A number of devices for automating the procedure of vascular anastomosis have been reported upon in the past 14 years.1-7,9 However, only two instruments are available on the open market at the present time which are designed to anastomose small-caliber blood vessels end-to-end by the simultaneous application of fine metallic staples, instead of sutures.1,5 It is the purpose of this communication to describe briefly these two instruments, and to show how they differ, one from the other (Fig 1).
Both devices are basically similar, although the Russian apparatus preceded the American by some 12 years. Each consists of two forceps (or the equivalent), which are brought together and locked to one another when the anastomosis is performed. Each of these forceps is designed to carry a small interchangeable insert or cuff of special construction called a "bushing." One forceps carries the bushings which hold tiny staples in slots
TAKARO T. The American and The Russian Vascular StaplersA Comparison. Arch Surg. 1964;89(3):536-539. doi:10.1001/archsurg.1964.01320030126021