Surgical anastomosis apparatus and method thereof

• US 6,659,327 B2
• Filed: 07/31/2002
• Issued: 12/09/2003
• Est. Priority Date: 06/17/1994
• Status: Expired due to Term

• Current Assignee: Heartport, Inc. (Johnson & Johnson)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Heck, Christopher F., Bolduc, Lee R.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US10/209,032
• Publication Number:
  US 20020185516A1
• Time in Patent Office: 496 Days
• Field of Search: 227/176.1, 227/175.1, 227/19, 227/151, 227/140, 227/179.1, 227/181.1, 606/219
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/1152 applying the staples on the outside of the lumen
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence
• CPC Class Codes: A61B 2017/1103 Approximator
• CPC Class Codes: A61B 2017/1121 adapted for performing tissue or graft eversion
• 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: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11

Abstract

The present invention provides a method and end-to-side surgical anastomosis apparatus for stapling an end of a tubular tissue structure to a side of a luminal structure including an elongated housing defining a central bore extending longitudinally therethrough. The elongated housing further includes an eversion support surface extending circumferentially about the bore opening adjacent the distal end which is configured to retain and support an everted end of the received tissue structure thereon to face an intimal surface of the tissue structure in an outward direction. The anastomosis apparatus further includes an anvil having a fastener engaging surface, and a compression device having a shoulder portion formed for selectively compressing the everted end of the tissue structure and a surface of the luminal structure together against the fastener engaging surface. The compression device is further formed to deform the fasteners into contact with the everted end of the tubular tissue structure and the luminal structure to create an anastomotic bond between the tubular tissue structure and the luminal structure. At least one driver pin is preferably provided moveable relative to the compression device for ejecting the plurality of fasteners through the everted end of the tubular tissue structure and the luminal structure to engage the fastener engaging surface. This engagement deforms the fastener and creates an anastomotic bond between the tubular tissue structure and the luminal structure.

Claims

1. An anastomosis apparatus for placing a lumen of a graft vessel in fluid communication with a lumen of a target vessel, comprising:

a housing having a first portion and a second portion pivotably connected to the first portion, the housing having an open position, where the first portion and the second portion are pivoted away from one another, and a closed position, where the first portion and the second portion matingly engage one another; and

wherein the housing has a bore formed by the first and second portions when the housing is in the closed position, the bore configured to accommodate the graft vessel.

2. The anastomosis apparatus of claim 1, wherein the housing comprises a distal end and an eversion surface proximate the distal end, the eversion surface configured to permit the graft vessel to be everted over the eversion surface.

3. The anastomosis apparatus of claim 2, wherein the first portion and the second portion each have a distal end and wherein an eversion surface is formed by the distal ends of the first portion and the second portion when the first portion and the second portion are matingly engaged.

4. The anastomosis apparatus of claim 3, wherein the eversion surface comprises a neck portion proximal the distal end of the housing.

5. The anastomosis apparatus of claim 1, wherein the housing has a side bore that fluidly communicates with the bore.

6. The anastomosis apparatus of claim 5, wherein the side bore is formed by the first and second portions when the housing is in the closed position, the side bore configured to accommodate the graft vessel.

7. The anastomosis apparatus of claim 1, wherein the housing includes a hinge attached to the first portion and the second portion to permit the first portion and the second portion to pivot with respect to one another.

8. The anastomosis apparatus of claim 1, comprising a compression device slidably connected to the housing, the compression having a bore configured to accommodate the housing within the bore.

9. A method of placing a lumen of a graft vessel in fluid communication with a lumen of a target vessel, comprising the steps of:

providing a housing having a first portion and a second portion pivotably connected to the first portion, the housing having an open position, where the first portion and the second portion are not matingly engaged, and a closed position, where the first portion and the second portion matingly engage one another, wherein the housing has a bore formed by the first and second portions when the housing is in the closed position, the bore configured to accommodate the graft vessel;

positioning at least a portion of the graft vessel within the bore when the housing is in the open position;

placing the housing in the closed position; and

connecting the graft vessel to the target vessel.

10. The method of claim 9, wherein the graft vessel is everted over an eversion surface of the housing prior to connecting the graft vessel to the target vessel.

11. The method of claim 10, comprising the step of sliding a compression device toward the distal end of the housing to compress everted portion of the graft vessel between the compression device and the eversion surface.

12. The method of claim 9, wherein the housing has a side bore that fluidly communicates with the bore, the side bore being formed by the first and second portions when the housing is in the closed position, and wherein the positioning step comprises positioning at least a portion of the graft vessel within the bore and the side bore.