US Patent No: 6,024,748

Number of patents in Portfolio can not be more than 2000

Singleshot anastomosis instrument with detachable loading unit and method

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Abstract

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

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First Claim

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Patent Owner(s)

Patent OwnerAddressTotal Patents
UNITED STATES SURGICAL CORPORATIONNORWALK, CT1176

International Classification(s)

  • [Classification Symbol]
  • [Patents Count]

Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Gresham, Richard D Guilford, CT 64 1497
Hinchliffe, Peter WJ New Haven, CT 34 919
Manzo, Scott E Shelton, CT 62 1752
Sniffin, Kevin Danbury, CT 44 911

Cited Art

Patent Info (Count) # Cites Year
 
UNITED STATES SURGICAL CORPORATION (8)
4,242,902 Surgical clip applicator 107 1978
4,299,224 Disposable clip applier 99 1979
4,509,518 Apparatus for applying surgical clips 252 1982
D276650 Surgical clip applier 24 1982
4,616,650 Apparatus for applying surgical clips 181 1984
4,821,939 Staple cartridge and an anvilless surgical stapler 159 1987
5,030,226 Surgical clip applicator 139 1990
5,443,198 Surgical fastener applying apparatus 103 1994
 
ETHICON, INC. (6)
4,480,640 Ligating device 68 1980
4,430,997 Multiple clip applier 92 1980
4,425,915 Surgical clip applier with in-line cartridge and interruptable biased feeder 80 1982
4,534,351 Ligator 83 1982
5,431,668 Ligating clip applier 114 1993
5,340,360 Ligating clip applier 89 1993
 
KLIEMAN; CHARLES H. (4)
4,325,376 Hemostatic clip applicator 137 1980
4,522,207 Spring activated hemostatic clip applicator 136 1982
4,452,376 Hemostatic clip applicator 61 1983
4,611,595 Spring activated hemostatic clip applicator 94 1984
 
UNIVERSITY OF NEW MEXICO (4)
4,586,503 Surgical microclip 191 1983
4,733,664 Surgical clip, applier, and method 70 1985
4,929,240 Surgical clip and applier 199 1987
4,983,176 Deformable plastic surgical clip 209 1989
 
TECHNOLOGY HOLDING COMPANY II (3)
4,712,549 Automatic hemostatic clip applier 114 1985
5,112,343 Endoscopic clip appliers 157 1991
5,104,395 Automatic hemostatic clip applicator 83 1991
 
ALLEGIANCE CORPORATION (2)
4,372,316 Surgical device 93 1980
4,408,603 Surgical device 61 1982
 
JARVIK, ROBERT K. (2)
4,226,242 Repeating hemostatic clip applying instruments and multi-clip cartridges therefor 59 1977
4,412,539 Repeating hemostatic clip applying instruments and multi-clip cartridges therefor 66 1981
 
KASTER, ROBERT L. (2)
5,366,462 Method of side-to-end vascular anastomotic stapling 261 1993
5,403,333 Side-to-end vascular anastomotic staple apparatus 170 1993
 
SHERWOOD SERVICES AG (2)
4,598,711 Surgical instrument 92 1984
5,354,304 Modular ligation clip applicator 58 1992
 
ABIOMED, INC. (1)
4,930,674 Surgical stapler 272 1989
 
ACCESS MEDICAL SYSTEMS, INC. (1)
5,234,447 Side-to-end vascular anastomotic staple apparatus 382 1990
 
AORTECH, INC., A CORP. OF MN (1)
4,368,736 Anastomotic fitting 420 1980
 
ATLANTIS SURGICAL, INC. (1)
5,503,617 Retractor and method for direct access endoscopic surgery 199 1994
 
BUGGE, MOGENS (1)
5,025,779 Device intended to be used for opening the chest during surgery 125 1989
 
