Method and system for attaching a graft to a blood vessel
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/11
A61B-017/03
A61F-002/06
출원번호
US-0714365
(2003-11-14)
발명자
/ 주소
Yencho,Stephen A.
Hausen,Bernard A.
출원인 / 주소
Cardica, Inc.
인용정보
피인용 횟수 :
33인용 특허 :
206
초록▼
Anastomotic stents for connecting a graft vessel to a target vessel, and methods of use thereof. The anastomotic stents of the invention are suitable for use in a variety of anastomosis procedures, including coronary artery bypass grafting. One embodiment of the invention comprises a large vessel an
Anastomotic stents for connecting a graft vessel to a target vessel, and methods of use thereof. The anastomotic stents of the invention are suitable for use in a variety of anastomosis procedures, including coronary artery bypass grafting. One embodiment of the invention comprises a large vessel anastomotic stent for use with large diameter target vessels such as the aorta or its major side branches. Another embodiment of the invention comprises a small vessel anastomotic stent for use on a target vessel which has a small diameter such as a coronary artery. Another aspect of the invention involves applicators for use with the stents of the invention.
대표청구항▼
What is claimed is: 1. A system for performing anastornosis between a graft vessel and a target vessel, each having a lumen therethrough, where an opening is present in wall of the target vessel; the system comprising: an inner element connectable to the grail vessel, said inner element including a
What is claimed is: 1. A system for performing anastornosis between a graft vessel and a target vessel, each having a lumen therethrough, where an opening is present in wall of the target vessel; the system comprising: an inner element connectable to the grail vessel, said inner element including a unitary body having a closed perimeter and an opening therethrough within said perimeter; wherein said inner element is substantially oblong such that said inner element includes opposed long-dimensioned sides and opposed short-dimensioned sides; and wherein opposed sides of said inner element are movable toward one another such that said unitary body is deformable from a first configuration to a second configuration and deformable back to said first configuration from said second configuration. 2. The system of claim 1, further comprising an outer clement configured to engage said inner element to hold a portion of the graft vessel and a portion of the target vessel therebetween. 3. The system of claim 2, wherein said inner element includes a curved first surface, and wherein said outer element includes a correspondingly-curved second surface, wherein an end of the graft vessel is compressed between said curved first surface of said inner element and said curved second surface of said outer element in use. 4. The system of claim 2, wherein at least one of said inner element and said outer element is superelastic. 5. The system of claim 2, wherein at least one of said inner element and said outer element is composed at least partially of nitinol. 6. The system of claim 2, wherein said inner element includes at least one interlocking member configured to engage said outer element. 7. The system of claim 2, wherein said outer element includes at least one interlocking member configured to engage said inner element. 8. The system of claim 2, wherein each of said inner element and said outer element includes at least one interlocking member configured to engage the other. 9. The system of claim 1, wherein said opposed sides movable toward one another are said long-dimensioned sides. 10. The system of claim 1, wherein said opposed sides movable toward one another are said short-dimensioned sides. 11. A system for performing anastomosis between a graft vessel and a target vessel, each having a lumen therethrough, where an opening is present in the wall of the target vessel; the system comprising: a single elastically deformable inner element connectable to the graft vessel, said inner element deflectable from a first configuration to a second configuration and expandable from said second configuration to said first configuration, wherein said second configuration allows at least a portion of said inner element to enter the lumen of the target vessel through the opening, and wherein said inner flange includes a continuous collapsible section; and an outer element connectable to said inner element to compress a portion of the graft vessel and a portion of the target vessel therebetween. 12. The system of claim 11, wherein at least one of said inner element and said outer element is superelastic. 13. The system of claim 11, wherein at least one of said inner element and said outer element is composed at least partially of nitinol. 14. The system of claim 11, wherein said inner element includes a curved first surface, and wherein said outer element includes a correspondingly-curved second surface, wherein an end of the graft vessel is compressed between said curved first surface of said inner element and said curved second surface of said outer element in use. 15. The system of claim 14, wherein said curved first surface and said curved second surface each have a substantially constant radius of curvature along their lengths. 16. The system of claim 11, wherein said inner element includes at least one interlocking member configured to engage said outer element. 17. The system of claim 11, wherein said outer element includes at least one interlocking member configured to engage said inner element. 18. The system of claim 11, wherein each of said inner element and said outer element includes at least one interlocking member configured to engage the other. 19. A method for performing anastomosis between a graft vessel and a target vessel, each having a lumen therethrough, where an opening is present in the target vessel, comprising: providing an outer element and an inner element, said inner element including a unitary body having a closed perimeter and an opening therethrough within said perimeter; and wherein said inner element is substantially oblong such that said inner element includes opposed long-dimensioned sides and opposed short-dimensioned sides; deforming at least a portion of said unitary body from an initial configuration to a compressed configuration by moving opposed sides of said inner element toward one another; inserting at least part of said unitary body into the opening; expanding at least a portion of said unitary body from said compressed configuration to said initial configuration; and compressing a portion of the target vessel and a portion of the graft vessel together between at least a portion of said inner element and at least a portion of said outer element. 20. The method of claim 19, wherein said moving opposed sides includes moving said opposed long-dimensioned sides toward one another. 21. The method of claim 19, further comprising connecting the graft vessel to said outer element. 22. The method of claim 21, wherein said connecting comprises evening an end of the graft vessel about said outer element. 23. The method of claim 19, further comprising connecting said inner element to said outer element. 24. The method of claim 19, wherein at least a portion of said unitary body is superelastic, wherein said deforming includes applying a force to said unitary body, and wherein said expanding includes releasing said force from said unitary body. 25. Method of claim 19, wherein said moving opposed sides includes moving said opposed short-dimensioned sides toward one another.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (206)
Miller Michael B. (Cincinnati OH) Zeiner Mark S. (Cincinnati OH) Transue James A. (Bridgewater NJ), Absorbable anastomosic fastener means.
