Improved intussusception and anastomosis apparatus

A - Human Necessities – 61 – B

Patent

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Details

A61B 17/11 (2006.01) A61B 17/08 (2006.01)

Patent

CA 2492871

Apparatus (200) for intratubular intussusception and anastomosis of a hollow organ portion includes a cylindrical enclosure (202) and a coaxial intratubular intussusception device (208), and a clamping means (218,220). The apparatus also includes an intratubular anastomosis apparatus (216) for joining organ portions after intussusception thereof with an anastomosis ring (212) and a crimping support element (214). The ring (212) is formed of a shape memory alloy wire for crimping adjacent organ portions against the crimping support element (214) so as to cause anastomosis therebetween. The ring (212) assumes a plastic or malleable state, at a lower temperature and an elastic state at a higher temperature. The apparatus (200) additionally includes a surgical excising means (234) for excising an intussuscepted organ portion, after crimping adjacent intussuscepted organ walls against the crimping support element (214) with the anastomosis ring (212).

L'invention porte sur un appareil d'intussusception intratubulaire et d'anastomose d'une portion d'un organe creux comportant une enceinte cylindrique, un dispositif coaxial d'intussusception intratubulaire, un moyen de sertissage, et un appareil d'anastomose intratubulaire permettant de joindre des portions d'organe après leur intussusception à l'aide d'un anneau d'anastomose et d'un support de sertissage. L'anneau, fait d'un fil d'alliage à mémoire de forme et servant à sertir des portions d'organe adjacentes sur un support de sertissage de manière à former entre elles une anastomose, peut prendre un état plastique ou malléable à basse température et un état élastique à une température plus élevée. L'appareil comporte également un support de sertissage à insertion intratubulaire permettant d'y sertir les portions d'organe. L'invention comporte par ailleurs un moyen d'excision d'une portion d'organe intussusceptée après sertissage de ses parois adjacentes sur le support de sertissage d'anastomose.

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