摘要:
A surgical apparatus and method for joining esophageal, intestinal, or other tubular tissue segments comprises a delivery tube and a delivery docking member each carrying a coupling member seated at its distal end for delivering the coupling members to a terminal location in a respective tissue segment. An actuating rod received through the delivery tube and threadably mated with the docking arm adjusts the delivery tube relative to the docking arm to push the coupling members together causing them to fasten to one another and join the tissue segments. The bodies of the coupling members are preferably formed of biodissolvable material to degrade as the tissue segments grow together.
摘要:
A stapler for stapling a tubular structure to another structure. The stapler has an anvil which is expandable from a collapsed position to an expanded position. The stapler has a recess which receives at least a portion of the tubular structure and a shoulder which receives an everted end of the tubular structure. A first actuator moves the anvil relative to the shoulder for compressing the structures which are to be stapled together. A second actuator is used for driving the staples through the structures to be stapled together.
摘要:
Disclosed is an instrument for use in a procedure to effect anastomosis of a patient's bladder and urethra following a prostatectomy having a tube assembly, and an end effector assembly operably supported by the tube assembly. The end effector assembly includes a positioner assembly and an anchor driver assembly in operable mechanical communication with first and second rods of the tube assembly, so as to be actuable by movement of the first and the second rods with respect to a spine member.
摘要:
Apparatus for performing a surgical anastomosis include a sleeve, a tubular body (220) configured and adapted to be slidably received within the sleeve, a firing head operatively coupled to a distal end of the tubular body and defining a plurality of needle passages (228), a radially expandable anchor (230) configured and adapted to be received within the distal end of the sleeve, a needle pusher assembly (270) including at least one push rod (272) slidably received within a respective needle passage; a lock collar (250) configured and adapted to be received in the central passage of the anchor and at least one needle anchor (280) slidably received in a respective needle passage.
摘要:
The instrument disclosed may comprise a tube assembly supporting an end effector that may be adapted for insertion into and through the urethra, and adapted for use in effecting the anastomosis of a patient's bladder and urethra following a prostatectomy. In one embodiment the end effector may comprise a positioner having an extendable and retractable petal operably connected to a tube, an anchor driver, and an anchor releasably held by the anchor driver. In another embodiment the end effector may comprise a positioner and an anchor driver having a driver pin operably connected to a tube.
摘要:
An anastomosis ring for interconnecting ends of living vessels in apposition of the ring having a tubular body with an annular wall surrounding a hollow bore. A plurality of impaling projections are provided at one end of the tubular member and a plurality of impaling projections are provided at the other end of the tubular member to impale a vessel end. A coupler device with a detachable connection holds the anastomosis ring adjacent the severed vessel ends. A first vessel end is inserted through a hollow bore of the tubular member and everted and impaled on the impaling projections. The second vessel end is drawn over the everted first vessel end and the intimas of the respective vessel ends are being brought into apposition and the second vessel and is impaled on the impaling projections. The anastomosis ring is then disconnected from the coupler device.
摘要:
Apparatus for performing a surgical anastomosis are disclosed. The apparatus include a tubular body having a proximal end and a distal end, an onion sleeve portion formed near the distal end of the tubular body and an inner tube disposed within the tubular body. The inner tube includes at least one pair of longitudinally aligned needle passages formed below the onion sleeve portion of the tubular body. The apparatus further includes at least one needle assembly disposed within the at least one pair of longitudinally aligned needle passages and a firing assembly operatively coupled to the proximal end of the tubular body. The firing assembly is configured and adapted to eject the pair of needles from the apparatus.
摘要:
A tool for deploying an anastomosis device includes a member configured to hold the anastomosis device, and an expander movable relative to the anastomosis device.
摘要:
The invention comprises a surgical instrument including an external tube (2) and two elongated members (4) positioned in said tube (2), each of which includes a distal end (10a) for capturing one of the two tissue zones (M1, M2) to be attached. The instrument (1) may further comprise a catching member (22, 25) for each tissue (M1, M2) to be attached; a rod (15, 16) linked to each catching member (22, 25) enabling tension to move axially, said rod (15, 16) being separable from said catching member (22, 25) when a tension is exerted on it beyond a certain threshold; and a member (17a) forming a stop for locking axially each catching member (22, 25) during said tension.
摘要:
The present invention provides tissue capture devices configured to hold tissue in a distorted configuration. The devices may hold precaptured tissue in a distorted configuration or it may change their shape to cause the tissue to become deformed. Some embodiments of the device alter the configuration in areas that remain external to the tissue, while other embodiments change their configuration in areas that are implanted in the tissue. Other embodiments may be mechanically altered to hold the tissue in a distorted shape.