US2940452A - Vascular evertor - Google Patents

Vascular evertor Download PDF

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Publication number
US2940452A
US2940452A US772476A US77247658A US2940452A US 2940452 A US2940452 A US 2940452A US 772476 A US772476 A US 772476A US 77247658 A US77247658 A US 77247658A US 2940452 A US2940452 A US 2940452A
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end
body
plunger
diaphragm
bore
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Expired - Lifetime
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US772476A
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Antoni J Smialowski
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National Research Council of Canada
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National Research Council of Canada
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Priority to US772476A priority Critical patent/US2940452A/en
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    • 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

Description

June 14, 1960 A. J. SMIALOWSKI VASCULAR EVERTOR Filed NOV. 7, 1958 ATTORNEY United States Patent Qi VASCULAR EVERTOR Antoni J. Srnialowski, Ottawa, Ontario, Canada, assignor to National Research Council, Ottawa, Ontario, Canada, a body corporate of Canada Filed Nov. 7, 1958, Ser. No. 772,476

4 Claims. (Cl. 128-334) This invention relates to a device for everting the ends of blood vessels and the like.

In the use of peripheral suturing apparatus such as described in copending application Serial No. 717,656, filed February 26, 1958, it is quite desirable that means be provided for facilitating the step of everting the end of a blood vessel over the end of a bushing or the like preparatory to effecting the suturing operation.

it is an object of this invention to provide a device of simple manufacture for everting the end of a blood vessel, such device being convenient and effective in operation.

T he invention will be described with reference to the accompanying drawing, in which:

Figure 1 is a sectional side elevation of a device in accordance with the invention,

Figure 2 is a sectional side elevation of the device in another operating position thereof,

Figure 3 is a sectional side elevation of a modified form of the device, and

Figure 4 is a partial plan view of the device shown in Figure 3.

Referring to Figures 1 and 2, 1 is a tubular body having a diaphragm 2 of rubber or like material extending over one end thereof in partly stretched condition. The edge portion of the diaphragm is, as shown, folded over the exterior surface of the body 1 and held securely in place as by a clamping ring 3 in cooperation with an annular recess 4 in the wall of body 1. One end portion of the bore of the tubular body 1 adjacent the diaphragm is enlarged to form an annular recess or cup 5. The other end of the tubular body is preferably pro vided with an external flange 6 and an adjoining wide groove 7 to serve as a convenient finger grip.

Reciprocally mounted in the bore of the tubular body is a plunger 8. The plunger is somewhat longer than the body 1 and has a fiat end 9 adjacent the grip 6, 7 for engagement by the thumb of the user when the fingers are applied to the grip. The other end portion 10 of the plunger is cone-shaped as shown, with a rounded extremity, such end portion, on manual depression of the plunger, being adapted to project beyond the adjacent end of the body 1 with resultant distension of the diaphragm 2. The surface of the cone may be of to included angle.

In use, the instrument is held by the grip 6, 7 between the fore finger and second finger of the hand, and the plunger depressed by the thumb with resultant distension of the diaphragm, and the conically deformed diaphragm inserted in the mouth of the blood vessel 11 to which has been applied the bushing 12 of the suturing apparatus, as clearly shown in Figure 1. The body 1 is then slowly reciprocated with relation to the plunger towards the bushing while, at the same time, pressure on the plunger is progressively released. This action is continued until the bushing enters the cup 5 to the extent shown generally in Figure 2. The instrument is then withdrawn leaving the blood vessel end everted on the bushing 12.

Figures 3 and 4 illustrate a modified form of the instrument suitable for use in a limited space. In this form, a tubular body 13 corresponds to body 1 but is of substantially shorter length. It is provided with a handie 14 adjacent one end thereof and a lever 15 pivoted to the handle at 16. The handle and wall of the body 13 is slotted at 17 to permit travel of an offset end portion 18 of the lever therethrough. The extremity 19 of the lever is arranged to seat in a groove 20 in the end of a plunger 21, the other end portion 22 of which is cone-shaped, similarly to the end portion 11 of the plunger 8 previously described. A moulded rubber or like diaphragm 23 is mounted on the other end of body 13, the diaphragm having an internal rib 24 for locking engagement with an annular groove 25 in the exterior wall surface of the body 13. The bore of the body 13 is enlarged adjacent the latter end thereof to provide a bushing receiving cup 26. Use of such a diaphragm and the mounting described renders convenient the removal and replacement thereof without the use of tools. Moreover, the handle 14 and lever 15 facilitate the use of the instrument. This form of the instrument is utilized in substantially the same manner as that of the other modification.

