Anastomosis set
The anastomosis set with snap-fit connections and an auxiliary fixation device addresses the inefficiency of blood vessel suturing by enabling rapid and secure anastomosis of tubular organs, enhancing surgical safety and efficiency.
Patent Information
- Application Number
- PCT/US2025/030122
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2024-05-23
- Filing Date
- 2025-05-20
- Publication Date
- 2025-11-27
AI Technical Summary
The duration of blood vessel suturing during surgical procedures increases with the number of vessels to be sutured, compromising surgical safety and efficiency.
An anastomosis set comprising first and second anastomosis devices with extension through-holes, receiving portions, and joining needle portions, allowing for snap-fit connections and assisted penetration by an auxiliary fixation device, reducing the time required for anastomosis.
Facilitates faster and more secure anastomosis of tubular organs by enabling simultaneous penetration and connection of multiple needle portions, thereby reducing surgical time and strain.
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Figure US2025030122_27112025_PF_FP_ABST
Abstract
Description
ANASTOMOSIS SETBACKGROUND OF THE INVENTIONFIELD OF THE INVENTION
[0001] The present disclosure relates to an anastomosis set for anastomosing blood vessels or other tubular organs to each other, and more particularly to an anastomosis set conducive to reducing the time required to perform an anastomosis on blood vessels or other tubular organs.DESCRIPTION OF THE PRIOR ART
[0002] At present, it is often necessary to join severed blood vessels or other severed tubular organs during various surgical procedures. For instance, reconstructive surgery entails joining severed arteries and veins. The duration of blood vessel suturing and the physical strain it imposes on the patient increase with the number of blood vessels to be sutured, potentially compromising surgical safety. In view of this, it is imperative to provide an anastomosis set conducive to reducing the time required to perform an anastomosis on blood vessels or other tubular organs.SUMMARY OF THE INVENTION
[0003] In view of the aforesaid drawback of the prior art, it is an objective of the disclosure to provide an anastomosis set conducive to reducing the time required to perform an anastomosis on blood vessels or other tubular organs.
[0004] To achieve the above and other objectives, the disclosure provides an anastomosis set for anastomosing a first anastomotic target portion of a first tubular organ and a second anastomotic target portion of a second tubular organ to each other, the anastomosis set comprising: a first anastomosis device connected to the first anastomotic target portion and having a first extension through-hole, the first tubular organ penetrates through the first extension through-hole; and a second anastomosis device connected to the second anastomotic target portion and having a second extension through-hole, the second tubular organ penetrates through the second extension through-hole. The first anastomosis device is connected to the second anastomosis device, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0005] In a preferred embodiment of the disclosure, the first anastomosis device comprises a plurality of first receiving portions and a plurality of first joining needle portions, and the second anastomosis device comprises a plurality of second receiving portions and a plurality of second joining needle portions, such that the plurality of first joining needle portions are received in the plurality of second receiving portions respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively, when the first anastomosis device and the second anastomosis device are connected to each other.
[0006] In a preferred embodiment of the disclosure, the first anastomosis device comprises: a first front-end joining portion having a plurality of first communication holes; and a first rear-end joining portion connected to the first front-end joining portion and having a plurality of first receiving portions and a plurality of first joining needle portions. Furthermore, the second anastomosis device comprises: a second front-end joining portion having a plurality of second communication holes; and asecond rear-end joining portion connected to the second front-end joining portion and having a plurality of second receiving portions and a plurality of second joining needle portions. The plurality of first joining needle portions penetrate the plurality of first communication holes respectively, with the first front-end joining portion being movable relative to the first rear-end joining portion before the first anastomosis device and the second anastomosis device are connected (i.e. each of the plurality of first joining needle portions penetrates one of the plurality of first communication holes respectively, with the first front-end joining portion being movable relative to the first rear-end joining portion before the first anastomosis device and the second anastomosis device are connected). The plurality of second joining needle portions penetrate the plurality of second communication holes respectively, with the second front-end joining portion being movable relative to the second rear-end joining portion before the first anastomosis device and the second anastomosis device are connected (i.e. each of the plurality of second joining needle portions penetrates one of the plurality of second communication holes respectively, with the second front-end joining portion being movable relative to the second rear-end joining portion before the first anastomosis device and the second anastomosis device are connected).
[0007] In a preferred embodiment of the disclosure, where the first anastomosis device and the second anastomosis device are connected, the plurality of first joining needle portions penetrate the plurality of first communication holes respectively and the plurality of second communication holes respectively (i.e. each of the plurality of first joining needle portions penetrates one of the plurality of first communication holes respectively and one of the plurality of second communication holes respectively), and the plurality of first joining needle portions are received in (for example, inserted into) the plurality of second receiving portions respectively.The plurality of second joining needle portions penetrate the plurality of second communication holes respectively and the plurality of first communication holes respectively (i.e. each of the plurality of second joining needle portions penetrates one of the plurality of second communication holes respectively and one of the plurality of first communication holes respectively), and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
[0008] In a preferred embodiment of the disclosure, the first receiving portions of the first rear-end joining portion have a first receiving groove portion each, and the first joining needle portions of the first rear-end joining portion have a first protrusion portion each. Furthermore, the second receiving portions of the second rear-end joining portion have a second receiving groove portion each, and the second joining needle portions of the second rear-end joining portion have a second protrusion portion each. When the first anastomosis device and the second anastomosis device are connected, the first protrusion portions are snap-fitted to or engaged with the second receiving groove portions, and the second protrusion portions are snap- fitted to or engaged with the first receiving groove portions.
[0009] In a preferred embodiment of the disclosure, the anastomosis set further comprises a fixation device. The fixation device has an auxiliary fixation portion. The auxiliary fixation portion presses against the first anastomotic target portion, allowing the first anastomotic target portion to move toward the plurality of first joining needle portions, causing the plurality of first joining needle portions to penetrate the first anastomotic target portion. The auxiliary fixation portion further presses against the second anastomotic target portion to allow the second anastomotic target portion to move toward the plurality of second joining needleportions, causing the plurality of first joining needle portions to penetrate the second anastomotic target portion.
[0010] In a preferred embodiment of the disclosure, the anastomosis set further comprises an auxiliary anastomosis device. The auxiliary anastomosis device comprises a pipe portion and a movement portion. The pipe portion is connected to the movement portion and is movable relative to the movement portion. The movement portion has a first joining device movement portion and a second joining device movement portion. The first joining device movement portion is connected to the first anastomosis device. The second joining device movement portion is connected to the second anastomosis device. The first joining device movement portion and the second joining device movement portion gradually move farther apart from each other while the movement portion is moving relative to the pipe portion in a first operation direction. The first joining device movement portion and the second joining device movement portion gradually approach each other while the movement portion is moving relative to the pipe portion in a second operation direction, allowing the first anastomosis device and the second anastomosis device to be connected.
[0011] To achieve the above and other objectives, the disclosure further provides an anastomosis set, comprising: a first anastomosis device connected to a first anastomotic target portion of a first tubular organ and having a first connection mechanism; and a tubular connection component having a second anastomotic target portion and a second connection mechanism disposed at the second anastomotic target portion. The first connection mechanism is connected to the second connection mechanism, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0012] In a preferred embodiment of the disclosure, the first connection mechanism comprises a plurality of receiving portions, and the second connection mechanism comprises a plurality of joining needle portions. The plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0013] In a preferred embodiment of the disclosure, the first connection mechanism comprises a plurality of joining needle portions, and the second connection mechanism comprises a plurality of receiving portions. The plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0014] In a preferred embodiment of the disclosure, the first connection mechanism comprises a plurality of first receiving portions and a plurality of first joining needle portions, and the second connection mechanism comprises a plurality of second receiving portions and a plurality of second joining needle portions. The plurality of second receiving portions and the plurality of second joining needle portions are disposed at the second anastomotic target portion. The plurality of first joining needle portions are received in the plurality of second receiving portions respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0015] In a preferred embodiment of the disclosure, the first anastomosis device comprises: a first front-end joining portion having a plurality of first communication holes; and a first rear-end joining portion connected to the first front-end joiningportion, wherein the plurality of first receiving portions and the plurality of first joining needle portions are disposed on the first rear-end joining portion, wherein the plurality of first joining needle portions penetrate the plurality of first communication holes respectively, and the first front-end joining portion is movable relative to the first rear-end joining portion before the first anastomotic target portion and the second anastomotic target portion are anastomosed to each other.
[0016] In a preferred embodiment of the disclosure, when the first anastomotic target portion and the second anastomotic target portion are anastomosed to each other, the plurality of second joining needle portions penetrate the plurality of first communication holes respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
[0017] In a preferred embodiment of the disclosure, the first receiving portions of the first anastomosis device have a first receiving groove portion each, and the first joining needle portions of the first anastomosis device have a first protrusion portion each, wherein the second receiving portions of the tubular connection component have a second receiving groove portion each, and the second joining needle portions of the tubular connection component have a second protrusion portion each, wherein, when the first anastomotic target portion and the second anastomotic target portion are anastomosed to each other, the first protrusion portions are snap-fitted to or engaged with the second receiving groove portions, and the second protrusion portions are snap-fitted to or engaged with the first receiving groove portions.
[0018] In a preferred embodiment of the disclosure, the anastomosis set further comprises a second anastomosis device. The second anastomosis device is connected to a third anastomotic target portion of a second tubular organ. The second anastomosis device has a plurality of third receiving portions and a pluralityof third joining needle portions. The tubular connection component has a fourth anastomotic target portion, a plurality of fourth receiving portions and a plurality of fourth joining needle portions. The plurality of fourth receiving portions and the plurality of fourth joining needle portions are disposed at the fourth anastomotic target portion. The plurality of third joining needle portions are connected to the plurality of fourth receiving portions respectively, and the plurality of fourth joining needle portions are connected to the plurality of first receiving portions respectively, allowing the third anastomotic target portion and the fourth anastomotic target portion to be anastomosed to each other.
[0019] In a preferred embodiment of the disclosure, the second anastomosis device comprises: a second front-end joining portion having a plurality of second communication holes; and a second rear-end joining portion connected to the second front-end joining portion, allowing the plurality of third receiving portions and the plurality of third joining needle portions to be disposed on the second rear-end joining portion. The plurality of third joining needle portions penetrate the plurality of second communication holes respectively, and the second front-end joining portion is movable relative to the second rear-end joining portion before the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other.
[0020] In a preferred embodiment of the disclosure, when the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other, the plurality of fourth joining needle portions penetrate the plurality of second communication holes respectively, and the plurality of fourth joining needle portions are received in the plurality of third receiving portions respectively.
[0021] In a preferred embodiment of the disclosure, the third receiving portions of the second anastomosis device have a third receiving groove portion each, and thethird joining needle portions of the second anastomosis device have a third protrusion portion each. The fourth receiving portions of the tubular connection component have a fourth receiving groove portion each, and the fourth joining needle portions of the tubular connection component have a fourth protrusion portion each. When the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other, the third protrusion portions are snap- fitted to or engaged with the fourth receiving groove portions, and the fourth protrusion portions are snap-fitted to or engaged with the third receiving groove portions.
[0022] In a preferred embodiment of the disclosure, the anastomosis set further comprises a fixation device, and the fixation device has an auxiliary fixation portion. The auxiliary fixation portion presses against the first anastomotic target portion, and thus the first anastomotic target portion moves toward the plurality of first joining needle portions, allowing the plurality of first joining needle portions to penetrate the first anastomotic target portion.
[0023] In a preferred embodiment of the disclosure, the anastomosis set further comprises an auxiliary anastomosis device. The auxiliary anastomosis device comprises a pipe portion and a movement portion. The pipe portion is connected to the movement portion and is movable relative to the movement portion. The movement portion has a first joining device movement portion and a second joining device movement portion, with the first joining device movement portion connected to the first anastomosis device, and the second joining device movement portion connected to the tubular connection component. The first joining device movement portion and the second joining device movement portion gradually move farther apart from each other while the movement portion is moving relative to the pipe portion in a first operation direction. The first joining device movement portion andthe second joining device movement portion gradually approach each other while the movement portion is moving relative to the pipe portion in a second operation direction, allowing the first connection mechanism of the first anastomosis device and the second connection mechanism of the tubular connection component to be connected.
[0024] To achieve the above and other objectives, the disclosure further provides an anastomosis set for anastomosing a first anastomotic target portion of a first tubular organ and a second anastomotic target portion of a second tubular organ to each other, the first anastomotic target portion being an organ end portion of the first tubular organ, and the second anastomotic target portion being an organ lateral portion of the second tubular organ, the anastomosis set comprising: a first anastomosis device connected to the first anastomotic target portion and having a first connection mechanism; and a second anastomosis device connected to the second anastomotic target portion and having a second connection mechanism, wherein the first connection mechanism ofthe first anastomosis device is connected to the second connection mechanism of the second anastomosis device, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0025] In a preferred embodiment of the disclosure, the first connection mechanism comprises a plurality of receiving portions, and the second connection mechanism comprises a plurality of joining needle portions, wherein the plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0026] In a preferred embodiment of the disclosure, the first connection mechanism comprises a plurality of joining needle portions, and the secondconnection mechanism comprises a plurality of receiving portions, with the plurality of joining needle portions received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
[0027] In a preferred embodiment of the disclosure, the first anastomosis device comprises a plurality of first receiving portions and a plurality of first joining needle portions. Furthermore, the second anastomosis device comprises a plurality of second receiving portions and a plurality of second joining needle portions. When the first anastomosis device and the second anastomosis device are connected, the plurality of first joining needle portions are received in the plurality of second receiving portions respectively. When the first anastomosis device and the second anastomosis device are connected, the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
[0028] In a preferred embodiment of the disclosure, the first anastomosis device comprises: a first front-end joining portion having a plurality of first communication holes; and a first rear-end joining portion connected to the first front-end joining portion and having a plurality of first receiving portions and a plurality of first joining needle portions. Furthermore, the second connection mechanism comprises a plurality of second receiving portions and a plurality of second joining needle portions. The plurality of first joining needle portions penetrate the plurality of first communication holes respectively, and the first front-end joining portion is movable relative to the first rear-end joining portion before the first anastomosis device and the second anastomosis device are connected. When the first anastomosis device and the second anastomosis device are connected, the plurality of first joining needle portions penetrate the plurality of first communication holes respectively, and the plurality of first joining needle portions are received in the plurality of secondreceiving portions respectively. When the first anastomosis device and the second anastomosis device are connected, the plurality of second joining needle portions penetrate the plurality of first communication holes respectively and are received in the plurality of first receiving portions respectively.
[0029] In a preferred embodiment of the disclosure, the first receiving portions of the first rear-end joining portion have a first receiving groove portion each, and the first joining needle portions of the first rear-end joining portion have a first protrusion portion each. The second receiving portions of the second anastomosis device have a second receiving groove portion each, and the second joining needle portions of the second anastomosis device have a second protrusion portion each. When the first anastomosis device and the second anastomosis device are connected, the first protrusion portions are snap-fitted to or engaged with the second receiving groove portions, and the second protrusion portions are snap-fitted to or engaged with the first receiving groove portions.
[0030] In a preferred embodiment of the disclosure, the anastomosis set further comprises a fixation device. The fixation device has an auxiliary fixation portion. The auxiliary fixation portion presses against the first anastomotic target portion to allow the first anastomotic target portion to move toward the plurality of first joining needle portions, allowing the plurality of first joining needle portions to penetrate the first anastomotic target portion.
[0031] The aforesaid aspects and other aspects of the disclosure are illustrated in non-restrictive specific embodiments described below and depicted by accompanying drawings.BRIEF DESCRIPTION OF THE DRAWINGS
[0032] FIG. 1 A is a schematic view of an anastomosis set according to a specific embodiment of the disclosure.
[0033] FIG. 1 B is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0034] FIG. 1 C is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0035] FIG. 1 D is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0036] FIG. 2A is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0037] FIG. 2B is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0038] FIG. 2C is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0039] FIG. 2D is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0040] FIG. 2E is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0041] FIG. 3 is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0042] FIG. 4A is a schematic view of an auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0043] FIG. 4B is a schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0044] FIG. 4C is a partial schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0045] FIG. 4D is a partial schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0046] FIG. 4E is a partial schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0047] FIG. 4F is a partial schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0048] FIG. 4G is a partial schematic view of a pipe portion according to a specific embodiment of the disclosure.
[0049] FIG. 5A is a schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0050] FIG. 5B is a schematic view of the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0051] FIG. 6A is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0052] FIG. 6B is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0053] FIG. 6C is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0054] FIG. 6D is a schematic view of the anastomosis set according to a specific embodiment of the disclosure.
[0055] FIG. 6E is a schematic view of an auxiliary widening component according to a specific embodiment of the disclosure.
[0056] FIG. 7A and FIG. 7B are schematic views of a first tubular organ joining device and a second tubular organ joining device according to a specific embodiment of the disclosure.
[0057] FIG. 8A through FIG. 8D are schematic views of joining a first tubular organ and a second tubular organ through the first tubular organ joining device and the second tubular organ joining device according to a specific embodiment of the disclosure.
[0058] FIG. 9 is a schematic view of a first tubular organ widening device and a second tubular organ widening device according to a specific embodiment of the disclosure.
[0059] FIG. 10A and FIG. 10B are schematic views of a first tubular organ joining device and a second tubular organ joining device according to a specific embodiment of the disclosure.
[0060] FIG. 11A and FIG. 11 B are schematic views of the first tubular organ joining device and the second tubular organ joining device configured to join the first tubular organ and the second tubular organ according to a specific embodiment of the disclosure.
[0061] FIG. 12 is a schematic view of the first tubular organ joining device and the second tubular organ joining device configured to join the first tubular organ and the second tubular organ according to a specific embodiment of the disclosure.
[0062] FIG. 13A is a schematic view of a clamp device in a clamped state according to a specific embodiment of the disclosure.
[0063] FIG. 13B is a schematic view of the clamp device in an open state according to a specific embodiment of the disclosure.
[0064] FIG. 14A through FIG. 14C are schematic views of using the clamp device to fix the tubular organs to the auxiliary anastomosis device according to a specific embodiment of the disclosure.
