US20040249400A1 - Anastomosis device - Google Patents
Anastomosis device Download PDFInfo
- Publication number
- US20040249400A1 US20040249400A1 US10/884,751 US88475104A US2004249400A1 US 20040249400 A1 US20040249400 A1 US 20040249400A1 US 88475104 A US88475104 A US 88475104A US 2004249400 A1 US2004249400 A1 US 2004249400A1
- Authority
- US
- United States
- Prior art keywords
- anastomosis device
- anastomosis
- inner flange
- flange
- flange element
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/064—Blood vessels with special features to facilitate anastomotic coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00392—Transmyocardial revascularisation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
An anastomosis device may include a central region, and at least one projection connected to the distal end of the central region, where at least one projection is foldable in at least the proximal direction. An anastomosis device may include a central region, and an inner flange connected to the distal end of the central region, the inner flange deployable from a first position to an expanded position, where the inner flange includes at least one substantially triangular inner flange element.
Description
- This application is a continuation of U.S. patent application Ser. No. 09/664,588, filed on Sep. 18, 2000, which in turn is a divisional of U.S. Pat. No. 6,428,550, issued on Aug. 6, 2002, all of which are incorporated by reference in their entirety.
- 1. Field of the Invention
- The invention relates to an anastomosis device for forming a sutureless connection between two blood vessels.
- 2. Brief Description of the Related Art
- Vascular anastomosis is a procedure by which two blood vessels within a patient are surgically joined together. Vascular anastomosis is performed during treatment of a variety of conditions including coronary artery disease, diseases of the great and peripheral vessels, organ transplantation, and trauma. In coronary artery disease (CAD) an occlusion or stenosis in a coronary artery interferes with blood flow to the heart muscle. Treatment of CAD involves the grafting of a vessel in the form of a prosthesis or harvested artery or vein to reroute blood flow around the occlusion and restore adequate blood flow to the heart muscle. This treatment is known as coronary artery bypass grafting (CABG).
- In the conventional CABG, a large incision is made in the chest and the sternum is sawed in half to allow access to the heart. In addition, a heart-lung machine is used to circulate the patient's blood so that the heart can be stopped and the anastomosis can be performed. In order to minimize the trauma to the patient induced by conventional CABG, less invasive techniques have been developed in which the surgery is performed through small incisions in the patients chest with the aid of visualizing scopes. Less invasive CABG can be performed on a beating or stopped heart and thus may avoid the need for cardiopulmonary bypass.
- In both conventional and less invasive CABG procedures, the surgeon has to suture one end of the graft vessel to the coronary artery and the other end of the graft vessel to a blood supplying vein or artery, such as the aorta. The suturing process is a time consuming and difficult procedure requiring a high level of surgical skill. In order to perform the suturing of the graft to the coronary artery and the blood supplying artery the surgeon must have relatively unobstructed access to the anastomosis sites within the patient. In the less invasive surgical approaches, some of the major anastomosis sites cannot be easily reached by the surgeon because of their location. This makes suturing either difficult or impossible without opening up the chest cavity.
- An additional problem with CABG is the formation of thrombi and atherosclerotic lesions at and around the grafted artery, which can result in the reoccurrence of ischemia. Thrombi and atherosclerotic lesions may be caused by the configuration of the sutured anastomosis site. For example, an abrupt edge at the anastomosis site may cause more calcification than a more gradual transition. However, the preferred gradual transition is difficult to achieve with conventional suturing methods.
- Accordingly, it would be desirable to provide a sutureless vascular anastomosis device which easily connects a graft to a target vessel. It would also be desirable to provide a sutureless anastomosis device which is formed of one piece and is secured to the target vessel in a single step.
- The present invention relates to an anastomosis device for connecting an end of a graft vessel to a target vessel. The anastomosis includes a first linkage formed of a plurality of struts and a plurality of axial members. The first linkage is expandable from a first configuration in which the first linkage is a substantially cylindrical shape to a second configuration in which the first linkage includes a first radially extending flange. A substantially cylindrical central connecting portion extends from the first linkage. A second linkage is configured to form a second radially extending flange spaced from the first radially extending flange.
- In accordance with an additional aspect of the present invention, an anastomosis device for connecting an end of a graft vessel to a target vessel includes an expandable device formed from a plurality of struts and deformable from a first configuration in which the device is substantially tubular to a second configuration in which the device includes a first radial flange and a second radial flange spaced from the first radial flange a distance sufficient to accommodate a wall of a blood vessel. A first end of the expandable device includes a first linkage which changes from a substantially tubular configuration to a radially extending configuration to form the first flange upon radial expansion of the first end by an expander positioned in a center of the expandable device. A second end of the expandable device includes a second linkage which is configured to form the second radial flange upon deployment of the device.
- In accordance with another aspect of the present invention, a method of performing anastomosis includes the steps of providing a one-piece tubular anastomosis device; everting an end of a graft vessel around the anastomosis device; puncturing a target vessel with a trocar; inserting the tubular anastomosis device with everted graft vessel into the puncture in the target vessel; radially expanding the tubular anastomosis device with an expander to cause portion of the tube to fold outward forming a first annular flange; and forming a second annular flange on the anastomosis device to trap a wall of the target vessel between the first and second annular flanges and seal the graft vessel to the target vessel.
- In accordance with a further aspect of the present invention, an anastomosis device deployment system includes a handle, a holder tube attached to the handle, and an expander positioned within the holder and slidable with respect to the holder to a position at which the expander is positioned within the anastomosis device to radially expand the anastomosis device. The holder tube has a distal end configured to hold the anastomosis device with an attached graft vessel.
- The invention will now be described in greater detail with reference to the preferred embodiments illustrated in the accompanying drawings, in which like elements bear like reference numerals, and wherein:
- FIG. 1 is a perspective view of a first embodiment of an anastomosis device in a configuration prior to use with a graft vessel everted over the device;
- FIG. 2 is a perspective view of the anastomosis device of FIG. 1 in a deployed configuration;
- FIG. 3 is a perspective view of a second embodiment of an anastomosis device in a configuration prior to use with a graft vessel everted over the device;
- FIG. 4 is a perspective view of the anastomosis device of FIG. 3 in a deployed configuration;
- FIG. 5 is a perspective view of a third embodiment of an anastomosis device in a configuration prior to use with a graft vessel everted over the device;
- FIG. 6 is a perspective view of the anastomosis device of FIG. 5 in a deployed configuration;
- FIG. 7 is a perspective view of a fourth embodiment of an anastomosis device in a configuration prior to use with a graft vessel everted over the device;
- FIG. 8 is a perspective view of the anastomosis device of FIG. 7 in a deployed configuration;
- FIG. 9 is a perspective view of a fifth embodiment of an anastomosis device in a configuration prior to use with a graft vessel everted over the device;
- FIG. 10 is a perspective view of the anastomosis device of FIG. 9 with a bottom flange in a deployed configuration;
- FIG. 11 is a perspective view of the anastomosis device of FIG. 9 with a bottom flange and a top flange both in deployed configurations;
- FIG. 12 is a side view of a portion of a sixth embodiment of an anastomosis device which has been laid flat for ease of illustration;
- FIG. 13 is a side view of a portion of a seventh embodiment of an anastomosis device which has been laid flat for ease of illustration;
- FIG. 14 is a perspective view of an anastomosis device deployment system;
- FIG. 14A is an enlarged perspective view of the distal end of the anastomosis device deployment system of FIG. 14 with an anastomosis device prior to deployment;
- FIG. 15 is a side cross sectional view of the anastomosis device deployment system puncturing the target vessel to advance the anastomosis device into the target vessel wall;
- FIG. 16 is a side cross sectional view of the anastomosis device deployment system advancing the anastomosis device into the target vessel wall;
- FIG. 17 is a side cross sectional view of the anastomosis device deployment system with an expanded first annular flange;
- FIG. 18 is a side cross sectional view of the anastomosis device deployment system expanding a second annular flange;
- FIG. 19 is a schematic side cross-sectional view of a deployment tool taken along line A-A of FIG. 14, the deployment tool is shown during a vessel puncturing step;
- FIG. 20 is a schematic side cross-sectional view of the deployment tool of FIG. 19 shown during an anastomosis device insertion step;
- FIG. 21 is a schematic side cross-sectional view of the deployment tool of FIG. 19 shown during an anastomosis device expansion step;
- FIG. 22 is a schematic side cross-sectional view of the deployment tool of FIG. 19 shown after the anastomosis device has been fully deployed;
- FIG. 23 is a perspective view of a eighth embodiment of an anastomosis device in a configuration prior to use;
- FIG. 23A is a side view of a portion of the anastomosis device of FIG. 23 prior to folding a tab of the device inward;
- FIG. 24 is a perspective view of the anastomosis device of FIG. 23 in a deployed configuration;
- FIG. 25 is a side view of a portion of a ninth embodiment of an anastomosis device which has been laid flat for ease of illustration;
- FIG. 26 is a side view of a portion of a tenth embodiment of an anastomosis device which has been laid flat for ease of illustration;
- FIG. 27 is a side view of a portion of an eleventh embodiment of an anastomosis device which has been laid flat for ease of illustration;
- FIG. 28 is a side view of an eleventh embodiment of an anastomosis device which has been laid flat for ease of illustration; and
- FIG. 29 is a top view of the anastomosis device of FIG. 28 with a flange deployed.
- The present invention relates to an anastomosis device and method for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device according to the present invention can be deployed with a deployment system which greatly increases the speed with which anastomosis can be performed over prior art suturing methods. In addition, the anastomosis device provides a smooth transition between the graft vessel and the target vessel. The devices according to the present invention are particularly designed for use in connecting graft vessels to blood delivery or target vessels. Suturing a graft vessel to a target vessel is difficult with conventional techniques, particularly in minimally invasive procedures where space may be limited. However, with an anastomosis device and deployment system of the present invention, anastomosis can be performed efficiently and effectively in tight spaces.
- FIG. 1 illustrates an
anastomosis device 10 according to a first embodiment of the present invention. Theanastomosis device 10 includes a plurality ofaxial members 12 and a plurality ofstruts 14 interconnecting the axial members. Theaxial members 12 and struts 14 form afirst linkage 16 at a first end of the device and asecond linkage 18 at a second end of the device. The first andsecond linkages second flanges anastomosis device 10 is deployed as illustrated in FIG. 2. The deployedflanges second linkages portion 24. - In use, a
graft vessel 30 is inserted through a center of thetubular anastomosis device 10 and is everted over thefirst linkage 16 at the first end of the device. The first end of the device may puncture part way or all the way through the graft vessel wall to hold thegraft vessel 30 on the device. Anopening 34 is formed in thetarget vessel 32 to receive thegraft vessel 30 andanastomosis device 10. Once theanastomosis device 10 witheverted graft vessel 30 are inserted through theopening 34 in thetarget vessel 32, the first andsecond flanges anastomosis device 10 forms a smooth transition between thetarget vessel 32 and thegraft vessel 30 which helps to prevent thrombi formation. - The first and
second flanges anastomosis device 10 as follows. The first andsecond linkages axial members 12 and struts 14. Thestruts 14 are arranged in a plurality-of diamond shapes with adjacent diamond shapes connected to each other to form a continuous ring of diamond shapes around the device. Oneaxial member 12 extends through a center of each of the diamond shapes formed by thestruts 14. A reducedthickness section 26 or hinge in each of theaxial members 12 provides a location for concentration of bending of the axial members. When an expansion member such as a tapered rod or an inflatable balloon is inserted into thetubular anastomosis device 10 and used to radially expand the device, each of the diamond shaped linkages ofstruts 14 are elongated in a circumferential direction causing a top and bottom of each of the diamond shapes to move closer together. As the top and bottom of the diamond shapes move closer together, theaxial members 12 bend along the reducedthickness sections 26 folding the ends of the device outward to form the first andsecond flanges second flanges target vessel 32 is trapped between the flanges and theeverted graft vessel 30 is secured to the target vessel. - In the
anastomosis device 10 shown in FIGS. 1 and 2, thestruts 14 may be straight or curved members having constant or varying thicknesses. In addition, theaxial members 12 may have the reducedthickness sections 26 positioned at a center of each of the diamond shapes or off center inside the diamond shapes. The positioning and size of the reducedthickness sections 26 will determine the location of theflanges flanges device 10 is about 40-100 degrees, preferably about 50-90 degrees. - FIG. 3 illustrates a second embodiment of a
tubular anastomosis device 40 formed of a plurality ofstruts 42 interconnected in a diamond pattern. A first end of the device includes a plurality ofinterior diamonds 44 positioned within the diamonds formed by the plurality ofstruts 42. When the device is deployed, as illustrated in FIG. 4, theinterior diamonds 44 fold outward to form a firstannular flange 46. A second end of thedevice 40 includes a plurality ofpull tabs 48 each having a T-shapedend 50 to be received in a corresponding slot in a deployment device. The deployment device holds theanastomosis device 40 during positioning and deployment of thefirst flange 46. Once the firstannular flange 46 has been formed, thepull tabs 48 are folded radially outward and downward in the direction of the arrows B to form a second annular flange (not shown). Although thepull tabs 48 have been illustrated with T-shaped ends, the pull tabs may have other configurations such as loops which engage hooks of a deployment device. - In use, the
graft vessel 30 is inserted through a center of thetubular anastomosis device 40 and everted over the first end of the device as shown in FIG. 3. Anopening 34 is formed in thetarget vessel 32 and theanastomosis device 40 with the evertedgraft vessel 30 are inserted through theopening 34 in the target vessel. An expander is then advanced axially through theanastomosis device 40 to radially expand the device and cause the deployment of the firstannular flange 46. During advancement of the expander, thedevice 40 is held in place by the deployment device which is connected to the T-shaped ends 50 of thepull tabs 48. After deployment of the firstannular flange 46 the expander is removed and thepull tabs 48 are disconnected from the deployment device and folded outward in the direction of the arrows B in FIG. 4 to form the second annular flange. The wall of thetarget vessel 32 is trapped between the first and second annular flanges. - In the embodiment of FIGS. 3 and 4, the
interior diamonds 44 which form the firstannular flange 46 each include top and bottom reducedthickness connection members 54 which connect theinterior diamonds 44 to thestruts 42. Each of theinterior diamonds 44 also include aU-shaped web member 56 and two reducedthickness portions 58 located at opposite sides of the interior diamonds. As thedevice 40 is radially expanded, the diamond shapes formed by thestruts 42 become more elongated in a circumferential direction, shortening the height of each of these diamond shapes. As the height of the diamond shapes formed by thestruts 42 decreases, theinterior diamonds 44 are folded outward into the configuration illustrated in FIG. 4. When thedevice 40 is fully expanded and the firstannular flange 46 is fully formed, the diamonds which originally surrounded theinterior diamonds 44 are completely extended and thestruts 42 which originally formed the diamonds are parallel or substantially parallel. Theinterior diamonds 44 are each folded in half at the reducedthickness portions 58 or hinges. - FIGS. 5 and 6 illustrate a third embodiment of a
tubular anastomosis device 60 having a plurality ofstruts 62,interior diamonds 64, and a plurality ofpull tabs 68. Theanastomosis device 60 of FIGS. 5 and 6 differs from theanastomosis device 40 of FIGS. 3 and 4 in the arrangement of theinterior diamonds 64. Theinterior diamonds 64, as illustrated in FIG. 5, are connected to the surroundingstruts 62 by threeconnection members 70. Theconnection members 70 are located at opposite sides of each of theinterior diamonds 64 and at the bottom of the interior diamonds. A top-corner 72 of each of theinterior diamonds 64 is not connected to the struts and folds inward upon expansion of the device. - With this embodiment of FIGS. 5 and 6, as an expander is inserted axially through the