The parts of the instruments described, with the exception of the diaphragm, may be formed of any suitable metal or plastic composition.

I claim:

1. An instrument for everting the end of a blood vessel comprising a body having an axial bore, a diaphragm mounted on one end of said body and having a portion stretched overthe mouth of said bore, said bore having a portion of enlarged diameter extending inwardly from said mouth, and a plunger of greater length than said body reciprocally mounted in said bore, said plunger manually reciprocal to distend said diaphragm.

2. An instrument as defined in claim 1, said plunger having a cone-shaped end portion for engagement with said diaphragm.

3. An instrument for everting the end of a blood vessel comprising a body having an axial bore extending therethrough, a diaphragm mounted on one end of said body and having a portion stretched over the mouth of said bore, said bore having. a portion of enlarged diameter extending inwardly from said mouth, a plunger of greater length than said body reciprocally mounted in said bore, and means for reciprocating said plunger comprising a handle fixed to one end thereof, and a lever pivoted to said handle and engaging one end of said plunger, the other end of said plunger being engageable with said diaphragm to distend the same in response to reciprocation of the plunger.

4. An instrument as defined in claim 3, said body having an annular groove in the external surface thereof, and said diaphragm having a peripheral internal rib for seating in said annular groove to removably retain said diaphragm on said body.

References Cited in the file of this patent UNITED STATES PATENTS 2,510,766 Surface June 6, 1950

US772476A 1958-11-07 1958-11-07 Vascular evertor Expired - Lifetime US2940452A (en)

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Cited By (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3040748A (en) * 1959-09-14 1962-06-26 Ca Nat Research Council Vascular positioning method and device
US3057355A (en) * 1960-07-08 1962-10-09 Canadian Patents Dev Vascular everter
US3180337A (en) * 1963-04-25 1965-04-27 Ca Nat Research Council Vascular everting device
US3258012A (en) * 1961-06-30 1966-06-28 Risaburo Aoki Method for blood vessel connection
US3519187A (en) * 1966-12-06 1970-07-07 Nickolai Nickolajevich Kapitan Instrument for suturing vessels
US4622970A (en) * 1985-08-29 1986-11-18 The Johns Hopkins University Vascular everting instrument
WO2001041654A2 (en) * 1999-11-15 2001-06-14 Vascular Innovations, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
US20020065527A1 (en) * 2000-11-27 2002-05-30 Yukitoshi Kato Instrument for extroverting blood vessel
US6547799B2 (en) 2001-06-26 2003-04-15 Ethicon, Inc. Vessel eversion instrument with pressurizable membrane
US6562053B2 (en) 2001-05-21 2003-05-13 Ethicon, Inc. Curved mandrel for assisting vessel eversion
US6575985B2 (en) 2001-09-10 2003-06-10 Ethicon, Inc. Vessel eversion instrument with conical holder
US6589255B2 (en) 2001-06-28 2003-07-08 Ethicon, Inc. Vessel eversion instrument with filament elements
US6712829B2 (en) 2001-09-10 2004-03-30 Ethicon, Inc. Vessel eversion instrument with conical, expandable mandrel
US6776782B2 (en) 2001-06-26 2004-08-17 Ethicon, Inc. Vessel eversion instrument with wiping element
US20040216808A1 (en) * 2003-04-30 2004-11-04 Rene Achard Log positioning and conveying apparatus
US6821286B1 (en) 2002-01-23 2004-11-23 Cardica, Inc. System for preparing a graft vessel for anastomosis
US20050267498A1 (en) * 2002-04-30 2005-12-01 Cardica, Inc. Tissue everting device and method
US20070010835A1 (en) * 2003-08-22 2007-01-11 Tom Breton Eversion apparatus and methods
US7427261B1 (en) 2002-01-23 2008-09-23 Cardica, Inc. System for preparing a craft vessel for anastomosis
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7976556B2 (en) * 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2510766A (en) * 1947-12-06 1950-06-06 Carl F Surface Colostomy control device