[0065] FIG. 15A is a schematic view of an end portion fixation device in a closed state according to a specific embodiment of the disclosure.
[0066] FIG. 15B is a schematic view of the end portion fixation device in an open state according to a specific embodiment of the disclosure.
[0067] FIG. 15C through FIG. 15E are schematic views of using the end portion fixation device to fix the tubular organs to the tubular organ joining devices according to a specific embodiment of the disclosure.
[0068] FIG. 16 is a schematic view of how to use an anastomosis set according to a specific embodiment of the disclosure.
[0069] FIG. 17A and FIG. 17B are schematic views of how to use the anastomosis set according to a specific embodiment of the disclosure.
[0070] FIG. 18A and FIG. 18B are schematic views of the tubular organ joining devices according to a specific embodiment of the disclosure.
[0071] FIG. 19 is a schematic view of fixing the tubular organ joining devices to a tubular organ end portion according to a specific embodiment of the disclosure.
[0072] FIG. 20A is a schematic view of an end portion fixation device according to a specific embodiment of the disclosure.
[0073] FIG. 20B is a schematic view of a first clamp portion and a second clamp portion according to a specific embodiment of the disclosure.
[0074] FIG. 20C is a schematic view of an auxiliary fixation portion according to a specific embodiment of the disclosure.
[0075] FIG. 21 is a schematic view of the tubular organ joining devices according to a specific embodiment of the disclosure.
[0076] FIG. 22 is a schematic view of a first clamp portion, a second clamp portion, a tubular organ joining devices, an auxiliary anastomosis device, and an end portion fixation device according to a specific embodiment of the disclosure.
[0077] FIG. 23A through FIG. 23G are images of a tubular organ joining device fitted to a tubular organ end portion according to a specific embodiment of the disclosure.DETAILED DESCRIPTION OF THE EMBODIMENTS
[0078] Referring to FIG. 1 A through FIG. 1 D, there are shown schematic views of an anastomosis set according to specific embodiments of the disclosure. FIG. 1A and FIG. 10 illustrate an embodiment of using the anastomosis set to anastomose an end portion of a first tubular organ and an end portion of a second tubular organ to each other. FIG. 1 B and FIG. 1 D illustrate an embodiment of using the anastomosis set to anastomose an end portion of the first tubular organ and a lateral portion of the second tubular organ to each other. As shown in FIG. 1 A through FIG. 1 D, an anastomosis set 5000 is used to anastomose a first anastomotic target portion 9110 of a first tubular organ 9100 and a second anastomotic target portion 9210 of a second tubular organ 9200 to each other. The anastomosis set 5000 comprises a first anastomosis device 5100 and a second anastomosis device 5200. The first anastomosis device 5100 is connected to the first anastomotic target portion 9110. The second anastomosis device 5200 is connected to the second anastomotic target portion 9210. The first anastomosis device 5100 is connected to the second anastomosis device 5200, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 9210 to be anastomosed to each other. Preferably, the first anastomosis device 5100 comprises a first extension through-hole that is penetrable by the first tubular organ 9100; for example, the first anastomotic target portion 9110 of the first tubular organ 9100 penetrates the first extension through-hole. The second anastomosis device 5200 comprises a secondextension through-hole that is penetrable by the second tubular organ 9200; for example, the second anastomotic target portion 9210 of the second tubular organ 9200 penetrates the second extension through-hole. In a specific variant embodiment, the first anastomotic target portion 9110 is an end portion of the first tubular organ 9100, whereas the second anastomotic target portion 9210 is an end portion (shown in FIG. 1A) or a lateral portion (shown in FIG. 1 B) of the second tubular organ 9200 as needed. Therefore, a user can use the anastomosis set 5000 to connect an end portion of the first anastomotic target portion 9110 to an end portion or a lateral portion of the second anastomotic target portion 9210 as needed.
[0079] In a specific embodiment, the first anastomosis device 5100 comprises a plurality of first receiving portions (not shown) and a plurality of first joining needle portions (for example, first joining needle portions 5122 and 5124 in the diagrams). The second anastomosis device 5200 comprises a plurality of second receiving portions (not shown) and a plurality of second joining needle portions (for example, second joining needle portions 5222 and 5224 in the diagram). When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the first joining needle portions 5122 and 5124 of the first anastomosis device 5100 are received in the second receiving portions of the second anastomosis device 5200 respectively. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the second joining needle portions 5222 and 5224 of the second anastomosis device 5200 are received in the first receiving portions of the first anastomosis device 5100 respectively.
[0080] Preferably, when the first anastomosis device 5100 is connected to the second anastomosis device 5200, the first anastomotic target portion 9110 of the first tubular organ 9100 and the second anastomotic target portion 9210 of the second tubular organ 9200 are at least partially clamped between the firstanastomosis device 5100 and the second anastomosis device 5200. Preferably, when the first anastomosis device 5100 is connected to the second anastomosis device 5200, a tube (also known as a first tube) of the first tubular organ 9100 and a tube (also known as a second tube) of the second tubular organ 9200 are in communication with each other. Preferably, the plurality of first receiving portions and the plurality of first joining needle portions are staggeredly arranged on the first anastomosis device 5100. The plurality of second receiving portions and the plurality of second joining needle portions are staggeredly arranged on the second anastomosis device 5200.
[0081] In a specific embodiment, the first anastomosis device 5100 comprises a first front-end joining portion 5110 and a first rear-end joining portion 5120 (as shown in FIG. 1 C and FIG. 1 D). The first front-end joining portion 5110 is connected to the first rear-end joining portion 5120. The first front-end joining portion 5110 has a plurality of first communication holes (also known as a joining needle channel portion). A plurality of first receiving portions (not shown) and the plurality of first joining needle portions (for example, the first joining needle portions 5122 and 5124) of the first anastomosis device 5100 are disposed on the first rear-end joining portion 5120. The second anastomosis device 5200 comprises a second front-end joining portion 5210 and a second rear-end joining portion 5220. The second frontend joining portion 5210 is connected to the second rear-end joining portion 5220. The second front-end joining portion 5210 has a plurality of second communication holes (not shown). A plurality of second receiving portions (not shown) and the plurality of second joining needle portions (for example, the second joining needle portions 5222 and 5224) of the second anastomosis device 5200 are disposed on the second rear-end joining portion 5220.
[0082] Preferably, the plurality of first joining needle portions of the first rear-end joining portion 5120 penetrate a plurality of first communication holes of the first front-end joining portion 5110 respectively. Before the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the first front-end joining portion 5110 can move relative to the first rear-end joining portion 5120. The plurality of second joining needle portions of the second rear-end joining portion 5220 penetrate the plurality of second communication holes of the second front-end joining portion 5210 respectively. Before the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the second front-end joining portion 5210 is movable relative to the second rear-end joining portion 5220.
[0083] Preferably, the plurality of first receiving portions and the plurality of first joining needle portions are staggeredly arranged on the first rear-end joining portion 5120. The plurality of second receiving portions and the plurality of second joining needle portions are staggeredly arranged on the second rear-end joining portion 5220. Preferably, before the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the first front-end joining portion 5110 is movable relative to the first rear-end joining portion 5120. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the first front-end joining portion 5110 is not movable relative to the first rear-end joining portion 5120. Preferably, before the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the second front-end joining portion 5210 is movable relative to the second rear-end joining portion 5220. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the second front-end joining portion 5210 is not movable relative to the second rear-end joining portion 5220.
[0084] Preferably, the number (also known as a first number) of a plurality of first communication holes is greater than or equal to the sum of the number (also known as a second number) of the plurality of first joining needle portions and the number (also known as a third number) of the plurality of second joining needle portions; thus, the first number is greater than or equal to the sum of the second number and the third number. The number of a plurality of first communication holes is equal to the sum of the number of the plurality of first joining needle portions and the number of the plurality of second joining needle portions; thus, the first number is equal to the sum of the second number and the third number. Therefore, the first communication holes are sufficiently numerous to receive the plurality of first joining needle portions and the plurality of second joining needle portions; thus, the plurality of first joining needle portions and the plurality of second joining needle portions penetrate the first communication holes respectively. Preferably, each of the first communication holes receives only a corresponding one of the first joining needle portions or a corresponding one of the second joining needle portions.
[0085] Preferably, the number (also known as a fourth number) of the plurality of second communication holes is greater than or equal to the sum of the number (also known as a second number) of the plurality of first joining needle portions and the number (also known as a third number) of the plurality of second joining needle portions; thus, the fourth number is greater than or equal to the sum of the second number and the third number. The number of the plurality of second communication holes is equal to the sum of the number of the plurality of first joining needle portions and the number of the plurality of second joining needle portions; thus, the fourth number is equal to the sum of the second number and the third number. Therefore, the second communication holes are sufficiently numerous to receive the plurality of first joining needle portions and the plurality of second joining needle portions;thus, the plurality of first joining needle portions and the plurality of second joining needle portions penetrate the first communication holes respectively. Preferably, each of the second communication holes receives only a corresponding one of the first joining needle portions or a corresponding one of the second joining needle portions.
[0086] In a specific embodiment, when the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the plurality of first joining needle portions of the first rear-end joining portion 5120 penetrate the plurality of first communication holes and the plurality of second communication holes respectively, and the plurality of first joining needle portions are received in the plurality of second receiving portions respectively. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the plurality of second joining needle portions of the second rear-end joining portion 5220 penetrate the plurality of second communication holes and the plurality of first communication holes respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
[0087] Preferably, when the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the plurality of first joining needle portions of the first rear-end joining portion 5120 penetrate the plurality of first communication holes and the plurality of second communication holes respectively and sequentially and are then received in the plurality of second receiving portions respectively. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, a plurality of second joining needle portions of the second rear-end joining portion 5220 penetrate the plurality of second communication holes and the plurality of first communication holes respectively andsequentially and are then received in the plurality of first receiving portions respectively.
[0088] Preferably, when the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the plurality of first joining needle portions of the first rear-end joining portion 5120 penetrate the plurality of first communication holes, the first anastomotic target portion 9110, the second anastomotic target portion 9210, and the plurality of second communication holes respectively and sequentially and are then received in the plurality of second receiving portions respectively. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the plurality of second joining needle portions of the second rear-end joining portion 5220 penetrate the plurality of second communication holes, the second anastomotic target portion 9210, the first anastomotic target portion 9110, and the plurality of first communication holes respectively and sequentially and are then partially received in the plurality of first receiving portions respectively.
[0089] In a specific embodiment, at least one of the plurality of first receiving portions of the first rear-end joining portion 5120 has a first receiving groove portion, at least one of the plurality of first joining needle portions of the first rear-end joining portion 5120 has a first protrusion portion, at least one of a plurality of second receiving portions of the second rear-end joining portion 5220 has a second receiving groove portion, at least one of the plurality of second joining needle portions of the second rear-end joining portion 5220 has a second protrusion portion. When the first anastomosis device 5100 and the second anastomosis device 5200 are connected, the first protrusion portion is snap-fitted to or engaged with the second receiving groove portion, and the second protrusion portion is snap-fitted to or engaged with the first receiving groove portion.
[0090] Preferably, at least one of the plurality of first receiving portions of the first rear-end joining portion 5120 has a plurality of first receiving groove portions. At least one of the plurality of first joining needle portions of the first rear-end joining portion 5120 has a first protrusion portion. At least one of a plurality of second receiving portions of the second rear-end joining portion 5220 has a plurality of second receiving groove portions. At least one of the plurality of second joining needle portions of the second rear-end joining portion 5220 has a second protrusion portion. Thus, the first protrusion portion comes into contact with and / or enters the plurality of second receiving groove portions one by one while the first joining needle portions are entering the second receiving portions to provide friction (also known as first friction) and slightly hinder the forward movement of the first joining needle portions to prevent the first joining needle portions from entering the second receiving portions fully and prematurely due to excessive force applied by the user. Likewise, the second protrusion portion comes into contact with and / or enters the plurality of first receiving groove portions one by one while the second joining needle portions are entering the first receiving portions to provide friction (also known as second friction) and slightly hinder the forward movement of the second joining needle portions to prevent the second joining needle portions from entering the first receiving portions fully and prematurely due to excessive force applied by the user.
[0091] Preferably, when the first anastomosis device 5100 and the second anastomosis device 5200 are joined, the first protrusion portions of the first joining needle portions are snap-fitted to or engaged with the second receiving groove portions of the second receiving portions. Where the second receiving portions each have the plurality of second receiving groove portions, the first protrusion portions are snap-fitted to or engaged with the plurality of second receiving groove portions respectively. Preferably, when the first anastomosis device 5100 and the secondanastomosis device 5200 are joined, the second protrusion portions of the second joining needle portions are snap-fitted to or engaged with the first receiving groove portions of the first receiving portions respectively. Where the first receiving portions each have the plurality of first receiving groove portions, the second protrusion portions are snap-fitted to or engaged with the plurality of first receiving groove portions respectively. Therefore, the first anastomosis device and the second anastomosis device are firmly joined with no possibility of separation.
[0092] In a specific embodiment, the anastomosis set 5000 further comprises a fixation device. The fixation device has an auxiliary fixation portion and is configured to assist the anastomosis devices in being connected to or mounted on the first anastomotic target portion 9110. The auxiliary fixation portion is configured to press against the first anastomotic target portion 9110 to allow the first anastomotic target portion 9110 to move toward the plurality of first joining needle portions of the first anastomosis device 5100 and thereby cause the plurality of first joining needle portions to penetrate the first anastomotic target portion 9110. The auxiliary fixation portion is configured to press against the second anastomotic target portion 9210 to allow the second anastomotic target portion 9210 to move toward a plurality of second joining needle portions of the second anastomosis device 5200, allowing the plurality of first joining needle portions to penetrate the second anastomotic target portion 9210.
[0093] Preferably, the auxiliary fixation portion is made of a soft material. Thus, the auxiliary fixation portion presses against the anastomotic target portion and thereby easily pushes the anastomotic target portion, allowing the joining needle portions of the rear-end joining portion to penetrate the anastomotic target portion. Preferably, when the auxiliary fixation portion presses against the first anastomotic target portion 9110, the auxiliary fixation portion causes the first anastomotic targetportion 9110 to flip outward (or expand outward) and move toward the plurality of first joining needle portions, allowing the plurality of first joining needle portions to penetrate the first anastomotic target portion 9110. Preferably, when the auxiliary fixation portion presses against the second anastomotic target portion 9210, the auxiliary fixation portion causes the second anastomotic target portion 9210 to flip outward (or expand outward) and move toward the plurality of second joining needle portions, allowing the plurality of second joining needle portions to penetrate the second anastomotic target portion 9210.
[0094] In a specific embodiment, the anastomosis set 5000 further comprises an auxiliary anastomosis device. The auxiliary anastomosis device comprises a pipe portion and a movement portion. The pipe portion is connected to the movement portion and is movable relative to the movement portion. The movement portion has a first joining device movement portion and a second joining device movement portion. The first joining device movement portion is connected to the first anastomosis device 5100. The second joining device movement portion is connected to the second anastomosis device 5200. The first joining device movement portion and the second joining device movement portion gradually move farther apart from each other while the movement portion is moving relative to the pipe portion in a first operation direction. The first joining device movement portion and the second joining device movement portion gradually approach each other while the movement portion is moving relative to the pipe portion in a second operation direction, allowing the first anastomosis device 5100 and the second anastomosis device 5200 to be connected. Preferably, the first anastomosis device 5100 is detachably connected to the first joining device movement portion, the second anastomosis device 5200 is detachably connected to the second joining device movement portion.
[0095] Referring to FIG. 2A through FIG. 2E, there are shown schematic views of an anastomosis set according to a specific embodiment of the disclosure respectively. FIG. 2A through FIG. 2D illustrate an embodiment of using an anastomosis set to anastomose an end portion of the first tubular organ and an end portion of the second tubular organ to each other. FIG. 2E illustrates an embodiment of using the anastomosis set to anastomose the end portion of the first tubular organ and a lateral portion of the second tubular organ to each other. As shown in FIG. 2A through FIG. 2E, an anastomosis set 6000 comprises a first anastomosis device 6100 and a tubular connection component 6200. The tubular connection component 6200 is, for example, an artificial blood vessel, artificial ureter, artificial fallopian tube, or other artificial tubular organs, but the disclosure is not limited thereto. The first anastomosis device 6100 is connected to the first anastomotic target portion 9110 of the first tubular organ 9100. The first anastomosis device 6100 has a first connection mechanism. The tubular connection component 6200 has a second anastomotic target portion 6230 and a second connection mechanism, with the second connection mechanism disposed at the second anastomotic target portion 6230. The first connection mechanism of the first anastomosis device 6100 is connected to the second connection mechanism of the tubular connection component 6200, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 6230 to be anastomosed to each other.
[0096] In a specific variant embodiment, the first anastomotic target portion 9110 is an end portion or a lateral portion of the first tubular organ 9100 as needed. Preferably, when the first connection mechanism is connected to the second connection mechanism, the first anastomotic target portion 9110 of the first tubular organ 9100 is at least partially clamped between the first connection mechanism and the second connection mechanism. Preferably, when the first anastomotictarget portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, a tube (also known as a first tube) of the first tubular organ 9100 and a tube (also known as a second tube) of the tubular connection component 6200 are in communication with each other.
[0097] In a specific embodiment, the first connection mechanism of the first anastomosis device 6100 comprises a plurality of receiving portions (also known as first receiving portions but are not shown), and the second connection mechanism of the tubular connection component 6200 comprises a plurality of joining needle portions (also known as second joining needle portions, for example, second joining needle portions 6222, 6224 in FIG. 2A). The plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 6230 to be anastomosed to each other (as shown in FIG. 2A). In a specific embodiment, the first connection mechanism of the first anastomosis device 6100 comprises a plurality of first joining needle portions (also known as first joining needle portions, for example, first joining needle portions 6122, 6124 in FIG. 2B), and the second connection mechanism of the tubular connection component 6200 comprises a plurality of second receiving portions (for example, second receiving portions 6226, 6228 in FIG. 2B). The plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 6230 to be anastomosed to each other (as shown in FIG. 2B).
