Gerät zum Anbringen von zersplitterbaren Ringen

A novel surgical instrument (10) suitable for insertion and assembly of multi-ring compression devices (Fig. 19) for circular anastomosis of tubular tissue sections including a body (12) having means (14, 16) to support and align the rings, means (88) for clamping the rings around the free ends of the tissue sections, means (82) for coring away excess clamped tissue and the centers of the rings, separate means for releasing the clamped rings from the instrument and dwell means to delay releasing the rings until after the coring operation is complete. The dwell means consists of an external cap (48) containing separate and coaxial elements for the coring means and the releasing mans which are provided with a series of recesses (56) and a plurality of shifter keys (84) to separate the operation of coring from the separate operation of releasing the assembled multi-ring compression device from the instrument. The instrument may additionally include means for detaching a portion of the support means to facilitate installation and alignment, and a safety to ensure safe operation and interchangeable knife blades.