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2510766A (en) * 1947-12-06 1950-06-06 Carl F Surface Colostomy control device

Cited By (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3040748A (en) * 1959-09-14 1962-06-26 Ca Nat Research Council Vascular positioning method and device
US3057355A (en) * 1960-07-08 1962-10-09 Canadian Patents Dev Vascular everter
US3258012A (en) * 1961-06-30 1966-06-28 Risaburo Aoki Method for blood vessel connection
US3180337A (en) * 1963-04-25 1965-04-27 Ca Nat Research Council Vascular everting device
US3519187A (en) * 1966-12-06 1970-07-07 Nickolai Nickolajevich Kapitan Instrument for suturing vessels
US4622970A (en) * 1985-08-29 1986-11-18 The Johns Hopkins University Vascular everting instrument
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US7892255B2 (en) 1999-03-01 2011-02-22 Medtronic, Inc. Tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8211131B2 (en) 1999-04-05 2012-07-03 Medtronic, Inc. Apparatus and methods for anastomosis
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US6955679B1 (en) 1999-11-15 2005-10-18 Cardica, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
WO2001041654A2 (en) * 1999-11-15 2001-06-14 Vascular Innovations, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
US6402764B1 (en) 1999-11-15 2002-06-11 Cardica, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
WO2001041654A3 (en) * 1999-11-15 2002-02-07 Vascular Innovations Inc Everter and threadthrough system for attaching graft vessel to anastomosis device
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US8353092B2 (en) 2000-03-31 2013-01-15 Medtronic, Inc. Multiple bias surgical fastener
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7914544B2 (en) 2000-10-10 2011-03-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
EP1210912A3 (en) * 2000-11-27 2003-12-17 Terumo Kabushiki Kaisha Instrument for extroverting blood vessel
US20020065527A1 (en) * 2000-11-27 2002-05-30 Yukitoshi Kato Instrument for extroverting blood vessel
US6979337B2 (en) 2000-11-27 2005-12-27 Terumo Kabushiki Kaisha Instrument for extroverting blood vessel
US6562053B2 (en) 2001-05-21 2003-05-13 Ethicon, Inc. Curved mandrel for assisting vessel eversion
US6776782B2 (en) 2001-06-26 2004-08-17 Ethicon, Inc. Vessel eversion instrument with wiping element
US6547799B2 (en) 2001-06-26 2003-04-15 Ethicon, Inc. Vessel eversion instrument with pressurizable membrane
US6589255B2 (en) 2001-06-28 2003-07-08 Ethicon, Inc. Vessel eversion instrument with filament elements
US6575985B2 (en) 2001-09-10 2003-06-10 Ethicon, Inc. Vessel eversion instrument with conical holder
US6712829B2 (en) 2001-09-10 2004-03-30 Ethicon, Inc. Vessel eversion instrument with conical, expandable mandrel
US7427261B1 (en) 2002-01-23 2008-09-23 Cardica, Inc. System for preparing a craft vessel for anastomosis
US20050055084A1 (en) * 2002-01-23 2005-03-10 Cardica, Inc. Pull-through tool
US6821286B1 (en) 2002-01-23 2004-11-23 Cardica, Inc. System for preparing a graft vessel for anastomosis
US20050085834A1 (en) * 2002-01-23 2005-04-21 Cardica, Inc. Functional package for an anastomosis procedure
US20050055083A1 (en) * 2002-01-23 2005-03-10 Cardica, Inc. Poke-through tool
US7520885B2 (en) 2002-01-23 2009-04-21 Cardica, Inc. Functional package for an anastomosis procedure
US20050267498A1 (en) * 2002-04-30 2005-12-01 Cardica, Inc. Tissue everting device and method
US7976556B2 (en) * 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8066724B2 (en) 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US8298251B2 (en) 2002-10-04 2012-10-30 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US20040216808A1 (en) * 2003-04-30 2004-11-04 Rene Achard Log positioning and conveying apparatus
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US20070010835A1 (en) * 2003-08-22 2007-01-11 Tom Breton Eversion apparatus and methods
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US8668704B2 (en) 2009-04-24 2014-03-11 Medtronic, Inc. Medical clip with tines, system and method of using same

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