[0098] In a specific embodiment, the first connection mechanism of the first anastomosis device 6100 comprises a plurality of first receiving portions and a plurality of first joining needle portions (for example, the first joining needle portions 6122, 6124 in FIG. 2C through FIG. 2E). The second connection mechanism of thetubular connection component 6200 comprises a plurality of second receiving portions (for example, second receiving portions 6226, 6228 in FIG. 2C through FIG. 2E) and a plurality of second joining needle portions (for example, the second joining needle portions 6222, 6224 in FIG. 20 through FIG. 2E). The plurality of second receiving portions and the plurality of second joining needle portions are disposed at the second anastomotic target portion 6230. The plurality of first joining needle portions are received in a plurality of second receiving portions respectively, and a plurality of second joining needle portions are received in a plurality of first receiving portions respectively, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 6230 to be anastomosed to each other.
[0099] In a specific embodiment (as shown in FIG. 2D and FIG. 2E), the first anastomosis device 6100 comprises a first front-end joining portion 6110 and a first rear-end joining portion 6120, with the first front-end joining portion 6110 connected to the first rear-end joining portion 6120. The first front-end joining portion 6110 has a plurality of first communication holes (not shown). A plurality of first receiving portions and a plurality of first joining needle portions (for example, the first joining needle portions 6122, 6124 in FIG. 2D and FIG. 2E) of the first anastomosis device 6100 are disposed on the first rear-end joining portion 6120. The plurality of the first joining needle portions penetrate the plurality of first communication holes respectively. The first front-end joining portion 6110 is movable relative to the first rear-end joining portion 6120 before the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other.
[0100] Preferably, the number (also known as a first number) of the plurality of first communication holes is greater than or equal to the sum of the number (also known as a second number) of the plurality of first joining needle portions and the number (also known as a third number) of the plurality of second joining needleportions; thus, the first number is greater than or equal to the sum of the second number and the third number. Preferably, The number of the plurality of first communication holes is equal to the sum of the number of the plurality of first joining needle portions and the number of the plurality of second joining needle portions; thus, the first number is equal to the sum of the second number and the third number. Therefore, the first communication holes are sufficiently numerous to receive the plurality of first joining needle portions and the plurality of second joining needle portions. Therefore, the plurality of first joining needle portions and the plurality of second joining needle portions may penetrate the first communication holes respectively. Preferably, each of the first communication holes receives only a corresponding one of the first joining needle portions or a corresponding one of the second joining needle portions.
[0101] Preferably, the plurality of first receiving portions and the plurality of first joining needle portions are staggeredly arranged on the first rear-end joining portion 6120. Preferably, before the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, the first front-end joining portion 6110 is movable relative to the first rear-end joining portion 6120. When the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, the first front-end joining portion 6110 is not movable relative to the first rear-end joining portion 6120.
[0102] In a specific embodiment, when the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, a plurality of second joining needle portions (for example, the second joining needle portions 6222, 6224 in FIG. 2D and FIG. 2E) penetrate a plurality of first communication holes respectively, and a plurality of second joining needle portions are received in a plurality of first receiving portions respectively.
[0103] In a specific embodiment, when the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, a plurality of first joining needle portions (for example, the first joining needle portions 6122, 6124 in FIG. 2D and FIG. 2E) penetrate a plurality of first communication holes respectively and sequentially, and then the first anastomotic target portion 9110 is received in the plurality of second receiving portions (for example, second receiving portions 6226, 6228 in FIG. 2D and FIG. 2E) respectively. When the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, a plurality of second joining needle portions (for example, the second joining needle portions 6222, 6224 in FIG. 2D and FIG. 2E) penetrate the first anastomotic target portion 9110 and a plurality of first communication holes respectively and sequentially, and then are received in a plurality of first receiving portions respectively.
[0104] In another specific embodiment, when the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, a plurality of first joining needle portions (for example, the first joining needle portions 6122, 6124 in FIG. 2D and FIG. 2E) penetrate the plurality of first communication holes, the first anastomotic target portion 9110 and the second anastomotic target portion 6230 respectively and sequentially, and then are partially received in a plurality of second receiving portions (for example, second receiving portions 6226, 6228 in FIG. 2D and FIG. 2E) respectively. When the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, a plurality of second joining needle portions (for example, the second joining needle portions 6222, 6224 in FIG. 2D and FIG. 2E) penetrate the second anastomotic target portion 6230, the first anastomotic target portion 9110, and a plurality of first communication holes respectively andsequentially and are then partially received in a plurality of first receiving portions respectively.
[0105] In a specific embodiment illustrated in FIG. 2D and FIG. 2E, the first receiving portions of the first anastomosis device 6100 have a first receiving groove portion each, and the first joining needle portions (for example, the second joining needle portions 6222, 6224 in FIG. 2C through FIG. 2E) of the first anastomosis device 6100 have a first protrusion portion each. The second receiving portions (for example, second receiving portions 6226, 6228 in FIG. 2C through FIG. 2E) of the tubular connection component 6200 have a second receiving groove portion each, and the second joining needle portions (for example, the second joining needle portions 6222, 6224 in FIG. 2C through FIG. 2E) of the tubular connection component 6200 have a second protrusion portion each. When the first anastomotic target portion 9110 and the second anastomotic target portion 6230 are anastomosed to each other, the first protrusion portion is snap-fitted to or engaged with second receiving groove portion, and the second protrusion portion is snap- fitted to or engaged with the first receiving groove portion.
[0106] Preferably, the first receiving portions of the first rear-end joining portion 6120 each have a plurality of first receiving groove portions, and the first joining needle portions of the first rear-end joining portion 6120 each have a first protrusion portion. The second receiving portions of the tubular connection component 6200 each have a plurality of second receiving groove portions, and the second joining needle portions of the tubular connection component 6200 each have a plurality of second protrusion portions. Thus, the first protrusion portions come into contact with and enter at least two of the plurality of second receiving groove portions one by one while the first joining needle portions are entering the second receiving portions to provide friction (also known as first friction) and slightly hinder the forwardmovement of the first joining needle portions, preventing the first joining needle portions from entering the second receiving portions fully and prematurely due to excessive force applied by the user. Likewise, the second protrusion portions come into contact with and / or enter the plurality of first receiving groove portions one by one while the second joining needle portions are entering at least two of the first receiving portions to provide friction (also known as second friction) and slightly hinder the forward movement of the second joining needle portions to prevent the second joining needle portions from entering the first receiving portions fully and prematurely due to excessive force applied by the user.
[0107] Preferably, when the first anastomosis device 6100 and the tubular connection component 6200 are joined, the first protrusion portions of the first joining needle portions are snap-fitted to or engaged with the second receiving groove portions of the second receiving portions respectively. Where the second receiving portions have the plurality of second receiving groove portions, the first protrusion portions are snap-fitted to or engaged with the plurality of second receiving groove portions respectively. Preferably, when the first anastomosis device 6100 and the tubular connection component 6200 are joined, the second protrusion portions of the second joining needle portions are snap-fitted to or engaged with the first receiving groove portions of the first receiving portions respectively. Where the first receiving portions have the plurality of first receiving groove portions, the second protrusion portions are snap-fitted to or engaged with the plurality of first receiving groove portions respectively. Therefore, the first anastomosis device and the second anastomosis device are firmly joined with no possibility of separation.
[0108] In a specific embodiment, the anastomosis set 6000 further comprises a second anastomosis device 6300. The second anastomosis device 6300 isconnected to a third anastomotic target portion 9210 of the second tubular organ 9200. The second anastomosis device 6300 has a plurality of third receiving portions and a plurality of third joining needle portions (for example, third joining needle portions 6322, 6324 in FIG. 2D and FIG. 2E.) The tubular connection component 6200 has a fourth anastomotic target portion 6250, a plurality of fourth receiving portions (for example, fourth receiving portions 6246, 6248 in FIG. 2D and FIG. 2E), and a plurality of fourth joining needle portions (for example, fourth joining needle portions 6242 and 6244 in FIG. 2D and FIG. 2E). A plurality of fourth receiving portions and a plurality of fourth joining needle portions of the second anastomosis device 6300 are disposed at the fourth anastomotic target portion 6250. A plurality of third joining needle portions of the second anastomosis device 6300 are connected to a plurality of fourth receiving portions of the tubular connection component 6200 respectively, and a plurality of fourth joining needle portions of the tubular connection component 6200 are connected to a plurality of first receiving portions of the second anastomosis device 6300 respectively, allowing the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 to be anastomosed to each other. In a specific variant embodiment, the third anastomotic target portion 9210 is an end portion or a lateral portion of the second tubular organ 9200 as needed.
[0109] Preferably, the second anastomotic target portion 6230 and the fourth anastomotic target portion 6250 are disposed at two end portions of the tubular connection component 6200 respectively. Alternatively, the second anastomotic target portion 6230 and the fourth anastomotic target portion 6250 are disposed at two end portions of the tubular connection component 6200 respectively. Preferably, upon completion of anastomosis, a tube (also known as a second tube) of thetubular connection component 6200 and a tube (also known as a third tube) of the second tubular organ 6300 are in communication with each other.
[0110] In a specific embodiment, the second anastomosis device 6300 comprises a second front-end joining portion 6310 and a second rear-end joining portion 6320. The second front-end joining portion 6310 is connected to the second rear-end joining portion 6320. The second front-end joining portion 6310 has a plurality of second communication holes. A plurality of third receiving portions and a plurality of third joining needle portions of the second anastomosis device 6300 are disposed on the second rear-end joining portion 6320. A plurality of third joining needle portions penetrate a plurality of second communication holes respectively. Before the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other, the second front-end joining portion is movable relative to the second rear-end joining portion. Preferably, the plurality of third receiving portions and the plurality of third joining needle portions are staggeredly arranged on the second rear-end joining portion 6320.
[0111] Preferably, the number of a plurality of second communication holes is greater than or equal to the sum of the number of a plurality of third joining needle portions and the number of a plurality of fourth joining needle portions. The number of the plurality of second communication holes is equal to the sum of the number of the plurality of third joining needle portions and the number of the plurality of fourth joining needle portions. Therefore, the second communication holes are sufficiently numerous to receive the plurality of third joining needle portions and the plurality of fourth joining needle portions respectively. Therefore, the plurality of third joining needle portions and the plurality of fourth joining needle portions penetrate the second communication holes respectively. Preferably, each of the secondcommunication holes receives only a corresponding one of the third joining needle portions or a corresponding one of the fourth joining needle portions.
[0112] Preferably, before the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the second frontend joining portion 6310 is movable relative to the second rear-end joining portion 6320. When the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the second front-end joining portion 6310 is not movable relative to the second rear-end joining portion 6320.
[0113] In a specific embodiment, when the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the plurality of fourth joining needle portions penetrate the plurality of second communication holes respectively, and the plurality of fourth joining needle portions are partially received in the plurality of third receiving portions respectively.
[0114] In a specific embodiment, when the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the plurality of third joining needle portions penetrate the plurality of second communication holes and the third anastomotic target portion 9210 respectively and sequentially, and then are partially received in the plurality of fourth receiving portions respectively. When the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the plurality of fourth joining needle portions penetrate the third anastomotic target portion 9210 and the plurality of second communication holes respectively and sequentially and are then partially received in the plurality of third receiving portions respectively.
[0115] In another specific embodiment, when the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the plurality of third joining needle portions penetrate the plurality of secondcommunication holes, the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 respectively and sequentially and are then partially received in the plurality of fourth receiving portions respectively. When the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the plurality of fourth joining needle portions penetrate the fourth anastomotic target portion 6250, the third anastomotic target portion 9210, and the plurality of second communication holes respectively and sequentially and are then partially received in the plurality of third receiving portions respectively.
[0116] In a specific embodiment, the third receiving portions of the second anastomosis device 6300 have a third receiving groove portion each, and the third joining needle portions of the second anastomosis device have a third protrusion portion each. The fourth receiving portions of the tubular connection component 6200 have a fourth receiving groove portion each. The fourth joining needle portions of the tubular connection component 6200 have a fourth protrusion portion each. When the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the third protrusion portions are snap- fitted to or engaged with the fourth receiving groove portions respectively, and the fourth protrusion portions are snap-fitted to or engaged with the third receiving groove portions respectively.
[0117] Preferably, the third receiving portions of the second rear-end joining portion each have a plurality of third receiving groove portions, and the third joining needle portions of the second rear-end joining portion each have a third protrusion portion. The fourth receiving portions of the tubular connection component 6200 each have a plurality of fourth receiving groove portions, and the fourth joining needle portions of the tubular connection component 6200 each have a fourth protrusion portion. Thus, the third protrusion portions come into contact with andenter at least two of the plurality of fourth receiving groove portions one by one while the third joining needle portions are entering the fourth receiving portions to provide friction (also known as third friction) and slightly hinder the forward movement of the third joining needle portions, preventing the third joining needle portions from entering the fourth receiving portions fully and prematurely due to excessive force applied by the user. Likewise, the fourth protrusion portions come into contact with and enter at least two of the plurality of third receiving groove portions one by one while the fourth joining needle portions are entering the third receiving portions to provide friction (also known as fourth friction) and slightly hinder the forward movement of the fourth joining needle portions, preventing the fourth joining needle portions from entering the third receiving portions fully and prematurely due to excessive force applied by the user.
[0118] Preferably, when the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the third protrusion portions of the third joining needle portions are snap-fitted to or engaged with the fourth receiving groove portions of the fourth receiving portions respectively. Where the fourth receiving portions have the plurality of fourth receiving groove portions, the third protrusion portions are snap-fitted to or engaged with the plurality of fourth receiving groove portions respectively. Preferably, when the third anastomotic target portion 9210 and the fourth anastomotic target portion 6250 are anastomosed to each other, the fourth protrusion portions of the fourth joining needle portions are snap-fitted to or engaged with the third receiving groove portions of the third receiving portions respectively. Where the third receiving portions have the plurality of third receiving groove portions, the fourth protrusion portions are snap-fitted to or engaged with three of the plurality of third receivinggroove portions. Therefore, the third anastomosis device and the fourth anastomosis device are firmly joined with no possibility of separation.
[0119] In a specific embodiment, the anastomosis set 6000 further comprises a fixation device, and the fixation device has an auxiliary fixation portion. The auxiliary fixation portion is configured to press against the first anastomotic target portion 9110 to allow the first anastomotic target portion 9110 to move toward a plurality of first joining needle portions of the first anastomosis device 6100 and thereby cause the plurality of first joining needle portions to penetrate the first anastomotic target portion 9110. The auxiliary fixation portion is configured to press against the third anastomotic target portion 9210 to allow the third anastomotic target portion 9210 to move toward a plurality of third joining needle portions of the second anastomosis device 6300 and thereby cause the plurality of third joining needle portions to penetrate the third anastomotic target portion 9210. Preferably, the auxiliary fixation portion is made of a soft material. Therefore, the auxiliary fixation portion presses against the anastomotic target portion and thereby easily pushes the anastomotic target portion, allowing the joining needle portions of the rear-end joining portions to penetrate the anastomotic target portion. Preferably, when the auxiliary fixation portion presses against the anastomotic target portion, the auxiliary fixation portion causes the anastomotic target portion to flip outward (or expand outward) and move toward a plurality of joining needle portions, allowing a plurality of first joining needle portions to penetrate the anastomotic target portion.
[0120] In a specific embodiment, the anastomosis set 6000 further comprises an auxiliary anastomosis device, and the auxiliary anastomosis device comprises a pipe portion and a movement portion. The pipe portion is connected to the movement portion. The pipe portion is movable relative to the movement portion. The movement portion has a first joining device movement portion and a secondjoining device movement portion. The first joining device movement portion is connected to the first anastomosis device 6100. The second joining device movement portion is connected to the tubular connection component 6200. The first joining device movement portion and the second joining device movement portion gradually move farther apart from each other while the movement portion is moving relative to the pipe portion in the first operation direction. The first joining device movement portion and the second joining device movement portion gradually approach each other while the movement portion is moving relative to the pipe portion in the second operation direction, allowing the first connection mechanism of the first anastomosis device 6100 and the second connection mechanism of the tubular connection component 6200 to be connected. Preferably, the first anastomosis device 6100 is detachably connected to the first joining device movement portion, and the tubular connection component 6200 is detachably connected to the second joining device movement portion. Preferably, the auxiliary anastomosis device enables the second anastomosis device 6300 and the tubular connection component 6200 to be connected in the aforesaid manner.
[0121] Referring to FIG. 3, there is shown an anastomosis set according to a specific embodiment of the disclosure. As shown in FIG. 3, an anastomosis set 7000 is configured to allow the first anastomotic target portion 9110 of the first tubular organ 9100 and the second anastomotic target portion 9210 of the second tubular organ 9200 to be anastomosed to each other. The first anastomotic target portion 9110 is an organ end portion of the first tubular organ 9100. The second anastomotic target portion 9210 is an organ lateral portion of the second tubular organ 9200. The anastomosis set 7000 comprises a first anastomosis device 7100 and a second anastomosis device 7200. The first anastomosis device 7100 has a first connection mechanism. The first anastomosis device 7100 is connected to thefirst anastomotic target portion 9110. The second anastomosis device 7200 has a second connection mechanism. The second anastomosis device 7200 is connected to the second anastomotic target portion 9210. The first connection mechanism of the first anastomosis device 7100 is connected to the second connection mechanism of the second anastomosis device 7200, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 9210 to be anastomosed to each other.
[0122] Preferably, the second anastomosis device 7200 is disposed in the organ tube of the second tubular organ 9200. When the first connection mechanism and the second connection mechanism are connected, the first anastomotic target portion 9110 of the first tubular organ 9100 and the second anastomotic target portion 9210 of the second tubular organ 9200 are at least partially clamped between the first connection mechanism and the second connection mechanism. Preferably, upon completion of anastomosis, a tube (also known as a first tube) of the first tubular organ 9100 and a tube (also known as a second tube) of the second tubular organ 9200 are in communication with each other.
