New! View global litigation for patent families

US20040181245A1 - Superelastic anastomosis device - Google Patents

Superelastic anastomosis device Download PDF

Info

Publication number
US20040181245A1
US20040181245A1 US10810170 US81017004A US20040181245A1 US 20040181245 A1 US20040181245 A1 US 20040181245A1 US 10810170 US10810170 US 10810170 US 81017004 A US81017004 A US 81017004A US 20040181245 A1 US20040181245 A1 US 20040181245A1
Authority
US
Grant status
Application
Patent type
Prior art keywords
device
anastomosis
vessel
flange
fig
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
Application number
US10810170
Inventor
Stephen Yencho
Jaime Vargas
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Dextera Surgical Inc
Original Assignee
Dextera Surgical Inc
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

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135End-to-side connections, e.g. T- or Y-connections

Abstract

An implantable superelastic anastomosis device may include a substantially continuous ring, the diameter of which may be substantially fixed. The anastomosis device may include first flange members and second flange members extending from an open central structure, where at least one second flange member has a free end oriented generally toward at least one first flange member after the anastomosis device has been deployed.

Description

  • [0001]
    This application is a continuation of U.S. patent application Ser. No. 09/687,216, filed on Oct. 12, 2000, which is incorporated by reference in its entirety.
  • BACKGROUND OF THE INVENTION
  • [0002]
    1. Field of the Invention
  • [0003]
    The invention relates to an implantable medical device such as an anastomosis device and a deployment system for implanting the device. In a preferred embodiment, the device can be used for forming a sutureless connection between a bypass graft and a graft vessel.
  • [0004]
    2. Brief Description of the Related Art
  • [0005]
    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).
  • [0006]
    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 blood so that the heart can be stopped and the anastomosis can be performed. During this procedure, the aorta is clamped, which can lead to trauma of the aortic tissue and/or dislodge plaque emboli, both of which increase the likelihood of neurological complications. 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.
  • [0007]
    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. 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 site within the patient. In the less invasive surgical approaches, some of the major coronary arteries including the ascending aorta cannot be easily reached by the surgeon because of their location. This makes suturing either difficult or impossible for some coronary artery sites. In addition, some target vessels, such as heavily calcified coronary vessels, vessels having very small diameter, and previously bypassed vessels may make the suturing process difficult or impossible.
  • [0008]
    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.
  • SUMMARY OF THE INVENTION
  • [0009]
    A superelastic or pseudoelastic one piece anastomosis device according to the present invention connects a graft vessel to a target vessel. The anastomosis device deforms from an insertion configuration to a tissue holding configuration due to the superelastic or pseudoelastic properties of the material.
  • [0010]
    In accordance with one aspect of the present invention, a one piece anastomosis device for connecting a graft vessel to a target vessel includes a device body formed of a superelastic or pseudoelastic material. The device body has an insertion configuration and a tissue holding configuration in which the body has an inner flange and an outer flange. At least one of the inner and outer flanges is radially constrained in the insertion configuration for insertion into the target vessel. When the device body is released it self deforms to the tissue holding configuration.
  • [0011]
    In accordance with another aspect of the present invention, a tube deployed anastomosis system for connecting a graft vessel to a target vessel includes a deployment tube and an anastomosis device formed of a superelastic or pseudoelastic material. The device has an insertion configuration and a tissue holding configuration in which the device has an inner flange and an outer flange. The inner and outer flanges are radially constrained in the deployment tube in the insertion configuration for insertion into the target vessel and when released from the deployment tube, the device self deforms to the tissue holding configuration.
  • [0012]
    In accordance with another further aspect of the present invention, a method of deploying an anastomosis system for connecting a graft vessel to a target vessel includes the steps of: connecting a graft vessel to a one piece device formed of a superelastic or pseudoelastic material; poking a portion of the one piece device through the graft vessel; and deploying the one piece device by self deformation to a tissue holding configuration in which the device has an inner flange and an outer flange and traps the target vessel tissue between the inner flange and the outer flange.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • [0013]
    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:
  • [0014]
    [0014]FIG. 1 is a perspective view of a first embodiment of an anastomosis device in a constrained configuration prior to use;
  • [0015]
    [0015]FIG. 2 is a perspective view of the anastomosis device of FIG. 1 in a deployed configuration;
  • [0016]
    [0016]FIG. 3 is a side cross sectional view of the anastomosis device of FIG. 1 with a graft vessel everted around the device and the device constrained by a tube prior to deployment;
  • [0017]
    [0017]FIG. 4 a side cross sectional view of the system of FIG. 3 being inserted into a target vessel:
  • [0018]
    [0018]FIG. 5 is a side cross sectional view of the system of FIG. 3 after release of an inner flange;
  • [0019]
    [0019]FIG. 6 is a side cross sectional view of the system of FIG. 3 with the inner flange imbedded in an inner wall of the target vessel wall;
  • [0020]
    [0020]FIG. 7 is a side cross sectional view of the system of FIG. 3 after release of the outer flange showing the deployment tube being removed;
  • [0021]
    [0021]FIG. 8 is a perspective view of an alternative embodiment of an anastomosis device in a constrained configuration prior to use;
  • [0022]
    [0022]FIG. 9 is a perspective view of the anastomosis device of FIG. 8 in a deployed configuration;
  • [0023]
    [0023]FIG. 10 is side cross sectional view of the anastomosis device of FIG. 8 after deployment shown connecting a graft and a target vessel;
  • [0024]
    [0024]FIG. 11 is a perspective view of an alternative embodiment of an anastomosis device in a constrained configuration prior to use;
  • [0025]
    [0025]FIG. 12 is a perspective view of the anastomosis device of FIG. 11 in a deployed configuration;
  • [0026]
    [0026]FIG. 13 is a side cross sectional view of the anastomosis device of FIG. 11 after deployment shown connecting a graft vessel to a target vessel;
  • [0027]
    [0027]FIG. 14 is a perspective view of an alternative embodiment of an anastomosis device in a constrained configuration prior to use;
  • [0028]
    [0028]FIG. 15 is a perspective view of the anastomosis device of FIG. 14 in a deployed configuration;
  • [0029]
    [0029]FIG. 16 is a perspective view of an alternative embodiment of an expandable body anastomosis device in a constrained configuration prior to use; and
  • [0030]
    [0030]FIG. 17 is a perspective view of the anastomosis device of FIG. 16 in a deployed configuration.