anastomosis device 60, thetop corners 72 of each of theinterior diamonds 64 fold inwardly while a bottom edge of the device folds outwardly to form the firstannular flange 66. The expander may also push on the inwardly foldedtop corners 72 of theinterior diamonds 64 to further bend thefirst flange 66 outward. Thedevice 60 also includes a plurality of pointed ends 74 which puncture the evertedgraft vessel 30 and help to retain the graft vessel on theanastomosis device 60. - In use, the
anastomosis device 60 is provided with agraft vessel 30 which is inserted through a center of the device and everted over the pointed ends 74 andinterior diamonds 64 of the device. Theanastomosis device 60 andeverted graft vessel 30 are then inserted in theopening 34 in thetarget vessel 32 and the firstannular flange 66 is deployed by expansion of the device with an axially movable expander. After formation of the firstannular flange 66, thepull tabs 68 are folded downward and outward in the direction of the arrows B illustrated in FIG. 6 to form the second annular flange and trap the wall of the target vessel between the first and second annular flanges. - An alternative embodiment of an
anastomosis device 80 illustrated in FIGS. 7 and 8 includes two rows of diamond-shapedmembers 82 which fold outward to form the first and secondannular flanges members 82 is connected to M-shapedstruts 88 at one end and to V-shapedstruts 90 at an opposite end. The diamond-shapedmembers 82 are connected only at the top end and bottom end. A central connectingportion 92 of thedevice 80 includes a plurality of large diamond-shapedsupport members 94. As an expander is inserted into thedevice 80, the device expands from a configuration illustrated in FIG. 7 to the configuration illustrated in FIG. 8 in which the first and secondannular flanges struts 88 and the V-shapedstruts 90 are extended to straight or substantially straight members and the largediamond support members 94 move away from one another. The diamond-shapedmembers 82 each fold in half atreduced thickness portions 96 as in the embodiment illustrated in FIGS. 3 and 4. - FIGS. 9-11 illustrate a further alternative embodiment of an
anastomosis device 100 according to the present invention. Thedevice 100 includes a plurality ofaxial members 102 having reducedthickness portions 104. Each of theaxial members 102 is positioned within a multi-sidedexpandable linkage 106. A central connectingportion 108 connects theexpandable linkage 106 to a plurality ofpull tabs 110. Each of thepull tabs 110 has a T-shapedend 112 which is received in a corresponding slot in a deployment device to hold theanastomosis device 100 during insertion and expansion. However, other pull tab shapes may also be used. As an expander is inserted axially into theanastomosis device 100, thelinkage 106 expands causing theaxial members 102 to fold along the reducedthickness portions 104 and extend radially outward forming a firstradial flange 114, as illustrated in FIG. 10. The firstradial flange 114 may be configured to extend at an acute angle from an axis ofanastomosis device 100 or may be folded to form an angle of up to 90 degrees or greater. The angle between the axis of anastomosis device and the lower portion of theaxial members 102 after the firstradial flange 114 has been deployed is preferably between about 40 and 100 degrees. After the first radial flange has been deployed, thepull tabs 110 are disengaged from the deployment device and folded outwards in the direction of the arrows B to form a secondradial flange 116 as illustrated in FIG. 11. To disengage and fold thepull tabs 110 outwards, the deployment device is moved distally with respect to the anastomosis device. The first and secondradial flanges target vessel 32 between the flanges and thus secure the evertedgraft vessel 30 to the target vessel. - FIGS. 12 and 13 illustrate alternative embodiments of the
device 100 of FIGS. 9 through 11. The expandabletubular anastomosis device 120 of FIG. 12 has been cut and laid flat for ease of illustration. Thedevice 120 includes a plurality ofaxial members 122 havinghinges 124 in the form of U-shaped grooves. Theaxial members 122 are each mounted at opposite ends in anexpandable linkage 126. Theexpandable linkage 126 is at one end of thedevice 120 while an opposite end of the device includes aplurality pull tabs 130. Thepull tabs 130 andlinkage 126 are connected by a central connectingportion 128. Each of thepull tabs 130 has a T-shapedend 132, ashoulder 134, and atriangular slot 136. Extending from an end of each of thepull tabs 130 opposite the T-shaped ends 132 is atab lock 138. - In use, the
anastomosis device 120 of FIG. 12 is used in a manner substantially similar to that of the device shown in FIGS. 9-11. In particular, thedevice 120 is attached to an deployment tool by the T-shaped ends 132 of thepull tabs 130. A graft vessel is extended through the center of thetubular device 120 and everted around the end of the device opposite thepull tabs 130. An expander is advanced axially into the device to expand theexpandable linkage 126 and cause the lower portion of each of theaxial members 122 below thehinges 124 to bend outward to form a first flange. The material in the center of each of the U-shaped cuts which form thehinges 124 serves as a backstop to prevent the flange from bending or rolling due to radial compressive forces applied to the flange by the stretched graft vessel. In contrast, with the narrowed section hinge shown in FIG. 1 the bend at the hinge tends to roll away from the desired hinge point due to compressive forces applied by the graft vessel. Thebackstop hinge 124 prevents rolling of the bend along theaxial member 122. - After formation of the first flange with the expander, the expander is withdrawn. During this withdrawal of the expander, an annular groove on an exterior surface of the expander engages the tab locks138 causing the
pull tabs 130 to bend outwardly to form the second flange. Alternatively, the tab locks 138 may be caught on a leading edge of the expander. As thepull tabs 130 bend outwardly, the T-shaped ends 132 of the pull tabs disengage from the deployment device. According to one embodiment of the invention, the second flange is formed by a first bend in thepull tabs 130 at a location between thetriangular slot 136 and thelock tab 138 and a second bend in the pull tab at theshoulder 134. These two bends in thepull tabs 130 allow the anastomosis device to accommodate target vessels with different wall thicknesses. Each of the two bends preferably forms an angle of about 20-70 degrees. - FIG. 13 illustrates a further embodiment of a
tubular anastomosis device 120′ which corresponds substantially to the device shown in FIG. 12. However, FIG. 13 illustrates several different variations ofhinges 124′ for theaxial members 122′. In particular, thehinges 124′ may be formed in any of the different manners illustrated in FIG. 13 by removing material from theaxial members 122′ to cause bending at the desired location. These hinges 124′ may include openings of various shapes and/or cut away portions on the sides of theaxial members 122′. The different hinge configurations have been shown in one device only for purposes of illustration. - FIGS. 14-18 illustrate a
deployment system 150 and sequence of deploying ananastomosis device 120 such as the device shown in FIG. 12 with the deployment system. In FIGS. 14-16 thegraft vessel 30 has been eliminated for purposes of clarity. As shown in FIGS. 14-18, thedeployment system 150 includes a hollow outer trocar 152 (not shown in FIG. 14), aholder tube 154 positioned inside the trocar, and anexpander tube 156 slidable inside the holder tube. As can be seen in the detail of FIG. 14A, theanastomosis device 120 is attached to a distal end of theholder tube 154 by inserting the T-shaped ends 112 of each of thepull tabs 110 inslots 158 around the circumference of the holder tube. Thetrocar 152,holder tube 154, andexpander tube 156 are all sidable with respect to one another during operation of the device. Adevice handle 160 is provided for moving the tubes with respect to one another will be described in further detail below with respect to FIGS. 19-22. - As shown in FIG. 15, initially, the
holder tube 154,expander tube 156, and theanastomosis device 120 are positioned within thetrocar 152 for insertion. Thetrocar 152 has a hollow generally conical tip with a plurality ofaxial slots 162 which allow the conical tip to be spread apart so that theanastomosis device 120 can slide through the opened trocar. Thetrocar 152, acting as a tissue retractor and guide, is inserted through the wall of thetarget vessel 32 forming anopening 34. As shown in FIG. 16, theanastomosis device 120 is then advanced into or through thetarget vessel wall 32 with theholder tube 154. The advancing of theholder tube 154 causes the distal end of thetrocar 152 to be forced to spread apart. Once theanastomosis device 120 is in position and thetrocar 152 has been withdrawn, the first annular flange is deployed by advancing theexpander tube 156 into the anastomosis device. The advancing of theexpander tube 156 increases the diameter of theanastomosis device 120 causing the first flange to fold outward from the device. This expanding of the first flange may be performed inside the vessel and then thedevice 120 may be drawn back until the flange abuts an interior of thetarget vessel wall 32. - As shown in FIG. 18, after the first flange has been deployed, the
expander tube 156 is withdrawn forming the second flange. As theexpander tube 156 is withdrawn, theanastomosis device 120 drops into aradial groove 157 on an exterior of the expander tube due to the elasticity of the device. Theradial groove 157 holds theanastomosis device 120 stationary on the expander tube. Theholder tube 154 is then moved forward disengaging the anastomosisdevice pull tabs 130 from theslots 158 in the holder tube. Theshoulders 134, shown most clearly in FIGS. 15 and 16, engage a tapered distal end of theholder tube 154 causing thepull tabs 130 to be released from theslots 158. As theholder tube 154 is moved further forward, the holder tube causes the second flange to be deployed. The edges of theradial groove 157 are preferably beveled so that theanastomosis device 120 will be able to be removed from theexpander tube 156 after the anastomosis device is completely deployed. - One alternative embodiment of the
holder tube 154 employs a plurality of flexible fingers which receive thepull tabs 130 of theanastomosis device 120. According to this embodiment eachpull tab 130 is received by an independent finger of theholder tube 154. To deploy the second or outer flange of theanastomosis device 120, the flexible fingers flex outward bending thepull tabs 130 outward. - FIGS. 19-22 illustrate the operation of the
handle 160 to move thetrocar 152, theholder tube 154, and theexpander tube 156 with respect to one another to deploy theanastomosis device 120 according to the present invention. Thehandle 160 includes agrip 170 and atrigger 172 pivotally mounted to the grip at apivot 174. Thetrigger 172 includes afinger loop 176 and threecontoured cam slots trocar 152,holder tube 154, andexpander tube 156, respectively. Each of these tubes has a fitting 184 at a distal end thereof. Apin 186 connected to each of thefittings 184 slides in a corresponding one of thecam slots - The
handle 160 is shown in FIG. 18 in an insertion position in which thetrocar 152 extends beyond theholder tube 154 and theexpander tube 156 for puncturing of thetarget vessel wall 32. As thetrigger 172 is rotated from the position illustrated in FIG. 19 to the successive positions illustrated in FIGS. 20-22, thepins 186 slide in thecam slots trocar 152,holder tube 154 andexpander tube 156. - FIG. 20 shows the
handle 160 with thetrigger 172 rotated approximately 30 degrees from the position of FIG. 19. This rotation moves theholder tube 154 andexpander tube 156 forward into the wall of thetarget vessel 32 spreading thetrocar 152. Theanastomosis device 120 is now in position for deployment. FIG. 21 shows thetrigger 172 rotated approximately 45 degrees with respect to the position of FIG. 19 and thecam slot 182 has caused theexpander tube 156 to be advanced within theholder tube 154 to deploy the first flange. Thetrocar 152 has also been withdrawn. - FIG. 22 shows the
handle 160 with thetrigger 172 pivoted approximately 60 degrees with respect to the position shown in FIG. 19. As shown in FIG. 22, theexpander tube 156 has been withdrawn to pull the first flange against thevessel wall 32 and theholder tube 154 is moved forward to deploy the second flange and disengage theholder tube 154 from theanastomosis device 120. - The
handle 160 also includes afirst channel 188 and asecond channel 190 in thegrip 170 through which the graft vessel (not shown) may be guided. Thegrip 170 also includes acavity 192 for protecting an opposite end of the graft vessel from the attachment end. - FIG. 23-26 illustrate a further alternative embodiment of the anastomosis device according to the present invention. As shown in FIG. 23, an
anastomosis device 200 includes a plurality ofpull tabs 202, adiamond linkage 204, and a plurality ofneedles 206. As shown in the detail of FIG. 23A, each of theneedles 206 has atail portion 208 which is bent radially inwardly as shown in FIG. 23 prior to use. In this embodiment, the graft vessel is inserted through the center of theanastomosis device 200 and everted over theneedles 206 as in the previous embodiments. Theneedles 206 puncture the graft vessel and securely retain the graft vessel on the anastomosis device. To deploy thedevice 200 of FIG. 23, anexpander 210 is inserted axially into the device in a direction of the arrow C and engages thetail portions 208 of theneedles 206 to fold the needles radially outward. Theexpander 210 is preferably larger in diameter than an original inner diameter of thedevice 200 such that the device is expanded during deployment. This expansion will stretch the opening in thetarget vessel 32 providing a better seal between the graft and target vessels. However, it should be understood that an outer diameter of theexpander 210 according to this embodiment can be equal to or smaller than an inner diameter of thedevice 200 and can bend theneedles 206 outward without radially expanding the device. - FIG. 24 illustrates the
device 200 of FIG. 23 in which the expander has been used to radially expand the device and bend theneedles 206 outward. Thepull tabs 202 are then folded downward to trap the wall of thetarget vessel 32 between theneedles 206 and the pull tabs. - FIGS. 25 and 26 illustrate two modified versions of the embodiment of FIG. 23. The variations of FIGS. 24 and 25 each include
pull tabs 202,diamond linkages 204, and needles 206 havingtail portions 208 bent inwardly. FIG. 25 and 26 also illustratehorns 212 which help to retain the graft vessel after eversion. - A cantilevered end of each of the axial members may be either rounded as shown in FIGS. 12 and 13 or pointed as shown in FIGS. 1, 2,5 and 6. The rounded cantilever ends prevent puncturing of the graft vessel while the pointed cantilever ends puncture through the vessel and prevent the vessel from slipping off of the anastomosis device. The puncturing of the vessel also relieves stresses on the vessel which are created when expanding the first flange. Although the pointed cantilever ends may provide more secure retention of the graft vessel, these pointed ends will provide undesirable metal within the bloodstream.
- FIG. 27 illustrates a modified version of the anastomosis device of FIG. 12 in which the
anastomosis device 120″ includes modifiedneedles 206′ with saw tooth edges for grasping tissue of the graft vessel. This version of theanastomosis device 120″ also includes backstop hinges 124 and pulltabs 130. - FIGS. 28 and 29 illustrate an alternative embodiment of an
anastomosis device 220. Having the first flange formed from a plurality ofmembers 222 which fold out tangentially from a body of the anastomosis device. Thedevice 220 includespull tabs 224, connected by adiamond linkage 226 to themembers 222. As thediamond linkage 226 is expanded in the manner described above with respect to the earlier embodiments, themembers 222 fold outward in a direction which is substantially tangential to a body of the expanding device as shown in FIG. 28. The tangentially foldedmembers 222 form the inner flange of thedevice 220. Thepull tabs 224 are then folded downward to form the outer flange. According to this embodiment of the invention, a second flange may also be formed from a plurality of members which fold out tangentially from a body of the anastomosis device. - Each of the anastomosis devices described above are preferably single piece devices which are formed by laser cutting or punching from a tube or sheet of material. The devices may be provided in varying sizes to join vessels of different sizes. The linkages, pull tabs, and other elements which have been discussed above with regard to the various embodiments may be used in varying numbers and arrangements.
- The invention has been described as an anastomosis device which is expanded with an expander. The expander may be a tube, a balloon, or any other known expanding device.
- Although the invention has been principally discussed with respect to coronary bypass surgery, the anastomosis devices of the present invention may be used in other types of anastomosis procedures. For example, the anastomosis device may be used in femoral-femoral bypass, vascular shunts, subclavian-carotid bypass, organ transplants, and the like.
- The anastomosis devices may be made of any known material which can be bent and will retain the bent shape such as stainless steel, nickel titanium alloys, and the like. The hinges or pivot joints which have been discussed above in the various embodiments of the present invention are designed to concentrate the bending at a desired location. For example, the hinges may be formed with a reduced thickness or width, or with openings in order to concentrate the bending in the hinges.
- The dimensions of the anastomosis device of the present invention are determined by the dimensions of the blood vessels to be joined. A distance between the two flanges is designed to accommodate the wall thickness of a target vessel which may vary. The anastomosis devices according to the present invention have been illustrated as cylindrical members. However, the devices may also be shaped into oval shapes, football shapes, or other shapes to accommodate smaller target vessels.
- While the invention has been described in detail with reference to the preferred embodiments thereof, it will be apparent to one skilled in the art that various changes and modifications can be made and equivalents employed, without departing from the present invention.
Claims (22)
1. An anastomosis device, comprising:
a central region, comprising a plurality of struts; and
at least one projection connected to the distal end of said central region, wherein at least one said projection is foldable in at least the proximal direction.
2. The anastomosis device of claim 1 , wherein at least one said projection includes at least one member extending at least partially along a perimeter of an open area.