[0123] In a specific embodiment, the first connection mechanism of the first anastomosis device 7100 comprises a plurality of receiving portions, and the second connection mechanism of the second anastomosis device 7200 comprises a plurality of joining needle portions. The plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 9210 to be anastomosed to each other. In a specific embodiment, the first connection mechanism of the first anastomosis device 7100 comprises a plurality of joining needle portions, and the second connection mechanism of the second anastomosis device 7200 comprises a plurality of receiving portions. The plurality of joiningneedle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion 9110 and the second anastomotic target portion 9210 to be anastomosed to each other.
[0124] In a specific embodiment, the first anastomosis device 7100 comprises a plurality of first receiving portions and a plurality of first joining needle portions (for example, first joining needle portions 7122, 7124 in FIG. 3). The second anastomosis device 7200 comprises a plurality of second receiving portions (for example, second receiving portions 7226, 7228 in FIG. 3) and a plurality of second joining needle portions (for example, second joining needle portions 7222, 7224 in FIG. 3). When the first anastomosis device 7100 and the second anastomosis device 7200 are connected, a plurality of first joining needle portions are received in a plurality of second receiving portions respectively. When the first anastomosis device 7100 and the second anastomosis device 7200 are connected, a plurality of second joining needle portions are received in a plurality of first receiving portions respectively.
[0125] Preferably, the plurality of first receiving portions and the plurality of first joining needle portions are staggeredly arranged on the first anastomosis device 7100. Preferably, the plurality of second receiving portions and the plurality of second joining needle portions are staggeredly arranged on the second anastomosis device 7200. In a specific embodiment, the first anastomosis device 7100 comprises a first front-end joining portion 7110 and a first rear-end joining portion 7120. The first front-end joining portion 7110 is connected to the first rear- end joining portion 7120. The first front-end joining portion 7110 has a plurality of first communication holes. The first rear-end joining portion 7120 has a plurality of first receiving portions and a plurality of first joining needle portions (for example, first joining needle portions 7122, 7124 in FIG. 3). The second connectionmechanism of the second anastomosis device 7200 comprises a plurality of second receiving portions (for example, second receiving portions 7226, 7228 in FIG. 3) and a plurality of second joining needle portions (for example, second joining needle portions 7222, 7224 in FIG. 3). The plurality of first joining needle portions of the first anastomosis device 7100 penetrate the plurality of first communication holes respectively. Before the first anastomosis device 7100 and the second anastomosis device 7200 are connected, the first front-end joining portion 7110 is movable relative to the first rear-end joining portion 7120.
[0126] When the first anastomosis device 7100 and the second anastomosis device 7200 are connected, the plurality of first joining needle portions of the first anastomosis device 7100 penetrate the plurality of first communication holes respectively and are received in the plurality of second receiving portions respectively. When the first anastomosis device 7100 and the second anastomosis device 7200 are connected, the plurality of second joining needle portions of the second anastomosis device 7200 penetrate the plurality of first communication holes of the first anastomosis device 7100 respectively and are partially received in the plurality of first receiving portions of the first anastomosis device 7100 respectively.
[0127] Preferably, regarding the first anastomosis device 7100, the number (also known as a first number) of a plurality of first communication holes is greater than or equal to the sum of the number (also known as a second number) of the plurality of first joining needle portions and the number (also known as a third number) of the plurality of second joining needle portions; thus, the first number is greater than or equal to the sum of the second number and the third number. Therefore, the number of the plurality of first communication holes is equal to the sum of the number of the plurality of first joining needle portions and the number of the pluralityof second joining needle portions. Therefore, the first number is equal to the sum of the second number and the third number. Thus, the first communication holes are sufficiently numerous to receive the plurality of first joining needle portions and the plurality of second joining needle portions respectively. Therefore, the plurality of first joining needle portions and the plurality of second joining needle portions penetrate the first communication holes respectively. Preferably, each first communication hole receives only one first joining needle portion or one second joining needle portion.
[0128] Preferably, when the first anastomotic target portion 9110 and the second anastomotic target portion 9210 are anastomosed to each other, the plurality of first joining needle portions of the first anastomosis device 7100 penetrate the plurality of first communication holes of the first anastomosis device 7100 respectively and are then received in the plurality of second receiving portions of the first anastomosis device 7100 respectively. Preferably, when the first anastomotic target portion 9110 and the second anastomotic target portion 9210 are anastomosed to each other, the plurality of second joining needle portions of the second anastomosis device 7200 penetrate the plurality of first communication holes of the second anastomosis device 7200 respectively and are then partially received in the plurality of first receiving portions of the second anastomosis device 7200 respectively.
[0129] Preferably, when the first anastomotic target portion 9110 and the second anastomotic target portion 9210 are anastomosed to each other, a plurality of first joining needle portions of the first anastomosis device 7100 penetrate the plurality of first communication holes of the first anastomosis device 7100, the first anastomotic target portion 9110 and the second anastomotic target portion 9210 and are then received in the plurality of second receiving portions respectively.Preferably, when the first anastomotic target portion 9110 and the second anastomotic target portion 9210 are anastomosed to each other, a plurality of second joining needle portions of the second anastomosis device 7200 penetrate the second anastomotic target portion 9210, the first anastomotic target portion 9110, and the plurality of first communication holes respectively and sequentially and are then received in the plurality of first receiving portions respectively.
[0130] Preferably, the first connection mechanism of the first anastomosis device 7100 comprises a plurality of first receiving portions and a plurality of first joining needle portions disposed on the first rear-end joining portion. Therefore, the first rear-end joining portion 7120 comprises the first connection mechanism, allowing the first connection mechanism to comprise a plurality of first receiving portions and a plurality of first joining needle portions. Preferably, the plurality of first receiving portions and the plurality of first joining needle portions are staggeredly arranged on the first rear-end joining portion 7120. Preferably, before the first anastomosis device 7100 and the second anastomosis device 7200 are connected, the first frontend joining portion 7110 is movable relative to the first rear-end joining portion 7120. When the first anastomosis device 7100 and the second anastomosis device 7200 are connected, the first front-end joining portion 7110 is not movable relative to the first rear-end joining portion 7120.
[0131] In a specific embodiment, the first receiving portions of the first rear-end joining portion 7120 each have a first receiving groove portion, and the first joining needle portions of the first rear-end joining portion 7120 each have a first protrusion portion. The second receiving portions of the second anastomosis device 7200 each have a second receiving groove portion, and the second joining needle portions of the second anastomosis device 7200 each have a second protrusion portion. When the first anastomosis device 7100 and the second anastomosisdevice 7200 are connected, the first protrusion portions are snap-fitted to or engaged with the second receiving groove portions respectively, and the second protrusion portions are snap-fitted to or engaged with the first receiving groove portions respectively.
[0132] Preferably, the first receiving portions of the first rear-end joining portion 7120 have a plurality of first receiving groove portions, and the first joining needle portions of the first rear-end joining portion 7120 each have a first protrusion portion. The second receiving portions of the second anastomosis device 7200 have a plurality of second receiving groove portions, and the second joining needle portions of the second anastomosis device 7200 each have a second protrusion portion. Thus, the first protrusion portions come into contact with and enter at least two of the plurality of second receiving groove portions one by one while the first joining needle portions are entering the second receiving portions to provide friction (also known as first friction) and slightly hinder the forward movement of the first joining needle portions, preventing the first joining needle portions from entering the second receiving portions fully and prematurely due to excessive force applied by the user. Likewise, the second protrusion portions come into contact with and enter at least two of the plurality of first receiving groove portions one by one while the second joining needle portions are entering the first receiving portions to provide friction (also known as second friction) and slightly hinder the forward movement of the second joining needle portions, preventing the second joining needle portions from entering the first receiving portions fully and prematurely due to excessive force applied by the user.
[0133] Preferably, when the first anastomosis device 7100 and the second anastomosis device 7200 are joined, the first protrusion portions of the first joining needle portions are snap-fitted to or engaged with the second receiving grooveportions of the second receiving portions respectively. Where the second receiving portions each have the plurality of second receiving groove portions, the first protrusion portions are snap-fitted to or engaged with the plurality of second receiving groove portions respectively. Preferably, when the first anastomotic target portion 9110 and the second anastomotic target portion 9210 are anastomosed to each other, the second protrusion portions of the second joining needle portions are snap-fitted to or engaged with the first receiving groove portions of the first receiving portions respectively. Where the first receiving portions have the plurality of first receiving groove portions, the second protrusion portions are snap-fitted to or engaged with the plurality of first receiving groove portions respectively. Therefore, the first anastomosis device 7100 and the second anastomosis device 7200 are firmly joined with no possibility of separation.
[0134] In a specific embodiment, the anastomosis set 7000 further comprises a fixation device, and the fixation device has an auxiliary fixation portion. The auxiliary fixation portion is configured to press against the first anastomotic target portion 9110 to allow the first anastomotic target portion 9110 to move toward the plurality of first joining needle portions of the first rear-end joining portion 7120 and thereby cause the plurality of first joining needle portions to penetrate the first anastomotic target portion 9110. Preferably, when the auxiliary fixation portion presses against the first anastomotic target portion 9110, the auxiliary fixation portion causes the first anastomotic target portion 9110 to flip outward (or expand outward) and move toward the plurality of first joining needle portions, allowing the plurality of first joining needle portions to penetrate the first anastomotic target portion 9110. Preferably, the auxiliary fixation portion is made of a soft material. Therefore, when the auxiliary fixation portion presses against the anastomotic target portion, theanastomotic target portion can be easily pushed, allowing the joining needle portions to penetrate the anastomotic target portion.
[0135] Refer to FIG. 4A through FIG. 4G. FIG. 4A and FIG. 4B are schematic views of an auxiliary anastomosis device according to a specific embodiment of the disclosure. FIG. 40 through FIG. 4F are partial schematic views of the auxiliary anastomosis device according to a specific embodiment of the disclosure. FIG. 4G is a partial schematic view of a pipe portion according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 4A through FIG. 4G, an auxiliary anastomosis device 1000 comprises a pipe portion 1010 and a movement portion 1020. The movement portion 1020 has a first joining device movement portion 1021 and a second joining device movement portion 1022. The movement portion 1020 is connected to the pipe portion 1010 and is movable relative to the pipe portion 1010. Preferably, the movement portion 1020 is at least partially disposed in (or fitted to) the pipe portion 1010 and is movable relative to the pipe portion 1010 in a first operation direction 2910 or a second operation direction 2920.
[0136] Preferably, the first joining device movement portion 1021 is configured to connect to a first tubular organ joining device 9010, and the second joining device movement portion 1022 is configured to connect to a second tubular organ joining device 9020. Preferably, a first notch portion 1025 is disposed at the first movement front-end portion 1021A of the first joining device movement portion 1021 , and a second notch portion 1026 is disposed at the second movement front-end portion 1022A of the second joining device movement portion 1022. The first tubular organ joining device 9010 passes through the first notch portion 1025 and is mounted on the first movement front-end portion 1021 A of the first joining device movement portion 1021 , and the second tubular organ joining device 9020 passes through the second notch portion 1026 and is mounted on the second movement front-endportion 1022A of the second joining device movement portion 1022. In other words, the first tubular organ joining device 9010 is connected to the first notch portion 1025 of the first joining device movement portion 1021 , and the second tubular organ joining device 9020 is connected to the second notch portion 1026 of the second joining device movement portion 1022. It is noteworthy that the tubular organ joining devices can also be referred to as anastomosis devices. For example, the first tubular organ joining device is also known as a first anastomosis device, and the second tubular organ joining device is also known as a second anastomosis device. It should be understood that a tubular organ joining device is also known as an anastomosis device. For example, a first tubular organ joining device is also known as a first anastomosis device, and a second tubular organ joining device is also known as a second anastomosis device.
[0137] Preferably, the first joining device movement portion 1021 is disposed on a first side 1010A of the movement portion 1020 and has a first arcuate portion1023, whereas the second joining device movement portion 1022 is disposed on a second side 1010B of the movement portion 1020 and has a second arcuate portion1024. Preferably, the first joining device movement portion 1021 has a first movement front-end portion 1021 A and a first movement rear-end portion 1021 B opposing the first movement front-end portion 1021 A, whereas the second joining device movement portion 1022 has a second movement front-end portion 1022A and a second movement rear-end portion 1022B opposing the second movement front-end portion 1022A. The first movement rear-end portion 1021 B of the first joining device movement portion 1021 is connected to the first side 1010A of the body of the movement portion 1020, and the second movement rear-end portion 1022B of the second joining device movement portion 1022 is connected to the second side 1010B of the body of the movement portion 1020. A first stretchingwidth 9110 between the first movement front-end portion 1021 A and the second movement front-end portion 1022A is greater than a second stretching width 9120 between the first movement rear-end portion 1021 B and the second movement rear-end portion 1022B. The first stretching width 9110 is greater than the diameter of the pipe portion 1010. Thus, the first joining device movement portion 1021 and the second joining device movement portion 1022 gradually move farther apart from each other while the movement portion 1020 is moving relative to the pipe portion 1010 in the first operation direction 2910. The first joining device movement portion1021 and the second joining device movement portion 1022 gradually approach each other while the movement portion 1020 is moving relative to the pipe portion 1010 in the second operation direction 2920. A pipe end portion 1014 of the pipe portion 1010 comes into contact with (for example, abuts against) the first arcuate portion 1023 and the second arcuate portion 1024 to allow the first movement frontend portion 1021A of the first joining device movement portion 1021 and the second movement front-end portion 1022A of the second joining device movement portion1022 to gradually move farther apart from each other while the movement portion 1020 is moving relative to the pipe portion 1010 in the first operation direction 2910. The pipe end portion 1014 of the pipe portion 1010 comes into contact with (for example, abuts against) the first arcuate portion 1023 and the second arcuate portion 1024 to allow the first movement front-end portion 1021A of the first joining device movement portion 1021 and the second movement front-end portion 1022A of the second joining device movement portion 1022 to gradually approach each other while the movement portion 1020 is moving relative to the pipe portion 1010 in the second operation direction 2920.
[0138] Preferably, the first arcuate portion 1023 and the second arcuate portion 1024 are regarded as an opening and closing mechanism for the movement portion1020, allowing the movement portion 1020 to enter an open state or closed state through the opening and closing mechanism. When the movement portion 1020 is in the open state, the first movement front-end portion 1021A of the first joining device movement portion 1021 and the second movement front-end portion 1022A of the second joining device movement portion 1022 separate from each other and move apart. When the movement portion 1020 is in the closed state, the first movement front-end portion 1021 A of the first joining device movement portion 1021 and the second movement front-end portion 1022A of the second joining device movement portion 1022 are drawn closer to each other or even come into contact with each other. With the movement portion 1020 being in the closed state, the first tubular organ joining device 9010 disposed / mounted on the first joining device movement portion 1021 and the second tubular organ joining device 9020 disposed / mounted on the second joining device movement portion 1022 are joined, allowing a first tubular organ and the second tubular organ to be joined / anastomosed to each other through the first tubular organ joining device 9010 and the second tubular organ joining device 9020.
[0139] Preferably, the first joining device movement portion 1021 has a first frontend inner surface 1027, and the second joining device movement portion 1022 has a second front-end inner surface 1028. The first front-end inner surface 1027 and the second front-end inner surface 1028 gradually align in the same direction while the movement portion 1020 is moving relative to the pipe portion 1010 in the first operation direction 2910 (at this point in time, the movement portion 1020 gradually enters a protruded state.) Thus, the user can easily carry out subsequent operation processes, for example, a process of connecting the first tubular organ end portion and the first tubular organ joining device 9010, and a process of connecting the second tubular organ end portion and the second tubular organ joining device 9020.The first front-end inner surface 1027 and the second front-end inner surface 1028 gradually turn toward each other while the movement portion 1020 is moving relative to the pipe portion 1010 in the second operation direction 2920 (at this point in time, the movement portion 1020 gradually enters a recycled state.) Thus, the aforesaid subsequent operation processes can be followed by a process of connecting the first tubular organ joining device 9010 and the second tubular organ joining device 9020 (or, in other words, a process of anastomosing two tubular organs to each other using the first tubular organ joining device 9010 and the second tubular organ joining device 9020).
[0140] Preferably, the first front-end inner surface 1027 of the first joining device movement portion 1021 defines a first normal direction 9130, and the second frontend inner surface 1028 of the second joining device movement portion 1022 defines a second normal direction 9140. The angle between the first normal direction 9130 and the second normal direction 9140 gradually decreases (or, in other words, with the angle between the first normal direction 9130 and the second normal direction 9140 gradually approaching 90 degrees) while the movement portion 1020 is moving relative to the pipe portion 1010 in the first operation direction 2910 (with the movement portion 1020 gradually entering a protruded state at this point in time). Thus, the user can easily carry out subsequent operation processes, for example, a process of connecting the first tubular organ end portion and the first tubular organ joining device 9010 and a process of connecting the second tubular organ end portion and the second tubular organ joining device 9020. The angle between the first normal direction 9130 and the second normal direction 9140 gradually increases (or, in other words, with the angle between the first normal direction 9130 and the second normal direction 9140 gradually approaching 180 degrees) while the movement portion 1020 is moving relative to the pipe portion 1010 in the secondoperation direction 2920 (with the movement portion 1020 gradually entering a recycled state at the same time). Thus, the user can carry out a process of connecting the first tubular organ joining device 9010 and the second tubular organ joining device 9020 (or, in other words, a process of anastomosing two tubular organs to each other using the first tubular organ joining device 9010 and the second tubular organ joining device 9020).
[0141] Preferably, the first arcuate portion 1023 and the second arcuate portion 1024 are arcuate portions which are helical in shape (for example, slightly helical in shape). While the movement portion 1020 is moving relative to the pipe portion 1010 in the first operation direction 2910, the pipe end portion 1014 of the pipe portion 1010 comes into contact with (for example, abuts against) the first arcuate portion 1023 and the second arcuate portion 1024, allowing the angle between the first normal direction 9130 and the second normal direction 9140 to gradually decrease (or, in other words, with the angle between the first normal direction 9130 and the second normal direction 9140 gradually approaching 90 degrees). While the movement portion 1020 is moving relative to the pipe portion 1010 in the second operation direction 2920, the pipe end portion 1014 of the pipe portion 1010 comes into contact with (for example, abuts against) the first arcuate portion 1023 and the second arcuate portion 1024, allowing the angle between the first normal direction 9130 and the second normal direction 9140 to gradually increase (or, in other words, with the angle between the first normal direction 9130 and the second normal direction 9140 gradually approaching 180 degrees).
