WO2008101075A3 - Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body - Google Patents

Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body Download PDF

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Publication number
WO2008101075A3
WO2008101075A3 PCT/US2008/053958 US2008053958W WO2008101075A3 WO 2008101075 A3 WO2008101075 A3 WO 2008101075A3 US 2008053958 W US2008053958 W US 2008053958W WO 2008101075 A3 WO2008101075 A3 WO 2008101075A3
Authority
WO
WIPO (PCT)
Prior art keywords
anastomosis
organs
hollow
forming
natural orifice
Prior art date
Application number
PCT/US2008/053958
Other languages
French (fr)
Other versions
WO2008101075A2 (en
Inventor
Gregory J Bakos
William D Fox
Original Assignee
Ethicon Endo Surgery Inc
Gregory J Bakos
William D Fox
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc, Gregory J Bakos, William D Fox filed Critical Ethicon Endo Surgery Inc
Publication of WO2008101075A2 publication Critical patent/WO2008101075A2/en
Publication of WO2008101075A3 publication Critical patent/WO2008101075A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3401Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3439Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3468Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00278Transorgan operations, e.g. transgastric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1103Approximator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3425Access ports, e.g. toroid shape introducers for instruments or hands for internal organs, e.g. heart ports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments

Abstract

A surgical instrument for creating an anastomosis between two organs. In various embodiments, the instrument may include a hollow outer sleeve (30) for creating a tool-receiving passage between a natural orifice in the patient and the surgical site. The tool receiving passage may be used to operably accommodate various surgical instruments such as an endoscope (60) a hole-forming instrument (68) and suction and aeration tubes (50) for assisting in the formation of the anastomosis. The hollow outer sleeve may further be used to position a hollow anastomosis sleeve segment (80) within two aligned holes in the organs. The anastomosis sleeve segment supports an inflatable distal receptable (90) that is inflated within one of the organs and a proximal inflatable receptable (100) that is inflated in the other organ to retain the anastomosis sleeve segment in position. Thereafter, the hollow outer sleeve is withdrawn from the patient leaving the hollow anastomosis sleeve segment in position between the two organs.
PCT/US2008/053958 2007-02-15 2008-02-14 Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body WO2008101075A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/706,460 US20080200933A1 (en) 2007-02-15 2007-02-15 Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
US11/706,460 2007-02-15

Publications (2)

Publication Number Publication Date
WO2008101075A2 WO2008101075A2 (en) 2008-08-21
WO2008101075A3 true WO2008101075A3 (en) 2009-03-19

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/053958 WO2008101075A2 (en) 2007-02-15 2008-02-14 Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body

Country Status (2)

Country Link
US (1) US20080200933A1 (en)
WO (1) WO2008101075A2 (en)

Families Citing this family (527)

* Cited by examiner, † Cited by third party
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