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EP0885595A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Anastomosis instrument with detachable loading unit

Assignee: United States Surgical Corp
•
Filing: 1998-06-16
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Granted: —
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Expires: 2018-06-16
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Abstract

Abstract There is disclosed a surgical instrument (10) and loading unit (16) for performing an anastomosis of first and second blood vessels. The surgical instrument (10) includes a handle assembly (12) and a body portion (14) extending distally from the handle assembly. The detachable loading unit (16) includes an anvil (126) releasably engagable with a distal end of the body portion and having a plurality of fasteners (130) disposed in channels about the circumference of a distal end of the anvil. A pusher (128) is slidably mounted over the anvil such that distal movement of the pusher (128) in response to actuation of the handle assembly (12) cams the fasteners (130) between the anvil and a distal end of the pusher to simultaneously crimp the fasteners about tissue. In performing an anastomosis a first vessel is positioned in the loading unit and partially inserted through an opening in a second vessel. The surgical instrument (10) is subsequently attached to the loading unit (16) and the handle assembly (12) is actuated to crimp fasteners (130) about the first and second vessels to form an anastomosis.

Inventors

  • 👤 Scott E. Manzo
  • 👤 Richard D. Gresham
  • 👤 Kevin Sniffin
  • 👤 Peter W. J. Hinchliffe

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 07:36
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/11; A61B17/115; A61B17/1152; A61B17/12; A61B17/128; A61B17/1285; A61B17/08; A61B17/083; A61B2017/1107; A61B2017/1135

Claims Analysis

Total Claims: 16
Claim 1
Independent Claim 74 words
A detachable loading unit for use with a surgical fastener apparatus comprising: a) a generally cylindrical anvil member having structure for releasably engaging a portion of a surgical fastener apparatus; b) a plurality of surgical clips circumferentially disposed on the anvil member; and c) a pusher coaxially mounted with respect to the anvil member such that the clips are held between a distal end of the anvil and a distal end of the pusher.
Claim 2
Dependent Claim 26 words
The loading unit as recited in any preceding claim, wherein the anvil member and pusher define a passage for receipt of a segment of vascular tissue.
Claim 3
Dependent Claim 23 words
The loading unit as recited in any preceding claim, wherein the pusher is formed of a pair of pusher halves pivotally connected together.
Claim 4
Dependent Claim 23 words
The loading unit as recited in any preceding claim, wherein the anvil member is formed as pair of anvil halves pivotably connected together.
Claim 5
Dependent Claim 22 words
The loading unit as recited in any preceding claim, wherein the pusher halves and the anvil halves pivot about a common axis.
Claim 6
Dependent Claim 24 words
The loading unit as recited in any preceding claim, further comprising a latch mechanism for releasably retaining the anvil halves and pusher halves together.
Claim 7
Dependent Claim 45 words
The loading unit as recited in any preceding claim, further comprising a locking disk positionable about a proximal end of the anvil member and against a proximal end of the pusher member such that the clips are retained between the anvil member and the pusher.
Claim 8
Dependent Claim 24 words
The loading unit as recited in any preceding claim, wherein distal movement of the pusher relative to the anvil member simultaneously deforms the clips.
Claim 9
Dependent Claim 44 words
The loading unit as recited in any preceding claim, wherein the anvil member defines a bore for receipt of a section of vascular tissue therein; and wherein the surgical clips are positioned within longitudinal channels formed in an outer surface of the anvil member.
Claim 10
Dependent Claim 33 words
The loading unit as recited in any preceding claim, wherein at least one leg portion of the plurality of surgical clips is directed radially outwardly of the bore defined by the anvil member.
Claim 11
Dependent Claim 66 words
The loading unit as recited in any preceding claim, wherein a first end of the bore is open to a distal end of the anvil member and a second end of the bore forms an exit in the anvil member distal to the proximal end of the anvil member and a portion of the anvil member defining the bore is formed as halves pivotally connected together.
Claim 12
Dependent Claim 25 words
The loading unit as recited in any preceding claim, wherein each clip of the plurality of surgical clips is an atraumatic non-tissue penetrating surgical clip.
Claim 13
Dependent Claim 102 words
A surgical instrument comprising: a) a handle assembly; b) an anvil support extending distally from the handle assembly; c) an actuator movable with respect to the anvil support; and d) a loading unit having: i) an anvil removably supported on a distal end of the anvil support; ii) a plurality of surgical clips circumferentially disposed about the anvil member; and iii) a pusher movable relative to the anvil member and engagable with the actuator, wherein movement of the actuator relative to the anvil support simultaneously deforms the plurality of surgical clips between the anvil member and a distal end of the pusher.
Claim 14
Dependent Claim 38 words
The surgical instrument as recited in Claim 13, further comprising a slider mechanism movable between a first position remote from the anvil and a second position firmly affixing the anvil to the distal end of the anvil support.
Claim 15
Dependent Claim 61 words
The surgical instrument as recited in Claim 13 or 14, wherein the actuator includes at least one handle movably mounted to the handle assembly and further comprising a lockout button movably mounted to the housing and movable between a first position blocking movement of the at least one handle and a second position allowing movement of the at least one handle.
Claim 16
Dependent Claim 44 words
The surgical instrument as recited in Claim 13, wherein the anvil defines a passage for receipt of a blood vessel and further comprising a latch mechanism on the anvil and actuable from the handle assembly to release the blood vessel from within the passage.

References Cited (Backward Citations)

GB935490A Cited
US4586503A Cited
US4700703A Cited
US4872874A Cited
US5025779A Cited
EP0384647A1 Cited
US5234447A Cited
WO1995015715A1 Cited
WO1995035065A1 Cited
US5503617A Cited

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