3. The anastomosis device of claim 1 , wherein at least one said projection is substantially trapezoidal.
4. The anastomosis device of claim 1 , wherein at least one said projection is substantially diamond-shaped.
5. The anastomosis device of claim 1 , wherein at least one said projection is substantially triangular.
6. The anastomosis device of claim 1 , wherein said central region is radially expandable along at least part of its length.
7. The anastomosis device of claim 1 , wherein at least one said projection is made of superelastic material.
8. The anastomosis device of claim 8 , wherein said superelastic material is nickel-titanium alloy.
9. The anastomosis device of claim 1 , wherein said struts extend substantially longitudinally.
10. The anastomosis device of claim 1 , wherein said struts are spaced apart from one another.
11. An anastomosis device, comprising:
a central region; and
an inner flange connected to the distal end of said central region and deployable from a first position to an expanded position, wherein said inner flange includes at least one generally triangular inner flange element.
12. The anastomosis device of claim 11 , wherein at least one said triangular inner flange element further comprises an axial member connected to and substantially bisecting said triangular inner flange element.
13. The anastomosis device of claim 11 , wherein at least one said triangular inner flange element is substantially open.
14. The anastomosis device of claim 11 , further comprising an outer flange connected to the proximal end of said central region and deployable to an expanded position, wherein said outer flange includes at least one outer flange element radially offset from said at least one generally triangular inner flange element.
15. The anastomosis device of claim 14 , wherein at least one said outer flange element is generally triangular.
16. The anastomosis device of claim 11 , wherein at least one said triangular outer flange element is substantially open.
17. The anastomosis device of claim 11 , wherein said central region is radially expandable along at least part of its length.
18. The anastomosis device of claim 11 , wherein said inner flange is made of superelastic material.
19. The anastomosis device of claim 18 , wherein said superelastic material is nickel-titanium alloy.
20. An anastomosis device, comprising:
an inner flange and deployable from a first position to an expanded position, wherein said inner flange includes at least one generally triangular inner flange element; and
an outer flange proximal to said inner flange and deployable to an expanded position, wherein said outer flange includes at least one outer flange element.
21. The anastomosis device of claim 20 , wherein at least one said outer flange element is radially offset from said at least one generally triangular inner flange element.
22. The anastomosis device of claim 20 , wherein at least one said outer flange element is generally triangular.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/884,751 US20040249400A1 (en) | 1999-05-18 | 2004-07-02 | Anastomosis device |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/314,278 US6428550B1 (en) | 1999-05-18 | 1999-05-18 | Sutureless closure and deployment system for connecting blood vessels |
US09/664,588 US6786914B1 (en) | 1999-05-18 | 2000-09-18 | Sutureless closure and deployment system for connecting blood vessels |
US10/884,751 US20040249400A1 (en) | 1999-05-18 | 2004-07-02 | Anastomosis device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/664,588 Continuation US6786914B1 (en) | 1999-05-18 | 2000-09-18 | Sutureless closure and deployment system for connecting blood vessels |
Publications (1)
Publication Number | Publication Date |
---|---|
US20040249400A1 true US20040249400A1 (en) | 2004-12-09 |
Family
ID=23219322
Family Applications (11)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/314,278 Expired - Lifetime US6428550B1 (en) | 1999-05-18 | 1999-05-18 | Sutureless closure and deployment system for connecting blood vessels |
US09/437,428 Expired - Lifetime US6419681B1 (en) | 1999-05-18 | 1999-11-15 | Implantable medical device such as an anastomosis device |
US09/440,263 Expired - Lifetime US6371964B1 (en) | 1999-05-18 | 1999-11-15 | Trocar for use in deploying an anastomosis device and method of performing anastomosis |
US09/664,588 Expired - Lifetime US6786914B1 (en) | 1999-05-18 | 2000-09-18 | Sutureless closure and deployment system for connecting blood vessels |
US09/664,589 Expired - Fee Related US6652541B1 (en) | 1999-05-18 | 2000-09-18 | Method of sutureless closure for connecting blood vessels |
US09/946,791 Expired - Lifetime US7175637B2 (en) | 1999-05-18 | 2001-09-04 | Sutureless closure and deployment system for connecting blood vessels |
US10/223,011 Expired - Lifetime US7128749B1 (en) | 1999-05-18 | 2002-08-16 | Sutureless closure and deployment system for connecting blood vessels |
US10/606,813 Expired - Lifetime US7172608B2 (en) | 1999-05-18 | 2003-06-26 | Sutureless closure and deployment system for connecting blood vessels |
US10/665,170 Expired - Lifetime US7611523B2 (en) | 1999-05-18 | 2003-09-18 | Method for sutureless connection of vessels |
US10/884,751 Abandoned US20040249400A1 (en) | 1999-05-18 | 2004-07-02 | Anastomosis device |
US11/615,752 Abandoned US20070106312A1 (en) | 1999-05-18 | 2006-12-22 | Method for Connecting Vessels |
Family Applications Before (9)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/314,278 Expired - Lifetime US6428550B1 (en) | 1999-05-18 | 1999-05-18 | Sutureless closure and deployment system for connecting blood vessels |
US09/437,428 Expired - Lifetime US6419681B1 (en) | 1999-05-18 | 1999-11-15 | Implantable medical device such as an anastomosis device |
US09/440,263 Expired - Lifetime US6371964B1 (en) | 1999-05-18 | 1999-11-15 | Trocar for use in deploying an anastomosis device and method of performing anastomosis |
US09/664,588 Expired - Lifetime US6786914B1 (en) | 1999-05-18 | 2000-09-18 | Sutureless closure and deployment system for connecting blood vessels |
US09/664,589 Expired - Fee Related US6652541B1 (en) | 1999-05-18 | 2000-09-18 | Method of sutureless closure for connecting blood vessels |
US09/946,791 Expired - Lifetime US7175637B2 (en) | 1999-05-18 | 2001-09-04 | Sutureless closure and deployment system for connecting blood vessels |
US10/223,011 Expired - Lifetime US7128749B1 (en) | 1999-05-18 | 2002-08-16 | Sutureless closure and deployment system for connecting blood vessels |
US10/606,813 Expired - Lifetime US7172608B2 (en) | 1999-05-18 | 2003-06-26 | Sutureless closure and deployment system for connecting blood vessels |
US10/665,170 Expired - Lifetime US7611523B2 (en) | 1999-05-18 | 2003-09-18 | Method for sutureless connection of vessels |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/615,752 Abandoned US20070106312A1 (en) | 1999-05-18 | 2006-12-22 | Method for Connecting Vessels |
Country Status (4)
Country | Link |
---|---|
US (11) | US6428550B1 (en) |
AU (1) | AU5588200A (en) |
DE (1) | DE10084620B4 (en) |
WO (3) | WO2000069346A1 (en) |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7351247B2 (en) | 2002-09-04 | 2008-04-01 | Bioconnect Systems, Inc. | Devices and methods for interconnecting body conduits |
US20100249920A1 (en) * | 2007-01-08 | 2010-09-30 | Millipede Llc | Reconfiguring heart features |
US7892247B2 (en) | 2001-10-03 | 2011-02-22 | Bioconnect Systems, Inc. | Devices and methods for interconnecting vessels |
US7892246B2 (en) | 1999-07-28 | 2011-02-22 | Bioconnect Systems, Inc. | Devices and methods for interconnecting conduits and closing openings in tissue |
ITBO20090713A1 (en) * | 2009-10-30 | 2011-04-30 | I & S Idee & Sviluppo S R L | TERMINAL-TERMINAL JOINT FOR THE UNION OF HEADS OF BODY DUCTS. |
US20110160751A1 (en) * | 2006-06-06 | 2011-06-30 | Luiz Gonzaga Granja Filho | Extraluminal stent type prosthesis for anastomosis |
US8366651B2 (en) | 2007-08-02 | 2013-02-05 | Bioconnect Systems, Inc. | Implantable flow connector |
US9180005B1 (en) | 2014-07-17 | 2015-11-10 | Millipede, Inc. | Adjustable endolumenal mitral valve ring |
US9192471B2 (en) | 2007-01-08 | 2015-11-24 | Millipede, Inc. | Device for translumenal reshaping of a mitral valve annulus |
US9282967B2 (en) | 2007-08-02 | 2016-03-15 | Bioconnect Systems, Inc. | Implantable flow connector |
US9314600B2 (en) | 2012-04-15 | 2016-04-19 | Bioconnect Systems, Inc. | Delivery system for implantable flow connector |
US9795480B2 (en) | 2010-08-24 | 2017-10-24 | Millipede, Inc. | Reconfiguring tissue features of a heart annulus |
US9848983B2 (en) | 2015-02-13 | 2017-12-26 | Millipede, Inc. | Valve replacement using rotational anchors |
US10335275B2 (en) | 2015-09-29 | 2019-07-02 | Millipede, Inc. | Methods for delivery of heart valve devices using intravascular ultrasound imaging |
US10434293B2 (en) | 2012-04-15 | 2019-10-08 | Tva Medical, Inc. | Implantable flow connector |
WO2019199948A1 (en) * | 2018-04-11 | 2019-10-17 | Vadovations, Inc. | Tissue interface apparatus, systems and methods |
US10543088B2 (en) | 2012-09-14 | 2020-01-28 | Boston Scientific Scimed, Inc. | Mitral valve inversion prostheses |
US10548731B2 (en) | 2017-02-10 | 2020-02-04 | Boston Scientific Scimed, Inc. | Implantable device and delivery system for reshaping a heart valve annulus |
US10555813B2 (en) | 2015-11-17 | 2020-02-11 | Boston Scientific Scimed, Inc. | Implantable device and delivery system for reshaping a heart valve annulus |
US10849755B2 (en) | 2012-09-14 | 2020-12-01 | Boston Scientific Scimed, Inc. | Mitral valve inversion prostheses |
Families Citing this family (247)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6811555B1 (en) * | 1996-09-16 | 2004-11-02 | Origin Medsystems, Inc. | Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue |
US6352543B1 (en) | 2000-04-29 | 2002-03-05 | Ventrica, Inc. | Methods for forming anastomoses using magnetic force |
US6651670B2 (en) | 1998-02-13 | 2003-11-25 | Ventrica, Inc. | Delivering a conduit into a heart wall to place a coronary vessel in communication with a heart chamber and removing tissue from the vessel or heart wall to facilitate such communication |
US20020144696A1 (en) | 1998-02-13 | 2002-10-10 | A. Adam Sharkawy | Conduits for use in placing a target vessel in fluid communication with a source of blood |
US6656215B1 (en) * | 2000-11-16 | 2003-12-02 | Cordis Corporation | Stent graft having an improved means for attaching a stent to a graft |
US20040049221A1 (en) * | 1998-05-29 | 2004-03-11 | By-Pass, Inc. | Method and apparatus for forming apertures in blood vessels |
US20040087985A1 (en) * | 1999-03-19 | 2004-05-06 | Amir Loshakove | Graft and connector delivery |
US20040097973A1 (en) * | 2000-03-20 | 2004-05-20 | Amir Loshakove | Transvascular bybass method and system |
US20040073247A1 (en) * | 1998-05-29 | 2004-04-15 | By-Pass, Inc. | Method and apparatus for forming apertures in blood vessels |
US20050101983A1 (en) * | 1998-05-29 | 2005-05-12 | By-Pass,Inc. | Method and apparatus for forming apertures in blood vessels |
US6726704B1 (en) | 1998-05-29 | 2004-04-27 | By-Pass, Inc. | Advanced closure device |
US6945980B2 (en) | 1998-06-03 | 2005-09-20 | Medtronic, Inc. | Multiple loop tissue connector apparatus and methods |
US6613059B2 (en) | 1999-03-01 | 2003-09-02 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6641593B1 (en) | 1998-06-03 | 2003-11-04 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6461320B1 (en) * | 1998-08-12 | 2002-10-08 | Cardica, Inc. | Method and system for attaching a graft to a blood vessel |
US8118822B2 (en) | 1999-03-01 | 2012-02-21 | Medtronic, Inc. | Bridge clip tissue connector apparatus and methods |
EP1161185A2 (en) * | 1999-03-09 | 2001-12-12 | St. Jude Medical Cardiovascular Group, Inc. | Medical grafting methods and apparatus |
US6695859B1 (en) | 1999-04-05 | 2004-02-24 | Coalescent Surgical, Inc. | Apparatus and methods for anastomosis |
US6623494B1 (en) | 1999-04-16 | 2003-09-23 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | Methods and systems for intraluminally directed vascular anastomosis |
US7981126B2 (en) | 1999-04-16 | 2011-07-19 | Vital Access Corporation | Locking compression plate anastomosis apparatus |
US7048751B2 (en) * | 2001-12-06 | 2006-05-23 | Cardica, Inc. | Implantable medical device such as an anastomosis device |
US6428550B1 (en) * | 1999-05-18 | 2002-08-06 | Cardica, Inc. | Sutureless closure and deployment system for connecting blood vessels |
AU5150600A (en) * | 1999-05-18 | 2000-12-05 | Vascular Innovations, Inc. | Tissue punch |
US6673088B1 (en) * | 1999-05-18 | 2004-01-06 | Cardica, Inc. | Tissue punch |
DK1055401T3 (en) * | 1999-05-26 | 2004-02-16 | Nec Tokin Corp | Device for anastomosis of blood vessels |
IL146801A0 (en) * | 1999-06-11 | 2002-07-25 | Pro Duct Health Inc | Gel composition for filling a breast milk duct prior to surgical excision of the duct or other breast tissue |
US7160312B2 (en) * | 1999-06-25 | 2007-01-09 | Usgi Medical, Inc. | Implantable artificial partition and methods of use |
US7955340B2 (en) | 1999-06-25 | 2011-06-07 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US6991643B2 (en) * | 2000-12-20 | 2006-01-31 | Usgi Medical Inc. | Multi-barbed device for retaining tissue in apposition and methods of use |
US7175644B2 (en) * | 2001-02-14 | 2007-02-13 | Broncus Technologies, Inc. | Devices and methods for maintaining collateral channels in tissue |
US7815590B2 (en) * | 1999-08-05 | 2010-10-19 | Broncus Technologies, Inc. | Devices for maintaining patency of surgically created channels in tissue |
ATE258768T1 (en) * | 1999-08-05 | 2004-02-15 | Broncus Tech Inc | METHOD AND DEVICES FOR PRODUCING COLLATERAL CHANNELS IN THE LUNGS |
US20030070676A1 (en) * | 1999-08-05 | 2003-04-17 | Cooper Joel D. | Conduits having distal cage structure for maintaining collateral channels in tissue and related methods |
US7422563B2 (en) * | 1999-08-05 | 2008-09-09 | Broncus Technologies, Inc. | Multifunctional tip catheter for applying energy to tissue and detecting the presence of blood flow |
US8529583B1 (en) | 1999-09-03 | 2013-09-10 | Medtronic, Inc. | Surgical clip removal apparatus |