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • [0031]
    The present invention relates to a superelastic or pseudoelastic anastomosis device and method for connecting a graft vessel to a target vessel without the use of conventional sutures. The quick and easy deployment of the anastomosis system according to the present invention greatly increases the speed with which anastomosis can be performed over the known sutured anastomosis methods. The anastomosis devices according to the present invention are particularly designed for use in connecting graft vessels to target vessel in a variety of anastomosis procedures, including coronary artery bypass grafting. In such procedures, a large vessel anastomotic device is used to connect a graft vessel to large diameter target vessels such as the aorta or it's major side branches and a small vessel anastomotic device is used for connecting a graft vessel to a target vessel having a small diameter such as a coronary artery.
  • [0032]
    Suturing a graft vessel to a target vessel with conventional procedures is difficult and time consuming, particularly in minimally invasive procedures where space may be limited and in procedures in which it may be desired to perform an anastomosis without stoppage of blood flow through the target vessel. The superelastic or pseudoelastic anastomosis device and method of the present invention allow anastomosis to be performed efficiently and effectively in tight spaces. The anastomosis may also be performed with or without stoppage of blood flow in a target vessel and with or without the use of cardiopulmonary bypass.
  • [0033]
    [0033]FIG. 1 illustrates an anastomosis device 10 according to a first embodiment of the present invention in a constrained insertion configuration in which the anastomosis device would be inserted into a target blood vessel. FIG. 2 illustrates the anastomosis device 10 of FIG. 1 in an expanded deployed configuration which holds a graft vessel to a target vessel. The superelastic or the pseudoelastic anastomosis device in FIG. 1 includes a substantially cylindrical body 14, a plurality of legs 16 extending from a first side of the body, and a plurality of hooks 18 extended from a second side of the body. In the insertion configuration illustrated in FIG. 1, the body 14, the legs 16, and the hooks 18, are substantially aligned in a constrained substantially cylindrical shape. The anastomosis device 10 may be held in the constrained substantially cylindrical shape by a deployment tool, such as a substantially cylindrical deployment tube. When the deployment tool is removed from the device 10, the device returns to a preset expanded shape illustrated in FIG. 2 due to the superelastic or pseudoelastic properties of the material.
  • [0034]
    The anastomosis device 10 is made of a pseudoelastic or superelastic alloy, such as Nitenol or other pseudoelastic or superelastic material. The superelastic or pseudoelastic device 10 will self deform through superelastic or pseudoelastic behavior from the constrained insertion configuration illustrated in FIG. 1 to the expanded configuration illustrated in FIG. 2 when the constraining device or deployment tool is removed. The anastomosis device 10 formed of the superelastic or pseudoelastic material is formed in the final shape illustrated in FIG. 2 and is then isothermally deformed by constraining in a tube or other deployment tool in the substantially cylindrical shape illustrated in FIG. 1. The need for temperature control is avoided since the anastomosis device 10 reforms the deployed shape of FIG. 2 spontaneously when removed from the constraining tube. This allows the accurate placement of the anastomosis device 10 spontaneous and nearly instantaneously upon deployment of the device. The need for a mechanical deployment device to mechanically deform the anastomosis device from the insertion configuration to the deployed configuration is also avoided.
  • [0035]
    The anastomosis devices of the present invention may be made of any known superelastic or pseudoelastic material. U.S. Pat. No. 5,597,378 provides a discussion of superelastic and pseudoelastic materials and is incorporated herein by reference in its entirety.
  • [0036]
    The deployed anastomosis device 10 as shown in FIG. 2 includes an inner flange formed by outwardly extruding ends 22 of the J-shaped hooks 18. The deployed device 10 also includes an outer flange formed by the legs 16 extending outward from the body 14.
  • [0037]
    In use, a graft vessel 30, shown in FIG. 3, is threaded through a center of the anastomosis device 10. An end 34 of the graft vessel 30 is everted around the hooks 18 and the hook ends 22 penetrate into or through the everted end 34 of the graft vessel retaining the graft vessel in place on the anastomosis device 10.
  • [0038]
    As illustrated in FIG. 3, the anastomosis device 10 with the everted graft vessel 30 is positioned within a deployment tube 38 for delivery of the anastomosis device and graft vessel to an opening 40 in a target vessel 32. In the radially constrained insertion configuration, the leading edge or hook end of the anastomosis device may be substantially cylindrical or slightly conical for ease of insertion.
  • [0039]
    One embodiment of a method for deploying the anastomosis device 10 of the present invention will be described with reference to FIGS. 3-6. As shown in FIG. 3, the graft vessel 30 is prepared by everting an end 34 of the graft vessel around the hooks 18 of the anastomosis device 10. The hook ends 22 penetrate the graft vessel tissue to maintain the everted configuration of the graft vessel. The hooks 18 and the legs 16 of the anastomosis device 10 are radially constrained by inserting the anastomosis device 10 and everted end of the graft vessel 30 into a deployment tool 38 in the shape of a tube. When positioned inside the deployment tool 38, the anastomosis device 10 is in a generally cylindrical configuration for insertion into the target vessel 32.
  • [0040]
    As shown in FIG. 4, the deployment tool 38 is used to insert the anastomosis device 10 and the graft vessel 30 into the target vessel 32 until the hook ends 22 have passed through the opening 40 and are positioned within an interior of the blood vessel. As shown in FIGS. 3 and 4, a retainer tube 36 is positioned around the graft vessel 30 and inside the deployment tool 38 for holding and extruding the anastomosis device 10. A distal end 48 of the retainer tube 46 is positioned adjacent to a proximal end of the anastomosis device 10. The distal end 48 of the retainer tube 46 may be attached to or abut the anastomosis device 10 to hold the anastomosis device in place inside the deployment tube 38 during the insertion step of FIG. 4.
  • [0041]
    As shown in FIG. 5, the anastomosis device 10 is held in place by the retainer tube 46 while the deployment tube 38 is withdrawn or retracted to release the radial constraining force from the hooks 18. Upon removal of the deployment tube 38 from the hooks 18, the hook ends 22 and hook base portion 24 spontaneously spring outward due to the superelasticity or pseudoelasticity of the material.
  • [0042]
    As shown in FIG. 6, after the release of the hooks 18 the anastomosis device 10 is withdrawn by the deployment tool 38 against the interior wall of the target vessel 32 causing the hook ends 22 to be compressed against or penetrate into the tissue of the interior wall of the target vessel. The deployment tube 38 is then completely withdrawn as shown in FIG. 7 allowing the legs 16 to spontaneously spring outward to trap the wall of the target vessel 32 between the hooks 18 which form an inner flange and the legs 16 which form an outer flange for the deployed anastomosis device 10.