Paul A. Spence ; Warren P. Williamson, IV ; George Christakis CA, Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery.
Walsh David J. (Mississauga CAX) Lougheed William M. (Toronto CAX) Gentili Fred (Toronto CAX) Fazl Mahmood (Toronto CAX), Anastomosis devices and kits.
Walsh David J. (Mississauga CAX) Lougheed William M. (Toronto CAX) Gentili Fred (Toronto CAX) Fazl Mahmood (Toronto CAX), Anastomosis devices, kits and method.
Sauer Jude S. (Pittsford NY) Greenwald Roger J. (Holley NY) Tiberio Theodore J. (Hilton NY) Shaw Jeffrey M. (Livonia NY) Hammond John F. (Canandaigua NY), Apparatus and method for performing compressional anastomoses.
Schenck Robert R. (1100 N. Lake Shore Dr. Chicago IL 60611) Weinrib Harry P. (2644 W. Estes Ave. Chicago IL 60645), Apparatus for anastomosing living vessels.
Madhani Akhil J. ; Salisbury J. Kenneth, Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity.
Liu Ying B. (Chongqing CNX) Yang Heng W. (Chongqing CNX) Ma Shu L. (Chongqing CNX) Liu Shi Z. (Chongqing CNX) Li Nai H. (Chongqing CNX), Blood vessel anastomat.
Rebuffat Carlo (Largo Corsia dei Servi ; 11 Milano ITX) Rosati Riccardo (Via Livorno ; 4 Milano ITX), Compression device for the anastomosis of hollow organs.
Zegdi Rachid,FRX ; Gerardin Jean-Paul,FRX ; Perouse Eric,FRX, Connecting device for anastomosis, device for fitting fasteners and implant including them.
Gifford ; III Hanson S. (Woodside CA) Bolduc Lee R. (Mountain View CA) Stein Jeffrey A. (Woodbridge CT) DiCesare Paul C. (Norwalk CT) Costa Peter F. (Winthrop MA) Holmes William A. (Marblehead MA), Devices and methods for performing a vascular anastomosis.
Gifford ; III Hanson S. ; Bolduc Lee R. ; Stein Jeffrey A. ; DiCesare Paul C. ; Costa Peter F. ; Holmes William A., Devices and methods for performing a vascular anastomosis.
Gifford ; III Hanson S. ; Bolduc Lee R. ; Stein Jeffrey A. ; DiCesare Paul C. ; Costa Peter F. ; Holmes William A., Devices and methods for performing a vascular anastomosis.
Gifford ; III Hanson S. ; Bolduc Lee R. ; Stein Jeffrey A. ; DiCesare Paul C. ; Costa Peter F. ; Holmes William A., Devices and methods for performing a vascular anastomosis.
Solomon Donald D. (Spring Valley OH) Karakelle Mutlu (Dayton OH) Beck Richard W. (Centerville OH), Expandable obturator and catheter assembly including same.
Zacca Nadim M. (6550 Fannin St. ; Suite 2229 Houston TX 77030) Jasso Martin R. (5 Nottingham Dr. Queensbury NY 12804), Expandable tip atherectomy method and apparatus.
Gardiner Barry N. ; McDonald Paul T. ; Phipps Richard D., Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery.
Madhani Akhil J. ; Salisbury J. Kenneth, Force-reflecting surgical instrument and positioning mechanism for performing minimally invasive surgery with enhanced.
Conta Robert L. (Trumbull CT) Wallach Harvey N. (Trumbull CT), Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor.
Ryan Timothy J. (5660 Alpine Rd. Los Altos Hills CA) Fogarty Thomas J. (5660 Alpine Rd. Portola Valley CA 94028) Mollenauer Kenneth H. (Santa Clara CA), Internal graft prosthesis and delivery system.
Regula Donald W. (Belle Meade NJ) Bregen Michael F. (Lebanon NJ) Szabo Zoltan (San Francisco CA) Gardiner Barry N. (Orinda CA), Laparoscopic absorbable anastomosic fastener and means for applying.