US6926730B1 (en) | 2000-10-10 | 2005-08-09 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US6602263B1 (en) * | 1999-11-30 | 2003-08-05 | St. Jude Medical Atg, Inc. | Medical grafting methods and apparatus |
US6736825B2 (en) * | 1999-12-14 | 2004-05-18 | Integrated Vascular Interventional Technologies, L C (Ivit Lc) | Paired expandable anastomosis devices and related methods |
US6217600B1 (en) * | 2000-01-26 | 2001-04-17 | Scimed Life Systems, Inc. | Thrombus filter with break-away anchor members |
JP2003527189A (en) * | 2000-03-20 | 2003-09-16 | バイ−パス・インク. | Graft transfer system |
US6551332B1 (en) | 2000-03-31 | 2003-04-22 | Coalescent Surgical, Inc. | Multiple bias surgical fastener |
US6802847B1 (en) | 2000-04-29 | 2004-10-12 | Ventrica, Inc. | Devices and methods for forming magnetic anastomoses and ports in vessels |
US20050080439A1 (en) * | 2000-04-29 | 2005-04-14 | Carson Dean F. | Devices and methods for forming magnetic anastomoses and ports in vessels |
US7232449B2 (en) * | 2000-04-29 | 2007-06-19 | Medtronic, Inc. | Components, systems and methods for forming anastomoses using magnetism or other coupling means |
US8518062B2 (en) | 2000-04-29 | 2013-08-27 | Medtronic, Inc. | Devices and methods for forming magnetic anastomoses between vessels |
JP2004508884A (en) * | 2000-09-25 | 2004-03-25 | コヒージョン テクノロジーズ, インコーポレイテッド | Resorbable anastomotic stent and plug |
CA2424029C (en) | 2000-09-29 | 2008-01-29 | Cordis Corporation | Coated medical devices |
US6776785B1 (en) * | 2000-10-12 | 2004-08-17 | Cardica, Inc. | Implantable superelastic anastomosis device |
US7909837B2 (en) * | 2000-12-13 | 2011-03-22 | Medtronic, Inc. | Methods, devices and systems for forming magnetic anastomoses |
US20020143347A1 (en) * | 2000-12-13 | 2002-10-03 | Ventrica, Inc. | Extravascular anastomotic components and methods for forming vascular anastomoses |
WO2002058568A1 (en) * | 2001-01-24 | 2002-08-01 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US6890338B1 (en) * | 2001-02-27 | 2005-05-10 | Origin Medsystems, Inc. | Method and apparatus for performing anastomosis using ring having tines with weak sections |
FR2822370B1 (en) * | 2001-03-23 | 2004-03-05 | Perouse Lab | TUBULAR ENDOPROSTHESIS COMPRISING A DEFORMABLE RING AND REQUIRED OF INTERVENTION FOR ITS IMPLANTATION |
US20050234497A1 (en) * | 2001-04-16 | 2005-10-20 | David Hung | Externally positioned medical dilator |
JP2004528120A (en) * | 2001-05-14 | 2004-09-16 | セント ジュード メディカル エーティージー, インコーポレイテッド | Medical implantation method and device |
US6626920B2 (en) * | 2001-07-05 | 2003-09-30 | Converge Medical, Inc. | Distal anastomosis system |
US20030229365A1 (en) * | 2002-06-10 | 2003-12-11 | Whayne James G. | Angled vascular anastomosis system |
US7708712B2 (en) | 2001-09-04 | 2010-05-04 | Broncus Technologies, Inc. | Methods and devices for maintaining patency of surgically created channels in a body organ |
US7108701B2 (en) * | 2001-09-28 | 2006-09-19 | Ethicon, Inc. | Drug releasing anastomosis devices and methods for treating anastomotic sites |
US7241302B2 (en) | 2001-10-18 | 2007-07-10 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US7182771B1 (en) * | 2001-12-20 | 2007-02-27 | Russell A. Houser | Vascular couplers, techniques, methods, and accessories |
US6814743B2 (en) | 2001-12-26 | 2004-11-09 | Origin Medsystems, Inc. | Temporary seal and method for facilitating anastomosis |
US6652562B2 (en) | 2001-12-28 | 2003-11-25 | Ethicon, Inc. | Suture anchoring and tensioning device |
US7029482B1 (en) * | 2002-01-22 | 2006-04-18 | Cardica, Inc. | Integrated anastomosis system |
US8012164B1 (en) | 2002-01-22 | 2011-09-06 | Cardica, Inc. | Method and apparatus for creating an opening in the wall of a tubular vessel |
US6821286B1 (en) * | 2002-01-23 | 2004-11-23 | Cardica, Inc. | System for preparing a graft vessel for anastomosis |
US7335221B2 (en) * | 2002-04-12 | 2008-02-26 | Ethicon, Inc. | Suture anchoring and tensioning device and method for using same |
US6712795B1 (en) * | 2002-06-07 | 2004-03-30 | Lester Cohen | Surgical procedure and apparatus |
EP1551309A2 (en) * | 2002-06-13 | 2005-07-13 | Lee, Byung-don | Mechanical structures and implants using said structures |
WO2004000134A2 (en) | 2002-06-19 | 2003-12-31 | Tyco Healthcare Group, Lp | Method and apparatus for anastomosis including annular joining member |
US8348963B2 (en) * | 2002-07-03 | 2013-01-08 | Hlt, Inc. | Leaflet reinforcement for regurgitant valves |
NO20023605D0 (en) * | 2002-07-29 | 2002-07-29 | Sumit Roy | Method and apparatus for interconnecting two tubular members |
AU2002950736A0 (en) * | 2002-08-13 | 2002-09-12 | Mark Alexander John Newman | Occlusion device and method of performing an anastomosis |
EP1592367B1 (en) * | 2002-08-28 | 2016-04-13 | HLT, Inc. | Method and device for treating diseased valve |
US6896688B2 (en) * | 2002-09-12 | 2005-05-24 | Edrich Health Technologies, Inc. | Prosthetic vascular graft connector |
US8066724B2 (en) | 2002-09-12 | 2011-11-29 | Medtronic, Inc. | Anastomosis apparatus and methods |
WO2004028377A1 (en) * | 2002-09-25 | 2004-04-08 | By-Pass, Inc. | Anastomotic leg arrangement |
JP2006501946A (en) * | 2002-10-04 | 2006-01-19 | セント ジュード メディカル エーティージー, インコーポレイテッド | Self-expanding external connector for creating an anastomosis for small diameter vessels and methods of use thereof |
US7361181B2 (en) | 2002-10-04 | 2008-04-22 | St. Jude Medical Atg, Inc. | Apparatus and methods for creating anastomoses |
US8105345B2 (en) | 2002-10-04 | 2012-01-31 | Medtronic, Inc. | Anastomosis apparatus and methods |
US6960209B2 (en) * | 2002-10-23 | 2005-11-01 | Medtronic, Inc. | Electrosurgical methods and apparatus for making precise incisions in body vessels |
US8377082B2 (en) * | 2003-01-14 | 2013-02-19 | Medtronic, Inc. | Methods and apparatus for making precise incisions in body vessels |
US7223266B2 (en) | 2003-02-04 | 2007-05-29 | Cardiodex Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
WO2004087236A2 (en) * | 2003-03-28 | 2004-10-14 | Board Of Regents, The University Of Texas System | Stents and methods for creating an anastomosis |
WO2004086985A1 (en) | 2003-03-28 | 2004-10-14 | St Jude Medical Atg, Inc. | Apparatus for making anastomotic connections larger than the graft conduit |
US7377937B2 (en) * | 2003-04-22 | 2008-05-27 | Medtronic Vascular, Inc. | Stent-graft assembly with elution openings |
US7794471B1 (en) * | 2003-06-26 | 2010-09-14 | Cardica, Inc. | Compliant anastomosis system |
US8574246B1 (en) | 2004-06-25 | 2013-11-05 | Cardica, Inc. | Compliant anastomosis system utilizing suture |
US8308682B2 (en) * | 2003-07-18 | 2012-11-13 | Broncus Medical Inc. | Devices for maintaining patency of surgically created channels in tissue |
US8002740B2 (en) | 2003-07-18 | 2011-08-23 | Broncus Technologies, Inc. | Devices for maintaining patency of surgically created channels in tissue |
US7182769B2 (en) | 2003-07-25 | 2007-02-27 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
US20050043749A1 (en) * | 2003-08-22 | 2005-02-24 | Coalescent Surgical, Inc. | Eversion apparatus and methods |
US7371244B2 (en) * | 2003-08-25 | 2008-05-13 | Ethicon, Inc. | Deployment apparatus for suture anchoring device |
US7479150B2 (en) * | 2003-09-19 | 2009-01-20 | Tyco Healthcare Group Lp | Trocar insertion apparatus |
US8394114B2 (en) | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
US7879047B2 (en) | 2003-12-10 | 2011-02-01 | Medtronic, Inc. | Surgical connection apparatus and methods |
US20050149073A1 (en) * | 2003-12-17 | 2005-07-07 | Arani Djavad T. | Mechanisms and methods used in the anastomosis of biological conduits |
US20050165427A1 (en) | 2004-01-22 | 2005-07-28 | Jahns Scott E. | Vessel sealing devices |
US20050209614A1 (en) * | 2004-03-04 | 2005-09-22 | Fenter Felix W | Anastomosis apparatus and methods with computer-aided, automated features |
US20050216043A1 (en) * | 2004-03-26 | 2005-09-29 | Blatter Duane D | Stented end graft vessel device for anastomosis and related methods for percutaneous placement |
US8425539B2 (en) | 2004-04-12 | 2013-04-23 | Xlumena, Inc. | Luminal structure anchoring devices and methods |
US20050228413A1 (en) * | 2004-04-12 | 2005-10-13 | Binmoeller Kenneth F | Automated transluminal tissue targeting and anchoring devices and methods |
US8162963B2 (en) * | 2004-06-17 | 2012-04-24 | Maquet Cardiovascular Llc | Angled anastomosis device, tools and method of using |
US8409167B2 (en) | 2004-07-19 | 2013-04-02 | Broncus Medical Inc | Devices for delivering substances through an extra-anatomic opening created in an airway |
US9216015B2 (en) | 2004-10-28 | 2015-12-22 | Vycor Medical, Inc. | Apparatus and methods for performing brain surgery |
US8435236B2 (en) | 2004-11-22 | 2013-05-07 | Cardiodex, Ltd. | Techniques for heat-treating varicose veins |
US8328837B2 (en) * | 2004-12-08 | 2012-12-11 | Xlumena, Inc. | Method and apparatus for performing needle guided interventions |
US7763037B2 (en) * | 2005-03-18 | 2010-07-27 | Castlewood Surgical, Inc. | System and method for attaching a vein, an artery, or a tube in a vascular environment |
AR054656A1 (en) * | 2005-04-03 | 2007-07-11 | Liliana Rosa Grinfeld | STENT FOR OSTIAL INJURIES AND VASCULAR FORKS |
US7534247B2 (en) * | 2005-05-03 | 2009-05-19 | Ethicon Endo-Surgery, Inc. | Sheathless anastomotic ring applier device |
US7547311B2 (en) * | 2005-05-03 | 2009-06-16 | Ethicon Endo-Surgery, Inc. | Spring-based firing mechanism for anastomotic ring applier |
US7632285B2 (en) * | 2005-05-03 | 2009-12-15 | Ethicon Endo-Surgery, Inc. | Sheath for enabling insertion and extraction of anastomotic ring applier |
US7445622B2 (en) * | 2005-05-05 | 2008-11-04 | Ethicon Endo-Surgery, Inc. | Anastomotic ring applier with double motion actuation |
US8696662B2 (en) | 2005-05-12 | 2014-04-15 | Aesculap Ag | Electrocautery method and apparatus |
US7942874B2 (en) | 2005-05-12 | 2011-05-17 | Aragon Surgical, Inc. | Apparatus for tissue cauterization |
US9339323B2 (en) | 2005-05-12 | 2016-05-17 | Aesculap Ag | Electrocautery method and apparatus |
US8728072B2 (en) | 2005-05-12 | 2014-05-20 | Aesculap Ag | Electrocautery method and apparatus |
US9955969B2 (en) | 2005-05-26 | 2018-05-01 | Texas Heart Institute | Surgical system and method for attaching a prosthetic vessel to a hollow structure |
US7829177B2 (en) * | 2005-06-08 | 2010-11-09 | The Procter & Gamble Company | Web materials having offset emboss patterns disposed thereon |
US8777967B2 (en) * | 2005-06-09 | 2014-07-15 | Xlumena, Inc. | Methods and devices for anchoring to tissue |
US8784437B2 (en) * | 2005-06-09 | 2014-07-22 | Xlumena, Inc. | Methods and devices for endosonography-guided fundoplexy |
US20060287583A1 (en) * | 2005-06-17 | 2006-12-21 | Pool Cover Corporation | Surgical access instruments for use with delicate tissues |
WO2007002251A2 (en) * | 2005-06-22 | 2007-01-04 | Vycor Medical, Inc. | Surgical access instruments for use with spinal or orthopedic surgery |
WO2007004228A1 (en) * | 2005-07-06 | 2007-01-11 | Endogun Medical Systems Ltd. | Surgical fasteners and fastening devices |
DE102005046333B3 (en) * | 2005-09-27 | 2006-10-19 | Viega Gmbh & Co. Kg | Press-tool for connecting pipes has jaws whose rear ends can overlap as they are opened, allowing them to be used on large diameter pipes |
US20070100363A1 (en) * | 2005-10-27 | 2007-05-03 | Dollar Michael L | Aortic lancet |
US7473232B2 (en) * | 2006-02-24 | 2009-01-06 | Boston Scientific Scimed, Inc. | Obtaining a tissue sample |
US7373939B1 (en) | 2006-03-03 | 2008-05-20 | Cardica, Inc. | Tracheotomy procedure with integrated tool |
US20110071455A1 (en) * | 2006-04-06 | 2011-03-24 | Beane Richard M | Method and apparatus for suturelessly connecting a conduit to a hollow organ |
US8574229B2 (en) | 2006-05-02 | 2013-11-05 | Aesculap Ag | Surgical tool |
US7837706B2 (en) * | 2006-05-31 | 2010-11-23 | Boston Scientific Scimed, Inc. | Tissue attachment device, system, and method |
US8517933B2 (en) * | 2006-06-13 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Retraction of tissue for single port entry, robotically assisted medical procedures |
JP2008142533A (en) * | 2006-11-16 | 2008-06-26 | Manii Kk | Trocar |
WO2009023866A1 (en) * | 2007-08-15 | 2009-02-19 | Cardiodex Ltd. | Systems and methods for puncture closure |
US8165663B2 (en) | 2007-10-03 | 2012-04-24 | The Invention Science Fund I, Llc | Vasculature and lymphatic system imaging and ablation |
US8465515B2 (en) * | 2007-08-29 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Tissue retractors |
US8858576B2 (en) * | 2007-09-10 | 2014-10-14 | Olympus Medical Systems Corp. | Tissue fastening tool, stent, applicator for placing the same, and tissue fastening method through natural orifice |
US8285367B2 (en) | 2007-10-05 | 2012-10-09 | The Invention Science Fund I, Llc | Vasculature and lymphatic system imaging and ablation associated with a reservoir |
US8285366B2 (en) | 2007-10-04 | 2012-10-09 | The Invention Science Fund I, Llc | Vasculature and lymphatic system imaging and ablation associated with a local bypass |
US8128559B2 (en) * | 2007-11-26 | 2012-03-06 | Ethicon Endo-Surgery, Inc. | Tissue retractors |
US8517931B2 (en) * | 2007-11-26 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Tissue retractors |
US10166127B2 (en) | 2007-12-12 | 2019-01-01 | Intact Vascular, Inc. | Endoluminal device and method |
US9603730B2 (en) | 2007-12-12 | 2017-03-28 | Intact Vascular, Inc. | Endoluminal device and method |
US10022250B2 (en) | 2007-12-12 | 2018-07-17 | Intact Vascular, Inc. | Deployment device for placement of multiple intraluminal surgical staples |
US8128677B2 (en) | 2007-12-12 | 2012-03-06 | Intact Vascular LLC | Device and method for tacking plaque to a blood vessel wall |
US9375327B2 (en) | 2007-12-12 | 2016-06-28 | Intact Vascular, Inc. | Endovascular implant |
US7896911B2 (en) * | 2007-12-12 | 2011-03-01 | Innovasc Llc | Device and method for tacking plaque to blood vessel wall |
US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
US8764772B2 (en) | 2008-02-21 | 2014-07-01 | Cook Medical Technologies Llc | Occlusion device |
US8177836B2 (en) | 2008-03-10 | 2012-05-15 | Medtronic, Inc. | Apparatus and methods for minimally invasive valve repair |
US20090270971A1 (en) * | 2008-04-24 | 2009-10-29 | Medtronic Vascular, Inc. | Prosthesis Fixation Apparatus and Methods |
