Externally directed anastomosis systems and externally...

A - Human Necessities – 61 – B

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A61B 17/11 (2006.01) A61B 17/04 (2006.01) A61B 17/064 (2006.01) A61B 17/115 (2006.01) A61B 17/32 (2006.01) A61B 17/34 (2006.01)

Patent

CA 2394242

Anastomosis procedures and anastomosis cutting procedures are achieved with an anvil apparatus that is externally (Figure 17A) positioned through the wall of a vessel (20) into the vessel lumen. The externally positioned anvil apparatus has an anvil (1210) that engages a cutter (1400) to form a vessel opening (16). The anvil is larger than the cutter to enable the vessel to be cut as it is compressed between the cutter and the anvil. The anvil may have a spherical engaging end for use with a cylindrical cutter for forming circular openings in a manner such that the anvil self centers. The anvil and cutter may also be adapted to form elliptical openings (1212).

Cette invention concerne des méthodes d'anastomose et des techniques d'ouverture de fenêtres anastomotiques au moyen d'un dispositif à enclume (ou contre-lame) disposé à l'extérieur, la fenêtre étant découpée dans la paroi du vaisseau et débouchant sur la lumière dudit vaisseau. Le dispositif disposé à l'extérieur comporte une contre-lame qui assure l'engagement d'un couteau destiné à pratiquer une ouverture dans le vaisseau. Comme la contre-lame est plus grosse que le couteau, le vaisseau peut être coupé lorsqu'il est comprimé entre ces deux pièces. La contre-lame peut présenter une extrémité d'engagement sphérique à auto-centrage s'utilisant avec un couteau cylindrique pour la réalisation d'ouvertures circulaires. La contre-lame et le couteau peuvent également être conçus pour la découpe d'ouvertures de forme elliptique. Le ballonnet peut être plein ou gonflable.

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