WO2003057005B1 - Paired expandable anastomosis device - Google Patents

Paired expandable anastomosis device

Info

Publication number
WO2003057005B1
WO2003057005B1 PCT/US2002/041316 US0241316W WO03057005B1 WO 2003057005 B1 WO2003057005 B1 WO 2003057005B1 US 0241316 W US0241316 W US 0241316W WO 03057005 B1 WO03057005 B1 WO 03057005B1
Authority
WO
WIPO (PCT)
Prior art keywords
vessel
ring
opening
holding
anastomosis device
Prior art date
Application number
PCT/US2002/041316
Other languages
French (fr)
Other versions
WO2003057005A2 (en
WO2003057005A3 (en
Inventor
Duane Blatter
Michael Barrus
Troy Orr
Original Assignee
Integrated Vascular Interventi
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Integrated Vascular Interventi filed Critical Integrated Vascular Interventi
Priority to AU2002359841A priority Critical patent/AU2002359841A1/en
Publication of WO2003057005A2 publication Critical patent/WO2003057005A2/en
Publication of WO2003057005A3 publication Critical patent/WO2003057005A3/en
Publication of WO2003057005B1 publication Critical patent/WO2003057005B1/en

Links

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
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • 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
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • 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
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections

Abstract

A paired expandable anastomosis device (300) joints two vessels together and can expand and contract with changes in the size of the two vessels. The anastomosis device has two expandable rings (310a, 310b) with plurality of holding tabs. The holding tabs (314b) of one ring are shaped to enable a graft vessel tissue to be everted through one of the rings. Similarly, the holding tabs (314a) of the outer ring are shaped to enable a target vessel to be everted through the outer ring and to be retained by holding tabs. Once the graft (5) and target vessels (20) are loaded, the rings are adapted to brought together to a position in which the graft and target vessels are anastomosed together.