  • [0043]
    [0043]FIGS. 8-10 illustrate an alternative embodiment of an anastomosis device 50 having a central body portion 54. A first set of legs 56 extend from one end of the body 54 and a second set of pointed legs 58 extend from the second side of the body. In a constrained configuration illustrated in FIG. 8, the anastomosis device 50 is substantially tubular for insertion into a target vessel. In an expanded deployed configuration, illustrated in FIGS. 9 and 10, the anastomosis device 50 is substantially C-shaped in cross section with the legs 56 forming an outer flange and the pointed legs 58 forming an inner flange of the anastomosis device 50.
  • [0044]
    The embodiment shown in FIGS. 8-10 may be deployed in a manner similar to that of the anastomosis device described above with respect to FIGS. 1-7. As shown in FIG. 10, the graft vessel 62 is everted around the anastomosis device 50. The anastomosis device 50 and graft vessel 62 are then inserted into an opening in the target vessel 64 in a constrained configuration. A constraining device such as the deployment tool 38 is then removed from the anastomosis device 50 and graft vessel 62 allowing the legs 56 and 58 to spontaneously spring outward by the superelastic or pseudoelastic properties of the material to form inner and outer flanges which trap the tissue of the target vessel 64 between the inner and outer flanges.
  • [0045]
    According to one preferred embodiment of the anastomosis device 50 the pointed legs 58 each include a pointed tissue penetrating end 66 and a rectangular stop member 68 for limiting the tissue penetration of the penetrating end. As shown in FIG. 10, the tissue penetrating end 66 of the pointed legs 58 penetrates into or through the graft vessel 62 to ensure the graft vessel is retained on the anastomosis device 50 during and after deployment.
  • [0046]
    In the deployed configuration illustrated in FIG. 10, the intima of the graft vessel 62 abuts an intima of the target vessel 64. Thus, the expansion of the inner flange of the anastomosis device 50 forms a vein gasket to seal the graft and target vessels together.
  • [0047]
    [0047]FIGS. 11-13 illustrate an alternative embodiment of the superelastic or pseudoelastic anastomosis device 80 in a radially constrained configuration illustrated in FIG. 11 and in an expanded tissue retaining configuration illustrated in FIGS. 12 and 13. The anastomosis device 80 includes a device body 84 formed of a plurality of substantially parallel spring elements 86 interconnecting to end members 88. Extending from the end members 88 are a plurality of prongs 90 which in the expanded tissue supporting configuration illustrated in FIG. 13, form inner and outer flanges to trap the tissue of the target vessel 96. As in the previous embodiments, a graft vessel 94 is inserted through a center of the anastomosis device body 84 and is everted around the prongs 90 of at least one end the device body. The prongs 90 penetrate into or through the graft vessel tissue to retain the graft vessel on the anastomosis device.
  • [0048]
    The anastomosis device 80 with the graft vessel 94 everted around the anastomosis device is inserted in a radially constrained configuration illustrated in FIG. 11 into an opening in the target vessel 96. When the radially constraining member such as a retainer tube is removed from the anastomosis device 80, the anastomosis device spontaneously self deforms and returns to the configuration of FIG. 12 due to the superelastic or pseudoelastic properties of the material.
  • [0049]
    As shown in FIG. 13, a first set of the prongs 90 forms a flange at the inner wall of the target vessel. The spring elements 86 allow the distance between the end members 88 to adjust somewhat to target vessels 96 having walls of different thicknesses. The spring elements 86 may also apply a compression force to the wall of the target vessel 96 once the anastomosis device 80 has been deployed to provide improved sealing.
  • [0050]
    In an alternate embodiment of the anastomosis device 80 of FIGS. 11-13, the graft vessel 94 may be attached to the anastomosis device without everting. This may be done by providing axial prongs, hooks, or barbs on the inner rail member 88 and hooking an end of the graft vessel on the hooks, prongs, or barbs without everting.
  • [0051]
    An alternative embodiment of an anastomosis device 100 includes an anastomosis device body 104, legs 106, and hooks 108, as in the embodiment of FIGS. 1 and 2. The embodiment of FIGS. 14 and 15 differs from the embodiment of FIGS. 1 and 2 in that the legs 106 are folded outward and downward adjacent the body 104 in the radially constrained insertion configuration illustrated in FIG. 14. The legs 106 will spontaneously spring out to the flange forming configuration of FIG. 15 when the radially constraining member such as a retainer tube is removed for deployment of the anastomosis device 100.
  • [0052]
    [0052]FIGS. 16 and 17 illustrate an alternative embodiment of an anastomosis device 200 including a device body 204, legs 206 and pointed legs 208. The body 204 is formed of axially extending members 210 interconnected by struts 212 which allow the body to expand radially. Positioned between the body 204 and the pointed legs 208 are hinges 214. FIG. 16 illustrates the anastomosis device 200 in a radially constrained insertion configuration with a graft vessel 220 extending through an interior of the device body 204 and everted over the pointed legs 208. The pointed legs 208 penetrate and hold the everted end of the graft vessel 220 on the device 200.
  • [0053]
    For insertion, the anastomosis device 200 of FIG. 16 is radially constrained in a deployment tube (not shown). As the deployment tube is withdrawn from the device 200, the pointed legs 208 fold outward to form an inner flange, the device body 204 expands radially, and the legs 206 fold outward to form an outer flange. The radially expanding body 204 helps to stretch and support an opening in the target vessel.
  • [0054]
    Each of the anastomosis devices according to the present invention are preferably single piece devices which are formed in a substantially tubular shape. The anastomosis devices may be formed by laser cutting or punching from a tube or sheet of superelastic or pseudoelastic material. Alternatively, the devices may be formed from superelastic or pseudoelastic wire. The devices may be provided in varying sizes to join vessels of different sizes. The legs, hooks, prongs, and other device elements which have been discussed above with regard to the various embodiments may be used in varying numbers and arrangements depending on the particular application.
  • [0055]
    The invention has been described as an anastomosis device which is constrained for insertion in a radially constrained configuration with a deployment tool such as tube. However, the deployment tube may take other non-tubular shapes.
  • [0056]
    Although the invention has been primarily discussed with respect to coronary artery bypass surgery, the anastomosis devices of the present invention may by 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 devices according to the present invention may be used with venous grafts such as a harvested saphenous vein graft, arterial graft, such as a dissected mammal artery, or a synthetic prosthesis, as required.
  • [0057]
    Finally, the anastomosis devices according to the present invention have been illustrated as substantially cylindrical members. However, the devices can also be shaped into ovals, football shapes, or other shapes. Oval shapes can be particularly useful for accommodating small target vessels.
  • [0058]
    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 (23)

