Anastomosis assembly
Provided is a device for use in anastomosis particularly (although not exclusively) suitable for anastomosis of tubular organs within the body, particularly small tubular organs (such as blood vessels, bile duct, lymph duct, nerve ducts, epididymis, etc.).
1. An anastomosis assembly for joining one stump of a cut tubular organ to another comprising: a device having a body with a longitudinal axis and two opposite axial projections, each of which being configured for insertion into a stump to be joined to another stump and to permit the stump walls to be pulled over a stump-engaging portion of the external surface of the axial projections; a plurality of curved, open needle-guiding channels, each of which extending in a general axial direction between a first end and a second end defined in the stump-engaging portion of one of the axial projections and configured for receiving a suturing needle, having a pointed front and a rear linked to a suturing thread, wherein each open needle-guiding channel is configured to guide the pointed front of the suturing needle to pierce through stump walls; and each of the two opposite axial projections comprises a retaining element in the form of an elastic element, fitted directly over the open needle-guiding channels within a circumferential groove defined on the surface of the axial projection directly over the open needle-guiding channels, the retaining element is configured for retaining the suturing needles within the open needle-channels before and during the needles movement in the open needle-guiding channels to pierce through stump walls, and the retaining element is configured to be cut or broken to permit freeing of the suturing threads from the device upon the removal of the retaining element.
2. The assembly of claim 1 , comprising a plurality of suturing needles accommodated within the needle-guiding channels.
3. The assembly of claim 1 , wherein each of the needle-guiding channels extends between the body and the stump-engaging portion of one of the two opposite axial projections.
4. The assembly of claim 1 , wherein the device has a mirror symmetry about a plane perpendicular to the longitudinal axis.
5. The assembly of claim 4 , wherein
each of the needle-guiding channels extends between the body and the stump-engaging portion of one of the two opposite axial projections, and wherein suturing threads extend between needles accommodated within pairs of oppositely disposed needle-guiding channels.
6. The assembly of claim 1 , wherein the open needle-guiding channels are configured for retaining the suturing needles but permitting release of the suturing threads.
7. The assembly of claim 1 , wherein the plurality of curved, open needle-guiding channels are axially-extending radially-oriented and each has side walls and a curved bottom wall; and further comprising a plurality of suturing units, each unit comprising a pair of the suturing needles linked to one another at their rear portion by the suturing thread, each needle having a pointed front portion; and each suturing needle of a suturing unit being accommodated in one of the open needle-guiding channels opposite with respect to a plane of mirror symmetry to the other, with its pointed front portion in the direction of said second end, each of the needles being slidable within one of the open needle-guiding channels and guided by the bottom walls to pierce through the stump walls once the stump walls are pulled over the stump-engaging portion.
8. The assembly of claim 7 , wherein the rear portion of each needle projects out of the first end of one of the open needle-guiding channels and each needle can be slid in a general axial direction by pushing said rear portion.
9. The assembly of claim 7 , wherein sliding of each of the needles is achievable by means of a sliding insert insertable into the open needle-guiding channels.
10. The assembly of claim 7 , wherein the open needle-guiding channels are configured for retaining the suturing needles but permitting release of the suturing threads.