US20090281379A1 (en) * | 2008-05-12 | 2009-11-12 | Xlumena, Inc. | System and method for transluminal access |
US8454632B2 (en) * | 2008-05-12 | 2013-06-04 | Xlumena, Inc. | Tissue anchor for securing tissue layers |
US9232992B2 (en) * | 2008-07-24 | 2016-01-12 | Aga Medical Corporation | Multi-layered medical device for treating a target site and associated method |
US9055946B2 (en) * | 2008-11-26 | 2015-06-16 | Phraxis Inc. | Anastomotic connector |
US8905961B2 (en) * | 2008-12-19 | 2014-12-09 | St. Jude Medical, Inc. | Systems, apparatuses, and methods for cardiovascular conduits and connectors |
US8518060B2 (en) | 2009-04-09 | 2013-08-27 | Medtronic, Inc. | Medical clip with radial tines, system and method of using same |
US8540764B2 (en) * | 2009-04-17 | 2013-09-24 | Medtronic Vascular, Inc. | Mobile external coupling for branch vessel connection |
US20110137394A1 (en) * | 2009-05-29 | 2011-06-09 | Xlumena, Inc. | Methods and systems for penetrating adjacent tissue layers |
US20100268029A1 (en) * | 2009-04-21 | 2010-10-21 | Xlumena, Inc. | Methods and apparatus for advancing a device from one body lumen to another |
US9364259B2 (en) | 2009-04-21 | 2016-06-14 | Xlumena, Inc. | System and method for delivering expanding trocar through a sheath |
US8357193B2 (en) | 2009-05-29 | 2013-01-22 | Xlumena, Inc. | Apparatus and method for deploying stent across adjacent tissue layers |
US8668704B2 (en) | 2009-04-24 | 2014-03-11 | Medtronic, Inc. | Medical clip with tines, system and method of using same |
EP2445418B1 (en) * | 2009-06-26 | 2015-03-18 | Cook Medical Technologies LLC | Linear clamps for anastomosis |
DE102009041025A1 (en) * | 2009-09-14 | 2011-03-24 | Acandis Gmbh & Co. Kg | Medical implant |
US8845682B2 (en) | 2009-10-13 | 2014-09-30 | E-Pacing, Inc. | Vasculature closure devices and methods |
US8413872B2 (en) | 2009-10-28 | 2013-04-09 | Covidien Lp | Surgical fastening apparatus |
EP2496148B1 (en) | 2009-11-03 | 2013-11-20 | Cook Medical Technologies LLC | Planar clamps for anastomosis |
US8740970B2 (en) * | 2009-12-02 | 2014-06-03 | Castlewood Surgical, Inc. | System and method for attaching a vessel in a vascular environment |
US8870950B2 (en) * | 2009-12-08 | 2014-10-28 | Mitral Tech Ltd. | Rotation-based anchoring of an implant |
US20110144689A1 (en) * | 2009-12-15 | 2011-06-16 | Med Institute, Inc. | Occlusion Device |
US8343106B2 (en) | 2009-12-23 | 2013-01-01 | Alcon Research, Ltd. | Ophthalmic valved trocar vent |
US8277418B2 (en) | 2009-12-23 | 2012-10-02 | Alcon Research, Ltd. | Ophthalmic valved trocar cannula |
US8870898B2 (en) | 2010-01-05 | 2014-10-28 | GI Windows, Inc. | Self-assembling magnetic anastomosis device having an exoskeleton |
BR112012003356B1 (en) | 2010-02-04 | 2021-02-02 | Aesculap Ag | electrosurgical device |
US20110224785A1 (en) | 2010-03-10 | 2011-09-15 | Hacohen Gil | Prosthetic mitral valve with tissue anchors |
US8419727B2 (en) | 2010-03-26 | 2013-04-16 | Aesculap Ag | Impedance mediated power delivery for electrosurgery |
US8827992B2 (en) | 2010-03-26 | 2014-09-09 | Aesculap Ag | Impedance mediated control of power delivery for electrosurgery |
WO2011130388A1 (en) | 2010-04-14 | 2011-10-20 | Surti Vihar C | System for creating anastomoses |
RU2444306C1 (en) * | 2010-06-28 | 2012-03-10 | Государственное образовательное учреждение высшего профессионального образования Тюменская государственная медицинская академия Федерального агентства по здравоохранению и социальному развитию (ГОУ ВПО ТюмГМА Росздрава) | Method of reducing intra-abdominal pressure in case of obesity in abdominal surgery |
US11653910B2 (en) | 2010-07-21 | 2023-05-23 | Cardiovalve Ltd. | Helical anchor implantation |
US8992604B2 (en) | 2010-07-21 | 2015-03-31 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US9132009B2 (en) | 2010-07-21 | 2015-09-15 | Mitraltech Ltd. | Guide wires with commissural anchors to advance a prosthetic valve |
US9763657B2 (en) | 2010-07-21 | 2017-09-19 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US9173698B2 (en) | 2010-09-17 | 2015-11-03 | Aesculap Ag | Electrosurgical tissue sealing augmented with a seal-enhancing composition |
US9345484B2 (en) | 2010-11-11 | 2016-05-24 | Asfora Ip, Llc | Deployment tool for sutureless vascular anastomosis connection |
US9271733B2 (en) | 2010-11-11 | 2016-03-01 | Willson T. Asfora | Sutureless vascular anastomosis connection |
JP6235345B2 (en) | 2011-03-08 | 2017-11-22 | ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティドW.L. Gore & Associates, Incorporated | Medical device for use with stoma |
US9050163B2 (en) | 2011-03-21 | 2015-06-09 | Endo Pharmaceuticals Inc. | Urethral anastomosis device and method |
WO2012158530A1 (en) | 2011-05-13 | 2012-11-22 | Broncus Technologies, Inc. | Methods and devices for ablation of tissue |
US8709034B2 (en) | 2011-05-13 | 2014-04-29 | Broncus Medical Inc. | Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall |
US10285831B2 (en) | 2011-06-03 | 2019-05-14 | Intact Vascular, Inc. | Endovascular implant |
WO2012174389A1 (en) * | 2011-06-15 | 2012-12-20 | Phraxis Inc. | Anastomotic connector and system for delivery |
US9597443B2 (en) | 2011-06-15 | 2017-03-21 | Phraxis, Inc. | Anastomotic connector |
US9339327B2 (en) | 2011-06-28 | 2016-05-17 | Aesculap Ag | Electrosurgical tissue dissecting device |
US8852272B2 (en) | 2011-08-05 | 2014-10-07 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US20140324164A1 (en) | 2011-08-05 | 2014-10-30 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
EP3417813B1 (en) | 2011-08-05 | 2020-05-13 | Cardiovalve Ltd | Percutaneous mitral valve replacement |
WO2013021374A2 (en) | 2011-08-05 | 2013-02-14 | Mitraltech Ltd. | Techniques for percutaneous mitral valve replacement and sealing |
US10213329B2 (en) | 2011-08-12 | 2019-02-26 | W. L. Gore & Associates, Inc. | Evertable sheath devices, systems, and methods |
WO2013078235A1 (en) | 2011-11-23 | 2013-05-30 | Broncus Medical Inc | Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall |
EP3733134A1 (en) | 2012-01-25 | 2020-11-04 | Intact Vascular, Inc. | Endoluminal device |
US9482604B2 (en) * | 2012-04-17 | 2016-11-01 | Northeastern University | Equi-biaxial membrane stretcher |
US10952732B2 (en) | 2013-02-21 | 2021-03-23 | Boston Scientific Scimed Inc. | Devices and methods for forming an anastomosis |
JP6360042B2 (en) | 2012-05-17 | 2018-07-18 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | Method and device for access across adjacent tissue layers |
WO2013187927A1 (en) | 2012-06-15 | 2013-12-19 | Phraxis Inc. | Arterial and venous anchor devices forming an anastomotic connector and system for delivery |
US9872724B2 (en) | 2012-09-26 | 2018-01-23 | Aesculap Ag | Apparatus for tissue cutting and sealing |
US9750595B2 (en) | 2012-09-28 | 2017-09-05 | Covidien Lp | Implantable medical devices which include grip-members and methods of use thereof |
US20150351906A1 (en) | 2013-01-24 | 2015-12-10 | Mitraltech Ltd. | Ventricularly-anchored prosthetic valves |
US9763819B1 (en) | 2013-03-05 | 2017-09-19 | W. L. Gore & Associates, Inc. | Tapered sleeve |
WO2015009634A2 (en) | 2013-07-15 | 2015-01-22 | E-Pacing, Inc. | Vasculature closure devices and methods |
US9907641B2 (en) | 2014-01-10 | 2018-03-06 | W. L. Gore & Associates, Inc. | Implantable intraluminal device |
US10966850B2 (en) | 2014-03-06 | 2021-04-06 | W. L. Gore & Associates, Inc. | Implantable medical device constraint and deployment apparatus |
US11712230B2 (en) | 2014-05-02 | 2023-08-01 | W. L. Gore & Associates, Inc. | Occluder and anastomosis devices |
US11439396B2 (en) | 2014-05-02 | 2022-09-13 | W. L. Gore & Associates, Inc. | Occluder and anastomosis devices |
US10004509B2 (en) * | 2014-05-02 | 2018-06-26 | W. L. Gore & Associates, Inc. | Anastomosis devices |
JP2017515593A (en) | 2014-05-13 | 2017-06-15 | ビコール メディカル,インコーポレイティド | Guide system attachment for a surgical introducer |
EP4066786A1 (en) | 2014-07-30 | 2022-10-05 | Cardiovalve Ltd. | Articulatable prosthetic valve |
US9375336B1 (en) | 2015-01-29 | 2016-06-28 | Intact Vascular, Inc. | Delivery device and method of delivery |
US9433520B2 (en) | 2015-01-29 | 2016-09-06 | Intact Vascular, Inc. | Delivery device and method of delivery |
US9974651B2 (en) | 2015-02-05 | 2018-05-22 | Mitral Tech Ltd. | Prosthetic valve with axially-sliding frames |
WO2016125160A1 (en) | 2015-02-05 | 2016-08-11 | Mitraltech Ltd. | Prosthetic valve with axially-sliding frames |
WO2017040264A1 (en) | 2015-08-28 | 2017-03-09 | Heartware, Inc. | Dilation delivery system for a medical device |
US10993824B2 (en) | 2016-01-01 | 2021-05-04 | Intact Vascular, Inc. | Delivery device and method of delivery |
US10531866B2 (en) | 2016-02-16 | 2020-01-14 | Cardiovalve Ltd. | Techniques for providing a replacement valve and transseptal communication |
US20170231747A1 (en) * | 2016-02-16 | 2017-08-17 | Peter Sayet | Extraluminal Urethral Prostate Shield Apparatus |
USD800908S1 (en) | 2016-08-10 | 2017-10-24 | Mitraltech Ltd. | Prosthetic valve element |
EP3848003A1 (en) | 2016-08-10 | 2021-07-14 | Cardiovalve Ltd. | Prosthetic valve with concentric frames |
US10376258B2 (en) | 2016-11-07 | 2019-08-13 | Vycor Medical, Inc. | Surgical introducer with guidance system receptacle |
US10543016B2 (en) | 2016-11-07 | 2020-01-28 | Vycor Medical, Inc. | Surgical introducer with guidance system receptacle |
US11724075B2 (en) | 2017-04-18 | 2023-08-15 | W. L. Gore & Associates, Inc. | Deployment constraining sheath that enables staged deployment by device section |
US11660218B2 (en) | 2017-07-26 | 2023-05-30 | Intact Vascular, Inc. | Delivery device and method of delivery |
US11793633B2 (en) | 2017-08-03 | 2023-10-24 | Cardiovalve Ltd. | Prosthetic heart valve |
US10575948B2 (en) | 2017-08-03 | 2020-03-03 | Cardiovalve Ltd. | Prosthetic heart valve |
US11246704B2 (en) | 2017-08-03 | 2022-02-15 | Cardiovalve Ltd. | Prosthetic heart valve |
US10537426B2 (en) | 2017-08-03 | 2020-01-21 | Cardiovalve Ltd. | Prosthetic heart valve |
US10888421B2 (en) | 2017-09-19 | 2021-01-12 | Cardiovalve Ltd. | Prosthetic heart valve with pouch |
US11540933B2 (en) | 2017-10-11 | 2023-01-03 | W. L. Gore & Associates, Inc. | Implantable medical device constraint and deployment apparatus |
GB201720803D0 (en) | 2017-12-13 | 2018-01-24 | Mitraltech Ltd | Prosthetic Valve and delivery tool therefor |
GB201800399D0 (en) | 2018-01-10 | 2018-02-21 | Mitraltech Ltd | Temperature-control during crimping of an implant |
US11338123B2 (en) | 2018-02-01 | 2022-05-24 | Nupulsecv, Inc. | Blood pump devices and associated systems and methods |
US20210069403A1 (en) * | 2018-02-08 | 2021-03-11 | Phraxis Inc. | One piece anastomotic connector |
WO2019232527A1 (en) | 2018-06-02 | 2019-12-05 | G.I. Windows, Inc. | Systems, devices, and methods for forming anastomoses |
CN109700525A (en) * | 2018-12-28 | 2019-05-03 | 先健科技(深圳)有限公司 | Stoma instrument |
CN109646067B (en) * | 2019-02-28 | 2024-02-23 | 上海交通大学医学院附属第九人民医院 | Vascular anastomat |
US20240082474A1 (en) | 2021-03-30 | 2024-03-14 | Sorin Grunwald | Devices and methods for fistula-free hemodialysis |
JP2024516146A (en) | 2021-04-20 | 2024-04-12 | ジーアイ ウィンドウズ, インコーポレイテッド | Systems, devices and methods for endoscopic or laparoscopic magnetic navigation - Patents.com |
Citations (89)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2370776A (en) * | 1943-08-25 | 1945-03-06 | Jack & Heintz Inc | Riveting apparatus |
US4018228A (en) * | 1975-02-24 | 1977-04-19 | Goosen Carl C | Surgical punch apparatus |
US4366819A (en) * | 1980-11-17 | 1983-01-04 | Kaster Robert L | Anastomotic fitting |
US4368736A (en) * | 1980-11-17 | 1983-01-18 | Kaster Robert L | Anastomotic fitting |
US4503568A (en) * | 1981-11-25 | 1985-03-12 | New England Deaconess Hospital | Small diameter vascular bypass and method |
US4577631A (en) * | 1984-11-16 | 1986-03-25 | Kreamer Jeffry W | Aneurysm repair apparatus and method |
US4589416A (en) * | 1983-10-04 | 1986-05-20 | United States Surgical Corporation | Surgical fastener retainer member assembly |
US4657019A (en) * | 1984-04-10 | 1987-04-14 | Idea Research Investment Fund, Inc. | Anastomosis devices and kits |
US4665906A (en) * | 1983-10-14 | 1987-05-19 | Raychem Corporation | Medical devices incorporating sim alloy elements |
US4721109A (en) * | 1986-04-08 | 1988-01-26 | Healey Maureen A | Temporary anastomotic device |
US4747407A (en) * | 1985-09-03 | 1988-05-31 | The Field Surgery Research Department of the Third Military Medical University | Blood vessel anastomat |
US4892098A (en) * | 1985-06-26 | 1990-01-09 | Sauer Jude S | Tubular tissue welding device without moving parts |
US4907591A (en) * | 1988-03-29 | 1990-03-13 | Pfizer Hospital Products Group, Inc. | Surgical instrument for establishing compression anastomosis |
US4917087A (en) * | 1984-04-10 | 1990-04-17 | Walsh Manufacturing (Mississuaga) Limited | Anastomosis devices, kits and method |
US4917091A (en) * | 1982-06-24 | 1990-04-17 | Unilink Ab | Annular fastening means |
US4917090A (en) * | 1982-06-24 | 1990-04-17 | Unilink, Inc. | Method for performing an anastomosis |
US4929240A (en) * | 1983-12-01 | 1990-05-29 | University Of New Mexico | Surgical clip and applier |
US5005749A (en) * | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
US5015238A (en) * | 1989-06-21 | 1991-05-14 | Becton, Dickinson And Company | Expandable obturator and catheter assembly including same |
US5089006A (en) * | 1989-11-29 | 1992-02-18 | Stiles Frank B | Biological duct liner and installation catheter |
US5100423A (en) * | 1990-08-21 | 1992-03-31 | Medical Engineering & Development Institute, Inc. | Ablation catheter |
US5104025A (en) * | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
US5178634A (en) * | 1989-03-31 | 1993-01-12 | Wilson Ramos Martinez | Aortic valved tubes for human implants |
US5187796A (en) * | 1988-03-29 | 1993-02-16 | Computer Motion, Inc. | Three-dimensional vector co-processor having I, J, and K register files and I, J, and K execution units |
US5192289A (en) * | 1989-03-09 | 1993-03-09 | Avatar Design And Development, Inc. | Anastomosis stent and stent selection system |
US5192294A (en) * | 1989-05-02 | 1993-03-09 | Blake Joseph W Iii | Disposable vascular punch |
