(57) The invention relates to a vascular anastomotic device (1, 20, 49) comprising a ring-shaped
frame (2, 21, 50) and a plurality of hook elements (4, 22, 51) extending from said
ring-shaped frame, which hook elements are movable between an introduction position
located relatively closely to a centre line (6, 23, 57) of the device, and a fixation
position, in which the hook elements are located at a larger distance from the centre
line of the device. The bonding device is characterised in that the hook elements
comprise a gripper part (7, 35, 52) with a pointed end (9, 25, 59), the gripper part
extending on one side of the ring-shaped frame (2, 21, 50), radially inwardly or downwardly
in an axial direction, and an actuator part (3, 26, 28; 54, 55) attached to the gripper
part, extending on a side of the ring-shaped frame (2, 21, 50), radially outwardly
or in an axial direction, the actuator part (3, 26, 28; 54, 55) being movable with
respect to the frame, wherein the gripper parts (7, 35, 52) can be displaced radially
outwardly by movement of the actuator parts. The extra-luminal vascular anastomotic bonding device allows coronary artery bypass
grafting allowing full vision on the anastomotic line, while using relatively simple
tools. The device can be attached to the graft with minimal eversion and avoids overstretching
and excessive compressive forces.
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