[0142] Preferably, the pipe portion 1010 has an operation groove 1016, and the movement portion 1020 has an operation portion 1029. The operation portion 1029 extends and passes through the operation groove 1016. Thus, the user controls the movement portion 1020 using the operation portion 1029, allowing the movementportion 1020 to move relative to the pipe portion 1010. Preferably, a groove extension direction 1017 of the operation groove 1016 is substantially parallel to the first operation direction 2910 and the second operation direction 2920.
[0143] Preferably, the auxiliary anastomosis device 1000 further comprises a movable spring portion 1030. The movable spring portion 1030 is connected to (for example, comes into contact with, but the disclosure is not limited thereto) the pipe portion 1010 and the movement portion 1020. The movable spring portion 1030 applies a force to the movement portion 1020, allowing the movement portion 1020 to enter a recycled state or a protruded state. In a specific embodiment, the movable spring portion 1030 is aligned with the first operation direction 2910, with a force applied to the movement portion 1020, allowing the movement portion 1020 to remain in a protruded state. At this point in time, the first joining device movement portion 1021 and the second joining device movement portion 1022 are significantly exposed from the pipe portion 1010, whereas a first overall width of the first movement front-end portion 1021 A and the second movement front-end portion 1022A is greater than a second overall width of the first movement rear-end portion 1021 B and the second movement rear-end portion 1022B. In another specific embodiment, the movable spring portion 1030 is aligned with the second operation direction 2920, and a force is applied to the movement portion 1020, allowing the movement portion 1020 to remain in the recycled state. At this point in time, the first joining device movement portion 1021 and the second joining device movement portion 1022 are slightly exposed from the pipe portion 1010. Alternatively, the first joining device movement portion 1021 and the second joining device movement portion 1022 are not exposed from the pipe portion 1010.
[0144] Preferably, the pipe portion 1010 has an auxiliary removal component 1012. The auxiliary removal component 1012 is penetrable by a portion of thetubular organ widening device (to be described later). Thus, after the first tubular organ end portion and the second tubular organ end portion have been joined, the user removes the tubular organ widening device from a tubular organ using an auxiliary removal component 1012. In a specific embodiment, an auxiliary removal component 1012 is penetrable by a first extending segment of a first tubular organ widening device and a second extending segment of the second tubular organ widening device as shown in FIG. 9. It is noteworthy that the tubular organ widening device of the disclosure is not restrictive of the embodiment illustrated in FIG. 9 but may be replaced by any other tubular organ widening device provided in any other form as needed. In a specific embodiment, an auxiliary removal component 1012 is provided in the form of one or more through-holes disposed on the wall surface of the pipe portion 1010. In the embodiment illustrated in FIG. 4G, an auxiliary removal component 1012 comprises through-holes 1012A, 1012B and a channel 1012C. The through-holes 1012A, 1012B are disposed on the wall surface of the pipe portion 1010, and the channel 1012C is in communication with the through-holes 1012A, 1012B. It is noteworthy that FIG. 4F serves illustrative purposes only, as an auxiliary removal component 1012 may just include at least one of the through- holes 1012A, 1012B but dispense with the channel 1012C.
[0145] Referring to FIG. 5A and FIG. 5B, there are shown schematic views of an auxiliary anastomosis device according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 5A and FIG. 5B, an auxiliary anastomosis device 200 comprises a pipe portion 210 and a movement portion 220. The movement portion 220 has a first joining device movement portion 221 , a second joining device movement portion 222, and an opening and closing mechanism 223. The movement portion 220 is connected to the pipe portion 210. The movement portion 220 is configured to be movable relative to the pipe portion 210. The openingand closing mechanism 223 is disposed on the movement portion 220. The movement portion 220 enters the open state (FIG. 5A shows the movement portion 220 in the open state) or the closed state (FIG. 5B shows the movement portion 220 in the closed state) through the opening and closing mechanism 223. When the movement portion 220 is in the open state, the first movement front-end portion of the first joining device movement portion 221 and the second movement frontend portion of the second joining device movement portion 222 separate from each other and move apart. When the movement portion 220 is in the closed state, the first movement front-end portion of the first joining device movement portion 221 and the second movement front-end portion of the second joining device movement portion 222 approach each other or even come into contact with each other. Preferably, the movement portion 220 is at least partially disposed in (or fitted to) the pipe portion 210 and is configured to be movable relative to the pipe portion 210 in a first operation direction 912 or a second operation direction 914. Preferably, the first operation direction 912 and the second operation direction 914 are parallel to the extension direction of the pipe portion 210.
[0146] Preferably, the first joining device movement portion 221 has a first notch portion 221C corresponding in position to the first movement front-end portion 221 B, whereas the second joining device movement portion 222 has a second notch portion 222C corresponding in position to the second movement front-end portion 222B. Preferably, a first tubular organ joining device 310 passes through the first notch portion 221 C and is mounted on the first movement front-end portion 221 B of the first joining device movement portion 221, and a second tubular organ joining device 320 passes through the second notch portion 222C and is mounted on the second movement front-end portion 222B of the second joining device movement portion 222. In other words, the first tubular organ joining device 310 is connectedto the first notch portion 221 C of the first joining device movement portion 221 , and the second tubular organ joining device 320 is connected to the second notch portion 222C of the second joining device movement portion 222.
[0147] In the embodiment illustrated in FIG. 5A and FIG. 5B, the opening and closing mechanism 223 comprises a first support 223A, second support 223B, first guide portion 223C, second guide portion 223D, first guide slot 223E, second guide slot 223F, and auxiliary opening portion 223H. The first guide slot 223E is disposed on the first joining device movement portion 221. The second guide slot 223F is disposed on the second joining device movement portion 222. The first guide portion 2230 is disposed at one end of the second support 223B, and the other end of the second support 223B is connected to the second joining device movement portion 222. The second guide portion 223D is disposed at one end of the first support 223A, and the other end of the first support 223A is connected to the first joining device movement portion 221. The first guide portion 223C is at least partially disposed in the first guide slot 223E and moves in the extension direction of the first guide slot 223E. Thus, the first guide portion 223C causes one end of the second support 223B to move in the extension direction of the first guide slot 223E. The second guide portion 223D is at least partially disposed in the second guide slot 223F. Thus, the second guide portion 223D is movable in the second guide slot 223F in the extension direction to cause one end of the first support 223A to move in the second guide slot 223F in the extension direction. The auxiliary opening portion 223H is connected between the first joining device movement portion 221 and the second joining device movement portion 222 and configured to apply a driving force to the first joining device movement portion 221 and the second joining device movement portion 222 and thereby ensure that the opening and closing mechanism 223 can cause the movement portion 220 to remain in the openstate while the movement portion 220 (or the opening and closing mechanism 223 of the movement portion 220) is moving toward the outside of the pipe portion 210.
[0148] Preferably, the first support 223A and the second support 223B are connected movably relative to each other at a connection point 223H. Preferably, the first joining device movement portion 221 has a first inclined surface 221 A, and the second joining device movement portion 222 has a second inclined surface 222A. While the movement portion 220 is moving relative to the pipe portion 1010 in the first operation direction 912, the opening and closing mechanism 223 of the movement portion 220 gradually moves toward the outside of the pipe portion 210, and a pipe end portion of the pipe portion 210 comes into contact with (for example, abuts against) the first inclined surface 221 A and the second inclined surface 222A, allowing the movement portion 220 to enter the open state gradually. While the movement portion 220 is moving relative to the pipe portion 1010 in the second operation direction 914, the opening and closing mechanism 223 of the movement portion 220 gradually moves toward the inside of the pipe portion 210, and the pipe end portion of the pipe portion 210 comes into contact with (for example, abuts against) the first inclined surface 221A and the second inclined surface 222A, allowing the movement portion 220 to enter the closed state gradually. It is noteworthy that the first inclined surface 221 A and the second inclined surface 222A can be regarded as a portion of the opening and closing mechanism 223, that is, the opening and closing mechanism 223 comprises the first inclined surface 221A and the second inclined surface 222A. Preferably, the open width 920 of the movement portion 220 is greater than the diameter of the pipe portion 210 while the movement portion 220 is in the open state.
[0149] Referring to FIG. 6A through FIG. 6D, there are shown schematic views of an anastomosis set according to a specific embodiment of the disclosure. Referringto FIG. 6E, there is shown a schematic view of an auxiliary widening component according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 6A through FIG. 6E, an anastomosis set 3000 is configured to join a first tubular organ end portion 3110 of a first tubular organ 3100 and a second tubular organ end portion 3210 of a second tubular organ 3200. The anastomosis set 3000 comprises a first tubular organ joining device 3010, a second tubular organ joining device 3020, and an auxiliary anastomosis device 3030. The auxiliary anastomosis device 3030 comprises a pipe portion 3033 and a movement portion. The movement portion has a first joining device movement portion 3031 and a second joining device movement portion 3032. The movement portion is connected to the pipe portion 3033 and is movable relative to the pipe portion 3033. The first joining device movement portion 3031 and the second joining device movement portion 3032 gradually move farther apart from each other while the movement portion is moving relative to the pipe portion 3033 in a first operation direction 3910. The first joining device movement portion 3031 and the second joining device movement portion 2032 gradually approach each other while the movement portion is moving relative to the pipe portion 3033 in a second operation direction 3920. Preferably, the configuration of the auxiliary anastomosis device 3030 is shown, for example, in FIG. 4A through FIG. 4F or FIG. 4A through FIG. 4B, but the disclosure is not limited thereto.
[0150] In the embodiment illustrated in FIG. 6A, the user connects the first tubular organ joining device 3010 to the first joining device movement portion 3031 , and connects the second tubular organ joining device 3020 to the second joining device movement portion 3032. Then, the user connects the first tubular organ end portion 3110 to the first tubular organ joining device 3010, and connects the second tubular organ end portion 3210 to the second tubular organ joining device 3020. Preferably,when the movement portion is in a protruded state, the user connects the first tubular organ joining device 3010 to the first joining device movement portion 3031 , connects the second tubular organ joining device 3020 to the second joining device movement portion 3032, connects the first tubular organ end portion 3110 to the first tubular organ joining device 3010, and connects the second tubular organ end portion 3210 to the second tubular organ joining device 3020.
[0151] In the embodiment illustrated in FIG. 6B, the anastomosis set 3000 further comprises a first tubular organ widening device 3040 and a second tubular organ widening device 3050. The user allows the first tubular organ widening device 3040 to enter and come into contact with a first inner wall surface of the first tubular organ end portion 3110, so as to widen the first tubular organ end portion 3110. The user allows the second tubular organ widening device 3050 to enter and come into contact with a second inner wall surface of the second tubular organ end portion 3210, so as to widen the second tubular organ end portion 3210. Preferably, the first tubular organ widening device 3040 comprises a first widening portion such that the first tubular organ widening device 3040 uses the first widening portion to widen the first tubular organ end portion 3110. The second tubular organ widening device 3050 comprises a second widening portion such that the second tubular organ widening device 3050 uses the second widening portion to widen the second tubular organ end portion 3210. Preferably, the first tubular organ widening device 3040 comprises a first wire. The first wire comprises a first winding segment and a first extending segment, with the first winding segment connected to the first extending segment, and the first winding segment configured to form the first widening portion. The second tubular organ widening device 3050 comprises a second wire. The second wire comprises a second winding segment and a secondextending segment. The second winding segment is connected to the second extending segment and configured to form the second widening portion.
[0152] Preferably, the first widening portion has a first front-end portion and a first rear-end portion. The first front-end portion is connected to the first extending segment. The first front-end diameter of the first front-end portion is less than the first rear-end diameter of the first rear-end portion. The second widening portion has a second front-end portion and a second rear-end portion. The second frontend portion is connected to the second extending segment. The second front-end diameter of the second front-end portion is less than the second rear-end diameter of the second rear-end portion. Preferably, with the first tubular organ end portion 3110 being widened by the first widening portion, the first front-end portion is positioned inside the first tubular organ 3100, and the first rear-end portion is positioned at the first tubular organ end portion 3110. With the second tubular organ end portion 3210 being widened by the second widening portion, the second frontend portion is positioned inside the second tubular organ 3200, and the second rear-end portion is positioned at the second tubular organ end portion 3210. Preferably, the first extending segment and the second extending segment extend to penetrate an auxiliary removal component 3034 of the pipe portion 3033.
[0153] Preferably, the anastomosis set 3000 further comprises an auxiliary widening component 3060. The user inserts the first widening portion into the first tubular organ end portion 3110 using the auxiliary widening component 3060 such that the first widening portion widens the first tubular organ end portion 3110. The user further inserts the second widening portion into the second tubular organ end portion 3210 using the auxiliary widening component 3060 such that the second widening portion widens the second tubular organ end portion 3210. Preferably, the width (also known as a front-segment widened width) of a front-segment wideningportion 3062 of the auxiliary widening component 3060 gradually decreases in a front-segment extension direction 3930.
[0154] In the embodiment illustrated in FIG. 60, the user allows the movement portion to move relative to the pipe portion 3033 in the second operation direction 3920, allowing the movement portion to remain in a recycled state. At this point in time, the first joining device movement portion 3031 and the second joining device movement portion 3032 are drawn closer to each other. Then, the user allows the first tubular organ joining device 3010 and the second tubular organ joining device 3020 to be joined (or, in other words, anastomosed). In the embodiment illustrated in FIG. 6D, after the first tubular organ joining device 3010 connected to the first tubular organ 3100 and the second tubular organ joining device 3020 connected to the second tubular organ 3200 have been joined, the first joining device movement portion 3031 and the second joining device movement portion 3032 are removed from the first tubular organ 3100 and the second tubular organ 3200 through the first notch portion and the second notch portion respectively.
[0155] Referring to FIG. 7A and FIG. 7B, there are shown schematic views of a first tubular organ joining device and a second tubular organ joining device according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 7A and FIG. 7B, a first tubular organ joining device 430 comprises a first front-end joining portion 431 , a first rear-end joining portion 432, and a first joining mechanism. A second tubular organ joining device 440 comprises a second frontend joining portion 441 , a second rear-end joining portion 442, and a second joining mechanism. The first tubular organ joining device 430 and the second tubular organ joining device 440 are joined through the first joining mechanism and the second joining mechanism. In a specific embodiment, the first joining mechanism comprises the first tubular organ joining device 430 having first joining needleportions 434, 435, 436 and first receiving portions 437, 438, 439. The second joining mechanism comprises the second tubular organ joining device 440 having second joining needle portions 444, 445, 446 and second receiving portions 447, 448, 449. Preferably, the first joining needle portions 434, 435, 436 and the first receiving portions 437, 438, 439 are disposed on the first rear-end joining portion 432, whereas the second joining needle portions 444, 445, 446 and the second receiving portions 447, 448, 449 are disposed on the second rear-end joining portion 442. Preferably, the first joining needle portions 434, 435, 436 penetrate the first frontend joining portion 431, allowing the first rear-end joining portion 432 to penetrate the first joining needle portions 434, 435, 436 and be movably connected to the first front-end joining portion 431 . The second joining needle portions 444, 445, 446 penetrate the second front-end joining portion 441 , allowing the second rear-end joining portion 442 to penetrate the second joining needle portions 444, 445, 446 and be movably connected to the second front-end joining portion 441.
[0156] Preferably, the first front-end joining portion 431 has a first front-end joining channel. The first joining needle portions 434, 435, 436 penetrate the first front-end joining channel of the first front-end joining portion 431 , allowing the first rear-end joining portion 432 to penetrate the first joining needle portions 434, 435, 436 and be movably connected to the first front-end joining portion 431 . The first front-end joining channel is, for example, a through-hole (also known as a first front-end joining through-hole), a trench (also known as a first front-end joining trench), or a groove (also known as a first front-end joining groove), but the disclosure is not limited thereto. Preferably, the second front-end joining portion 441 has a second front-end joining channel. The second joining needle portions 444, 445, 446 penetrate the second front-end joining channel of the second front-end joining portion 441 , allowing the second rear-end joining portion 442 to penetrate thesecond joining needle portions 444, 445, 446 and be movably connected to the second front-end joining portion 441. The second front-end joining channel is, for example, a through-hole (also known as a second front-end joining through-hole), a trench (also known as a second front-end joining trench), or a groove (also known as a second front-end joining groove), but the disclosure is not limited thereto. Preferably, a receiving portion of the rear-end joining portion has a receiving groove portion, and the joining needle portions of the rear-end joining portion have a protrusion portion each (for example, the first receiving portion 438 has a receiving groove portion 438A, and the second joining needle portion 445 has a protrusion portion 445A). When the joining needle portions enter the receiving portions, the protrusion portions are received in the receiving groove portions to slightly hinder the forward movement of the joining needle portions, preventing the joining needle portions from entering the receiving portions fully and prematurely due to excessive force applied by the user. Preferably, a first inner hole is centrally disposed on the first front-end joining portion 431 and the first rear-end joining portion 432, whereas a second inner hole is centrally disposed on the second front-end joining portion 441 and the second rear-end joining portion 442. Preferably, in a joined state where the first tubular organ joining device 430 and the second tubular organ joining device 440 are joined, the first inner hole and the second inner hole are in communication with each other, allowing blood to flow through.