    What is claimed is:
  1. 1. A one-piece anastomosis device for connecting a graft vessel to a target vessel, comprising:
    a body formed from superelastic material, said body deformable from a constrained configuration to an unconstrained configuration; wherein in said unconstrained configuration said body includes at the distal end thereof a plurality of inner flange members forming an inner flange and includes at the proximal end thereof a plurality of outer flange members forming an outer flange; and wherein at least a portion of said body between said inner flange and said outer flange has substantially the same diameter in both said constrained configuration and said unconstrained configuration.
  2. 2. The anastomosis device of claim 1, wherein said portion of said body between said inner flange and said outer flange that maintains a substantially constant diameter in both said constrained configuration and said unconstrained configuration includes a substantially rigid ring.
  3. 3. The anastomosis device of claim 1, wherein at least one of said inner flange members is substantially blunt.
  4. 4. The anastomosis device of claim 1, wherein at least one of said outer flange members is substantially blunt.
  5. 5. The anastomosis device of claim 1, wherein at least one of said inner flange members substantially does not pierce the target vessel when said body is in the unconstrained configuration.
  6. 6. The anastomosis device of claim 1, wherein at least one of said outer flange members substantially does not pierce the target vessel when said body is in the unconstrained configuration.
  7. 7. The anastomosis device of claim 1, wherein said superelastic material is nickel-titanium alloy.
  8. 8. The anastomosis device of claim 1, wherein at least one said inner flange member is substantially radially offset from at least one said outer flange member.
  9. 9. The anastomosis device of claim 1, wherein the number of said inner flange members is equal to the number of said outer flange members.
  10. 10. An anastomosis device for connecting a graft vessel to a target vessel, comprising:
    a substantially continuous ring, wherein the diameter of said ring is substantially fixed;
    a plurality of inner flange members extending from said ring; and
    a plurality of outer flange members extending from said ring.
  11. 11. The anastomosis device of claim 10, wherein said ring, said inner flange members and said outer flange members are composed of superelastic material.
  12. 12. The anastomosis device of claim 10, wherein at least one said inner flange member is substantially radially offset from at least one said outer flange member.
  13. 13. The anastomosis device of claim 10, wherein the number of said inner flange members is equal to the number of said outer flange members.
  14. 14. The anastomosis device of claim 10, wherein at least one of said inner flange members is substantially blunt.
  15. 15. The anastomosis device of claim 10, wherein at least one of said outer flange members is substantially blunt.
  16. 16. An anastomosis device for connecting a graft vessel to a target vessel, comprising:
    a open central structure;
    a plurality of first flange members extending from said central structure and movable from an insertion state to an expanded state; and
    a plurality of second flange members extending from said central structure and movable from an insertion state to an expanded state, at least one said second flange member having a free end; wherein at least one said free end is oriented generally toward at least one said first flange member when said first flange members and said second flange members are in said expanded state.
  17. 17. The anastomosis device of claim 16, wherein at least one said free end is pointed, whereby said pointed free end penetrates the target vessel.
  18. 18. The anastomosis device of claim 16, wherein at least one said free end is pointed, whereby said pointed free end penetrates the graft vessel.
  19. 19. The anastomosis device of claim 16, wherein at least one said free end is angled relative to a remainder of the corresponding said second flange member.
  20. 20. The anastomosis device of claim 16, wherein said central structure has a substantially fixed perimeter.
  21. 21. The anastomosis device of claim 16, wherein said central structure is a substantially rigid ring.
  22. 22. The anastomosis device of claim 10, wherein at least one said first flange member is substantially radially offset from at least one said second flange member.
  23. 23. The anastomosis device of claim 10, wherein the number of said first flange members is equal to the number of said second flange members.
US10810170 2000-10-12 2004-03-26 Superelastic anastomosis device Abandoned US20040181245A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US09687216 US6776785B1 (en) 2000-10-12 2000-10-12 Implantable superelastic anastomosis device
US10810170 US20040181245A1 (en) 2000-10-12 2004-03-26 Superelastic anastomosis device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10810170 US20040181245A1 (en) 2000-10-12 2004-03-26 Superelastic anastomosis device