COVELL, L. DAVID (1)
4,316,468 Surgical stapler 106 1980
 
COVIDIEN AG (1)
5,192,288 Surgical clip applier 172 1992
 
EDRICH VASCULAR DEVICES, INC. (1)
5,346,115 Surgical staple inserter 77 1993
 
EDWARDS LIFESCIENCES CORPORATION (1)
5,501,698 Endoscopic microsurgical instruments and methods 149 1994
 
GWATHMEY, OWEN M., THE MEADOW (1)
4,809,695 Suturing assembly and method 289 1987
 
GWATHMEY; OWEN (1)
4,979,954 Staple suturing method 42 1989
 
RESNICK; SEMION (1)
4,700,703 Cartridge assembly for a surgical stapling instrument 195 1986
 
RICHARD WOLF GMBH (1)
4,759,364 Pincers attachment for a surgical handle to be used in endoscopy 122 1986
 
STANDARD OIL COMPANY (INDIANA) (1)
4,432,925 Composite piston ring and process 19 1982
 
WORLD MEDICAL MANUFACTURING CORPORATION (1)
4,872,874 Method and apparatus for transarterial aortic graft insertion and implantation 326 1987
 
OTHER [CHECK PATENT PROFILE FOR ASSIGNMENT INFORMATION] (7)
4,201,314 Cartridge for a surgical clip applying device 46 1978
4,350,160 Instrument for establishing vascular anastomoses 281 1980
4,466,436 Surgical stapler 46 1981
5,122,150 Neurosurgical clip applier 40 1990
5,188,638 Apparatus and method for preforming anastomosis fastener securement of hollow organs 150 1992
5,314,436 Method and apparatus for performing end-to-end anastomoses 98 1992
5,486,187 Anastomosis device and method 122 1994