[0157] Preferably, the first joining needle portions 434, 435, 436 and the second joining needle portions 444, 445, 446 penetrate the first front-end joining portion 431 and the second front-end joining portion 441 during a process of joining the first tubular organ joining device 430 and the second tubular organ joining device 440. Preferably, in a joined state where the first tubular organ joining device 430 and the second tubular organ joining device 440 are joined, the first joining needle portions434, 435, 436 penetrate a wall (also known as a first wall) at the first tubular organ end portion and a wall (also known as a second wall) at the second tubular organ end portion, and the first joining needle portions 434, 435, 436 are received in the second receiving portions 447, 448, 449 respectively (for example, with the first joining needle portions 434 received in the second receiving portions 447, the first joining needle portions 435 received in the second receiving portions 448, and the first joining needle portions 436 received in the second receiving portions 449). In a joined state where the first tubular organ joining device 430 and the second tubular organ joining device 440 are joined, the second joining needle portions 444, 445, 446 penetrate the wall at the first tubular organ end portion and the wall at the second tubular organ end portion, and the second joining needle portions 444, 445, 446 are received in the first receiving portions 437, 438, 439 respectively (for example, with the second joining needle portions 444 received in the first receiving portions 437, the second joining needle portions 445 received in the first receiving portions 438, and the second joining needle portions 446 received in the first receiving portions 439). Preferably, at least one of the first joining needle portions 434, 435, 436 has a barb portion (also known as a first barb portion), and at least one of the first receiving portions 437, 438, 439 has a snap-fitted slot portion (also known as a first snap-fitted slot portion). At least one of the second joining needle portions 444, 445, 446 has a barb portion (also known as a second barb portion), and at least one of the second receiving portions 447, 448, 449 has a snap-fitted slot portion (also known as a second snap-fitted slot portion). In a joined state where the first tubular organ joining device 430 and the second tubular organ joining device 440 are joined, the first barb portion is received in the second snap-fitted slot portion, and the second barb portion is received in the first snap-fitted slot portion.
[0158] Referring to FIG. 8A through FIG. 8D, there are shown schematic views of joining a first tubular organ and a second tubular organ through a first tubular organ joining device and a second tubular organ joining device according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 8A, a first tubular organ joining device 530 has an inner hole (also known as a first inner hole), and a first tubular organ 2100 is aligned with an inner hole extension direction 2310 and penetrates an inner hole of the first tubular organ joining device 530, allowing a first tubular organ end portion 2110 of the first tubular organ 2100 to be exposed from the first tubular organ joining device 530. A second tubular organ joining device 540 has an inner hole (also known as a second inner hole), and a second tubular organ 2200 is aligned with an inner hole extension direction 2320 and penetrates an inner hole of the second tubular organ joining device 540, allowing a second tubular organ end portion 2210 of the second tubular organ 2200 to be exposed from the second tubular organ joining device 540.
[0159] In the embodiment illustrated in FIG. 8B, the user allows a first tubular organ widening device 550 to come into contact with an inner wall surface of the first tubular organ end portion 2110 of the first tubular organ 2100 to widen the first tubular organ end portion 2110. Thus, the first tubular organ end portion 2110 can be connected to (for example, can come into contact with or can be fixed to) the first tubular organ joining device 530. The user further allows a second tubular organ widening device 560 to come into contact with an inner wall surface of the second tubular organ end portion 2210 of the second tubular organ 2200 to widen the second tubular organ end portion 2210. Thus, the second tubular organ end portion 2210 can be connected to (for example, can come into contact with or can be fixed to) the second tubular organ joining device 540. Preferably, the first joining needle portions of the first tubular organ joining device 530 penetrate the first front-endjoining portion, and penetrate the first tubular organ end portion 2110 widened by the first tubular organ widening device 550. The second joining needle portions of the second tubular organ joining device 540 penetrate the second front-end joining portion, and penetrate the second tubular organ end portion 2210 widened by the second tubular organ widening device 560. Thus, the wall at the first tubular organ end portion 2110 and the wall at the second tubular organ end portion 2210 are at least partially clamped between the first tubular organ joining device 530 and the second tubular organ joining device 540 whenever the first tubular organ joining device 530 and the second tubular organ joining device 540 are drawn closer to each other or joined.
[0160] In the embodiment illustrated in FIG. 8C, the first tubular organ joining device 530 and the second tubular organ joining device 540 are drawn closer to each other, whereas the wall at the first tubular organ end portion 2110 and the wall at the second tubular organ end portion 2210 are at least partially clamped between the first tubular organ joining device 530 and the second tubular organ joining device 540. In the embodiment illustrated in FIG. 8D, the first tubular organ joining device 530 and the second tubular organ joining device 540 are joined, whereas the wall at the first tubular organ end portion 2110 and the wall at the second tubular organ end portion 2210 are at least partially clamped between the first tubular organ joining device 530 and the second tubular organ joining device 540. The first joining needle portions of the first tubular organ joining device 530 penetrate the first frontend joining portion, the wall at the first tubular organ end portion 2110, the wall at the second tubular organ end portion 2210, and the second front-end joining portion, and are received in the second receiving portions of the second tubular organ joining device 540. The second joining needle portions of the second tubular organ joining device 540 penetrate the second front-end joining portion, the wall at thesecond tubular organ end portion 2210, the wall at the first tubular organ end portion 2110, and the first front-end joining portion, and are received in the first receiving portions of the first tubular organ joining device 530.
[0161] Referring to FIG. 9, there is shown a schematic view of a first tubular organ widening device and a second tubular organ widening device according to a specific embodiment. In the embodiment illustrated in FIG. 9, a first tubular organ widening device 650 comprises a first widening portion 656. The first widening portion 656 of the first tubular organ widening device 650 widens the first tubular organ end portion of the first tubular organ. A second tubular organ widening device 660 comprises a second widening portion 666. The second widening portion 666 of the second tubular organ widening device 660 widens the second tubular organ end portion of the second tubular organ. The first tubular organ widening device 650 comprises a first wire 651 . The first wire 651 comprises a first winding segment 654 and a first extending segment 652. The first winding segment 654 is connected to the first extending segment 652. The first winding segment 654 coils to form the first widening portion 656. The second tubular organ widening device 660 comprises a second wire 661. The second wire 661 comprises a second winding segment 664 and a second extending segment 662. The second winding segment 664 is connected to the second extending segment 662. The second winding segment 664 coils to form the second widening portion 666. In a specific variant embodiment, the first extending segment 652 and the second extending segment 662 are configured to be connected or not connected as needed.
[0162] In the embodiment illustrated in FIG. 9, the first widening portion 656 has a first front-end portion 656A and a first rear-end portion 656B, whereas the first front-end diameter of the first front-end portion 656A is less than the first rear-end diameter of the first rear-end portion 656B. With the first tubular organ end portionbeing widened by the first widening portion 656, the first front-end portion 656A is located inside the first tubular organ, and the first rear-end portion 656B is located at the first tubular organ end portion of the first tubular organ. Preferably, the diameter (also known as a first diameter) of the first widening portion 656 gradually decreases from the first rear-end portion 656B to the first front-end portion 656A. Preferably, the first front-end portion 656A is connected to the first extending segment 652. Thus, the first tubular organ widening device 650 is moved from the first front-end portion 656A and gradually removed from the first tubular organ while the first extending segment 652 is being pulled to remove the first tubular organ widening device 650 from the first tubular organ. In doing so, the first tubular organ is protected against damage otherwise caused by the first tubular organ widening device 650. The second widening portion 666 has a second front-end portion 666A and a second rear-end portion 666B. The second front-end diameter of the second front-end portion 666A is less than the second rear-end diameter of the second rear-end portion 666B. With the second tubular organ end portion being widened by the second widening portion 666, the first front-end portion 666A is located inside the second tubular organ, and the second rear-end portion 666B is located at the second tubular organ end portion of the second tubular organ. Preferably, the diameter (also known as a second diameter) of the second widening portion 666 gradually decreases from the second rear-end portion 666B to the second front-end portion 666A. Preferably, the second front-end portion 666A is connected to the second extending segment 662. Thus, the second tubular organ widening device 660 is moved from the second front-end portion 666A and gradually removed from the second tubular organ while the second extending segment 662 is being pulled to remove the second tubular organ widening device 660 from the second tubular organ. In doing so, the second tubular organ is protected against damage otherwisecaused by the second tubular organ widening device 660. In a specific embodiment, an anastomosis set of the disclosure comprises an auxiliary widening component such that the user inserts the first widening portion 656 into the first tubular organ end portion using the auxiliary widening component, allowing the first widening portion 656 to widen the first tubular organ end portion. The user further inserts the second widening portion 666 into the second tubular organ end portion using the auxiliary widening component, allowing the second widening portion 666 to widen the second tubular organ end portion. Preferably, the auxiliary widening component inserts a widening portion into a tubular organ end portion using the auxiliary frontend portion. The auxiliary front-end portion is conical or substantially conical (allowing the diameter of the auxiliary front-end portion to decrease toward the front end.)
[0163] Referring to FIG 10A and FIG 10B, there are shown schematic views of a first tubular organ joining device and a second tubular organ joining device according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG 10A and FIG 10B, a first tubular organ joining device 730 comprises a first joining needle portions 734 and a first receiving portions 737, whereas a second tubular organ joining device 740 comprises a second joining needle portions 744 and a second receiving portions 747. When the first tubular organ joining device 730 and the second tubular organ joining device 740 are joined and remain in a joined state, the first joining needle portions 734 of the first tubular organ joining device 730 penetrate the wall (also known as a first wall) at the first tubular organ end portion and the wall (also known as a second wall) at the second tubular organ end portion, and are received in the second receiving portions 747 of the second tubular organ joining device 740. When the first tubular organ joining device 730 and the second tubular organ joining device 740 are joined and remain in a joinedstate, the second joining needle portions 744 of the second tubular organ joining device 740 penetrate the wall (also known as a second wall) at the second tubular organ end portion and the wall (also known as a first wall) at the first tubular organ end portion, and are received in the first receiving portions 737 of the first tubular organ joining device 730.
[0164] In the embodiment illustrated in FIG 10A and FIG 10B, the first tubular organ joining device 730 has a first inner hole and a first hole diameter adjustment mechanism 731. The first tubular organ penetrates the first inner hole, and the diameter (also known as a first hole diameter) of the first inner hole is adjusted by the first hole diameter adjustment mechanism 731 of the first tubular organ joining device 730. The second tubular organ joining device 740 has a second inner hole and a second hole diameter adjustment mechanism 741 . The second tubular organ penetrates the second inner hole, and the diameter (also known as a second hole diameter) of the second inner hole is adjusted by the second hole diameter adjustment mechanism 741 of the second tubular organ joining device. Preferably, the first hole diameter adjustment mechanism 731 of the first tubular organ joining device 730 comprises a first support portion 732 and a second support portion 733. The first support portion 732 is connected to the second support portion 733. The first tubular organ joining device 730 adjusts the angle (also known as a first angle) between the first support portion 732 and the second support portion 733 to adjust the diameter of the first inner hole. The second hole diameter adjustment mechanism 741 of the second tubular organ joining device 740 comprises a third support portion 742 and a fourth support portion 743. The third support portion 742 is connected to the fourth support portion 743. The second tubular organ joining device 740 adjusts the angle (also known as a second angle) between the third support portion 742 and the fourth support portion 743 to adjust the diameter of thesecond inner hole. In the embodiment illustrated in FIG 10A, both the angle between the first support portion 732 and the second support portion 733 and the angle between the third support portion 742 and the fourth support portion 743 are adjusted to become smaller, allowing both the diameter of the first inner hole and the diameter of the second inner hole to be adjusted to become smaller. In the embodiment illustrated in FIG 10B, both the angle between the first support portion 732 and the second support portion 733 and the angle between the third support portion 742 and the fourth support portion 743 are adjusted to become greater, allowing both the diameter of the first inner hole and the diameter of the second inner hole to be adjusted to become greater.
[0165] Referring to FIG. 11 A and FIG. 11 B, there are shown schematic views of a first tubular organ joining device and a second tubular organ joining device configured to join the first tubular organ and the second tubular organ according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 11 A, the first tubular organ 2100 penetrates a first inner hole of a first tubular organ joining device 830, and the second tubular organ 2200 penetrates a second inner hole of a second tubular organ joining device 840. The first tubular organ joining device 830 and the second tubular organ joining device 840 are drawn closer to each other, whereas both the wall at the first tubular organ end portion 2110 and the wall at the second tubular organ end portion 2210 are clamped between the first tubular organ joining device 830 and the second tubular organ joining device 840. In the embodiment illustrated in FIG. 11 B, the first tubular organ joining device 830 and the second tubular organ joining device 840 are joined. At this point in time, the first joining needle portions of the first tubular organ joining device 830 penetrate the wall at the first tubular organ end portion 2110 and the wall at the second tubular organ end portion 2210, and are received in the second receiving portions of thesecond tubular organ joining device 840. The second joining needle portions of the second tubular organ joining device 840 penetrate the walls at the second tubular organ end portion 2210 and the walls at the first tubular organ end portion 2110, and are received in the first receiving portions ofthe first tubular organ joining device 830. When the first tubular organ joining device 830 and the second tubular organ joining device 840 are joined, the angle between the first support portion and the second support portion of the first tubular organ joining device 830 is great, and thus the first inner hole of the first tubular organ joining device 830 is enlarged, making the diameter of the first inner hole great. When the first tubular organ joining device 830 and the second tubular organ joining device 840 are joined, the angle between the third support portion and the fourth support portion of the second tubular organ joining device 840 is great, and thus the second inner hole of the second tubular organ joining device 840 is expanded, making the diameter of the second inner hole great.
[0166] Referring to FIG. 12, there is shown a schematic view of a first tubular organ joining device and a second tubular organ joining device configured to join the first tubular organ and the second tubular organ according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 12, a first tubular organ joining device 930 comprises a first inner hole, first joining needle portions 934, 935, first receiving portions 936, 937, and first penetrating hole portions 938, 939. A second tubular organ joining device 940 comprises a second inner hole, second joining needle portions 944, 945, second receiving portions 946, 947, and second penetrating hole portions 948, 949. The first tubular organ 2100 penetrates the first inner hole, and the second tubular organ 2200 penetrates the second inner hole. The first joining needle portion 934 penetrates the first penetrating hole portion 938, and is received in the second receiving portion 946.The first joining needle portion 935 penetrates the first penetrating hole portion 939, and is received in the second receiving portion 947. The second joining needle portion 944 penetrates the second penetrating hole portion 948, and is received in the first receiving portion 936. The second joining needle portion 945 penetrates the second penetrating hole portion 949, and is received in the first receiving portion 937.
[0167] Referring to FIG. 13A, there is shown a schematic view of a clamp device in a clamped state (also known as a clamp closed state) according to a specific embodiment of the disclosure. Referring to FIG. 13B, there is shown a schematic view of the clamp device in an open state (also known as a clamp open state) according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 13A and FIG. 13B, the clamp device 1050 comprises a clamp portion 1051 and a clamp control portion 1052. The clamp portion 1051 is connected to the clamp control portion 1052, and the user controls the clamp control portion 1052, allowing the clamp portion 1051 to enter the clamped state (as shown in FIG. 13A) or open state (as shown in FIG. 13B). Preferably, the clamp device 1050 comprises a control spring 1053 and a clamp sleeve 1056. The control spring 1053 is connected to the clamp control portion 1052, and the clamp portion 1051 is at least partially extended and disposed in the clamp sleeve 1056. The clamp portion 1051 is movable relative to the clamp sleeve 1056. The clamp control portion 1052 pushes the clamp portion 1051 while the user is pressing the clamp control portion 1052, allowing the front end of the clamp portion 1051 to protrude from the clamp sleeve 1056 and thereby cause the clamp portion 1051 to enter the open state. The control spring 1053 pulls the clamp control portion 1052 as soon as the user releases the clamp control portion 1052 (i.e. , release the pressing force on the clamp control portion 1052). At this point in time, the clamp control portion 1052 triggers the clamp portion 1051 towork, allowing the front end of the clamp portion 1051 to advance in the sleeve extension direction, at least partially move into the clamp sleeve 1056, and thereby cause the front end of the clamp portion 1051 to press against the wall of the clamp sleeve 1056 and gradually enter the clamped state. Preferably, the front end of the clamp portion 1051 is at least partially exposed from the clamp sleeve 1056 while the clamp portion 1051 is in the clamped state. Preferably, the clamp device 1050 comprises clamp grip portions 1054, 1055, and the clamp grip portions 1054, 1055 are connected to at least one of the clamp sleeve 1056 and the control spring 1053. The clamp grip portions 1054, 1055 allow easy gripping by the user. In a specific embodiment, an anastomosis set comprises a clamp device.
[0168] Referring to FIG. 14A through FIG. 14C, there are shown schematic views of using a clamp device to fix tubular organs to an auxiliary anastomosis device according to a specific embodiment of the disclosure. As shown in FIG. 14A, the user allows a first tubular organ joining device 1120 and a second tubular organ joining device 1130 to be disposed or mounted on an auxiliary anastomosis device 1110. Preferably, the first tubular organ joining device 1120 is disposed or mounted on the first notch portion of the first joining device movement portion of the auxiliary anastomosis device 1110, and the second tubular organ joining device 1130 is disposed or mounted on the second notch portion of the second joining device movement portion of the auxiliary anastomosis device 1110. After that, as shown in FIG. 14B, the user allows the front end of the clamp portion 1051 of the clamp device 1150 to penetrate the first inner hole of the first tubular organ joining device 1120, and then the control clamp device 1150 allows the clamp portion 1051 to clamp the tubular organ end portion of the first tubular organ 2100. As shown in FIG. 14C, the user controls the clamp device 1150 to pull the first tubular organ 2100, and controls the first tubular organ 2100 to penetrate the first inner hole of the firsttubular organ joining device 1120. Then, the user allows the tubular organ end portion of the first tubular organ 2100 to be connected to (for example, to come into contact with or be fixed to) the first tubular organ joining device 1120. The way of fixing the tubular organ end portion of the first tubular organ 2100 to the first tubular organ joining device 1120 is described later.
[0169] Preferably, the tubular organ widening device is conducive to connecting the tubular organ end portion of the first tubular organ 2100 to the first tubular organ joining device 1120, and related details thereof are described before and thus are not reiterated once again for the sake of brevity. It is noteworthy that the user allows the tubular organ end portion of the second tubular organ 2200 to be connected to (for example, to come into contact with or be fixed to) the second tubular organ joining device 1130 in the aforesaid manner. It is noteworthy that FIG. 14A through FIG. 14C serve illustrative purposes only. In practice, the clamp device is not necessarily configured to function solely as the clamp devices shown in FIG. 13A and FIG. 13B, but may function as a medical clamp device capable of clamping as needed to substitute for the clamp device 1150 shown in FIG. 14A through FIG. 14C.
