614
• Time in Patent Office: 872 Days
• Field of Search: 606/151, 606/153, 606/154, 606/150, 623/1, 623/11, 623/12, 128/899
• US Class Current: 606/153
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections

Abstract

Apparatus and method for forming a compression anastomosis of a hollow organ. The apparatus comprising a first collapsible member movable between an expanded configuration and a collapsed configuration, the first collapsible member having a longitudinal bore defined by an inner surface, a first mating member, locking structure disposed on the first collapsible member for locking the first collapsible member with the first mating member, a second collapsible member movable between an expanded configuration and a collapsed configuration, the second collapsible member having a longitudinal bore defined by an inner surface, a second mating member, locking structure disposed on the second collapsible member for locking the second collapsible member with the second mating member, and the first member adapted to interlock with the second member. A tissue retaining device is also provided which comprises a mating member having a receiving portion formed thereon, said receiving portion having an inner surface and securing structure comprising a ring having an outer surface dimensioned and configured for insertion into said receiving surface to compress tissue between said outer surface of said ring and an inner surface of said mating member receiving portion.

Claims

1. A compression device for the anastomosis of a hollow organ, comprising:

(a) a first collapsible member movable between an expanded configuration and a collapsed configuration;

(b) a first tissue retaining member insertable in said first collapsible member to maintain said first collapsible member in said expanded configuration and hold tissue between said first tissue retaining member and said first collapsible member;

(c) a second collapsible member movable between an expanded configuration and a collapsed configuration; and

(d) a second tissue retaining member insertable in said second collapsible member to hold tissue between said second tissue retaining member and said second collapsible member;

wherein said first and second collapsible members are configured and dimensioned to interlock with each other.

2. A compression device for the anastomosis of a hollow organ, comprising:

(a) a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a longitudinal bore defined by an inner surface;

(b) a first mating member configured and dimensioned to maintain said first collapsible member in said expanded configuration;

(c) locking means disposed on said first collapsible member for locking said first collapsible member with said first mating member;

(d) a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member having a longitudinal bore defined by an inner surface;

(e) a second mating member;

(f) locking means disposed on said second collapsible member for locking said second collapsible member with said second mating member; and

(g) said first mating member being configured and dimensioned to interlock with said second mating member.

3. A compression device for the anastomosis of hollow organs according to claim 2, wherein said first and second collapsible members are configured and dimensioned such that they are insertable in a trocar cannula when said first and second collapsible members are in said collapsed configurations.

4. A compression device for the anastomosis of hollow organs according to claim 3, wherein said first collapsible member comprises an annular base having finger members extending from said annular base, said annular base having the same shape in the expanded and collapsed configuration.

5. A compression device for the anastomosis of hollow organs according to claim 3, wherein said second collapsible member comprises an annular base having finger members extending from said annular base, said annular base having the same shape in the expanded and collapsed configurations.

6. A compression device for the anastomosis of hollow organs according to claim 2, wherein at least one of said first and said second collapsible members includes a plurality of adjacent finger members.

7. A compression device for the anastomosis of hollow organs according to claim 4, wherein at least some of said finger members are permanently joined together in a predetermined spatial relationship.

8. A compression device for the anastomosis of hollow organs according to claim 6, further comprising clamping means associated with said finger members, for clamping said finger members together.

9. A compression device for the anastomosis of hollow organs according to claim 8, wherein said clamping means includes an annular ring configured and dimensioned to hold said finger members together.

10. A compression device for the anastomosis of hollow organs according to claim 2, wherein said first mating member includes an axle member having latching means disposed thereon for interlocking with said locking means.

11. A compression device for the anastomosis of hollow organs according to claim 2, wherein said second mating member includes an axle member having latching means disposed thereon for interlocking with said locking means.

12. A compression device for the anastomosis of hollow organs according to claim 2, wherein at least one of said collapsible members is made from partially bioabsorbable materials.

13. A compression device for the anastomosis of hollow organs according to claim 2, wherein at least one of said collapsible members is made from totally bioabsorbable materials.

14. A compression device for the anastomosis of hollow organs according to claim 2, wherein said first collapsible member includes holding means disposed thereon, for holding said collapsible member in a collapsed position and said second collapsible member includes holding means disposed thereon, for holding said collapsible member in a collapsed position.

15. A compression device for the anastomosis of hollow organs according to claim 2, further comprising a tissue retaining member adapted for insertion into said first collapsible member, thereby exerting an outwardly directed force on an inside perimeter of said first collapsible member when tissue of said hollow organ is locked between said tissue retaining member and said inside perimeter of said first collapsible member.

16. A compression device for the anastomosis of hollow organs according to claim 15, wherein said tissue retaining member includes an annular ring.

17. A compression device for the anastomosis of hollow organs according to claim 2, further comprising a tissue retaining member adapted for insertion into said second collapsible member, thereby exerting an outwardly directed force on an inside perimeter of said second collapsible member when tissue of said hollow organ is locked between said tissue retaining member and said inside perimeter of said second collapsible member.

18. A compression device for the anastomosis of hollow organs according to claim 17, wherein said tissue retaining member includes an annular ring.

19. A tissue retaining device comprising:

(a) a mating member including at least two segmented portions and a receiving portion formed thereon, said receiving portion having an inner surface; and

(b) means for securing tissue to said mating member, said securing means comprising a ring having an outer surface dimensioned and configured for insertion into said receiving portion to compress tissue between said outer surface of said ring and said inner surface of said mating member receiving portion;

whereby said at least two segmented portions are radially collapsible prior to insertion of said securing means into said receiving portion.

20. A tissue retaining device, according to claim 19 wherein said ring is circular.

21. A tissue retaining device, according to claim 19 wherein said ring has a uniform diameter.