Ko Sung-Tao (42 Baybrook La. Oak Brook IL 60521), Medical device and method for facilitating intra-tissue visual observation and manipulation of distensible tissues.
Peterson Alex Alden ; Hindrichs Paul J. ; Wahlberg Mark D. ; Berg Todd Allen ; St. Germain Jon Patrick, Medical graft connector and methods of making and installing same.
Wang Yulun ; Uecker Darrin R. ; Jordan Charles S. ; Wright James W. ; Laby Keith Phillip ; Wilson Jeff D., Method and apparatus for performing minimally invasive cardiac procedures.
Wang Yulun ; Uecker Darrin R. ; Laby Keith Phillip ; Wilson Jeff ; Jordan Steve ; Wright James, Method and apparatus for performing minimally invasive cardiac procedures.
Yarborough J. Michael (Tucson AZ) Anderson R. Rox (Lexington MA) Marcellino George (Los Gatos CA) Mitchell Gerald M. (Tucson AZ), Method and apparatus for treating vascular lesions.
Green David T. ; Bolanos Henry ; Toso Kenneth E. ; Alesi Daniel E. ; Geiste Robert ; Maffei Frank C., Method of anastomosing a vessel using a surgical clip applier.
Ferrari Richard M. ; Taylor Charles S. ; Lasersohn Jack W. ; Benetti Federico J.,ARX ; Akin Jodi J. ; Ginn Richard ; Salahieh Amr, Methods and devices for minimally invasive coronary artery revascularization on a beating heart without cardiopulmonary.
Brinkerhoff Ronald J. (Amelia OH) Zeiner Mark S. (Cincinnati OH) Miller Michael B. (Cincinnati OH) Transue James A. (Bridgewater NJ), Pull-through circular anastomosic intraluminal stapler with absorbable fastener means.
Manzo Scott E. ; Gresham Richard D. ; Sniffin Kevin ; Hinchliffe Peter W.J., Singleshot anastomosis instrument with detachable loading unit and method.
Bilotti Federico (Hamburg OH DEX) Allen E. David (Okeana OH) Smith Richard (Miami Township ; Clermont County OH) Hughett J. David (Cincinnati OH), Surgical anastomosis stapling instrument.
Brinkerhoff Ronald J. (Amelia OH) Nobis Rudolph H. (Mason OH) Fox William (Ohio Township ; Clermont County OH) Zeiner Mark S. (Cincinnati OH) Allen E. David (Okeana OH) Smith Richard (Miami Township , Surgical anastomosis stapling instrument.
Brinkerhoff Ronald J. (Amelia OH) Nobis Rudolph H. (Mason OH) Wolf Helmut (Cincinnati OH) Bilotti Federico (Hamburg OH DEX) Fox William (Ohio Township ; Clermont County OH) Zeiner Mark S. (Cincinnati, Surgical anastomosis stapling instrument.
Brinkerhoff Ronald J. (Amelia OH) Nobis Rudolph H. (Mason OH) Wolf Helmut (Cincinnati OH) Bilotti Federico (Hamburg OH DEX) Fox William (Ohio Township ; Clermont County OH) Zeiner Mark S. (Cincinnati, Surgical anastomosis stapling instrument.
Fox William (Ohio Township ; Clermont County OH) Smith Richard (Miami Township ; Clermont County OH) Grant Richard (Union Township ; Clermont County OH), Surgical anastomosis stapling instrument.
Green David T. (251 Wolpit Ave. Norwalk CT 06581) Korthoff Herbert W. (110 Old Belden Hill Rd. Wilton CT 06897), Surgical fastener and surgical stapling apparatus.
Vasconcellos Alfred V. (Cranston NJ) Teodorescu Ionel E. (Woodside NY) Cummings Joel W. (Berkley MA) McBeth Dean E. (Groton-on-Hudson NY), Surgical instrument for establishing compression anastomosis.
Berggren Anders (Bergdalsgatan 6 582 45 Linkping SEX) Rohman Hakan (Vitsippestigen 4 590 20 Mantorp SEX) strup Leif (Onkel Adamsgatan 10 582 35 Linkping SEX), Surgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements f.
Yencho, Stephen A.; Hendricksen, Michael; Vargas, Jaime; Nielsen, Jamey; Hausen, Bernard A.; Vance, Scott, Sutureless closure for connecting a bypass graft to a target vessel.
Wang Yulun (Goleta CA) Srinivasan Partha (Goleta CA), Three-dimensional vector co-processor having I, J, and K register files and I, J, and K execution units.
Tovey H. Jonathan (Milford CT) Young Wayne (Brewster NY) Hinchliffe Peter W. J. (Orange CT) Shikhman Oleg (Bridgeport CT), Wound closing apparatus and method.
Madhani Akhil J. ; Salisbury J. Kenneth, Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitiv.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.