[0170] Refer to FIG. 15A through FIG. 15E. FIG. 15A is a schematic view of an end portion fixation device in a closed state (also known as a fixation device closed state) according to a specific embodiment of the disclosure. FIG. 15B is a schematic view of the end portion fixation device in an open state (also known as a fixation device open state) according to a specific embodiment of the disclosure. FIG. 15C through FIG. 15E are schematic views of using the end portion fixation device to fix the tubular organs to the tubular organ joining devices according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 15A through FIG. 15E, an end portion fixation device 1200 comprises a fixation movementportion 1210, fixation pipe portion 1220, and fixation control portion 1230. The fixation movement portion 1210 is at least partially disposed in the fixation pipe portion 1220, and is movable relative to the fixation pipe portion 1220. The fixation control portion 1230 is connected to at least one of the fixation movement portion 1210 and the fixation pipe portion 1220, and is movable relative to the fixation pipe portion 1220. The fixation control portion 1230 drives (for example, pushes or pulls, but the disclosure is not limited thereto) the fixation movement portion 1210, allowing the fixation movement portion 1210 to move relative to the fixation pipe portion 1220 and thereby enter the closed state or open state.
[0171] Preferably, the end portion fixation device 1200 comprises a spring portion 1240 and / or fixation gripping portions 1262, 1264. The fixation gripping portions 1262, 1264 are connected to at least one of the fixation pipe portion 1220 and the spring portion 1240. The fixation gripping portions 1262, 1264 allow easy gripping by the user. The spring portion 1240 is connected to the fixation control portion 1230. The fixation control portion 1230 triggers the movement of (for example, pushes) the fixation movement portion 1210 while the user is pressing the fixation control portion 1230, allowing the fixation movement portion 1210 to move relative to the fixation pipe portion 1220 in direction 960, and thereby allowing the fixation movement portion 1210 to enter the open state (shown in FIG. 15B). The spring portion 1240 triggers the movement of (for example, pulls) the fixation control portion 1230 as soon as the user releases the pressing force on the fixation control portion 1230, allowing the fixation control portion 1230 to trigger the movement of (for example, pull) the fixation movement portion 1210 and thereby cause the fixation movement portion 1210 to move relative to the fixation pipe portion 1220 in direction 950. Therefore, the fixation movement portion 1210 enters the closed state (shown in FIG. 15A). Preferably, regardless of whether the fixation movementportion 1210 is in the open or closed state, the front end of the fixation movement portion 1210 is always at least partially exposed from the fixation pipe portion 1220. Preferably, directions 950, 960 are parallel to the extension direction of the fixation pipe portion 1220, whereas direction 950 and direction 960 are opposite to each other. In a specific embodiment, an anastomosis set comprises the end portion fixation device 1200.
[0172] Preferably, the fixation movement portion 1210 comprises a first movement portion 1211 and a second movement portion 1212. The first movement portion 1211 has a first fixation inclined surface 1211A and an auxiliary fixation portion 1211 B. The second movement portion 1212 has a second fixation inclined surface 1212A and a slot portion 1212B. The auxiliary fixation portion 1211 B is disposed at the front end of the first movement portion 1211. The slot portion 1212B is disposed at the front end of the second movement portion 1212. Preferably, both the first fixation inclined surface 1211A of the first movement portion 1211 and the second fixation inclined surface 1212A of the second movement portion 1212 abut against the front end of the wall of the fixation pipe portion 1220. Thus, the wall of the pipe portion 1220 applies an external force to the first fixation inclined surface 1211A and the second fixation inclined surface 1212A while the fixation movement portion 1210 is moving relative to the fixation pipe portion 1220, allowing the fixation movement portion 1210 to enter the open state or the closed state. Preferably, the auxiliary fixation portion 1211 B of the first movement portion 1211 at least partially penetrates the slot portion 1212B of the second movement portion 1212 while the fixation movement portion 1210 is in the closed state. Preferably, the auxiliary fixation portion 1211 B has a first end connected to the first movement portion 1211 and a second end opposing the first end. The outer diameter of the auxiliary fixation portion 1211 B gradually decreases from the first end to the second end. Preferably,the auxiliary fixation portion 1211 B is conical. Preferably, the outer diameter of the first end of the auxiliary fixation portion 1211 B is greater than the inner diameter of the first tubular organ 2100, and the outer diameter of the second end of the auxiliary fixation portion 1211 B is less than the inner diameter of the first tubular organ 2100.
[0173] In a specific embodiment, the process flow collectively illustrated in FIG. 15C through FIG. 15E may follow FIG. 14C. The user allows a first tubular organ joining device 1810 to be mounted on the first movement front-end portion of an auxiliary anastomosis device 1900. Then, the user allows the front end of the first tubular organ 2100 to penetrate the first inner hole of the first tubular organ joining device 1810 (as described before and illustrated in FIG. 14A through FIG. 14C). Then, the user allows the fixation movement portion 1210 to enter the open state, and places the first tubular organ 2100 on the slot portion 1212B of the second movement portion 1212. At this point in time, the slot portion 1212B of the second movement portion 1212 faces the rear side of the first joining device movement portion of the auxiliary anastomosis device 1900 (preferably, allowing the slot portion 1212B of the second movement portion 1212 to face the rear side of the first movement front-end portion of the first joining device movement portion at this point in time), and the auxiliary fixation portion 1211 B of the first movement portion 1211 faces the front side of the first joining device movement portion of the auxiliary anastomosis device 1900 (as shown in FIG. 15C). After that, the user presses the fixation control portion 1230 to cause the fixation movement portion 1210 to enter the closed state and cause the front end of the first tubular organ 2100 and the first tubular organ joining device 1810 to be clamped between the first movement portion 1211 and the second movement portion 1212. At this point in time, the front end of the auxiliary fixation portion 1211 B of the first movement portion 1211 enters thefirst tubular organ 2100 from the front end of the first tubular organ 2100, presses against the wall of the first tubular organ 2100, and causes the wall of the first tubular organ 2100 to flip outward (as shown in FIG. 15D). Thus, the wall that has flipped outward can be fixed to the joining needle portions of the first tubular organ joining device 1810. Therefore, the joining needle portions penetrate the wall at the tubular organ end portion of the first tubular organ 2100, as shown in FIG. 15E.
[0174] Referring to FIG. 16, there is shown a schematic view of how to use an anastomosis set according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 16, an anastomosis set comprises an auxiliary anastomosis device 1310, first tubular organ joining device 1320, second tubular organ joining device 1330, clamp device 1340, and end portion fixation device 1350. The user allows the first tubular organ joining device 1320 to be mounted on or connected to the first notch portion of the auxiliary anastomosis device 1310, and allows the second tubular organ joining device 1330 to be mounted on or connected to the second notch portion of the auxiliary anastomosis device 1310. Then, the user causes the first tubular organ end portion 2110 of the first tubular organ 2100 to penetrate the first inner hole of the first tubular organ joining device 1320 using the clamp device 1340 (as described in Step A and illustrated in FIG. 16). Next, the user allows the first tubular organ end portion 2110 of the first tubular organ 2100 to be fixed to the first tubular organ joining device 1320 using the end portion fixation device 1350, and allows the second tubular organ end portion of the second tubular organ 2200 to be fixed to the second tubular organ joining device 1330 using the end portion fixation device 1350 (as described in Step A through Step E and illustrated in FIG. 16). Then, the user allows the first tubular organ joining device 1320 and the second tubular organ joining device 1330 to be joined using the auxiliary anastomosis device 1310 (as described in Step F and Step G andillustrated in FIG. 16). Thus, the first tubular organ end portion 2110 of the first tubular organ 2100 and the second tubular organ end portion of the second tubular organ 2200 are joined / anastomosed to each other through the first tubular organ joining device 1320 and the second tubular organ joining device 1330. Preferably, the user allows the auxiliary anastomosis device 1310 to enter the closed state in order for the first tubular organ joining device 1320 and the second tubular organ joining device 1330 to be joined.
[0175] Referring to FIG. 17A and FIG. 17B, there are shown schematic views of how to use the anastomosis set according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 17A and FIG. 17B, an anastomosis set comprises an auxiliary anastomosis device 1410, first tubular organ joining device 1420, second tubular organ joining device 1430, clamp device 1440, and end portion fixation device 1450. The user allows the first tubular organ joining device 1420 to be mounted on or connected to the first notch portion of the auxiliary anastomosis device 1410, and allows the second tubular organ joining device 1430 to be mounted on or connected to the second notch portion of the auxiliary anastomosis device 1410. Then, the user allows the first tubular organ end portion 2110 of the first tubular organ 2100 to penetrate the first inner hole of the first tubular organ joining device 1420 using the clamp device 1440 (as described in Step A and Step B and illustrated in FIG. 17A). Then, the user allows the first tubular organ end portion 2110 of the first tubular organ 2100 to be fixed to the first tubular organ joining device 1420 using the end portion fixation device 1450 (as described in Step C and Step D and illustrated in FIG. 17A). Then, the user allows the second tubular organ end portion 2210 of the second tubular organ 2200 to be fixed to the second tubular organ joining device 1430 using the end portion fixation device 1450 (as conclusively described in Step E and illustrated in FIG. 17B). Then, the user allowsthe first tubular organ joining device 1420 and the second tubular organ joining device 1430 to be joined using the auxiliary anastomosis device 1410 (as described in Step F through Step H and illustrated in FIG. 17B). Thus, the first tubular organ end portion 2110 of the first tubular organ 2100 and the second tubular organ end portion 2210 of the second tubular organ 2200 are joined / anastomosed to each other using the first tubular organ joining device 1420 and the second tubular organ joining device 1430. Preferably, the user allows the auxiliary anastomosis device 1410 to enter the closed state in order for the first tubular organ joining device 1420 and the second tubular organ joining device 1430 to be joined.
[0176] Referring to FIG. 18A and FIG. 18B, there are shown a tubular organ joining device according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 18A and FIG. 18B, a front-end joining portion 1510 of a tubular organ joining device 1500 has a plurality of communication holes. The front-end joining portion 1510 is also known as a joining needle channel portion. For example, the front-end joining portion 1510 has communication holes 1512, 1513, 1514, and 1515. The joining needle portions of rear-end joining portions 1520 of the tubular organ joining device 1500 pass through the plurality of communication holes of the front-end joining portion 1510 respectively. For example, joining needle portion 1522 of the rear-end joining portions 1520 pass through the communication hole 1512 of the front-end joining portion 1510, and joining needle portion 1524 of the rear-end joining portions 1520 pass through the communication hole 1514 of the front-end joining portion 1510. Preferably, the front-end joining portion 1510 is first front-end joining portion, the rear-end joining portions 1520 is first rear-end joining portions, the communication holes 1512, 1513, 1514, and 1515 are first communication holes, the joining needle portions 1522, 1524 are first joining needle portions. Preferably, when the first tubular organ joining device (also known asfirst anastomosis device) and the second tubular organ joining device (also known as second anastomosis device) are connected to each other, each of the communication holes 1512, 1514 is penetrated by one of the first joining needle portions respectively (for example, joining needle portion 1522 of the rear-end joining portions 1520 penetrate the communication hole 1512 of the front-end joining portion 1510, and joining needle portion 1524 of the rear-end joining portions 1520 penetrate the communication hole 1514 of the front-end joining portion 1510), and each of the communication holes 1513, 1515 is penetrated by one of the second joining needle portions respectively. Preferably, each of the first communication holes can be penetrated by only one of the first joining needle portions or one of the second joining needle portion at a time, and each of the second communication holes can be penetrated by only one of the first joining needle portions or one of the second joining needle portion at a time.
[0177] Preferably, each of the joining needle portions has a buffer portion (also known as a protrusion portion). For example, each of the joining needle portions 1524 has a buffer portion 1524A that protrudes outward slightly. Each of the communication holes has one or more buffer receiving portions (also known as receiving groove portions. For example, the communication hole 1514 has buffer receiving portions 1514A, 1514B, and 1514C. Thus, friction between the buffer portion and each of the buffer receiving portions prevents each of the front-end joining portions 1510 from being coupled to a corresponding one of the rear-end joining portions 1520 unexpectedly (for example, when the front-end joining portions 1510 or the rear-end joining portions 1520 have not yet been placed in the correct positions but are subjected to unexpected thrust). In the course of connecting the tubular organ joining device 1500 to the tubular organ end portion, it is also feasible to use the friction between the buffer portion and each of the bufferreceiving portions to ensure that the front-end joining portions 1510 and the rear- end joining portions 1520 will cause the rear-end joining portions 1520 to move relative to the front-end joining portions 1510 only if the tubular organ end portion folds in front of the joining needle portions and thereby cause the joining needle portions to penetrate the communication holes and the folded tubular organ end portion. Preferably, the buffer receiving portions of the communication holes are trenches or indentations. Preferably, the magnitude of the friction between the buffer portion and each of the buffer receiving portions is controlled according to the size, shape, depth, and / or number of the buffer receiving portions.
[0178] Referring to FIG. 19, there is shown a schematic view of fixing a tubular organ joining device to a tubular organ end portion according to a specific embodiment of the disclosure. In the embodiment illustrated in FIG. 19, the user (for example, healthcare professionals) allows a tubular organ end portion 2310 of a tubular organ 2300 to penetrate inner holes of a front-end joining portion 1610 and a rear-end joining portion 1620 (see Step A). Then, the user uses an end portion fixation device 1650 to press against the tubular organ end portion 2310, allowing the tubular organ end portion 2310 to fold. At this point in time, the folded portion of the tubular organ end portion 2310 is located in front of the front-end joining portion 1610 (see Step B). Then, the user allows the rear-end joining portion 1620 to move relative to the front-end joining portion 1610, allowing the joining needle portions of the rear-end joining portion 1620 to penetrate the communication holes of the front-end joining portion 1610 and penetrate the folded portion of the tubular organ end portion 2310 (see Step C). After that, the user removes the end portion fixation device 1650 (see Step D). Upon completion of the aforesaid operation process, the tubular organ joining device is connected / fixed to the tubular organ end portion 2310 of the tubular organ 2300.
[0179] Referring to FIG. 20A, there is shown a schematic view of an end portion fixation device according to a specific embodiment of the disclosure. As shown in FIG. 20A, an end portion fixation device 1700A is clamp-shaped and comprises a first clamp portion 1750A and a second clamp portion 1760A. The front end of the first clamp portion 1750A has an auxiliary fixation portion 1710A. The front end of the second clamp portion 1760A has a slot portion 1720A. Preferably, when the first clamp portion 1750A and the second clamp portion 1760A ofthe end portion fixation device 1700A are drawn closer to each other or even come into contact with each other, the auxiliary fixation portion 1710A at least partially penetrates the slot portion 1720A. Preferably, the auxiliary fixation portion 1710A has a first end connected to the first clamp portion 1750A and a second end opposing the first end. Preferably, the outer diameter of the auxiliary fixation portion 1710A gradually decreases from the first end to the second end. Preferably, the auxiliary fixation portion 1710A is conical. Preferably, the outer diameter of the first end of the auxiliary fixation portion 1710A is greater than the inner diameter of the first tubular organ, and the outer diameter of the second end of the auxiliary fixation portion 1710A is less than the inner diameter of the first tubular organ. Preferably, the auxiliary fixation portion 1710A is made of a deformable material, for example, silicone, but the disclosure is not limited thereto.
[0180] In a specific embodiment, the first clamp portion and the second clamp portion of an end portion fixation device are two separate, independent components, such as a first clamp portion 1750B and a second clamp portion 1760B shown in FIG. 20B. The front end of the first clamp portion 1750B has an auxiliary fixation portion 171 OB, and the front end of the second clamp portion 1760B has a slot portion 1720 B. In a specific embodiment, the front end of the first clamp portion 1750B has a thread. Therefore, the auxiliary fixation portion 171 OB is connected tothe front end of the first clamp portion 1750B using the thread. FIG. 20C illustrates an auxiliary fixation portion according to a specific embodiment of the disclosure. As shown in FIG. 20C, the upper end (or, in other words, the second end) of an auxiliary fixation portion 17100 is conical, and a lateral portion of the lower end (or, in other words, the first end) of the auxiliary fixation portion 17100 is arcuate. Preferably, the conical upper end is configured to assist the auxiliary fixation portion 1710C in entering the tubular organ end portion, and the lower end with the arcuate lateral portion is configured to abut or press against the joining needle portions and the tubular organ end portion of the tubular organ joining device, allowing the joining needle portions to be fixed to (or to penetrate) the tubular organ end portion.
[0181] Referring to FIG. 21 , there is shown a schematic view of a tubular organ joining device. As shown in FIG. 21 , a front-end joining portion 1820 of the tubular organ joining device has one or more extension portions 1822. Thus, the user controls the extension portions 1822 of the front-end joining portion 1820 to fit the front-end joining portion 1820 to the tubular organ end portion; for example, the user uses his or her hands or forceps to grab, clamp, latch onto, or push the extension portions 1822 of the front-end joining portion 1820, allowing the front-end joining portion 1820 to move. Referring to FIG. 4A through FIG. 4E, the first notch portion 1025 and the second notch portion 1026 each have one or more fixation slots for receiving the extension portions 1822 respectively. A first extension portion of a first tubular organ joining device is fixed to a first fixation slot of the first notch portion, and a second extension portion of the second tubular organ joining device is fixed to a second fixation slot of the second notch portion; thus, the first tubular organ joining device and the second tubular organ joining device are fixed at a correct angle to allow the first joining needle portions of the first tubular organ joining device to align with the second receiving portions of the second tubular organ joiningdevice, and allow the second joining needle portions of the second tubular organ joining device to align with the first receiving portions of the first tubular organ joining device.