US5193731A (en) * | 1988-07-01 | 1993-03-16 | United States Surgical Corporation | Anastomosis surgical stapling instrument |
US5199983A (en) * | 1989-05-30 | 1993-04-06 | Toda Kogyo Corp. | Black pigment particles |
US5205459A (en) * | 1991-08-23 | 1993-04-27 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5211683A (en) * | 1991-07-03 | 1993-05-18 | Maginot Thomas J | Method of implanting a graft prosthesis in the body of a patient |
US5304220A (en) * | 1991-07-03 | 1994-04-19 | Maginot Thomas J | Method and apparatus for implanting a graft prosthesis in the body of a patient |
US5314435A (en) * | 1992-05-19 | 1994-05-24 | United States Surgical Corporation | Anvil delivery system |
US5392979A (en) * | 1987-05-26 | 1995-02-28 | United States Surgical Corporation | Surgical stapler apparatus |
US5395030A (en) * | 1992-06-04 | 1995-03-07 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
US5395311A (en) * | 1990-05-14 | 1995-03-07 | Andrews; Winston A. | Atherectomy catheter |
US5401131A (en) * | 1992-07-10 | 1995-03-28 | Yoshino Seiki Inc. | Expansion anchor |
US5403338A (en) * | 1992-01-21 | 1995-04-04 | Scanlan International, Inc. | Punch for opening passages between two compartments |
US5503635A (en) * | 1993-11-12 | 1996-04-02 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
US5515478A (en) * | 1992-08-10 | 1996-05-07 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5603721A (en) * | 1991-10-28 | 1997-02-18 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5707362A (en) * | 1992-04-15 | 1998-01-13 | Yoon; Inbae | Penetrating instrument having an expandable anchoring portion for triggering protrusion of a safety member and/or retraction of a penetrating member |
US5709335A (en) * | 1994-06-17 | 1998-01-20 | Heartport, Inc. | Surgical stapling instrument and method thereof |
US5720756A (en) * | 1992-10-09 | 1998-02-24 | United States Surgical Corporation | Surgical clip applier |
US5725553A (en) * | 1996-02-29 | 1998-03-10 | Moenning; Stephen P. | Apparatus and method for protecting a port site opening in the wall of a body cavity |
US5725544A (en) * | 1993-12-23 | 1998-03-10 | Oticon A/S | Method and instrument for establishing the receiving site of a coronary artery bypass graft |
US5732872A (en) * | 1994-06-17 | 1998-03-31 | Heartport, Inc. | Surgical stapling instrument |
US5754741A (en) * | 1992-08-10 | 1998-05-19 | Computer Motion, Inc. | Automated endoscope for optimal positioning |
US5755778A (en) * | 1996-10-16 | 1998-05-26 | Nitinol Medical Technologies, Inc. | Anastomosis device |
US5855583A (en) * | 1996-02-20 | 1999-01-05 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5868761A (en) * | 1992-10-09 | 1999-02-09 | United States Surgical Corporation | Surgical clip applier |
US5868763A (en) * | 1996-09-16 | 1999-02-09 | Guidant Corporation | Means and methods for performing an anastomosis |
US5871495A (en) * | 1996-09-13 | 1999-02-16 | Eclipse Surgical Technologies, Inc. | Method and apparatus for mechanical transmyocardial revascularization of the heart |
US5875782A (en) * | 1996-11-14 | 1999-03-02 | Cardiothoracic Systems, Inc. | Methods and devices for minimally invasive coronary artery revascularization on a beating heart without cardiopulmonary bypass |
US5878193A (en) * | 1992-08-10 | 1999-03-02 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5879371A (en) * | 1997-01-09 | 1999-03-09 | Elective Vascular Interventions, Inc. | Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery |
US5881943A (en) * | 1994-06-17 | 1999-03-16 | Heartport, Inc. | Surgical anastomosis apparatus and method thereof |
US5893369A (en) * | 1997-02-24 | 1999-04-13 | Lemole; Gerald M. | Procedure for bypassing an occlusion in a blood vessel |
US5904697A (en) * | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5907664A (en) * | 1992-08-10 | 1999-05-25 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US6013190A (en) * | 1998-01-21 | 2000-01-11 | Vascular Science Inc. | Catheters with integrated lumen and methods of their manufacture and use |
US6015416A (en) * | 1998-02-26 | 2000-01-18 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
US6022367A (en) * | 1997-06-18 | 2000-02-08 | United States Surgical | Surgical apparatus for forming a hole in a blood vessel |
US6027748A (en) * | 1997-01-08 | 2000-02-22 | Jagotec Ag | Pharmaceutical tablet, completely coated, for controlled release of active principles that present problems of bio-availability linked to gastro-intestinal absorption |
US6030395A (en) * | 1997-05-22 | 2000-02-29 | Kensey Nash Corporation | Anastomosis connection system |
US6030370A (en) * | 1997-02-05 | 2000-02-29 | Aesculap Ag And Co. Kg | Surgical instrument |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US6036704A (en) * | 1999-05-13 | 2000-03-14 | Yoon; Inbae | Anastomosis apparatus and method for anastomosing an anatomical tubular structure |
US6036703A (en) * | 1998-02-06 | 2000-03-14 | Ethicon Endo-Surgery Inc. | Method and apparatus for establishing anastomotic passageways |
US6036700A (en) * | 1998-07-14 | 2000-03-14 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
US6036702A (en) * | 1997-04-23 | 2000-03-14 | Vascular Science Inc. | Medical grafting connectors and fasteners |
US6050472A (en) * | 1996-04-26 | 2000-04-18 | Olympus Optical Co., Ltd. | Surgical anastomosis stapler |
US6053390A (en) * | 1992-05-19 | 2000-04-25 | United States Surgical | Anvil for surgical stapler |
US6167889B1 (en) * | 1995-04-10 | 2001-01-02 | Cardiothoracic Systems, Inc. | Method for coronary artery bypass |
US6171319B1 (en) * | 1997-05-19 | 2001-01-09 | Cardio Medical Solutions, Inc. | Anastomosis device with hole punch |
US6176864B1 (en) * | 1998-03-09 | 2001-01-23 | Corvascular, Inc. | Anastomosis device and method |
US6179848B1 (en) * | 1996-07-24 | 2001-01-30 | Jan Otto Solem | Anastomotic fitting |
US6187020B1 (en) * | 1998-04-17 | 2001-02-13 | Laboratoire Perouse Implant | Connecting device for anastomosis, device for fitting fasteners and implant including them |
US6186942B1 (en) * | 1997-04-23 | 2001-02-13 | St. Jude Medical Cardiovascular Group, Inc. | Medical grafting methods and apparatus |
US6190396B1 (en) * | 1999-09-14 | 2001-02-20 | Perclose, Inc. | Device and method for deploying and organizing sutures for anastomotic and other attachments |
US6190590B1 (en) * | 1996-02-28 | 2001-02-20 | Impra, Inc. | Apparatus and method for making flanged graft for end-to-side anastomosis |
US6193129B1 (en) * | 2000-01-24 | 2001-02-27 | Ethicon Endo-Surgery, Inc. | Cutting blade for a surgical anastomosis stapling instrument |
US6193734B1 (en) * | 1998-01-23 | 2001-02-27 | Heartport, Inc. | System for performing vascular anastomoses |
US6206913B1 (en) * | 1998-08-12 | 2001-03-27 | Vascular Innovations, Inc. | Method and system for attaching a graft to a blood vessel |
US6206912B1 (en) * | 1996-11-07 | 2001-03-27 | St. Jude Medical Anastomotic Technology Group Inc. | Medical grafting methods and apparatus |
US6371964B1 (en) * | 1999-05-18 | 2002-04-16 | Vascular Innovations, Inc. | Trocar for use in deploying an anastomosis device and method of performing anastomosis |
US20030065342A1 (en) * | 2001-09-28 | 2003-04-03 | Nobis Rudolph H. | Surgical device for creating an anastomosis between first and second hollow organs |
US6673088B1 (en) * | 1999-05-18 | 2004-01-06 | Cardica, Inc. | Tissue punch |
US6695859B1 (en) * | 1999-04-05 | 2004-02-24 | Coalescent Surgical, Inc. | Apparatus and methods for anastomosis |
US6699256B1 (en) * | 1999-06-04 | 2004-03-02 | St. Jude Medical Atg, Inc. | Medical grafting apparatus and methods |
Family Cites Families (132)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3254650A (en) | 1962-03-19 | 1966-06-07 | Michael B Collito | Surgical anastomosis methods and devices |
US3254651A (en) | 1962-09-12 | 1966-06-07 | Babies Hospital | Surgical anastomosis methods and devices |
US3519187A (en) | 1966-12-06 | 1970-07-07 | Nickolai Nickolajevich Kapitan | Instrument for suturing vessels |
US3774615A (en) | 1971-02-08 | 1973-11-27 | Ceskoslovenska Akademie Ved | Device for connecting or joining the ends of interrupted tubular organs in surgical operations without stitching |
US3777538A (en) * | 1972-03-15 | 1973-12-11 | Weck & Co Edward | Surgical clip applicator |
SU571253A1 (en) | 1975-07-11 | 1977-09-05 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Apparatus fir suturing vessels with metal clips |
US3995619A (en) * | 1975-10-14 | 1976-12-07 | Glatzer Stephen G | Combination subcutaneous suture remover, biopsy sampler and syringe |
US4118806A (en) | 1976-02-04 | 1978-10-10 | Thermo Electron Corporation | Prosthetic blood vessel |
US4603693A (en) | 1977-05-26 | 1986-08-05 | United States Surgical Corporation | Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor |
US4217664A (en) | 1979-02-02 | 1980-08-19 | Faso Joseph M | Prosthesis and method for creating a stoma |
US4214587A (en) | 1979-02-12 | 1980-07-29 | Sakura Chester Y Jr | Anastomosis device and method |
SU1088712A1 (en) | 1979-11-14 | 1984-04-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Apparatus for circular suture of blood vessels |
US4352358A (en) | 1979-12-28 | 1982-10-05 | Angelchik Jean P | Apparatus for effecting anastomotic procedures |
US4534761A (en) | 1981-08-14 | 1985-08-13 | Bentley Laboratories, Inc. | Implant device |
US4624255A (en) | 1982-02-18 | 1986-11-25 | Schenck Robert R | Apparatus for anastomosing living vessels |
US4474181A (en) | 1982-02-18 | 1984-10-02 | Schenck Robert R | Method and apparatus for anastomosing small blood vessels |
US4523592A (en) | 1983-04-25 | 1985-06-18 | Rollin K. Daniel P.S.C. | Anastomotic coupling means capable of end-to-end and end-to-side anastomosis |
US4607637A (en) | 1983-07-22 | 1986-08-26 | Anders Berggren | Surgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements for performing anastomosis |
US4625727A (en) | 1985-01-24 | 1986-12-02 | Leiboff Arnold R | Anastomosis device with excisable frame |
US4593693A (en) | 1985-04-26 | 1986-06-10 | Schenck Robert R | Methods and apparatus for anastomosing living vessels |
US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
GB8625679D0 (en) | 1986-10-27 | 1986-11-26 | Ethicon Inc | Synthetic vascular grafts |
US4861330A (en) | 1987-03-12 | 1989-08-29 | Gene Voss | Cardiac assist device and method |
US5119983A (en) | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
US5478353A (en) | 1987-05-14 | 1995-12-26 | Yoon; Inbae | Suture tie device system and method for suturing anatomical tissue proximate an opening |
US4773420A (en) | 1987-06-22 | 1988-09-27 | U.S. Surgical Corporation | Purse string applicator |
US4875815A (en) * | 1988-03-17 | 1989-10-24 | The B. F. Goodrich Company | Blind fastener |
US5336233A (en) | 1989-01-26 | 1994-08-09 | Chen Fusen H | Anastomotic device |
US4930674A (en) | 1989-02-24 | 1990-06-05 | Abiomed, Inc. | Surgical stapler |
US5171262A (en) | 1989-06-15 | 1992-12-15 | Cordis Corporation | Non-woven endoprosthesis |
US5062842A (en) | 1989-12-21 | 1991-11-05 | Coherent, Inc. | Isotopic co2 laser and method of use for medical treatment |
US5345927A (en) * | 1990-03-02 | 1994-09-13 | Bonutti Peter M | Arthroscopic retractors |
IT1239955B (en) | 1990-05-07 | 1993-11-27 | Carlo Rebuffat | FRAGMENTABLE ANASTOMOTIC DEVICE |
US5156619A (en) | 1990-06-15 | 1992-10-20 | Ehrenfeld William K | Flanged end-to-side vascular graft |
US5540677A (en) | 1990-06-15 | 1996-07-30 | Rare Earth Medical, Inc. | Endoscopic systems for photoreactive suturing of biological materials |
US5366462A (en) | 1990-08-28 | 1994-11-22 | Robert L. Kaster | Method of side-to-end vascular anastomotic stapling |
US5234447A (en) | 1990-08-28 | 1993-08-10 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
US5129913A (en) | 1990-10-04 | 1992-07-14 | Norbert Ruppert | Surgical punch apparatus |
CA2096651A1 (en) * | 1990-11-20 | 1992-05-21 | Robert S. Behl | Tension guide and dilator |
US5250058A (en) | 1991-01-17 | 1993-10-05 | Ethicon, Inc. | Absorbable anastomosic fastener means |
US5222963A (en) | 1991-01-17 | 1993-06-29 | Ethicon, Inc. | Pull-through circular anastomosic intraluminal stapler with absorbable fastener means |
US5156613A (en) | 1991-02-13 | 1992-10-20 | Interface Biomedical Laboratories Corp. | Collagen welding rod material for use in tissue welding |
US5669934A (en) | 1991-02-13 | 1997-09-23 | Fusion Medical Technologies, Inc. | Methods for joining tissue by applying radiofrequency energy to performed collagen films and sheets |
WO1993000868A1 (en) | 1991-07-04 | 1993-01-21 | Earl Ronald Owen | Tubular surgical implant |
US5217474A (en) | 1991-07-15 | 1993-06-08 | Zacca Nadim M | Expandable tip atherectomy method and apparatus |
US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
US5333773A (en) | 1991-08-23 | 1994-08-02 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
US5443198A (en) | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5324299A (en) | 1992-02-03 | 1994-06-28 | Ultracision, Inc. | Ultrasonic scalpel blade and methods of application |
US5470320A (en) | 1992-04-10 | 1995-11-28 | Tiefenbrun; Jonathan | Method and related device for obtaining access to a hollow organ |
US5540712A (en) * | 1992-05-01 | 1996-07-30 | Nitinol Medical Technologies, Inc. | Stent and method and apparatus for forming and delivering the same |
US5326205A (en) * | 1992-05-27 | 1994-07-05 | Anspach Jr William E | Expandable rivet assembly |
US5250060A (en) | 1992-06-26 | 1993-10-05 | Carbo Paul L | Angioplasty apparatus |
US5221281A (en) | 1992-06-30 | 1993-06-22 | Valleylab Inc. | Electrosurgical tubular trocar |
US5762458A (en) | 1996-02-20 | 1998-06-09 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5725538A (en) | 1992-10-09 | 1998-03-10 | United States Surgical Corporation | Surgical clip applier |
US5522834A (en) | 1992-10-15 | 1996-06-04 | Applied Medical Resources Corporation | Internal mammary artery catheter and method |
US5354302A (en) | 1992-11-06 | 1994-10-11 | Ko Sung Tao | Medical device and method for facilitating intra-tissue visual observation and manipulation of distensible tissues |
US5364389A (en) | 1992-11-25 | 1994-11-15 | Premier Laser Systems, Inc. | Method and apparatus for sealing and/or grasping luminal tissue |
