Anastomosis device having improved tissue presentation

• US 6,530,932 B1
• Filed: 08/30/2000
• Issued: 03/11/2003
• 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: Swayze, Jeffrey S., Nobis, Rudolph H., Hoffman, Douglas B., Stefanchik, David, Goldin, Mark A.
• Primary Examiner(s): REIP, DAVID OWEN
• Application Number:
  US09/650,577
• Time in Patent Office: 923 Days
• Field of Search: 606/1, 606/139, 606/144, 606/145, 606/147, 606/148, 606/150, 606/151, 606/152, 606/153
• 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 for sutures A61B2017/06171
• 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 Y-shaped blood vessel prostheses A61F2002/065
• 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 a surgical device for presenting a first hollow organ and a second hollow organ for creation a passageway therebetween. The surgical device includes a member, an upper pin for entering a first hollow organ, and a lower pin for entering a the second hollow organ, the pins having proximal ends attached to the member, distal ends extending therefrom and longitudinal axis extending therebetween. The device further includes a first actuator assembly coupled to the member for laterally moving the distal and proximal ends of the lower pin relative to the first member, and a second actuator coupled to the member for moving the distal ends of the upper and lower pins adjacent to one another so as to move the hollow organs close together.

Claims

1. A surgical device for presenting a first hollow organ and a second hollow organ for creation a passageway therebetween, said surgical device comprising:

a. a member, an upper pin for entering a first hollow organ, and a lower pin for entering a said second hollow organ, said pins having proximal ends attached to said member, distal ends extending therefrom and longitudinal axis extending therebetween; and

b. a first actuator assembly coupled to said member for laterally moving said distal and proximal ends of said lower pin relative to said first member, and a second actuator coupled to said member for moving said distal ends of said upper and lower pins adjacent to one another so as to move said hollow organs close together.

2. The device of claim 1 further including a plow movably attached to said member between said upper and lower pins, said plow is movable along said longitudinal axis of said pins to incise at least one of said hollow organs so as to create a passageway between said hollow organs.

3. The device of claim 2 further including a needle having a suture attached thereto, and a means for driving said needle through said organs, about said passageway thereby attaching said hollow organs together.

4. The device of claim 1 wherein said first actuator for laterally moving said distal and proximal ends of said lower pin relative to said first member comprises a movable arm having a distal end attached to said proximal end of said lower pin, and a proximal end movably attached to said member such that said arm can be spaced apart from said member or moved closely adjacent thereto.

5. The device of claim 1 wherein second actuator for moving said distal ends of said upper and lower pins adjacent to one another so as to move said hollow organs close together comprises a pivot assembly attaching said proximal end of said upper pin to said member.

6. The device of claim 1 further including a means for incising at least one of said hollow organs so as to create a passageway between said hollow organs.

7. The device of claim 6 further including a means for attaching said hollow organs together about said passageway.

8. The device of claim 1 wherein said first actuator for laterally moving said distal and proximal ends of said lower pin relative to said member comprises a movable arm having a distal end attached to said proximal end of said lower pin, and a proximal end movably attached to said member such that said arm can be spaced apart from said member or moved closely adjacent thereto.

9. The device of claim 1 wherein second actuator for moving said distal ends of said upper and lower pins adjacent to one another so as to move said hollow organs close together comprises a pivot assembly attaching said proximal end of said upper pin to said member.

10. The device of claim 1 wherein said device includes two helical needles, each having a suture attached thereto, one needle being laterally spaced on either side of said plow, wherein said needle driver rotates said helical needles so as to drive them in a distal direction wherein said needles penetrate both of said organs thereby attaching said two organs together by said sutures.

11. A surgical device for attaching a first hollow organ to a second hollow organ and creating a passageway therebetween, said surgical device comprising:

a. a member, an upper pin for entering a first hollow organ, and a lower pin for entering a said second hollow organ, said pins having proximal ends attached to said member, distal ends extending therefrom and longitudinal axis extending therebetween;

b. a first actuator coupled to said member for laterally moving said distal and proximal ends of said lower pin relative to said member, and a second actuator coupled to said member for moving said distal ends of said upper and lower pins adjacent to one another so as to move said hollow organs close together;

c. a plow movably attached to said member between said upper and lower pins, said plow is movable along said longitudinal axis of said pins to incise at least one of said hollow organs so as to create a passageway between said hollow organs; and

d. a needle driver coupled to said member and a needle having a suture attached thereto, said needle driver drives said needle through said organs, about said passageway thereby attaching said hollow organs together.