Patent Citation Ranking

Forward Cites

Patent Info (Count) # Cites Year
 
ETHICON ENDO-SURGERY, INC. (65)
7,713,278 Method and instrument for effecting anastomosis of respective tissues defining two body lumens 0 2005
7,559,939 Instrument for effecting anastomosis of respective tissues defining two body lumens 0 2005
7,559,938 Instrument for effecting anastomosis of respective tissues defining two body lumens 0 2005
7,553,317 Instrument for effecting anastomosis of respective tissues defining two body lumens 20 2005
7,500,980 Method and instrument for effecting anastomosis of respective tissues defining two body lumens 0 2005
7,500,972 Device for alternately holding, or effecting relative longitudinal movement, of members of a medical instrument 0 2005
7,497,854 Method and instrument for effecting anastomosis of respective tissues defining two body lumens 0 2005
7,669,746 Staple cartridges for forming staples having differing formed staple heights 37 2005
7,407,078 Surgical stapling instrument having force controlled spacing end effector 100 2005
7,607,557 Surgical stapling instruments structured for pump-assisted delivery of medical agents 45 2005
7,328,828 Lockout mechanisms and surgical instruments including same 130 2005
7,824,421 Anchors for use in anastomotic procedures 1 2005
7,789,890 Harness and balloon catheter assembly and method for use in anastomosis procedures 0 2005
7,708,748 Anastomosis device 1 2005
7,585,308 Handle system and method for use in anastomotic procedures 0 2005
7,354,447 Disposable loading unit and surgical instruments including same 106 2005
7,670,334 Surgical instrument having an articulating end effector 42 2006
8,186,555 Motor-driven surgical cutting and fastening instrument with mechanical closure system 2 2006
7,845,537 Surgical instrument having recording capabilities 23 2006
7,770,775 Motor-driven surgical cutting and fastening instrument with adaptive user feedback 29 2006
7,766,210 Motor-driven surgical cutting and fastening instrument with user feedback system 23 2006
7,753,904 Endoscopic surgical instrument with a handle that can articulate with respect to the shaft 23 2006
7,568,603 Motor-driven surgical cutting and fastening instrument with articulatable end effector 49 2006
7,464,846 Surgical instrument having a removable battery 91 2006
7,464,849 Electro-mechanical surgical instrument with closure system and anvil alignment components 85 2006
7,422,139 Motor-driven surgical cutting fastening instrument with tactile position feedback 86 2006
7,416,101 Motor-driven surgical cutting and fastening instrument with loading force feedback 90 2006
8,236,010 Surgical fastener and cutter with mimicking end effector 0 2006
7,575,144 Surgical fastener and cutter with single cable actuator 84 2006
8,365,976 Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same 0 2006
8,360,297 Surgical cutting and stapling instrument with self adjusting anvil 0 2006
8,348,131 Surgical stapling instrument with mechanical indicator to show levels of tissue compression 0 2006
8,220,690 Connected surgical staples and stapling instruments for deploying the same 2 2006
7,794,475 Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same 53 2006
7,665,647 Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force 37 2006
7,506,791 Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression 94 2006
7,467,740 Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights 86 2006
8,317,070 Surgical stapling devices that produce formed staples having different lengths 0 2007
7,673,781 Surgical stapling device with staple driver that supports multiple wire diameter staples 35 2007
7,500,979 Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers 79 2007
7,731,072 Surgical stapling and cutting instrument with improved anvil opening features 45 2007
7,588,175 Surgical stapling and cutting instrument with improved firing system 63 2007
7,588,176 Surgical cutting instrument with improved closure system 65 2007
7,966,799 Method of manufacturing staples 9 2007
7,735,703 Re-loadable surgical stapling instrument 45 2007
7,673,782 Surgical stapling instrument having a releasable buttress material 57 2007
7,669,747 Washer for use with a surgical stapling instrument 72 2007
7,604,151 Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features 117 2007
7,438,209 Surgical stapling instruments having a releasable staple-forming pocket 158 2007
7,934,630 Staple cartridges for forming staples having differing formed staple heights 18 2008
8,161,977 Accessing data stored in a memory of a surgical instrument 5 2008
8,397,971 Sterilizable surgical instrument 0 2009
8,186,560 Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features 3 2009
8,414,577 Surgical instruments and components for use in sterile environments 0 2009
8,353,438 Circular stapler introducer with rigid cap assembly configured for easy removal 0 2009
8,353,439 Circular stapler introducer with radially-openable distal end portion 0 2009
8,196,795 Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus 2 2010
8,393,514 Selectively orientable implantable fastener cartridge 0 2010
8,424,740 Surgical instrument having a directional switching mechanism 0 2010
8,167,185 Surgical instrument having recording capabilities 4 2010
8,196,796 Shaft based rotary drive system for surgical instruments 3 2011
8,172,124 Surgical instrument having recording capabilities 5 2011
8,157,153 Surgical instrument with force-feedback capabilities 5 2011
8,113,410 Surgical stapling apparatus with control features 7 2011
8,292,155 Motor-driven surgical cutting and fastening instrument with tactile position feedback 2 2011
 