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09687216 Continuation US6776785B1 (en) 2000-10-12 2000-10-12 Implantable superelastic anastomosis device

Publications (1)

Publication Number Publication Date
US20040181245A1 true true US20040181245A1 (en) 2004-09-16

Family

ID=29401808

Family Applications (3)

Application Number Title Priority Date Filing Date
US09687216 Active 2021-05-11 US6776785B1 (en) 2000-10-12 2000-10-12 Implantable superelastic anastomosis device
US10461269 Expired - Fee Related US7303569B2 (en) 2000-10-12 2003-06-13 Implantable superelastic anastomosis device
US10810170 Abandoned US20040181245A1 (en) 2000-10-12 2004-03-26 Superelastic anastomosis device

Family Applications Before (2)

Application Number Title Priority Date Filing Date
US09687216 Active 2021-05-11 US6776785B1 (en) 2000-10-12 2000-10-12 Implantable superelastic anastomosis device
US10461269 Expired - Fee Related US7303569B2 (en) 2000-10-12 2003-06-13 Implantable superelastic anastomosis device

Country Status (1)

Country Link
US (3) US6776785B1 (en)

Families Citing this family (112)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
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
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US6964668B2 (en) 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US6695859B1 (en) 1999-04-05 2004-02-24 Coalescent Surgical, Inc. Apparatus and methods for anastomosis
US7892246B2 (en) * 1999-07-28 2011-02-22 Bioconnect Systems, Inc. Devices and methods for interconnecting conduits and closing openings in tissue
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US7201771B2 (en) 2001-12-27 2007-04-10 Arbor Surgical Technologies, Inc. Bioprosthetic heart valve
US6391048B1 (en) 2000-01-05 2002-05-21 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
US7842068B2 (en) 2000-12-07 2010-11-30 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US6461364B1 (en) 2000-01-05 2002-10-08 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
JP3782297B2 (en) * 2000-03-28 2006-06-07 株式会社東芝 A solid-state imaging device and manufacturing method thereof
US6551332B1 (en) 2000-03-31 2003-04-22 Coalescent Surgical, Inc. Multiple bias surgical fastener
DE60143324D1 (en) 2000-09-08 2010-12-02 Abbott Vascular Inc An apparatus for locating a punctured blood vessel
US6626918B1 (en) 2000-10-06 2003-09-30 Medical Technology Group Apparatus and methods for positioning a vascular sheath
US6926730B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6918917B1 (en) * 2000-10-10 2005-07-19 Medtronic, Inc. Minimally invasive annuloplasty procedure and apparatus
US6776785B1 (en) * 2000-10-12 2004-08-17 Cardica, Inc. Implantable superelastic anastomosis device
US6623510B2 (en) 2000-12-07 2003-09-23 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US20020173803A1 (en) * 2001-05-01 2002-11-21 Stephen Ainsworth Self-closing surgical clip for tissue
WO2002098302A1 (en) 2001-06-07 2002-12-12 Christy Cummins Surgical staple
US6626920B2 (en) * 2001-07-05 2003-09-30 Converge Medical, Inc. Distal anastomosis system
US7892247B2 (en) * 2001-10-03 2011-02-22 Bioconnect Systems, Inc. Devices and methods for interconnecting vessels
US7182771B1 (en) * 2001-12-20 2007-02-27 Russell A. Houser Vascular couplers, techniques, methods, and accessories
US7029482B1 (en) * 2002-01-22 2006-04-18 Cardica, Inc. Integrated anastomosis system
US6749621B2 (en) 2002-02-21 2004-06-15 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
WO2004000134A3 (en) * 2002-06-19 2004-03-11 Tyco Healthcare Method and apparatus for anastomosis including annular joining member
US7959674B2 (en) 2002-07-16 2011-06-14 Medtronic, Inc. Suture locking assembly and method of use
US6884250B2 (en) * 2002-07-22 2005-04-26 Niti Medical Technologies Ltd. Intratubular anastomosis apparatus
US7351247B2 (en) 2002-09-04 2008-04-01 Bioconnect Systems, Inc. Devices and methods for interconnecting body conduits
US8066724B2 (en) * 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8551162B2 (en) 2002-12-20 2013-10-08 Medtronic, Inc. Biologically implantable prosthesis
US6928669B2 (en) * 2003-01-10 2005-08-16 Tyler Pipe Company Closet carrier system and method of assembly
US8202293B2 (en) 2003-01-30 2012-06-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8021421B2 (en) 2003-08-22 2011-09-20 Medtronic, Inc. Prosthesis heart valve fixturing device
US20050043749A1 (en) 2003-08-22 2005-02-24 Coalescent Surgical, Inc. Eversion apparatus and methods
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7462188B2 (en) * 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
US7556647B2 (en) 2003-10-08 2009-07-07 Arbor Surgical Technologies, Inc. Attachment device and methods of using the same
US7267680B2 (en) * 2003-10-08 2007-09-11 David Walter Wright Anastomosis apparatus and methods of deployment and manufacture
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US7597711B2 (en) 2004-01-26 2009-10-06 Arbor Surgical Technologies, Inc. Heart valve assembly with slidable coupling connections
US8590760B2 (en) 2004-05-25 2013-11-26 Abbott Vascular Inc. Surgical stapler
US20060047337A1 (en) 2004-08-27 2006-03-02 Brenneman Rodney A Device and method for establishing an artificial arterio-venous fistula
US9706997B2 (en) 2004-08-27 2017-07-18 Rox Medical, Inc. Device and method for establishing an artificial arterio-venous fistula
US7828814B2 (en) 2004-08-27 2010-11-09 Rox Medical, Inc. Device and method for establishing an artificial arterio-venous fistula
US8083793B2 (en) 2005-02-28 2011-12-27 Medtronic, Inc. Two piece heart valves including multiple lobe valves and methods for implanting them
US20060195186A1 (en) * 2005-02-28 2006-08-31 Drews Michael J Connectors for two piece heart valves and methods for implanting such heart valves
US7513909B2 (en) * 2005-04-08 2009-04-07 Arbor Surgical Technologies, Inc. Two-piece prosthetic valves with snap-in connection and methods for use
WO2006130505A3 (en) 2005-05-27 2007-06-28 Arbor Surgical Technologies Gasket with collar for prosthetic heart valves and methods for using them
US8926633B2 (en) 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US8083754B2 (en) * 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US20070060895A1 (en) 2005-08-24 2007-03-15 Sibbitt Wilmer L Jr Vascular closure methods and apparatuses
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US8758397B2 (en) * 2005-08-24 2014-06-24 Abbott Vascular Inc. Vascular closure methods and apparatuses
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US7998132B2 (en) * 2005-09-02 2011-08-16 Boston Scientific Scimed, Inc. Adjustable stiffness catheter
US7967857B2 (en) 2006-01-27 2011-06-28 Medtronic, Inc. Gasket with spring collar for prosthetic heart valves and methods for making and using them
US7625392B2 (en) * 2006-02-03 2009-12-01 James Coleman Wound closure devices and methods
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
WO2007130881A3 (en) 2006-04-29 2008-01-31 Arbor Surgical Technologies Multiple component prosthetic heart valve assemblies and apparatus and methods for delivering them
EP2015681B1 (en) 2006-05-03 2018-03-28 Datascope Corp. Tissue closure device
US8556930B2 (en) 2006-06-28 2013-10-15 Abbott Laboratories Vessel closure device
US8758398B2 (en) 2006-09-08 2014-06-24 Integrated Vascular Systems, Inc. Apparatus and method for delivering a closure element
NL1032752C2 (en) * 2006-10-26 2008-04-29 Vascu Snap B V Vascular prosthesis.
GB0917074D0 (en) * 2007-04-02 2009-11-11 Kang Dong Won Contact lens storage case
US8443808B2 (en) 2007-03-19 2013-05-21 Hologic, Inc. Methods and apparatus for occlusion of body lumens
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US8226681B2 (en) 2007-06-25 2012-07-24 Abbott Laboratories Methods, devices, and apparatus for managing access through tissue
US8690816B2 (en) 2007-08-02 2014-04-08 Bioconnect Systems, Inc. Implantable flow connector
US20130197546A1 (en) 2007-08-02 2013-08-01 Bioconnect Systems, Inc. Implantable flow connector
US9301761B2 (en) * 2007-10-22 2016-04-05 James E. Coleman Anastomosis devices and methods
US8893947B2 (en) 2007-12-17 2014-11-25 Abbott Laboratories Clip applier and methods of use
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
EP2265191B1 (en) * 2008-04-03 2012-02-29 Amj B.V. Securing device and assembly comprising such a securing device
US9282965B2 (en) 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
US8398676B2 (en) 2008-10-30 2013-03-19 Abbott Vascular Inc. Closure device
US8197498B2 (en) * 2008-11-06 2012-06-12 Trinitas Ventures Ltd. Gastric bypass devices and procedures
US8905961B2 (en) * 2008-12-19 2014-12-09 St. Jude Medical, Inc. Systems, apparatuses, and methods for cardiovascular conduits and connectors
US8323312B2 (en) 2008-12-22 2012-12-04 Abbott Laboratories Closure device
US8858594B2 (en) 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US9414820B2 (en) 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
US9089311B2 (en) 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US8905937B2 (en) 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US8668704B2 (en) 2009-04-24 2014-03-11 Medtronic, Inc. Medical clip with tines, system and method of using same
US20140155804A1 (en) * 2009-07-07 2014-06-05 Marwan Tabbara Surgical devices and kits
US8591451B2 (en) * 2009-07-07 2013-11-26 Marwan Tabbara Surgical methods, devices, and kits
US8348128B2 (en) * 2009-11-11 2013-01-08 Biorep Technologies, Inc. Anastomosis system and method
US8303624B2 (en) 2010-03-15 2012-11-06 Abbott Cardiovascular Systems, Inc. Bioabsorbable plug
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US9271733B2 (en) * 2010-11-11 2016-03-01 Willson T. Asfora Sutureless vascular anastomosis connection
WO2012117402A1 (en) * 2011-03-01 2012-09-07 Seamvad Ltd. Anastomosis device
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
EP2688514A1 (en) * 2011-03-21 2014-01-29 Endo Pharmaceuticals Inc. Urethral anastomosis device and method
US9414822B2 (en) 2011-05-19 2016-08-16 Abbott Cardiovascular Systems, Inc. Tissue eversion apparatus and tissue closure device and methods for use thereof
US9247930B2 (en) 2011-12-21 2016-02-02 James E. Coleman Devices and methods for occluding or promoting fluid flow
US9314600B2 (en) 2012-04-15 2016-04-19 Bioconnect Systems, Inc. Delivery system for implantable flow connector
US20140046347A1 (en) * 2012-08-10 2014-02-13 W. L. Gore & Associates, Inc. Devices, systems and methods for engaging tissue
US9788842B2 (en) * 2013-03-06 2017-10-17 St. Jude Medical, Cardiology Division, Inc. PMVR clip configurations for mitral leaflet
US20140364872A1 (en) * 2013-06-05 2014-12-11 Lc Therapeutics, Inc. Tissue anchor and deployment device for same
US9554801B2 (en) 2014-03-14 2017-01-31 Cook Medical Technologies Llc Extravascular implant for facilitating sutured side-to-side arteriovenous fistula creation and maintaining patency
USD810941S1 (en) 2016-10-06 2018-02-20 Edwards Lifesciences Corporation Cardiac shunt
US9789294B2 (en) 2015-10-07 2017-10-17 Edwards Lifesciences Corporation Expandable cardiac shunt