[0182] Referring to FIG. 21 , the front-end joining portion 1820 is polyhedral. Thus, the front-end joining portion 1820 is placed inside the notch portion to match the notch portion, allowing the front-end joining portion 1820 to be fixed at a correct angle. Preferably, the notch portion is polyhedral. Therefore, the front-end joining portion 1820 matches the notch portion; for example, the notch portion and the front-end joining portion 1820 are of identical shape, or are polyhedra of similar shape. Preferably, the C-shape of the notch portion corresponds in shape to the polyhedral shape of the front-end joining portion 1820. Preferably, after the first tubular organ joining device and the second tubular organ joining device have been joined, the user can remove the extension portions 1822 from the front-end joining portion 1820 (for example, snap off the extension portions 1822 from the front-end joining portion 1820). Preferably, the extension portions 1822 is configured to be easily separable from the front-end joining portion 1820. For example, the cross- sectional area of a connection end 1824 extending from the extension portions 1822 and connected to the front-end joining portion 1820 is configured to be small. Thus, the user can easily snap off the extension portions 1822.
[0183] FIG. 22 is a schematic view of a first clamp portion, a second clamp portion, a tubular organ joining devices, an auxiliary anastomosis device, and an end portion fixation device according to a specific embodiment of the disclosure. As shown in the diagram, a plurality of fixation slots 1942, 1944, and 1946 are disposed on a notch portion 1941 of an auxiliary anastomosis device 1940. Extension portions 1932 and 1934 of a tubular organ joining device 1930 are received in any one of the fixation slots 1942, 1944, and 1946 to allow the auxiliary anastomosis device1940 and the tubular organ joining device 1930 to be fixed at a specific angle. In doing so, two tubular organ joining devices are aligned with each other to facilitate a tubular organ joining process. Persons skilled in the art can understand how a first clamp portion 1910, second clamp portion 1920, tubular organ joining device 1930, auxiliary anastomosis device 1940, and end portion fixation device 1950 can be implemented by referring to the above description.
[0184] Referring to FIG. 23A through FIG. 23G, there are shown images of a tubular organ joining device fitted to a tubular organ end portion according to a specific embodiment of the disclosure. As shown in FIG. 23A, the user allows a first clamp device 2020 to be inserted into a central penetrating hole of a tubular organ joining device 2040 to clamp a tubular organ end portion 2010. Next, the user presses a second clamp device 2030 against an extension portion 2042 of a frontend joining portion 2040. Then, the user pulls the tubular organ end portion 2010, allowing the tubular organ end portion 2010 to penetrate the central penetrating hole of the tubular organ joining device 2040. As shown in FIG. 23B, the user presses an auxiliary fixation portion 2070 against the tubular organ end portion 2010 to allow the front end of the tubular organ end portion 2010 to expand outward. After that, the user pushes a rear-end joining portion 2050 of the tubular organ joining device using a pushing device 2060, allowing the rear-end joining portion 2050 to pierce and become fixed to the tubular organ end portion 2010. As shown in FIG. 23C, the user presses the second clamp device 2030 against the extension portion 2042 of the tubular organ joining device 2040, and pulls the tubular organ joining device 2040 in direction 2032. Furthermore, the user moves the auxiliary fixation portion 2070 in direction 2034. Thus, the user can separate the tubular organ joining device 2040 and the auxiliary fixation portion 2070. After that, the tubular organ end portion 2010 is fitted and fixed to the tubular organ joining device 2040 (as shownin FIG. 23D). Then, the user insertedly fixes the extension portion 2042 of the tubular organ joining device 2040 to a fixation slot 2082 of an auxiliary anastomosis device 2080, allowing two tubular organ joining devices 2040, 2090 to be aligned with each other (as shown in FIG. 23E, FIG. 23F, and FIG. 23G). Next, the two tubular organ joining devices 2040, 2090 are joined using the auxiliary anastomosis device 2080.
[0185] It is noteworthy that an anastomosis set of the disclosure is essentially configured to anastomose blood vessels to each other. However, an anastomosis set of the disclosure is not necessarily solely configured to anastomose blood vessels to each other, but may also be configured to anastomose any other tubular human body organs, such as ureter and fallopian tube, to each other, but the disclosure is not limited thereto. It is noteworthy that the aforesaid tubular organ joining devices are also known as anastomosis devices. For example, the first tubular organ joining device is also known as a first anastomosis device, and the second tubular organ joining device is also known as a second anastomosis device. It should be understood that the tubular organ joining device above is also known as an anastomosis device. For example, a first tubular organ joining device is also known as a first anastomosis device, and a second tubular organ joining device is also known as a second anastomosis device.
[0186] The anastomosis set of the disclosure is depicted by the accompanying drawings and described above. However, it is noteworthy that the aforesaid embodiments are not necessarily carried out separately, but may be selectively combined and performed as needed. The specific embodiments of the disclosure serve an exemplary purpose only. Various changes can be made to the specific embodiments of the disclosure without departing from the claims of the disclosure and spirit thereof and deemed falling within the scope of the claims of the disclosure.Therefore, the specific embodiments described herein are not restrictive of the disclosure; thus, the actual scope and spirit of the disclosure is defined by the appended claims.
Claims
CLAIMSWhat is claimed is:1 . An anastomosis set for anastomosing a first anastomotic target portion of a first tubular organ and a second anastomotic target portion of a second tubular organ to each other, the anastomosis set comprising: a first anastomosis device connected to the first anastomotic target portion and having a first extension through-hole, the first tubular organ penetrates through the first extension through-hole; and a second anastomosis device connected to the second anastomotic target portion and having a second extension through-hole, the second tubular organ penetrates through the second extension through-hole; wherein the first anastomosis device is connected to the second anastomosis device, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
2. The anastomosis set of claim 1 , wherein the first anastomosis device comprises a plurality of first receiving portions and a plurality of first joining needle portions, wherein the second anastomosis device comprises a plurality of second receiving portions and a plurality of second joining needle portions, wherein the plurality of first joining needle portions are received in the plurality of second receiving portions respectively, when the first anastomosis device and the second anastomosis device are connected to each other; wherein the plurality of second joining needle portions are received in the plurality of first receiving portions respectively, when the firstanastomosis device and the second anastomosis device are connected to each other.
3. The anastomosis set of claim 1 , wherein the first anastomosis device comprises: a first front-end joining portion having a plurality of first communication holes; and a first rear-end joining portion connected to the first front-end joining portion and having a plurality of first receiving portions and a plurality of first joining needle portions, wherein the second anastomosis device comprises: a second front-end joining portion having a plurality of second communication holes; and a second rear-end joining portion connected to the second front-end joining portion and having a plurality of second receiving portions and a plurality of second joining needle portions, wherein the plurality of first joining needle portions penetrate the plurality of first communication holes respectively, with the first front-end joining portion being movable relative to the first rear-end joining portion before the first anastomosis device and the second anastomosis device are connected, wherein the plurality of second joining needle portions penetrate the plurality of second communication holes respectively, with the second frontend joining portion being movable relative to the second rear-end joining portion before the first anastomosis device and the second anastomosis device are connected.
4. The anastomosis set of claim 3, wherein, when the first anastomosis device and the second anastomosis device are connected, the plurality of first joining needle portions penetrate the plurality of first communication holes respectively and the plurality of second communication holes respectively, and the plurality of first joining needle portions are received in the plurality of second receiving portions respectively, wherein, when the first anastomosis device and the second anastomosis device are connected, the plurality of second joining needle portions penetrate the plurality of second communication holes respectively and the plurality of first communication holes respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
5. The anastomosis set of claim 3, wherein the first receiving portions of the first rear-end joining portion have a first receiving groove portion each, and the first joining needle portions of the first rear-end joining portion have a first protrusion portion each, wherein the second receiving portions of the second rear-end joining portion have a second receiving groove portion each, and the second joining needle portions of the second rear-end joining portion have a second protrusion portion each, wherein, when the first anastomosis device and the second anastomosis device are connected, the first protrusion portions are snap- fitted to or engaged with the second receiving groove portions, and the second protrusion portions are snap-fitted to or engaged with the first receiving groove portions.
6. The anastomosis set of claim 3, further comprising a fixation device, the fixation device having an auxiliary fixation portion, wherein the auxiliary fixation portion presses against the first anastomotic target portion to allow the first anastomotic target portion to move toward the plurality of first joining needle portions, causing the plurality of first joining needle portions to penetrate the first anastomotic target portion, wherein the auxiliary fixation portion presses against the second anastomotic target portion to allow the second anastomotic target portion to move toward the plurality of second joining needle portions, causing the plurality of first joining needle portions to penetrate the second anastomotic target portion.
7. The anastomosis set of claim 1 , further comprising an auxiliary anastomosis device, the auxiliary anastomosis device comprising a pipe portion and a movement portion, wherein the pipe portion is connected to the movement portion and is movable relative to the movement portion, wherein the movement portion has a first joining device movement portion and a second joining device movement portion, the first joining device movement portion connected to the first anastomosis device, and the second joining device movement portion connected to the second anastomosis device, wherein the first joining device movement portion and the second joining device movement portion gradually move farther apart from each other while the movement portion is moving relative to the pipe portion in a first operation direction,wherein the first joining device movement portion and the second joining device movement portion gradually approach each other while the movement portion is moving relative to the pipe portion in a second operation direction, allowing the first anastomosis device and the second anastomosis device to be connected.
8. An anastomosis set, comprising: a first anastomosis device connected to a first anastomotic target portion of a first tubular organ and having a first connection mechanism; and a tubular connection component having a second anastomotic target portion and a second connection mechanism disposed at the second anastomotic target portion, wherein the first connection mechanism is connected to the second connection mechanism, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
9. The anastomosis set of claim 8, wherein the first connection mechanism comprises a plurality of receiving portions, and the second connection mechanism comprises a plurality of joining needle portions, wherein the plurality of joining needle portions received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
10. The anastomosis set of claim 8, wherein the first connection mechanism comprises a plurality of joining needle portions, and the second connection mechanism comprises a plurality of receiving portions,wherein the plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
11. The anastomosis set of claim 8, wherein the first connection mechanism comprises a plurality of first receiving portions and a plurality of first joining needle portions, wherein the second connection mechanism comprises a plurality of second receiving portions and a plurality of second joining needle portions, the plurality of second receiving portions and the plurality of second joining needle portions are disposed at the second anastomotic target portion, wherein the plurality of first joining needle portions are received in the plurality of second receiving portions respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
12. The anastomosis set of claim 11 , wherein the first anastomosis device comprises: a first front-end joining portion having a plurality of first communication holes; and a first rear-end joining portion connected to the first front-end joining portion, wherein the plurality of first receiving portions and the plurality of first joining needle portions are disposed on the first rear-end joining portion, wherein the plurality of first joining needle portions penetrate the plurality of first communication holes respectively, and the first front-end joining portion is movable relative to the first rear-end joining portion beforethe first anastomotic target portion and the second anastomotic target portion are anastomosed to each other.
13. The anastomosis set of claim 12, wherein, when the first anastomotic target portion and the second anastomotic target portion are anastomosed to each other, the plurality of second joining needle portions penetrate the plurality of first communication holes respectively, and the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
14. The anastomosis set of claim 11 , wherein the first receiving portions of the first anastomosis device have a first receiving groove portion each, and the first joining needle portions of the first anastomosis device have a first protrusion portion each, wherein the second receiving portions of the tubular connection component have a second receiving groove portion each, and the second joining needle portions of the tubular connection component have a second protrusion portion each, wherein, when the first anastomotic target portion and the second anastomotic target portion are anastomosed to each other, the first protrusion portions are snap-fitted to or engaged with the second receiving groove portions, and the second protrusion portions are snap-fitted to or engaged with the first receiving groove portions.
15. The anastomosis set of claim 11 , further comprising a second anastomosis device, the second anastomosis device being connected to a third anastomotic target portion of a second tubular organ and having a plurality of third receiving portions and a plurality of third joining needle portions, wherein the tubular connection component has a fourth anastomotic target portion, a plurality of fourth receiving portions and a plurality of fourth joining needle portions, the plurality of fourth receivingportions and the plurality of fourth joining needle portions are disposed at the fourth anastomotic target portion, wherein the plurality of third joining needle portions are connected to the plurality of fourth receiving portions respectively, and the plurality of fourth joining needle portions are connected to the plurality of first receiving portions respectively, allowing the third anastomotic target portion and the fourth anastomotic target portion to be anastomosed to each other.
16. The anastomosis set of claim 15, wherein the second anastomosis device comprises: a second front-end joining portion having a plurality of second communication holes; and a second rear-end joining portion connected to the second frontend joining portion, the plurality of third receiving portions and the plurality of third joining needle portions are disposed on the second rear-end joining portion, wherein the plurality of third joining needle portions penetrate the plurality of second communication holes respectively, and the second frontend joining portion is movable relative to the second rear-end joining portion before the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other.
17. The anastomosis set of claim 16, wherein, when the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other, the plurality of fourth joining needle portions penetrate the plurality of second communication holes respectively, and the plurality of fourth joining needle portions are received in the plurality of third receiving portions respectively.
18. The anastomosis set of claim 15, wherein the third receiving portions of the second anastomosis device have a third receiving groove portion each, and the third joining needle portions of the second anastomosis device have a third protrusion portion each, wherein the fourth receiving portions of the tubular connection component have a fourth receiving groove portion each, and the fourth joining needle portions of the tubular connection component have a fourth protrusion portion each, wherein, when the third anastomotic target portion and the fourth anastomotic target portion are anastomosed to each other, the third protrusion portions are snap-fitted to or engaged with the fourth receiving groove portions, and the fourth protrusion portions are snap-fitted to or engaged with the third receiving groove portions.
19. The anastomosis set of claim 11 , further comprising a fixation device, the fixation device having an auxiliary fixation portion, wherein the auxiliary fixation portion presses against the first anastomotic target portion, and thus the first anastomotic target portion moves toward the plurality of first joining needle portions, allowing the plurality of first joining needle portions to penetrate the first anastomotic target portion.
20. The anastomosis set of claim 8, further comprising an auxiliary anastomosis device, the auxiliary anastomosis device comprising a pipe portion and a movement portion, wherein the pipe portion is connected to the movement portion and is movable relative to the movement portion,wherein the movement portion has a first joining device movement portion and a second joining device movement portion, with the first joining device movement portion connected to the first anastomosis device, and the second joining device movement portion connected to the tubular connection component, wherein the first joining device movement portion and the second joining device movement portion gradually move farther apart from each other while the movement portion is moving relative to the pipe portion in a first operation direction, wherein the first joining device movement portion and the second joining device movement portion gradually approach each other while the movement portion is moving relative to the pipe portion in a second operation direction, allowing the first connection mechanism of the first anastomosis device and the second connection mechanism of the tubular connection component to be connected.
21. An anastomosis set for anastomosing a first anastomotic target portion of a first tubular organ and a second anastomotic target portion of a second tubular organ to each other, the first anastomotic target portion being an organ end portion of the first tubular organ, and the second anastomotic target portion being an organ lateral portion of the second tubular organ, the anastomosis set comprising: a first anastomosis device connected to the first anastomotic target portion and having a first connection mechanism; and a second anastomosis device connected to the second anastomotic target portion and having a second connection mechanism, wherein the first connection mechanism of the first anastomosis device is connected to the second connection mechanism of the secondanastomosis device, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
22. The anastomosis set of claim 21 , wherein the first connection mechanism comprises a plurality of receiving portions, and the second connection mechanism comprises a plurality of joining needle portions, wherein the plurality of joining needle portions are received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
23. The anastomosis set of claim 21 , wherein the first connection mechanism comprises a plurality of joining needle portions, and the second connection mechanism comprises a plurality of receiving portions, wherein the plurality of joining needle portions received in the plurality of receiving portions respectively, allowing the first anastomotic target portion and the second anastomotic target portion to be anastomosed to each other.
24. The anastomosis set of claim 21 , wherein the first anastomosis device comprises a plurality of first receiving portions and a plurality of first joining needle portions, wherein the second anastomosis device comprises a plurality of second receiving portions and a plurality of second joining needle portions, wherein, when the first anastomosis device and the second anastomosis device are connected, the plurality of first joining needle portions are received in the plurality of second receiving portions respectively,wherein, when the first anastomosis device and the second anastomosis device are connected, the plurality of second joining needle portions are received in the plurality of first receiving portions respectively.
25. The anastomosis set of claim 21 , wherein the first anastomosis device comprises: a first front-end joining portion having a plurality of first communication holes; and a first rear-end joining portion connected to the first front-end joining portion and having a plurality of first receiving portions and a plurality of first joining needle portions, wherein the second connection mechanism comprises a plurality of second receiving portions and a plurality of second joining needle portions, wherein the plurality of first joining needle portions penetrate the plurality of first communication holes respectively, and the first front-end joining portion is movable relative to the first rear-end joining portion before the first anastomosis device and the second anastomosis device are connected, wherein, when the first anastomosis device and the second anastomosis device are connected, the plurality of first joining needle portions penetrate the plurality of first communication holes respectively, and the plurality of first joining needle portions are received in the plurality of second receiving portions respectively, wherein, when the first anastomosis device and the second anastomosis device are connected, the plurality of second joining needle portions penetrate the plurality of first communication holes respectively and are received in the plurality of first receiving portions respectively.
26. The anastomosis set of claim 25, wherein the first receiving portions of the first rear-end joining portion have a first receiving groove portion each, and the first joining needle portions of the first rear-end joining portion have a first protrusion portion each, wherein the second receiving portions of the second anastomosis device have a second receiving groove portion each, and the second joining needle portions of the second anastomosis device have a second protrusion portion each, wherein, when the first anastomosis device and the second anastomosis device are connected, the first protrusion portions are snap- fitted to or engaged with the second receiving groove portions, and the second protrusion portions are snap-fitted to or engaged with the first receiving groove portions.
27. The anastomosis set of claim 25, further comprising a fixation device, the fixation device having an auxiliary fixation portion, wherein the auxiliary fixation portion presses against the first anastomotic target portion to allow the first anastomotic target portion to move toward the plurality of first joining needle portions, allowing the plurality of first joining needle portions to penetrate the first anastomotic target portion.
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