CARDICA, INC. (50)
6,461,320 Method and system for attaching a graft to a blood vessel 71 1998
6,428,550 Sutureless closure and deployment system for connecting blood vessels 84 1999
6,391,038 Anastomosis system and method for controlling a tissue site 84 1999
6,419,681 Implantable medical device such as an anastomosis device 57 1999
6,371,964 Trocar for use in deploying an anastomosis device and method of performing anastomosis 59 1999
6,673,088 Tissue punch 36 2000
6,786,914 Sutureless closure and deployment system for connecting blood vessels 5 2000
6,776,785 Implantable superelastic anastomosis device 71 2000
6,471,713 System for deploying an anastomosis device and method of performing anastomosis 30 2000
6,497,710 Method and system for attaching a graft to a blood vessel 46 2001
6,478,804 Anastomosis system and method for controlling a tissue site 52 2001
7,004,949 Method and system for attaching a graft to a blood vessel 6 2001
7,041,110 Method and system for attaching a graft to a blood vessel 12 2001
7,175,637 Sutureless closure and deployment system for connecting blood vessels 7 2001
6,893,449 Device for cutting and anastomosing tissue 2 2001
6,719,769 Integrated anastomosis tool with graft vessel attachment device and cutting device 4 2001
6,537,288 Implantable medical device such as an anastomosis device 78 2001
8,012,164 Method and apparatus for creating an opening in the wall of a tubular vessel 0 2002
7,029,482 Integrated anastomosis system 9 2002
7,285,131 System for performing anastomosis 2 2002
6,962,595 Integrated anastomosis system 5 2002
6,805,708 Method and system for attaching a graft to a blood vessel 3 2002
7,128,749 Sutureless closure and deployment system for connecting blood vessels 7 2002
7,063,712 Anastomosis method 45 2002
6,994,714 Anastomosis system 21 2002
7,048,751 Implantable medical device such as an anastomosis device 2 2002
7,766,924 System for performing anastomosis 0 2003
7,303,569 Implantable superelastic anastomosis device 5 2003
7,172,608 Sutureless closure and deployment system for connecting blood vessels 4 2003
7,335,216 Tool for creating an opening in tissue 0 2003
7,611,523 Method for sutureless connection of vessels 0 2003
7,144,405 Tissue punch 3 2003
7,018,388 Method and system for attaching a graft to a blood vessel 10 2003
7,300,444 Surgical system and method for connecting hollow tissue structures 27 2003
7,371,243 Surgical apparatus and method for anastomosis 0 2003
7,357,807 Integrated anastomosis tool with graft vessel attachment device and cutting device 0 2004
7,041,112 Method for tensioning an incision during an anastomosis procedure 1 2004
7,794,471 Compliant anastomosis system 0 2004
7,108,702 Anastomosis device having at least one frangible member 6 2004
7,850,703 System for performing anastomosis 1 2004
7,217,285 Apparatus for performing anastomosis 8 2004
7,455,677 Anastomosis device having a deployable section 2 2004
7,223,274 Method of performing anastomosis 2 2004
7,699,859 Method of performing anastomosis 4 2004
7,303,570 Anastomosis tool having a connector holder 0 2004
7,682,368 Anastomosis tool actuated with stored energy 6 2005
7,468,066 Trocar for use in deploying an anastomosis device and method of performing anastomosis 14 2005
8,167,898 Flexible cutter for surgical stapler 0 2009
7,963,432 Driverless surgical stapler 2 2010
8,272,551 Method of utilizing a driverless surgical stapler 1 2011
 
COVIDIEN LP (38)
7,055,730 Surgical fastener applying apparatus 141 2001
8,083,804 Method and apparatus for anastomosis including annular joining member 0 2003
7,998,154 Method and apparatus for radical prostatectomy anastomosis 1 2003
7,998,155 Method and apparatus for anastomosis including annular joining member 4 2003
7,780,687 Method and apparatus for anastomosis including expandable anchor 1 2003
7,520,883 Method and apparatus for anastomosis including an anchoring sleeve 0 2003
7,510,560 Method and apparatus for anastomosis including an anchoring sleeve 1 2003
7,159,750 Surgical stapling device 198 2004
7,140,527 Surgical fastener applying apparatus 169 2005
7,293,685 Surgical fastener applying apparatus 23 2006
7,721,935 Surgical stapling device 0 2006
7,424,965 Surgical stapling device 98 2007
7,419,081 Surgical fastener applying apparatus 4 2007
7,597,230 Surgical stapling device 9 2007
7,494,039 Surgical stapling device 111 2007
7,584,880 Surgical stapling device 9 2007
7,568,604 Surgical fastener applying apparatus 43 2008
7,993,357 Method and apparatus for anastomosis including an anchoring sleeve 0 2008
7,721,933 Surgical fastener applying apparatus 4 2008
7,793,814 Surgical stapling device 1 2008
8,109,950 Method and apparatus for anastomosis including an anchoring sleeve 0 2009
8,181,838 Surgical stapling device 5 2009
8,231,042 Surgical stapler 1 2009
8,177,799 Method and apparatus for anastomosis 0 2009
8,281,974 Surgical stapler with suture locator 0 2010
8,118,207 Surgical stapling device 0 2010
7,975,895 Tissue tensioner assembly and approximation mechanism for surgical stapling device 5 2010
8,146,790 Surgical instrument with safety mechanism 0 2010
8,328,062 Surgical instrument with curvilinear tissue-contacting surfaces 0 2010
8,267,301 Surgical stapler 0 2010
8,167,186 Surgical stapling device 0 2010
8,322,590 Surgical stapling instrument 0 2010
8,430,292 Surgical fastening apparatus 0 2010
8,413,872 Surgical fastening apparatus 0 2010
8,349,019 Method and apparatus for anastomosis including annular joining member 0 2011
8,343,185 Surgical stapling device 0 2012
8,360,295 Surgical stapling device 0 2012
8,424,535 Circular surgical stapler with mating anvil and shell assembly 0 2012
 