US5814073A (en) | 1996-12-13 | 1998-09-29 | Bonutti; Peter M. | Method and apparatus for positioning a suture anchor |
US5799661A (en) | 1993-02-22 | 1998-09-01 | Heartport, Inc. | Devices and methods for port-access multivessel coronary artery bypass surgery |
US5464449A (en) | 1993-07-08 | 1995-11-07 | Thomas J. Fogarty | Internal graft prosthesis and delivery system |
US5478354A (en) | 1993-07-14 | 1995-12-26 | United States Surgical Corporation | Wound closing apparatus and method |
US5454825A (en) | 1993-10-01 | 1995-10-03 | United States Surgical Corporation | Circular anastomosis device with seal |
US5447514A (en) | 1993-10-01 | 1995-09-05 | United States Surgical Corporation | Circular anastomosis device |
CA2132917C (en) | 1993-10-07 | 2004-12-14 | John Charles Robertson | Circular anastomosis device |
WO1995013033A1 (en) | 1993-11-08 | 1995-05-18 | Lazarus Harrison M | Intraluminal vascular graft and method |
US5443497A (en) | 1993-11-22 | 1995-08-22 | The Johns Hopkins University | Percutaneous prosthetic by-pass graft and method of use |
WO1995016396A1 (en) | 1993-12-15 | 1995-06-22 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5782397A (en) * | 1994-01-04 | 1998-07-21 | Alpha Surgical Technologies, Inc. | Stapling device |
US5465895A (en) | 1994-02-03 | 1995-11-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler instrument |
US5503835A (en) | 1994-04-19 | 1996-04-02 | Van Roekel; John H. | Transport package for specimen containers |
US5397355A (en) * | 1994-07-19 | 1995-03-14 | Stentco, Inc. | Intraluminal stent |
AU708360B2 (en) | 1994-09-15 | 1999-08-05 | C.R. Bard Inc. | Hooked endoprosthesis |
US5645520A (en) | 1994-10-12 | 1997-07-08 | Computer Motion, Inc. | Shape memory alloy actuated rod for endoscopic instruments |
JP2911763B2 (en) | 1994-10-27 | 1999-06-23 | 三桜子 布川 | Artificial blood vessel |
AU3783195A (en) * | 1994-11-15 | 1996-05-23 | Advanced Cardiovascular Systems Inc. | Intraluminal stent for attaching a graft |
US5558667A (en) | 1994-12-14 | 1996-09-24 | Coherent, Inc. | Method and apparatus for treating vascular lesions |
US6036669A (en) * | 1995-01-13 | 2000-03-14 | Abbott Laboratories | Apparatus for altering composition of nutritional product during enteral tube feeding |
US5976159A (en) | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
US5695504A (en) | 1995-02-24 | 1997-12-09 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
DE19509115C2 (en) | 1995-03-16 | 1997-11-27 | Deutsche Forsch Luft Raumfahrt | Surgical device for preparing an anastomosis using minimally invasive surgical techniques |
US5667513A (en) * | 1995-06-07 | 1997-09-16 | Smith & Nephew Dyonics Inc. | Soft tissue anchor delivery apparatus |
US5825982A (en) | 1995-09-15 | 1998-10-20 | Wright; James | Head cursor control interface for an automated endoscope system for optimal positioning |
US5702412A (en) | 1995-10-03 | 1997-12-30 | Cedars-Sinai Medical Center | Method and devices for performing vascular anastomosis |
US6068637A (en) | 1995-10-03 | 2000-05-30 | Cedar Sinai Medical Center | Method and devices for performing vascular anastomosis |
US5556405A (en) | 1995-10-13 | 1996-09-17 | Interventional Technologies Inc. | Universal dilator with reciprocal incisor |
CA2244080A1 (en) * | 1996-02-02 | 1997-08-07 | Transvascular, Inc. | Methods and apparatus for blocking flow through blood vessels |
US5709693A (en) | 1996-02-20 | 1998-01-20 | Cardiothoracic System, Inc. | Stitcher |
JP3207440B2 (en) | 1996-04-30 | 2001-09-10 | オチコン アクツイエセルスカプ | Anastomotic device for use when performing end-to-end anastomosis |
US5797900A (en) | 1996-05-20 | 1998-08-25 | Intuitive Surgical, Inc. | Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5807377A (en) | 1996-05-20 | 1998-09-15 | Intuitive Surgical, Inc. | Force-reflecting surgical instrument and positioning mechanism for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5889782A (en) * | 1996-05-28 | 1999-03-30 | Mci Worldcom, Inc. | Encapsulation of proprietary protocol information conforming to the ANSI SS7 ISUP standard |
US5797920A (en) * | 1996-06-14 | 1998-08-25 | Beth Israel Deaconess Medical Center | Catheter apparatus and method using a shape-memory alloy cuff for creating a bypass graft in-vivo |
US5676670A (en) | 1996-06-14 | 1997-10-14 | Beth Israel Deaconess Medical Center | Catheter apparatus and method for creating a vascular bypass in-vivo |
US6007544A (en) * | 1996-06-14 | 1999-12-28 | Beth Israel Deaconess Medical Center | Catheter apparatus having an improved shape-memory alloy cuff and inflatable on-demand balloon for creating a bypass graft in-vivo |
US6083234A (en) | 1996-07-23 | 2000-07-04 | Surgical Dynamics, Inc. | Anastomosis instrument and method |
US5707380A (en) | 1996-07-23 | 1998-01-13 | United States Surgical Corporation | Anastomosis instrument and method |
US5833698A (en) | 1996-07-23 | 1998-11-10 | United States Surgical Corporation | Anastomosis instrument and method |
US6024748A (en) | 1996-07-23 | 2000-02-15 | United States Surgical Corporation | Singleshot anastomosis instrument with detachable loading unit and method |
CZ289275B6 (en) | 1996-08-21 | 2001-12-12 | Milan Mudr. Csc. Krajíček | Anastomosis insert in vascular system |
EP1011524A4 (en) | 1996-09-20 | 2001-04-25 | Medical Inc Converge | Radially expanding prostheses and systems for their deployment |
US5972017A (en) | 1997-04-23 | 1999-10-26 | Vascular Science Inc. | Method of installing tubular medical graft connectors |
WO1998019629A2 (en) * | 1996-11-07 | 1998-05-14 | Vascular Science Inc. | Medical grafting connectors and fasteners |
AU5162598A (en) * | 1996-11-07 | 1998-05-29 | Vascular Science Inc. | Tubular medical graft connectors |
EP1011458A2 (en) * | 1996-11-08 | 2000-06-28 | Russell A. Houser | Percutaneous bypass graft and securing system |
DE19650204C2 (en) | 1996-12-04 | 2000-09-21 | Aesculap Ag & Co Kg | Surgical punch |
US5827316A (en) | 1997-06-05 | 1998-10-27 | Atrion Medical Products, Inc. | Rotating aortic punch |
DE19732234A1 (en) | 1997-07-26 | 1999-01-28 | Georg Dr Med Quatchadze | Surgical endoscopic instrument |
US6030364A (en) * | 1997-10-03 | 2000-02-29 | Boston Scientific Corporation | Apparatus and method for percutaneous placement of gastro-intestinal tubes |
US6066144A (en) | 1997-10-07 | 2000-05-23 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis method |
US6074416A (en) | 1997-10-09 | 2000-06-13 | St. Jude Medical Cardiovascular Group, Inc. | Wire connector structures for tubular grafts |
US6001124A (en) | 1997-10-09 | 1999-12-14 | Vascular Science, Inc. | Oblique-angle graft connectors |
US6117148A (en) | 1997-10-17 | 2000-09-12 | Ravo; Biagio | Intraluminal anastomotic device |
NL1007349C2 (en) | 1997-10-24 | 1999-04-27 | Suyker Wilhelmus Joseph Leonardus | System for the mechanical production of anastomoses between hollow structures; as well as device and applicator for use therewith. |
JP4187411B2 (en) | 1998-01-30 | 2008-11-26 | セント ジュード メディカル エーティージー, インコーポレイテッド | Device for use in closing a septal defect |
US6235054B1 (en) | 1998-02-27 | 2001-05-22 | St. Jude Medical Cardiovascular Group, Inc. | Grafts with suture connectors |
US6110188A (en) | 1998-03-09 | 2000-08-29 | Corvascular, Inc. | Anastomosis method |
US6080167A (en) | 1998-04-28 | 2000-06-27 | Lyell; Mark S. | Anastomotic instrument |
US6461320B1 (en) * | 1998-08-12 | 2002-10-08 | Cardica, Inc. | Method and system for attaching a graft to a blood vessel |
EP0990420B1 (en) | 1998-09-28 | 2005-07-20 | United States Surgical Corporation | Anastomosis instrument |
NL1010386C2 (en) * | 1998-10-23 | 2000-04-26 | Eric Berreklouw | Anastomosis device. |
US6152937A (en) | 1998-11-06 | 2000-11-28 | St. Jude Medical Cardiovascular Group, Inc. | Medical graft connector and methods of making and installing same |
US6113612A (en) | 1998-11-06 | 2000-09-05 | St. Jude Medical Cardiovascular Group, Inc. | Medical anastomosis apparatus |
US6146393A (en) | 1998-12-18 | 2000-11-14 | Wakabayashi; Akio | External tubular stapling device for anastomosing a vascular graft to an anastomosing sheath |
US6132439A (en) * | 1999-02-17 | 2000-10-17 | X-Site, L.L.C. | Knot pusher |
EP1161185A2 (en) * | 1999-03-09 | 2001-12-12 | St. Jude Medical Cardiovascular Group, Inc. | Medical grafting methods and apparatus |
US6080173A (en) | 1999-05-26 | 2000-06-27 | Idx Medical Ltd. | Tissue punching instrument |
US6165185A (en) | 1999-07-28 | 2000-12-26 | Vasconnect, Inc. | Method for interconnecting vessels in a patient |
US6402764B1 (en) * | 1999-11-15 | 2002-06-11 | Cardica, Inc. | Everter and threadthrough system for attaching graft vessel to anastomosis device |
US6736825B2 (en) * | 1999-12-14 | 2004-05-18 | Integrated Vascular Interventional Technologies, L C (Ivit Lc) | Paired expandable anastomosis devices and related methods |
-
1999
- 1999-05-18 US US09/314,278 patent/US6428550B1/en not_active Expired - Lifetime
- 1999-11-15 US US09/437,428 patent/US6419681B1/en not_active Expired - Lifetime
- 1999-11-15 US US09/440,263 patent/US6371964B1/en not_active Expired - Lifetime
-
2000
- 2000-05-18 AU AU55882/00A patent/AU5588200A/en not_active Abandoned
- 2000-05-18 WO PCT/US2000/013958 patent/WO2000069346A1/en active Application Filing
- 2000-05-18 WO PCT/US2000/013957 patent/WO2000069343A2/en active Application Filing
- 2000-05-18 WO PCT/US2000/013959 patent/WO2000069349A1/en active Application Filing
- 2000-05-18 DE DE10084620T patent/DE10084620B4/en not_active Expired - Lifetime
- 2000-09-18 US US09/664,588 patent/US6786914B1/en not_active Expired - Lifetime
- 2000-09-18 US US09/664,589 patent/US6652541B1/en not_active Expired - Fee Related
-
2001
- 2001-09-04 US US09/946,791 patent/US7175637B2/en not_active Expired - Lifetime
-
2002
- 2002-08-16 US US10/223,011 patent/US7128749B1/en not_active Expired - Lifetime
-
2003
- 2003-06-26 US US10/606,813 patent/US7172608B2/en not_active Expired - Lifetime
- 2003-09-18 US US10/665,170 patent/US7611523B2/en not_active Expired - Lifetime
-
2004
- 2004-07-02 US US10/884,751 patent/US20040249400A1/en not_active Abandoned
-
2006
- 2006-12-22 US US11/615,752 patent/US20070106312A1/en not_active Abandoned
Patent Citations (99)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2370776A (en) * | 1943-08-25 | 1945-03-06 | Jack & Heintz Inc | Riveting apparatus |
US4018228A (en) * | 1975-02-24 | 1977-04-19 | Goosen Carl C | Surgical punch apparatus |
US4366819A (en) * | 1980-11-17 | 1983-01-04 | Kaster Robert L | Anastomotic fitting |
US4368736A (en) * | 1980-11-17 | 1983-01-18 | Kaster Robert L | Anastomotic fitting |
US4503568A (en) * | 1981-11-25 | 1985-03-12 | New England Deaconess Hospital | Small diameter vascular bypass and method |
US4917091A (en) * | 1982-06-24 | 1990-04-17 | Unilink Ab | Annular fastening means |
US4917090A (en) * | 1982-06-24 | 1990-04-17 | Unilink, Inc. | Method for performing an anastomosis |
US4589416A (en) * | 1983-10-04 | 1986-05-20 | United States Surgical Corporation | Surgical fastener retainer member assembly |
US4665906A (en) * | 1983-10-14 | 1987-05-19 | Raychem Corporation | Medical devices incorporating sim alloy elements |
US4929240A (en) * | 1983-12-01 | 1990-05-29 | University Of New Mexico | Surgical clip and applier |
US4917087A (en) * | 1984-04-10 | 1990-04-17 | Walsh Manufacturing (Mississuaga) Limited | Anastomosis devices, kits and method |
US4657019A (en) * | 1984-04-10 | 1987-04-14 | Idea Research Investment Fund, Inc. | Anastomosis devices and kits |
US4577631A (en) * | 1984-11-16 | 1986-03-25 | Kreamer Jeffry W | Aneurysm repair apparatus and method |
US4892098A (en) * | 1985-06-26 | 1990-01-09 | Sauer Jude S | Tubular tissue welding device without moving parts |
US4747407A (en) * | 1985-09-03 | 1988-05-31 | The Field Surgery Research Department of the Third Military Medical University | Blood vessel anastomat |
US4721109A (en) * | 1986-04-08 | 1988-01-26 | Healey Maureen A | Temporary anastomotic device |
US5392979A (en) * | 1987-05-26 | 1995-02-28 | United States Surgical Corporation | Surgical stapler apparatus |
US4907591A (en) * | 1988-03-29 | 1990-03-13 | Pfizer Hospital Products Group, Inc. | Surgical instrument for establishing compression anastomosis |
US5187796A (en) * | 1988-03-29 | 1993-02-16 | Computer Motion, Inc. | Three-dimensional vector co-processor having I, J, and K register files and I, J, and K execution units |
US5005749A (en) * | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
US5193731A (en) * | 1988-07-01 | 1993-03-16 | United States Surgical Corporation | Anastomosis surgical stapling instrument |
US5192289A (en) * | 1989-03-09 | 1993-03-09 | Avatar Design And Development, Inc. | Anastomosis stent and stent selection system |
US5314468A (en) * | 1989-03-31 | 1994-05-24 | Wilson Ramos Martinez | Aortic valved tubes for human implants |
US5178634A (en) * | 1989-03-31 | 1993-01-12 | Wilson Ramos Martinez | Aortic valved tubes for human implants |
US5192294A (en) * | 1989-05-02 | 1993-03-09 | Blake Joseph W Iii | Disposable vascular punch |
US5199983A (en) * | 1989-05-30 | 1993-04-06 | Toda Kogyo Corp. | Black pigment particles |
US5015238A (en) * | 1989-06-21 | 1991-05-14 | Becton, Dickinson And Company | Expandable obturator and catheter assembly including same |
US5089006A (en) * | 1989-11-29 | 1992-02-18 | Stiles Frank B | Biological duct liner and installation catheter |
US5395311A (en) * | 1990-05-14 | 1995-03-07 | Andrews; Winston A. | Atherectomy catheter |
US5100423A (en) * | 1990-08-21 | 1992-03-31 | Medical Engineering & Development Institute, Inc. | Ablation catheter |
US5104025A (en) * | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
US5304220A (en) * | 1991-07-03 | 1994-04-19 | Maginot Thomas J | Method and apparatus for implanting a graft prosthesis in the body of a patient |
US5211683A (en) * | 1991-07-03 | 1993-05-18 | Maginot Thomas J | Method of implanting a graft prosthesis in the body of a patient |
US5292053A (en) * | 1991-08-23 | 1994-03-08 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5285945A (en) * | 1991-08-23 | 1994-02-15 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5275322A (en) * | 1991-08-23 | 1994-01-04 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5205459A (en) * | 1991-08-23 | 1993-04-27 | Ethicon, Inc. | Surgical anastomosis stapling instrument |