Citations (90)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6167889A (en) *
US3254650A (en) * 1962-03-19 1966-06-07 Michael B Collito Surgical anastomosis methods and devices
US4366819A (en) * 1980-11-17 1983-01-04 Kaster Robert L Anastomotic fitting
US4368436A (en) * 1979-06-04 1983-01-11 Sgs-Ates Componenti Elettronici S.P.A. Overload protection device for power output circuits
US4503568A (en) * 1981-11-25 1985-03-12 New England Deaconess Hospital Small diameter vascular bypass and method
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
US4589416A (en) * 1983-10-04 1986-05-20 United States Surgical Corporation Surgical fastener retainer member assembly
US4593693A (en) * 1985-04-26 1986-06-10 Schenck Robert R Methods and apparatus for anastomosing living vessels
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
US4747407A (en) * 1985-09-03 1988-05-31 The Field Surgery Research Department of the Third Military Medical University Blood vessel anastomat
US4752024A (en) * 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
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
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
US4917087A (en) * 1984-04-10 1990-04-17 Walsh Manufacturing (Mississuaga) Limited Anastomosis devices, kits and method
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
US5005749A (en) * 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
US5119983A (en) * 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US5178796A (en) * 1990-10-11 1993-01-12 Pfizer Inc. Method for oxygen removal with keto-gluconates
US5193731A (en) * 1988-07-01 1993-03-16 United States Surgical Corporation Anastomosis surgical stapling instrument
US5205459A (en) * 1991-08-23 1993-04-27 Ethicon, Inc. Surgical anastomosis stapling instrument
US5217474A (en) * 1991-07-15 1993-06-08 Zacca Nadim M Expandable tip atherectomy method and apparatus
US5221281A (en) * 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
US5222963A (en) * 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5290298A (en) * 1990-05-07 1994-03-01 United States Surgical Corporation Fragmentable anastomotic device
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
US5314468A (en) * 1989-03-31 1994-05-24 Wilson Ramos Martinez Aortic valved tubes for human implants
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
US5395311A (en) * 1990-05-14 1995-03-07 Andrews; Winston A. Atherectomy catheter
US5395030A (en) * 1992-06-04 1995-03-07 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
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
US5524180A (en) * 1992-08-10 1996-06-04 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5522834A (en) * 1992-10-15 1996-06-04 Applied Medical Resources Corporation Internal mammary artery catheter and method
US5707380A (en) * 1996-07-23 1998-01-13 United States Surgical Corporation Anastomosis instrument and method
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
US5709693A (en) * 1996-02-20 1998-01-20 Cardiothoracic System, Inc. Stitcher
US5709335A (en) * 1994-06-17 1998-01-20 Heartport, Inc. Surgical stapling instrument and method thereof
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
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
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
US5855583A (en) * 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5868763A (en) * 1996-09-16 1999-02-09 Guidant Corporation Means and methods for performing an anastomosis
US5878193A (en) * 1992-08-10 1999-03-02 Computer Motion, Inc. Automated endoscope system for optimal positioning
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
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
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
US6024748A (en) * 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
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
US6036700A (en) * 1998-07-14 2000-03-14 Ethicon Endo-Surgery, Inc. Surgical anastomosis instrument
US6036703A (en) * 1998-02-06 2000-03-14 Ethicon Endo-Surgery Inc. Method and apparatus for establishing anastomotic passageways
US6036704A (en) * 1999-05-13 2000-03-14 Yoon; Inbae Anastomosis apparatus and method for anastomosing an anatomical tubular structure
US6036702A (en) * 1997-04-23 2000-03-14 Vascular Science Inc. Medical grafting connectors and fasteners
US6036699A (en) * 1992-12-10 2000-03-14 Perclose, Inc. Device and method for suturing tissue
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
US6066148A (en) * 1996-04-30 2000-05-23 Oticon A/S Method and anastomotic instrument for use when performing an end-to-side anastomosis
US6066144A (en) * 1997-10-07 2000-05-23 Ethicon Endo-Surgery, Inc. Surgical anastomosis method
US6068637A (en) * 1995-10-03 2000-05-30 Cedar Sinai Medical Center Method and devices for performing vascular anastomosis
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
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
US6190590B1 (en) * 1996-02-28 2001-02-20 Impra, Inc. Apparatus and method for making flanged graft for end-to-side anastomosis
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
US6193734B1 (en) * 1998-01-23 2001-02-27 Heartport, Inc. System for performing vascular anastomoses
US6206912B1 (en) * 1996-11-07 2001-03-27 St. Jude Medical Anastomotic Technology Group Inc. Medical grafting methods and apparatus
US6206913B1 (en) * 1998-08-12 2001-03-27 Vascular Innovations, Inc. Method and system for attaching a graft to a blood vessel
US6235054B1 (en) * 1998-02-27 2001-05-22 St. Jude Medical Cardiovascular Group, Inc. Grafts with suture connectors
US6371964B1 (en) * 1999-05-18 2002-04-16 Vascular Innovations, Inc. Trocar for use in deploying an anastomosis device and method of performing anastomosis
US6391036B1 (en) * 1998-01-30 2002-05-21 St. Jude Medical Atg Inc. Medical graft connector or plug structures, and methods of making and installing same
US6508822B1 (en) * 1998-11-06 2003-01-21 St. Jude Medical Atg, Inc. Medical graft assembly
US6511491B2 (en) * 1999-03-09 2003-01-28 St. Jude Medical Atg, Inc. Medical grafting methods and apparatus
US6537288B2 (en) * 1999-05-18 2003-03-25 Cardica, Inc. Implantable medical device such as an anastomosis device
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
US6736825B2 (en) * 1999-12-14 2004-05-18 Integrated Vascular Interventional Technologies, L C (Ivit Lc) Paired expandable anastomosis devices and related methods