MEDTRONIC, INC. (22)
8,118,822 Bridge clip tissue connector apparatus and methods 0 2001
7,722,643 Tissue connector apparatus and methods 17 2002
8,105,345 Anastomosis apparatus and methods 3 2003
8,066,724 Anastomosis apparatus and methods 2 2003
7,763,040 Tissue connector apparatus and methods 17 2003
7,896,892 Multiple bias surgical fastener 0 2003
7,547,313 Tissue connector apparatus and methods 19 2003
7,892,255 Tissue connector apparatus and methods 1 2003
8,394,114 Surgical connection apparatus and methods 0 2003
7,938,840 Apparatus and methods for anastomosis 1 2003
7,744,611 Minimally invasive valve repair procedure and apparatus 18 2003
7,879,047 Surgical connection apparatus and methods 0 2003
7,914,544 Minimally invasive valve repair procedure and apparatus 0 2004
7,963,973 Multiple loop tissue connector apparatus and methods 1 2005
8,029,519 Eversion apparatus and methods 0 2006
7,976,556 Anastomosis apparatus and methods 1 2006
8,211,124 Sealing clip, delivery systems, and methods 0 2007
8,298,251 Anastomosis apparatus and methods 0 2008
8,177,836 Apparatus and methods for minimally invasive valve repair 0 2009
8,353,921 Tissue connector apparatus and methods 0 2010
8,353,092 Multiple bias surgical fastener 0 2011
8,211,131 Apparatus and methods for anastomosis 0 2011
 
TYCO HEALTHCARE GROUP LP (14)
7,223,273 Anastomosis instrument and method for performing same 7 2001
7,438,718 Anastomosis instrument and method for performing same 18 2002
6,769,594 End-to-end anastomosis instrument and method for performing same 96 2002
7,204,843 Anastomosis instrument and method for performing same 1 2003
7,059,510 End-to-end anastomosis instrument and method for performing same 27 2004
7,422,137 Anastomosis instrument and method for performing same 14 2005
7,195,142 End-to-end anastomosis instrument and method for performing same 13 2006
7,743,958 End-to-end anastomosis instrument and method for performing same 7 2006
7,635,385 Anastomosis instrument and method for performing same 12 2006
8,272,555 Stapler for mucosectomy 0 2007
8,025,198 Anastomosis instrument and method for performing same 1 2008
7,931,183 End-to-end anastomosis instrument and method for performing same 4 2010
8,109,427 End-to end anastomosis instrument and method for performing same 0 2011
8,123,102 Anastomosis instrument and method for performing same 0 2011
 
AMS RESEARCH CORPORATION (8)
7,771,443 Anastomosis device approximating structure configurations 0 2006
7,717,928 Anastomosis device configurations and methods 0 2006
8,066,725 Anastomosis device having improved safety features 0 2007
7,850,649 Mechanical volume control for injection devices 0 2007
8,277,466 Anastomosis device and method 0 2007
8,388,349 Anastomosis deployment force training tool 0 2010
8,277,467 Anastomosis device configurations and methods 0 2010
8,425,540 Anastomosis device approximating structure configurations 0 2010
 
