Anastomosis device having an improved needle driver

• US 6,520,973 B1
• Filed: 08/30/2000
• Issued: 02/18/2003
• Est. Priority Date: 08/30/2000
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: McGarry, Joshua E.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): Davis, D Jacob
• Application Number:
  US09/650,578
• Time in Patent Office: 902 Days
• Field of Search: 606/143-145, 606/225, 606/232, 606/222, 606/223, 606/224, 606/226-231, 464/51-52, 464/57
• US Class Current: 606/144
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/06076 helically or spirally coiled
• CPC Class Codes: A61B 2017/1107 for blood vessels
• 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

In accordance with the present invention, there is provided an anastomosis device for attaching a first hollow vessel to a second hollow vessel. The device includes a handle for holding the device, and a head assembly, attached to the handle, for holding the first and second hollow vessels adjacent to each other. The head assembly having a distal end, a proximal end and a longitudinal axis therebetween. The device further includes a needle guide disposed longitudinally along the head assembly adjacent to the vessels, and a helical needle, having a suture attached to a proximal end thereof, disposed within the head assembly at its proximal end. The device has an actuator on the handle for actuating a needle driver. The needle driver is coupled to the head and includes a flexible rotatable member operated by the actuator, for rotating and driving the needle distally along the needle guides and through the first and second hollow vessels. The rotatable member is made from an inner shaft, an intermediate coiled spring surrounding the shaft, and an outer wire mesh surrounding the coiled spring.

Claims

1. An anastomosis device for attaching a first hollow vessel to a second hollow vessel, said device comprising:

a. A handle for holding said device, and a head assembly, attached to said handle, for holding said first and second hollow vessels adjacent to each other, said head assembly having a distal end, a proximal end and a longitudinal axis therebetween;

b. a longitudinal needle guide disposed longitudinally along said head assembly adjacent to said vessels, and a helical needle comprising a plurality of spaced apart helical coils, said helical needle having a suture attached to a proximal end thereof, disposed within said head assembly at its proximal end, said needle guide having a plurality of ribs disposed along its length, said ribs being spaced apart at substantially the same distance as the helical coils are spaced from one another; and

c. an actuator on said handle for actuating a needle driver, said needle driver coupled to said head assembly, said needle driver comprising a flexible rotatable member operated by said actuator for rotating and driving said needle distally along said needle guides and through said first and second hollow vessels, said flexible rotatable member comprising an inner shaft, an intermediate coiled spring surrounding said inner shaft, and an outer wire mesh surrounding said coiled spring.

2. The device of claim 1 wherein said plurality of ribs comprises a plurality of longitudinally spaced ribs having spaces therebetween, and wherein said needle driver further comprises a longitudinal roller attached to said flexible rotatable member, said longitudinal roller is substantially coextensive with said needle guide, said longitudinal roller having a plurality of annular rings that mesh into said spaces between said spaced ribs, whereby said longitudinal roller makes frictional contact with said annular rings and rotates so as to drive said needle distally.

3. The device of claim 1 wherein said flexible rotatable member has substantially no shape memory.

4. The device of claim 1 wherein said outer wire mesh is braided wire.

5. The device of claim 4 wherein said braided wire is attached to said coiled spring under tension.

6. The device of claim 1 wherein said coiled spring is substantially compressed.

7. The device of claim 1 wherein said flexible rotatable member is substantially resistant to elongation during actuation of said actuator.

9. The device of claim 1 wherein said plurality ribs comprises a plurality of longitudinally spaced ribs having spaces therebetween, and wherein said needle driver further comprises a longitudinal roller attached to said flexible rotatable member, said longitudinal roller is substantially coextensive with said needle guide, said longitudinal roller having a plurality of annular rings that mesh into said spaces between said spaced ribs, whereby said longitudinal roller makes frictional contact with said annular rings and rotates so as to drive said needle distally.

10. The device of claim 1 wherein said flexible rotatable member has substantially no shape memory.

11. The device of claim 1 wherein said outer wire mesh is braided wire.

12. The device of claim 4 wherein said braided wire is attached to said coiled spring under tension.

13. The device of claim 1 wherein said coiled spring is substantially compressed.

14. The device of claim 1 wherein said flexible rotatable member is substantially resistant to elongation during actuation of said actuator.

8. An anastomosis device for attaching a first hollow vessel to a second hollow vessel, said device comprising:

a. A handle for holding said device, and a head assembly, attached to said handle, for holding said first and second hollow vessels adjacent to each other, said head assembly having a distal end, a proximal end and a longitudinal axis therebetween, said head further including a plow disposed therein for incising at lest one of said hollow vessels so as to create a passageway between said vessels;

b. a longitudinal needle guide disposed longitudinally along said head assembly adjacent to said vessels, and a helical needle comprising a plurality of spaced apart helical coils, said helical needle having a suture attached to a proximal end thereof, disposed within said head assembly at its proximal end, said needle guide having a plurality of ribs disposed along its length, said ribs being spaced apart at substantially the same distance as the helical coils are spaced from one another; and

c. an actuator on said handle for actuating a needle driver, said needle driver coupled to said head, said needle driver comprising a flexible rotatable member operated by said actuator for rotating and driving said needle distally along said needle guides and through said first and second hollow vessels, said flexible rotatable member comprising an inner shaft, an intermediate coiled spring surrounding said inner shaft, and an outer wire mesh surrounding said coiled spring.