Family Cites Families (81)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3155095A (en) * 1961-02-07 1964-11-03 Adolph M Brown Anastomosis method and means
US3519187A (en) 1966-12-06 1970-07-07 Nickolai Nickolajevich Kapitan Instrument for suturing vessels
DE1772869A1 (en) 1968-07-15 1971-06-16 Leitz Ernst Gmbh Even fishing reel for bandfoermige record carrier
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
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
US4214587A (en) * 1979-02-12 1980-07-29 Sakura Chester Y Jr Anastomosis device and method
CA1142834A (en) 1979-11-14 1983-03-15 Boris A. Smirnov Instrument for establishing vacscular anastomoses
US4352358A (en) 1979-12-28 1982-10-05 Angelchik Jean P Apparatus for effecting anastomotic procedures
US4368736A (en) 1980-11-17 1983-01-18 Kaster Robert L Anastomotic fitting
US4474181A (en) 1982-02-18 1984-10-02 Schenck Robert R Method and apparatus for anastomosing small blood vessels
US4624255A (en) 1982-02-18 1986-11-25 Schenck Robert R Apparatus for anastomosing living vessels
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
GB8625679D0 (en) 1986-10-27 1986-11-26 Ethicon Inc Synthetic vascular grafts
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
US5336233A (en) 1989-01-26 1994-08-09 Chen Fusen H Anastomotic device
US5192294A (en) 1989-05-02 1993-03-09 Blake Joseph W Iii Disposable vascular punch
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
US5540677A (en) 1990-06-15 1996-07-30 Rare Earth Medical, Inc. Endoscopic systems for photoreactive suturing of biological materials
US5234447A (en) * 1990-08-28 1993-08-10 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5366462A (en) 1990-08-28 1994-11-22 Robert L. Kaster Method of side-to-end vascular anastomotic stapling
US5129913A (en) 1990-10-04 1992-07-14 Norbert Ruppert Surgical punch apparatus
US5250058A (en) 1991-01-17 1993-10-05 Ethicon, Inc. Absorbable anastomosic 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
JPH07500023A (en) 1991-07-04 1995-01-05
US5333773A (en) 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5350104A (en) 1991-08-23 1994-09-27 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
US5250060A (en) 1992-06-26 1993-10-05 Carbo Paul L Angioplasty apparatus
US5779718A (en) 1992-10-09 1998-07-14 United States Surgical Corporation Method of anastomosing a vessel using a surgical clip applier
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
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
US5447514A (en) 1993-10-01 1995-09-05 United States Surgical Corporation Circular anastomosis device
US5454825A (en) 1993-10-01 1995-10-03 United States Surgical Corporation Circular anastomosis device with seal
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
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
ES2242132T3 (en) 1994-09-15 2005-11-01 C.R. Bard Inc. Stent and associated placement device.
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 vessels
US5558667A (en) 1994-12-14 1996-09-24 Coherent, Inc. Method and apparatus for treating vascular lesions
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 A surgical device for preparing an anastomosis in minimally invasive surgical technique
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
US5556405A (en) 1995-10-13 1996-09-17 Interventional Technologies Inc. Universal dilator with reciprocal incisor
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
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
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
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
US5676670A (en) 1996-06-14 1997-10-14 Beth Israel Deaconess Medical Center Catheter apparatus and method for creating a vascular bypass in-vivo
US5833698A (en) 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method
DE69926190T2 (en) 1998-09-28 2006-05-24 United States Surgical Corp., Norwalk Instrument for anastomosis
US6083234A (en) 1996-07-23 2000-07-04 Surgical Dynamics, Inc. Anastomosis instrument and method
WO1998011847A1 (en) 1996-09-20 1998-03-26 Houser Russell A Radially expanding prostheses and systems for their deployment
US5755778A (en) 1996-10-16 1998-05-26 Nitinol Medical Technologies, Inc. Anastomosis device
US5814073A (en) 1996-12-13 1998-09-29 Bonutti; Peter M. Method and apparatus for positioning a suture anchor
US5972017A (en) 1997-04-23 1999-10-26 Vascular Science Inc. Method of installing tubular medical graft connectors
US5827316A (en) 1997-06-05 1998-10-27 Atrion Medical Products, Inc. Rotating aortic punch
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
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
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
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
US6602263B1 (en) 1999-11-30 2003-08-05 St. Jude Medical Atg, Inc. Medical grafting methods and apparatus
US6776785B1 (en) * 2000-10-12 2004-08-17 Cardica, Inc. Implantable superelastic anastomosis device
US6605098B2 (en) * 2001-09-28 2003-08-12 Ethicon, Inc. Surgical device for creating an anastomosis between first and second hollow organs