VITAL ACCESS CORPORATION (5)
6,623,494 Methods and systems for intraluminally directed vascular anastomosis 45 1999
6,569,173 Compression plate anastomosis apparatus 88 1999
7,160,311 Locking compression plate anastomosis apparatus 21 2000
8,109,949 Systems for forming an anastomosis 0 2007
7,922,734 Methods for forming an anastomosis with a vessel having everted tissue 1 2007
 
UNITED STATES SURGICAL CORPORATION (4)
6,391,039 Anastomosis instrument and method 38 2000
6,440,146 Anastomosis instrument and method 77 2001
6,726,697 Anastomosis instrument and method 75 2002
7,322,994 Anastomosis instrument and method 13 2003
 
GUIDANT INVESTMENT CORPORATION (2)
6,652,541 Method of sutureless closure for connecting blood vessels 32 2000
7,014,644 Tissue bonding system and method for controlling a tissue site during anastomosis 1 2002
 
INTEGRATED VASCULAR INTERVENTIONAL TECHNOLOGIES, L.C. (2)
8,034,064 Methods for forming an anastomosis opening in a side of a blood vessel 0 2006
7,901,417 Systems for forming an anastomosis with an anvil and an apparatus having at least one guide 2 2007
 
MAQUET CARDIOVASCULAR LLC (2)
7,585,306 Anastomosis device, tools and methods of using 4 2004
8,162,963 Angled anastomosis device, tools and method of using 0 2004
 
ASFORA, WILSON T. (1)
8,361,092 Vascular anastomosis device and method 0 2007
 
AVAYA TECHNOLOGY CORP. (1)
7,993,264 Orientation adapter for injection tube in flexible endoscope 0 2007
 
BAXTER INTERNATIONAL INC. (1)
7,153,286 Automated dialysis system 36 2002
 
BLATTER, DUANE D. (1)
7,981,126 Locking compression plate anastomosis apparatus 1 2000
 
BOSTON SCIENTIFIC SCIMED, INC. (1)
6,974,462 Surgical anchor implantation device 63 2001
 
EDRICH VASCULAR DEVICES, INC. (1)
7,335,212 Multiple stapling device for narrow blood vessels 22 2003
 
ENDOGENE PTY LTD (1)
8,220,689 Device and method for delivering shape-memory staples 0 2009
 
ETHICON, INC. (1)
6,605,098 Surgical device for creating an anastomosis between first and second hollow organs 28 2001
 
GRANIT MEDICAL INNOVATIONS LLC (1)
7,648,514 Deep endoscopic staple and stapler 0 2007
 
GRIESHABER & CO. AG SCHAFFHAUSEN (1)
6,855,156 Ophthalmic microsurgical instrument 1 2001
 
INNOVATIVE INTERNATIONAL TECHNOLOGIES B.V. (1)
8,182,498 Mechanical anastomosis system for hollow structures 0 2002
 
INNOVATIVE INTERVENTIONAL TECHNOLOGIES B.V. (1)
6,485,496 Mechanical anastomosis system for hollow structures 143 2000
 
INTEGRATED VASCULAR INTERVENTIONAL TECHNOLOGIES, LC (1)
7,220,268 Methods for anastomosis of a graft vessel to a side of a receiving vessel 31 2003
 
NIPRO CORPORATION (1)
7,150,742 Graft grasping device 2 2003
 
TECHNOLOGY HOLDING COMPANY II (1)
6,596,003 Vascular anastomosis device 7 2000
 
TERUMO KABUSHIKI KAISHA (1)
6,746,459 End-to-side blood vessel anastomosis method and instruments therefor 5 2001
 
OTHER [CHECK PATENT PROFILE FOR ASSIGNMENT INFORMATION] (5)
6,814,751 Method and apparatus for performing an anastamosis 1 2002
7,066,953 Method and apparatus for performing an anastamosis 1 2002
7,401,720 Dual surgical stapler 32 2006
7,530,484 Single cartridge surgical stapler 1 2008
8,439,245 True multi-fire endocutter 0 2011