US5603721A (en) * | 1991-10-28 | 1997-02-18 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5403338A (en) * | 1992-01-21 | 1995-04-04 | Scanlan International, Inc. | Punch for opening passages between two compartments |
US5707362A (en) * | 1992-04-15 | 1998-01-13 | Yoon; Inbae | Penetrating instrument having an expandable anchoring portion for triggering protrusion of a safety member and/or retraction of a penetrating member |
US5314435A (en) * | 1992-05-19 | 1994-05-24 | United States Surgical Corporation | Anvil delivery system |
US6053390A (en) * | 1992-05-19 | 2000-04-25 | United States Surgical | Anvil for surgical stapler |
US5395030A (en) * | 1992-06-04 | 1995-03-07 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
US5401131A (en) * | 1992-07-10 | 1995-03-28 | Yoshino Seiki Inc. | Expansion anchor |
US5515478A (en) * | 1992-08-10 | 1996-05-07 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5754741A (en) * | 1992-08-10 | 1998-05-19 | Computer Motion, Inc. | Automated endoscope for optimal positioning |
US5907664A (en) * | 1992-08-10 | 1999-05-25 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5878193A (en) * | 1992-08-10 | 1999-03-02 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5720756A (en) * | 1992-10-09 | 1998-02-24 | United States Surgical Corporation | Surgical clip applier |
US5868761A (en) * | 1992-10-09 | 1999-02-09 | United States Surgical Corporation | Surgical clip applier |
US6036699A (en) * | 1992-12-10 | 2000-03-14 | Perclose, Inc. | Device and method for suturing tissue |
US5503635A (en) * | 1993-11-12 | 1996-04-02 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
US5725544A (en) * | 1993-12-23 | 1998-03-10 | Oticon A/S | Method and instrument for establishing the receiving site of a coronary artery bypass graft |
US5732872A (en) * | 1994-06-17 | 1998-03-31 | Heartport, Inc. | Surgical stapling instrument |
US5881943A (en) * | 1994-06-17 | 1999-03-16 | Heartport, Inc. | Surgical anastomosis apparatus and method thereof |
US5709335A (en) * | 1994-06-17 | 1998-01-20 | Heartport, Inc. | Surgical stapling instrument and method thereof |
US6176413B1 (en) * | 1994-06-17 | 2001-01-23 | Heartport, Inc. | Surgical anastomosis apparatus and method thereof |
US6171321B1 (en) * | 1995-02-24 | 2001-01-09 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5904697A (en) * | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US6167889B1 (en) * | 1995-04-10 | 2001-01-02 | Cardiothoracic Systems, Inc. | Method for coronary artery bypass |
US5855583A (en) * | 1996-02-20 | 1999-01-05 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US6190590B1 (en) * | 1996-02-28 | 2001-02-20 | Impra, Inc. | Apparatus and method for making flanged graft for end-to-side anastomosis |
US5725553A (en) * | 1996-02-29 | 1998-03-10 | Moenning; Stephen P. | Apparatus and method for protecting a port site opening in the wall of a body cavity |
US6050472A (en) * | 1996-04-26 | 2000-04-18 | Olympus Optical Co., Ltd. | Surgical anastomosis stapler |
US6179848B1 (en) * | 1996-07-24 | 2001-01-30 | Jan Otto Solem | Anastomotic fitting |
US5871495A (en) * | 1996-09-13 | 1999-02-16 | Eclipse Surgical Technologies, Inc. | Method and apparatus for mechanical transmyocardial revascularization of the heart |
US6190397B1 (en) * | 1996-09-16 | 2001-02-20 | Origin Medsystems, Inc. | Means and method for performing an anastomosis |
US5868763A (en) * | 1996-09-16 | 1999-02-09 | Guidant Corporation | Means and methods for performing an anastomosis |
US5755778A (en) * | 1996-10-16 | 1998-05-26 | Nitinol Medical Technologies, Inc. | Anastomosis device |
US6206912B1 (en) * | 1996-11-07 | 2001-03-27 | St. Jude Medical Anastomotic Technology Group Inc. | Medical grafting methods and apparatus |
US5875782A (en) * | 1996-11-14 | 1999-03-02 | Cardiothoracic Systems, Inc. | Methods and devices for minimally invasive coronary artery revascularization on a beating heart without cardiopulmonary bypass |
US6027748A (en) * | 1997-01-08 | 2000-02-22 | Jagotec Ag | Pharmaceutical tablet, completely coated, for controlled release of active principles that present problems of bio-availability linked to gastro-intestinal absorption |
US5879371A (en) * | 1997-01-09 | 1999-03-09 | Elective Vascular Interventions, Inc. | Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery |
US6030370A (en) * | 1997-02-05 | 2000-02-29 | Aesculap Ag And Co. Kg | Surgical instrument |
US5893369A (en) * | 1997-02-24 | 1999-04-13 | Lemole; Gerald M. | Procedure for bypassing an occlusion in a blood vessel |
US6036702A (en) * | 1997-04-23 | 2000-03-14 | Vascular Science Inc. | Medical grafting connectors and fasteners |
US6186942B1 (en) * | 1997-04-23 | 2001-02-13 | St. Jude Medical Cardiovascular Group, Inc. | Medical grafting methods and apparatus |
US6171319B1 (en) * | 1997-05-19 | 2001-01-09 | Cardio Medical Solutions, Inc. | Anastomosis device with hole punch |
US6056762A (en) * | 1997-05-22 | 2000-05-02 | Kensey Nash Corporation | Anastomosis system and method of use |
US6036705A (en) * | 1997-05-22 | 2000-03-14 | Kensey Nash Corporation | Anastomosis connection system and method of use |
US6030395A (en) * | 1997-05-22 | 2000-02-29 | Kensey Nash Corporation | Anastomosis connection system |
US6022367A (en) * | 1997-06-18 | 2000-02-08 | United States Surgical | Surgical apparatus for forming a hole in a blood vessel |
US6013190A (en) * | 1998-01-21 | 2000-01-11 | Vascular Science Inc. | Catheters with integrated lumen and methods of their manufacture and use |
US6193734B1 (en) * | 1998-01-23 | 2001-02-27 | Heartport, Inc. | System for performing vascular anastomoses |
US6036703A (en) * | 1998-02-06 | 2000-03-14 | Ethicon Endo-Surgery Inc. | Method and apparatus for establishing anastomotic passageways |
US6187019B1 (en) * | 1998-02-26 | 2001-02-13 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
US6015416A (en) * | 1998-02-26 | 2000-01-18 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
US6176864B1 (en) * | 1998-03-09 | 2001-01-23 | Corvascular, Inc. | Anastomosis device and method |
US6187020B1 (en) * | 1998-04-17 | 2001-02-13 | Laboratoire Perouse Implant | Connecting device for anastomosis, device for fitting fasteners and implant including them |
US6036700A (en) * | 1998-07-14 | 2000-03-14 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
US6206913B1 (en) * | 1998-08-12 | 2001-03-27 | Vascular Innovations, Inc. | Method and system for attaching a graft to a blood vessel |
US6695859B1 (en) * | 1999-04-05 | 2004-02-24 | Coalescent Surgical, Inc. | Apparatus and methods for anastomosis |
US6036704A (en) * | 1999-05-13 | 2000-03-14 | Yoon; Inbae | Anastomosis apparatus and method for anastomosing an anatomical tubular structure |
US6371964B1 (en) * | 1999-05-18 | 2002-04-16 | Vascular Innovations, Inc. | Trocar for use in deploying an anastomosis device and method of performing anastomosis |
US6673088B1 (en) * | 1999-05-18 | 2004-01-06 | Cardica, Inc. | Tissue punch |
US6699256B1 (en) * | 1999-06-04 | 2004-03-02 | St. Jude Medical Atg, Inc. | Medical grafting apparatus and methods |
US6190396B1 (en) * | 1999-09-14 | 2001-02-20 | Perclose, Inc. | Device and method for deploying and organizing sutures for anastomotic and other attachments |
US6193129B1 (en) * | 2000-01-24 | 2001-02-27 | Ethicon Endo-Surgery, Inc. | Cutting blade for a surgical anastomosis stapling instrument |
US20030065342A1 (en) * | 2001-09-28 | 2003-04-03 | Nobis Rudolph H. | Surgical device for creating an anastomosis between first and second hollow organs |
Cited By (39)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7892246B2 (en) | 1999-07-28 | 2011-02-22 | Bioconnect Systems, Inc. | Devices and methods for interconnecting conduits and closing openings in tissue |
US7892247B2 (en) | 2001-10-03 | 2011-02-22 | Bioconnect Systems, Inc. | Devices and methods for interconnecting vessels |
US7351247B2 (en) | 2002-09-04 | 2008-04-01 | Bioconnect Systems, Inc. | Devices and methods for interconnecting body conduits |
US20110160751A1 (en) * | 2006-06-06 | 2011-06-30 | Luiz Gonzaga Granja Filho | Extraluminal stent type prosthesis for anastomosis |
US9192471B2 (en) | 2007-01-08 | 2015-11-24 | Millipede, Inc. | Device for translumenal reshaping of a mitral valve annulus |
US20100249920A1 (en) * | 2007-01-08 | 2010-09-30 | Millipede Llc | Reconfiguring heart features |
US9345485B2 (en) | 2007-08-02 | 2016-05-24 | Bioconnect Systems, Inc. | Implantable flow connector |
US8366651B2 (en) | 2007-08-02 | 2013-02-05 | Bioconnect Systems, Inc. | Implantable flow connector |
US8690816B2 (en) | 2007-08-02 | 2014-04-08 | Bioconnect Systems, Inc. | Implantable flow connector |
US8961446B2 (en) | 2007-08-02 | 2015-02-24 | Bioconnect Systems Inc. | Implantable flow connector |
US10987106B2 (en) | 2007-08-02 | 2021-04-27 | Tva Medical, Inc. | Implantable flow connector |
US9282967B2 (en) | 2007-08-02 | 2016-03-15 | Bioconnect Systems, Inc. | Implantable flow connector |
ITBO20090713A1 (en) * | 2009-10-30 | 2011-04-30 | I & S Idee & Sviluppo S R L | TERMINAL-TERMINAL JOINT FOR THE UNION OF HEADS OF BODY DUCTS. |
WO2011051909A1 (en) * | 2009-10-30 | 2011-05-05 | I. & S. Idee & Sviluppo S.R.L. | End - to - end joint for connecting end zones of body ducts |
CN102724921A (en) * | 2009-10-30 | 2012-10-10 | 纽曼医疗有限公司 | End-to-end joint for connecting end zones of body ducts |
US9795480B2 (en) | 2010-08-24 | 2017-10-24 | Millipede, Inc. | Reconfiguring tissue features of a heart annulus |
US10434293B2 (en) | 2012-04-15 | 2019-10-08 | Tva Medical, Inc. | Implantable flow connector |
US11666737B2 (en) | 2012-04-15 | 2023-06-06 | Tva Medical, Inc. | Implantable flow connector |
US9314600B2 (en) | 2012-04-15 | 2016-04-19 | Bioconnect Systems, Inc. | Delivery system for implantable flow connector |
US11541213B2 (en) | 2012-04-15 | 2023-01-03 | Tva Medical, Inc. | Delivery system for implantable flow connector |
US10632293B2 (en) | 2012-04-15 | 2020-04-28 | Tva Medical, Inc. | Delivery system for implantable flow connector |
US10849755B2 (en) | 2012-09-14 | 2020-12-01 | Boston Scientific Scimed, Inc. | Mitral valve inversion prostheses |
US10543088B2 (en) | 2012-09-14 | 2020-01-28 | Boston Scientific Scimed, Inc. | Mitral valve inversion prostheses |
US10695160B2 (en) | 2014-07-17 | 2020-06-30 | Boston Scientific Scimed, Inc. | Adjustable endolumenal implant for reshaping the mitral valve annulus |
US9913706B2 (en) | 2014-07-17 | 2018-03-13 | Millipede, Inc. | Adjustable endolumenal implant for reshaping the mitral valve annulus |
US9622862B2 (en) | 2014-07-17 | 2017-04-18 | Millipede, Inc. | Prosthetic mitral valve with adjustable support |
US9180005B1 (en) | 2014-07-17 | 2015-11-10 | Millipede, Inc. | Adjustable endolumenal mitral valve ring |
US9615926B2 (en) | 2014-07-17 | 2017-04-11 | Millipede, Inc. | Adjustable endolumenal implant for reshaping the mitral valve annulus |
US10136985B2 (en) | 2014-07-17 | 2018-11-27 | Millipede, Inc. | Method of reconfiguring a mitral valve annulus |
US10258466B2 (en) | 2015-02-13 | 2019-04-16 | Millipede, Inc. | Valve replacement using moveable restrains and angled struts |
US9848983B2 (en) | 2015-02-13 | 2017-12-26 | Millipede, Inc. | Valve replacement using rotational anchors |
US11918462B2 (en) | 2015-02-13 | 2024-03-05 | Boston Scientific Scimed, Inc. | Valve replacement using moveable restraints and angled struts |
US10335275B2 (en) | 2015-09-29 | 2019-07-02 | Millipede, Inc. | Methods for delivery of heart valve devices using intravascular ultrasound imaging |
US10555813B2 (en) | 2015-11-17 | 2020-02-11 | Boston Scientific Scimed, Inc. | Implantable device and delivery system for reshaping a heart valve annulus |
US10548731B2 (en) | 2017-02-10 | 2020-02-04 | Boston Scientific Scimed, Inc. | Implantable device and delivery system for reshaping a heart valve annulus |
US10881430B2 (en) | 2018-04-11 | 2021-01-05 | Vadovations, Inc. | Tissue interface apparatus, systems, and methods |
US11589896B2 (en) | 2018-04-11 | 2023-02-28 | Vadovations, Inc. | Tissue interface apparatus, systems, and methods |
WO2019199948A1 (en) * | 2018-04-11 | 2019-10-17 | Vadovations, Inc. | Tissue interface apparatus, systems and methods |
US11957379B2 (en) | 2018-04-11 | 2024-04-16 | Star Bp, Inc. | Tissue interface apparatus, systems, and methods |
Also Published As
Publication number | Publication date |
---|---|
US20040097991A1 (en) | 2004-05-20 |
US20040092977A1 (en) | 2004-05-13 |
US6428550B1 (en) | 2002-08-06 |
DE10084620B4 (en) | 2008-04-10 |
US20070106312A1 (en) | 2007-05-10 |
US7175637B2 (en) | 2007-02-13 |
WO2000069343A3 (en) | 2001-02-01 |
WO2000069346A1 (en) | 2000-11-23 |
US7128749B1 (en) | 2006-10-31 |
US7172608B2 (en) | 2007-02-06 |
US6371964B1 (en) | 2002-04-16 |
DE10084620T1 (en) | 2002-06-06 |
WO2000069349A1 (en) | 2000-11-23 |
US6419681B1 (en) | 2002-07-16 |
US20040210244A1 (en) | 2004-10-21 |
AU5588200A (en) | 2000-12-05 |
US6786914B1 (en) | 2004-09-07 |
US7611523B2 (en) | 2009-11-03 |
WO2000069343A2 (en) | 2000-11-23 |
US6652541B1 (en) | 2003-11-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7128749B1 (en) | Sutureless closure and deployment system for connecting blood vessels | |
US6893449B2 (en) | Device for cutting and anastomosing tissue | |
US6537288B2 (en) | Implantable medical device such as an anastomosis device | |
US6966920B2 (en) | Sutureless closure for connecting a bypass graft to a target vessel | |
US6471713B1 (en) | System for deploying an anastomosis device and method of performing anastomosis | |
US7018388B2 (en) | Method and system for attaching a graft to a blood vessel | |
EP1105069B1 (en) | System for attaching a graft to a blood vessel | |
US6955679B1 (en) | Everter and threadthrough system for attaching graft vessel to anastomosis device | |
US20060212054A1 (en) | Anastomosis device with separable section | |
US20050234483A1 (en) | Unitary anastomosis device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |
|
AS | Assignment |
Owner name: AESDEX, LLC, PENNSYLVANIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:DEXTERA SURGICAL INC.;REEL/FRAME:045870/0478 Effective date: 20180214 Owner name: AESCULAP AG, GERMANY Free format text: ASSET PURCHASE AGREEMENT;ASSIGNOR:AESDEX, LLC;REEL/FRAME:045870/0567 Effective date: 20180220 |