Patent Citations (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6167889A (en) *
US3254650A (en) * 1962-03-19 1966-06-07 Michael B Collito Surgical anastomosis methods and devices
US4368436A (en) * 1979-06-04 1983-01-11 Sgs-Ates Componenti Elettronici S.P.A. Overload protection device for power output circuits
US4366819A (en) * 1980-11-17 1983-01-04 Kaster Robert L Anastomotic fitting
US4503568A (en) * 1981-11-25 1985-03-12 New England Deaconess Hospital Small diameter vascular bypass and method
US4917090A (en) * 1982-06-24 1990-04-17 Unilink, Inc. Method for performing an anastomosis
US4917091A (en) * 1982-06-24 1990-04-17 Unilink Ab Annular fastening means
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
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
US4657019A (en) * 1984-04-10 1987-04-14 Idea Research Investment Fund, Inc. Anastomosis devices and kits
US4917087A (en) * 1984-04-10 1990-04-17 Walsh Manufacturing (Mississuaga) Limited Anastomosis devices, kits and method
US4593693A (en) * 1985-04-26 1986-06-10 Schenck Robert R Methods and apparatus for anastomosing living vessels
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
US4752024A (en) * 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US5392979A (en) * 1987-05-26 1995-02-28 United States Surgical Corporation Surgical stapler apparatus
US5119983A (en) * 1987-05-26 1992-06-09 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
US5193731A (en) * 1988-07-01 1993-03-16 United States Surgical Corporation Anastomosis surgical stapling instrument
US5005749A (en) * 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
US5314468A (en) * 1989-03-31 1994-05-24 Wilson Ramos Martinez Aortic valved tubes for human implants
US5290298A (en) * 1990-05-07 1994-03-01 United States Surgical Corporation Fragmentable anastomotic device
US5395311A (en) * 1990-05-14 1995-03-07 Andrews; Winston A. Atherectomy catheter
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
US5178796A (en) * 1990-10-11 1993-01-12 Pfizer Inc. Method for oxygen removal with keto-gluconates
US5222963A (en) * 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
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
US5217474A (en) * 1991-07-15 1993-06-08 Zacca Nadim M Expandable tip atherectomy method and apparatus
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
US5292053A (en) * 1991-08-23 1994-03-08 Ethicon, Inc. Surgical anastomosis stapling instrument
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
US6053390A (en) * 1992-05-19 2000-04-25 United States Surgical Anvil for surgical stapler
US5314435A (en) * 1992-05-19 1994-05-24 United States Surgical Corporation Anvil delivery system
US5395030A (en) * 1992-06-04 1995-03-07 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
US5221281A (en) * 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
US5754741A (en) * 1992-08-10 1998-05-19 Computer Motion, Inc. Automated endoscope for optimal positioning
US5878193A (en) * 1992-08-10 1999-03-02 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5524180A (en) * 1992-08-10 1996-06-04 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5515478A (en) * 1992-08-10 1996-05-07 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5907664A (en) * 1992-08-10 1999-05-25 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5522834A (en) * 1992-10-15 1996-06-04 Applied Medical Resources Corporation Internal mammary artery catheter and method
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
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
US5881943A (en) * 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
US5732872A (en) * 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US5904697A (en) * 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US6171321B1 (en) * 1995-02-24 2001-01-09 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
US6068637A (en) * 1995-10-03 2000-05-30 Cedar Sinai Medical Center Method and devices for performing vascular anastomosis
US5709693A (en) * 1996-02-20 1998-01-20 Cardiothoracic System, Inc. Stitcher
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
US6066148A (en) * 1996-04-30 2000-05-23 Oticon A/S Method and anastomotic instrument for use when performing an end-to-side anastomosis
US6024748A (en) * 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
US5707380A (en) * 1996-07-23 1998-01-13 United States Surgical Corporation Anastomosis instrument and method
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
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
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
US6186942B1 (en) * 1997-04-23 2001-02-13 St. Jude Medical Cardiovascular Group, Inc. Medical grafting methods and apparatus
US6036702A (en) * 1997-04-23 2000-03-14 Vascular Science Inc. Medical grafting connectors and fasteners
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
US6030395A (en) * 1997-05-22 2000-02-29 Kensey Nash Corporation Anastomosis connection system
US6036705A (en) * 1997-05-22 2000-03-14 Kensey Nash Corporation Anastomosis connection system and method of use
US6022367A (en) * 1997-06-18 2000-02-08 United States Surgical Surgical apparatus for forming a hole in a blood vessel
US6066144A (en) * 1997-10-07 2000-05-23 Ethicon Endo-Surgery, Inc. Surgical anastomosis method
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
US6391036B1 (en) * 1998-01-30 2002-05-21 St. Jude Medical Atg Inc. Medical graft connector or plug structures, and methods of making and installing same
US6036703A (en) * 1998-02-06 2000-03-14 Ethicon Endo-Surgery Inc. Method and apparatus for establishing anastomotic passageways
US6015416A (en) * 1998-02-26 2000-01-18 Ethicon Endo-Surgery, Inc. Surgical anastomosis instrument
US6187019B1 (en) * 1998-02-26 2001-02-13 Ethicon Endo-Surgery, Inc. Surgical anastomosis instrument
US6235054B1 (en) * 1998-02-27 2001-05-22 St. Jude Medical Cardiovascular Group, Inc. Grafts with suture connectors
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
US6508822B1 (en) * 1998-11-06 2003-01-21 St. Jude Medical Atg, Inc. Medical graft assembly
US6511491B2 (en) * 1999-03-09 2003-01-28 St. Jude Medical Atg, Inc. Medical grafting methods and apparatus
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
US6537288B2 (en) * 1999-05-18 2003-03-25 Cardica, Inc. Implantable medical device such as an anastomosis device
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
US6736825B2 (en) * 1999-12-14 2004-05-18 Integrated Vascular Interventional Technologies, L C (Ivit Lc) Paired expandable anastomosis devices and related methods
US6193129B1 (en) * 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument

Also Published As

Publication number Publication date Type
US20030212418A1 (en) 2003-11-13 application
US7303569B2 (en) 2007-12-04 grant
US6776785B1 (en) 2004-08-17 grant

Similar Documents

Publication Publication Date Title
US6482227B1 (en) Stent graft having improved attachment within a body vessel
US6626938B1 (en) Stent graft having a pleated graft member
US6511491B2 (en) Medical grafting methods and apparatus
US6036699A (en) Device and method for suturing tissue
US6702825B2 (en) Anastomosis catheter
US6955679B1 (en) Everter and threadthrough system for attaching graft vessel to anastomosis device
US4474181A (en) Method and apparatus for anastomosing small blood vessels
US5728131A (en) Coupling device and method of use
US6699256B1 (en) Medical grafting apparatus and methods
US6709442B2 (en) Vascular bypass grafting instrument and method
US5817113A (en) Devices and methods for performing a vascular anastomosis
US20030033005A1 (en) Aortic aneurysm treatment systems
US20030195531A1 (en) Tissue connector apparatus and methods
US20070027526A1 (en) Stent/graft device and method for open surgical placement
US6019788A (en) Vascular shunt graft and junction for same
US20020091398A1 (en) Medical grafting methods and apparatus
US6443965B1 (en) Devices and methods for performing a vascular anastomosis
US6193734B1 (en) System for performing vascular anastomoses
US6110187A (en) Device and method for minimizing heart displacements during a beating heart surgical procedure
US5797933A (en) Coronary shunt and method of use
US6494889B1 (en) Additional sutureless anastomosis embodiments
US6702829B2 (en) Medical grafting connectors and fasteners
US20060271175A1 (en) Fixation band for affixing a prosthetic heart valve to tissue
US20060036313A1 (en) Apicoaortic conduit connector and method for using
US20020123786A1 (en) Methods and devices for bypassing an obstructed target vessel by placing the vessel in communication with a heart chamber containing blood