Claims

39AMENDED CLAIMS[received by the International Bureau on 23 July 2003 (23.07.03); original claims 1-23 replaced by amended claims 1-25 (4 pages)]
1. A paired anastomosis device for holding a first vessel together with a second vessel comprising: first ring means for providing support for a first vessel at a first vessel -5 opening, wherein the first ring means has a first ring opening, second ring means for providing support for a second vessel at a second vessel opening, wherein the second ring means has a second ring opening, wherein each ring means is adapted to expand and contract to enable each respective vessel opening to change in diameter, and 0 wherein the ring means are configured to be structurally linked in a manner such that the first and second ring means expand and contract in unison and such that the first vessel remains anastomosed to the second vessel at the first and second vessel openings as the first and second ring means expand and contract. 5
2. The anastomosis device of claim 1, wherein each ring means is configured to avoid contacting fluids that are carried in the first vessel and the second vessel when the ring means are in an anastomosis position.
3. The anastomosis device of claim 1, wherein each vessel has an intimal layer, and 0 wherein each ring means is configured to capture vessel tissue in an everted configuration so that when the ring means are in an anastomosis position the intimal layer of the portion of the first vessel defining a first vessel opening contacts the intimal layer of the portion of the second vessel defining a second vessel opening.
4. The anastomosis device of claim 1, wherein each vessel has an adventitial 5 layer, and wherein the first ring means contacts the adventitial surfaces of the portion of the first vessel defining a first vessel opening, and wherein the second ring means contacts the adventitial surfaces of the portion of the second vessel defining a first vessel opening. 0
5. The anastomosis device of claim 1, further comprising locking means for locking the first ring means and the second ring means together such that the first vessel and the second vessel remain anastomosed together. 40
6. The anastomosis device of claim 5, wherein the locking means comprises guide means for guiding the movement of one ring means relative to the other ring means from a loading position with the first ring means offset from the second ring means to an anastomosis position.
7. The anastomosis device of claim 1, wherein the first and second ring means are adapted to cooperate with attachment actuation means for approximating one of the ring means to the other ring means such that the device is moved from a loading position to an anastomosis position.
8. The anastomosis device of claim 1, wherein the first ring means further comprises holding means for holding the first vessel at the first vessel opening, and wherein the second ring means further comprises holding means for holding the second vessel at the second vessel opening.
9. The anastomosis device of claim 8, wherein the holding means of at least one of the rings means has anchor means for more securely anchoring a vessel on the holding means.
10. A paired anastomosis device for holding a first vessel together with a second vessel comprising: a first ring having holding surfaces that define a first ring opening, wherein the holding surfaces are adapted to hold a portion of a first vessel defining a first vessel opening such that the first vessel opening is at the first ring opening, a second ring having holding surfaces that define a second ring opening, wherein the holding surfaces are adapted to hold a portion of a second vessel defining a second vessel opening such that the second vessel opening is at the second ring opening, wherein each ring is adapted to be in a compressed position as the first vessel and second vessel are anastomosed together such that each respective ring opening and respective vessel opening have an initial diameter, wherein at least one ring is adapted to radially expand to a deployed position after the first vessel and second vessel are anastomosed together such that each ring and vessel opening has a greater diameter than the initial diameter of each respective ring and vessel opening, and 41 wherein the holding surfaces of each ring are configured to avoid contact with fluid carried in the first and second vessels when the rings are in an anastomosis position.
11. The paired anastomosis device of claim 10, wherein each vessel has an intimal layer, and wherein the holding surfaces of each ring are positioned to capture vessel tissue in an everted configuration so that when the rings are in an anastomosis position the intimal layer of the portion of the first vessel defining a first vessel opening contacts the intimal layer of the portion of the second vessel defining a second vessel opening.
12. The paired anastomosis device of claim 10, wherein each vessel has an adventitial layer, wherein the holding surfaces of the first ring contact the adventitial surfaces of the portion of the first vessel defining a first vessel opening, and wherein the holding surfaces of the second ring contact the adventitial surfaces of the portion of the second vessel defining a second vessel opening.
13. The anastomosis device of claim 10, further comprising a plurality of guideposts extending from one of the rings and a plurality of guides fixedly connected to the other ring, wherein the guideposts are positioned to slide into the guides in order to guide the rings from a loading position to an anastomosis position.
14. The anastomosis device of claim 10, wherein the guides are sized to frictionally engage the guideposts such that the rings are maintained in the anastomosis position after the rings are brought together.
15. The anastomosis device of claim 13, wherein one of the rings has a plurality of legs with locking extensions and the opposite ring has a plurality of legs with slots positioned to receive the locking extensions, such that the rings are maintained in an anastomosis position after the rings are brought together.
16. The anastomosis device of claim 10, wherein each ring comprises a plurality of flexible segments.
17. The anastomosis device of claim 16, wherein each flexible segment comprises two adjoining arms in a V-shaped configuration.
18. The anastomosis device of claim 16, wherein each flexible segment has a configuration that is selected from the group consisting of a U-shaped configuration, a quadrilateral-shaped configuration, a circular configuration, an elliptical configuration, a spiral-shaped configuration, and an oval-shaped configuration.
19. The anastomosis device of claim 16, wherein the holding surfaces of each ring are holding tabs.
20. The anastomosis device of claim 19 wherein each flexible segment of the plurality of flexible segments of each ring is adjoined to an adjacent flexible segment by a connecting joint, wherein each flexible segment of each ring has a flexible segment joint, wherein the holding tabs of the first ring extend from the connecting joints, wherein the holding tabs of the second ring extend from the flexible segment joints.
21. A method for holding a first vessel together with a second vessel comprising: holding a portion of a first vessel defining a first vessel opening on a first ring, wherein the first ring is configured such that the diameter of a first ring opening defined by the first ring can expand and contract; holding a portion of a second vessel defining a second vessel opening on a second ring, wherein the second ring is configured such that the diameter of a second ring opening defined by the second ring can expand and contract; bringing the first and second rings together such that the first vessel is in fluid communication with the second vessel.
22. The method of claim 21, further comprising the step of locking the first ring together with the second ring such that the first vessel and the second vessel remain anastomosed together.
23. The method of claim 21, wherein after the first and second rings are brought together, the first and second rings expand and contract in unison such that the first vessel remains anastomosed to the second vessel as the first and second rings expand and contract.
24. The method of claim 21, wherein the step of holding the first vessel is achieved after everting the portion of the first vessel defining the first vessel opening.
25. The method of claim 21, wherein the steps of holding the first and second vessels are both achieved by everting the portion of the first vessel defining the first vessel opening over the first ring and everting the portion of the second vessel defining the second vessel opening over the second ring.
PCT/US2002/041316 2001-12-27 2002-12-24 Paired expandable anastomosis device WO2003057005A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2002359841A AU2002359841A1 (en) 2001-12-27 2002-12-24 Paired expandable anastomosis device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/035,084 2001-12-27
US10/035,084 US6736825B2 (en) 1999-12-14 2001-12-27 Paired expandable anastomosis devices and related methods

Publications (3)

Publication Number Publication Date
WO2003057005A2 WO2003057005A2 (en) 2003-07-17
WO2003057005A3 WO2003057005A3 (en) 2003-09-12
WO2003057005B1 true WO2003057005B1 (en) 2003-10-16

Family

ID=21880537

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/041316 WO2003057005A2 (en) 2001-12-27 2002-12-24 Paired expandable anastomosis device

Country Status (3)

Country Link
US (2) US6736825B2 (en)
AU (1) AU2002359841A1 (en)
WO (1) WO2003057005A2 (en)

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WO2003057005A3 (en) 2003-09-12
US6736825B2 (en) 2004-05-18

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