External anastomosis operators and related systems for anastomosis
First Claim
Patent Images
1. An external anastomosis operator for use with an anvil apparatus, the anastomosis operator comprising:
- engaging means for engaging an anvil pull extending from an anvil of an anvil apparatus;
cutting means for forming an opening in a wall of a first vessel at an anastomosis site through engagement with the anvil of the anvil apparatus as the engaging means holds the anvil pull after receiving the anvil pull through the cutting means; and
spring biasing means for providing tension against the cutting means as the cutting means engages the anvil of the anvil apparatus.
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Abstract
Anastomosis procedures are achieved through the use of a system adapted for use with an intraluminally directed anvil apparatus having an anvil pull extending from an anvil. The system has an engager for engaging the anvil pull so that a vessel can be distended by the anvil as the anvil pull is pulled. The system has a cutter for forming an opening in a vessel. The system is adapted for use with a compression plate apparatus used to eversion and holding everted surfaces around the opening together. The system can also be used with an externally positioned anvil apparatus.
356 Citations
62 Claims
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1. An external anastomosis operator for use with an anvil apparatus, the anastomosis operator comprising:
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engaging means for engaging an anvil pull extending from an anvil of an anvil apparatus;
cutting means for forming an opening in a wall of a first vessel at an anastomosis site through engagement with the anvil of the anvil apparatus as the engaging means holds the anvil pull after receiving the anvil pull through the cutting means; and
spring biasing means for providing tension against the cutting means as the cutting means engages the anvil of the anvil apparatus. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. An external anastomosis operator for use with an anvil apparatus, the external anastomosis operator comprising:
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an anvil pull engager adapted to engage an anvil pull extending from an anvil of an anvil apparatus;
a cutting device that is adapted to engage the anvil of the anvil apparatus once the anvil pull engager has received the anvil pull through the cutting device and holds the anvil pull in order to form an opening in a wall of the first vessel at an anastomosis site; and
a spring biasing device adapted and positioned to engage the cutting device to provide tension against the cuffing device as the cutting device engages the anvil of the anvil apparatus. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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29. An external anastomosis operator for use with an anvil apparatus, the external anastomosis operator comprising:
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engaging means for engaging an anvil pull extending from an anvil of an anvil apparatus once the anvil has been positioned in a lumen of a first vessel at an anastomosis site with the anvil pull extending out of the first vessel in a configuration that permits the wall of the first vessel to be distended over the anvil by movement of the anvil pull via the anvil pull engager, wherein the external anastomosis operator is adapted to receive the anvil and cooperate together with the anvil to draw the wall of the lust vessel into the external anastomosis operator so that the wall of the first vessel is distended over the anvil and within the external anastomosis operator before an opening is formed in the wall of the first vessel that is sized for anastomosis with a second vessel. - View Dependent Claims (30, 31, 32, 33, 34, 40)
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35. An external anastomosis operator for use with an anvil apparatus, the external anastomosis operator comprising:
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an anvil pull engager adapted to engage an anvil pull extending from an anvil of an anvil apparatus once the anvil of the anvil apparatus has been positioned in a lumen of a first vessel at an anastomosis site with the anvil pull extending out of the first vessel in a configuration that permits the wall of the first vessel to be distended over the anvil by movement of the anvil pull via the anvil pull engager, wherein the external anastomosis operator is adapted to receive the anvil and cooperate together with the anvil to draw the wail of the first vessel into the external anastomosis operator so that the wall of the lint vessel is distended over the anvil and within the external anastomosis operator before an opening is formed in the wall of the first vessel that is sized for anastomosis with a second vessel. - View Dependent Claims (36, 37, 38, 39, 42, 43, 46)
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41. An anastomosis system comprising:
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an anvil apparatus including anvil means for engaging the interior surface of a first vessel at an anastomosis site, and anvil pull means for holding the anvil means against the interior of the first vessel, the anvil pull means extending from the anvil means; and
an external anastomosis operator that is distinct from the anvil apparatus so that the anvil apparatus and the external anastomosis operator are separately positioned at an anastomosis site and are then positionable relative to each other to perform the anastomosis, wherein the external anastomosis operator includes engaging means for engaging an anvil pull extending from the anvil of the anvil apparatus once the anvil of the anvil apparatus has been positioned in a lumen of a first vessel at an anastomosis site with the anvil pull extending out of the first vessel. - View Dependent Claims (44, 45)
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47. An anastomosis system comprising:
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an anvil apparatus including an anvil pull extending from an anvil; and
an external anastomosis operator that is distinct from the anvil apparatus so that the anvil apparatus and the external anastomosis operator are separately positioned at an anastomosis site and are then positionable relative to each other to perform the anastomosis, wherein the external anastomosis operator includes an anvil pull engager adapted to engage the anvil pull extending from the anvil of the anvil apparatus once the anvil of the anvil apparatus has been positioned in a lumen of a first vessel at an anastomosis site with the anvil pull extending out of the first vessel. - View Dependent Claims (48, 49, 50, 51, 52)
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53. An anastomosis system comprising:
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an anvil apparatus including anvil means for engaging the interior surface of a first vessel at an anastomosis site, and anvil pull means for holding the anvil means against the interior of the first vessel, the anvil pull means extending from the anvil means;
an external anastomosis operator including engaging means for engaging an anvil pull extending from the anvil of the anvil apparatus once the anvil of the anvil apparatus has been positioned in a lumen of a first vessel at an anastomosis site with the anvil pull extending out of the first vessel; and
means for joining a portion of the first vessel that defines the first vessel opening to a portion of a second vessel that defines a second vessel opening, wherein the joining means is adapted to cooperate with the anvil means so that opposing portions of the internal and external surfaces of the first vessel are abutted respectively by the anvil means and the joining means before the opening is formed in the first vessel so that the portion of the first vessel defining the first vessel opening after cuffing the first vessel rests on the anvil. - View Dependent Claims (54, 55, 56, 57)
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58. An anastomosis system comprising:
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an anvil apparatus including an anvil pull extending from an anvil; and
an external anastomosis operator including an anvil pull engager adapted to engage the anvil pull extending from the anvil of the anvil apparatus once the anvil of the anvil apparatus has been positioned in a lumen of a first vessel at an anastomosis site with the anvil pull extending out of the first vessel; and
an anastomosis apparatus adapted to join a portion of the first vessel that defines the first vessel opening to a portion of a second vessel that defines a second vessel opening, wherein the anastomosis apparatus is adapted to cooperate with the anvil so that opposing portions of the internal and external surfaces of the first vessel are abutted respectively by the anvil and the anastomosis apparatus before the opening is formed in the first vessel so that the portion of the first vessel defining the first vessel opening after cutting the first vessel rests on the anvil. - View Dependent Claims (59, 60, 61, 62)
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Specification