Abstract: The present invention relates to an anastomotic device (10) comprising a first ring (20) having a first contact surface (21) and a second ring (30) having a second contact surface (31). The rings (20, 30) are suitable to be approached in the axial direction (X) such as to move said contact surfaces (21; 31) towards each other. The anastomotic device is characterized in that the contact surfaces (21, 31) have an undulated shape relative to a plane (?) perpendicular to the axis (X) of the rings (20, 30). According to another aspect thereof, the invention also relates to an apparatus (60) for the implantation of the anastomotic device (10). According to a further aspect thereof, the invention relates to a kit comprising an anastomotic device (10) and an apparatus (60) for the implantation of the same.

Abstract: An instrumentation for performing an endoluminal or transluminal anastomosis, comprises an anastomotic ring device including a proximal ring (5) having two guide wire seats (22) adapted to slidably receive two guide wires (1, 2) and a distal ring (6) having two guide wire seats (25) adapted to slidably receive the two guide wires (1, 2), the proximal ring 5 and the distal ring 6 being snap-connectable to each other, a surgical probe (7) comprising an elongate insertion shaft (30) and a probe head (32) adapted to be endoluminally advanced to a proximal tissue portion (3), the insertion shaft (30) defining guide wire canals (8, 9) extending into two guide wire exit openings (31) defined in the probe head (32) and adapted to deliver the distal ends (1?, 2?) of said guide wires (1, 2) to said proximal tissue portion (3).

Abstract: A surgical instrument (1) for performing controlled myotomies, particularly for performing internal anal sphincterotomies, comprises a proximal handle portion (2), an elongate insertion shaft (3) connected with the handle portion (2) and extending distally therefrom, a distal incision tip (4) arranged at a distal end of the insertion shaft (3) and adapted to incise tissue distally to the insertion shaft (3), a lateral incision member (5) arranged at the insertion shaft (3) and adapted to incise tissue laterally to the insertion shaft (3), wherein the lateral incision member (4) is movable from a rest position, in which it is retracted towards or inside the insertion shaft (3) and an operational position in which it protrudes laterally from the insertion shaft (3).

Abstract: Traction means (14) for excising a tissue sample comprising a distal portion (14a), comprising at least one clip (20) suitable for being fixed to at least one portion (12) of tissue to be excised and a proximal portion (14b) suitable for being subjected to traction. Said at least one clip (20) is suitable for being connected to a distal end (22a) of a suture (22) to pull the tissue to be excised, said suture (22) extending between said distal end (22a) and a proximal end corresponding to the proximal portion of said traction means (14). Moreover, said at least one clip (20) is connected to a ring (24) formed at a distal end (24a) of said suture (22) to pull the tissue to be excised.

Abstract: An Instrumentation for performing an endoluminal or transluminal anastomosis, comprises an anastomotic ring device including a proximal ring (5) having two guide wire seats (22) adapted to slidably receive two guide wires (1, 2) and a distal ring (6) having two guide wire seats (25) adapted to slidably receive the two guide wires, the proximal ring and the distal ring being snap-connectable to each other, a surgical probe (7) comprising an elongate insertion shaft (30) and a probe head (32) adapted to be endoluminally advanced to a proximal tissue portion (3), the insertion shaft defining guide wire canals (8, 9) extending into two guide wire exit openings (31) defined in the probe head and adapted to deliver the distal ends (1?, 2?) of said guide wires to said proximal tissue portion.

Abstract: A handle (10) is suitable for transmitting a torque between a rotation knob and a respective output shaft connectable to cables, tubes, or the like, wherein said handle comprises at least first and second transmission lines which operate between a first rotation knob (12) and a first output shaft (22) and between a second rotation knob (14) and a second output shaft (24), respectively. The first and second rotation knobs are co-axially arranged along a common axis (X). The first and second output shafts are arranged on different axes (X, Y). The handle comprises a lock-out mechanism suitable for selecting between the first transmission line and the second transmission line thus preventing the rotation of the one rotation knob while the other is being rotated.

Abstract: An applier for an anastomosis ring device. The applier has an elongate implement portion and a handle connected to the implement portion. The applier further includes a distal actuating member having catch means which, in a lock position, protrudes radially outward to engage a distal ring. The applier further includes a proximal actuating member adapted to engage a proximal ring, and an actuation mechanism to approximate the proximal and distal rings. The distal actuating member is rotatable about a longitudinal axis from its lock position to a release position thereby sliding along a deviating surface at the implement portion.

Abstract: A surgical instrument (1) for performing controlled myotomies, particularly for performing internal anal sphincterotomies, comprises a proximal handle portion (2), an elongate insertion shaft (3) connected with the handle portion (2) and extending distally therefrom, a distal incision tip (4) arranged at a distal end of the insertion shaft (3) and adapted to incise tissue distally to the insertion shaft (3), a lateral incision member (5) arranged at the insertion shaft (3) and adapted to incise tissue laterally to the insertion shaft (3), wherein the lateral incision member (4) is movable from a rest position, in which it is retracted towards or inside the insertion shaft (3) and an operational position in which it protrudes laterally from the insertion shaft (3).

Abstract: Traction means (14) for excising a tissue sample comprising a distal portion (14a), comprising at least one clip (20) suitable for being fixed to at least one portion (12) of tissue to be excised and a proximal portion (14b) suitable for being subjected to traction. Said at least one clip (20) is suitable for being connected to a distal end (22a) of a suture (22) to pull the tissue to be excised, said suture (22) extending between said distal end (22a) and a proximal end corresponding to the proximal portion of said traction means (14). Moreover, said at least one clip (20) is connected to a ring (24) formed at a distal end (24a) of said suture (22) to pull the tissue to be excised.

Abstract: A handle (10) is suitable for transmitting a torque between a rotation knob and a respective output shaft connectable to cables, tubes, or the like, wherein said handle comprises at least first and second transmission lines which operate between a first rotation knob (12) and a first output shaft (22) and between a second rotation knob (14) and a second output shaft (24), respectively. The first and second rotation knobs are co-axially arranged along a common axis (X). The first and second output shafts are arranged on different axes (X, Y). The handle comprises a lock-out mechanism suitable for selecting between the first transmission line and the second transmission line thus preventing the rotation of the one rotation knob while the other is being rotated.

Abstract: An applier (1) for an anastomosis ring device (9) having proximal (10), center (11), and distal rings (12) connected by proximal (13) and distal hinged arms (14) which have a generally oblong radially retracted shape when the ring device (9) is un-actuated and a folded radially protruding shape when actuated, wherein the applier (1) comprises an elongate implement portion (2) and a handle (21) connected to the implement portion (2), a distal actuating member (28) comprising catch means (30) which, in a lock position, protrudes radially outward to engage the distal ring (12), a proximal actuating member (32) adapted to engage the proximal ring (10), an actuation mechanism (23, 24) arranged at the handle (21) and configured to cause the proximal and distal actuating members (28, 32) to move towards each other along a longitudinal axis (X) of the implement portion (2) to approximate the proximal and distal rings (10, 12) causing actuation of the hinged arms (13, 14).