WO2001015618A3 - Non-occlusive vascular bypass surgical methods and instruments - Google Patents

Non-occlusive vascular bypass surgical methods and instruments Download PDF

Info

Publication number
WO2001015618A3
WO2001015618A3 PCT/US2000/023958 US0023958W WO0115618A3 WO 2001015618 A3 WO2001015618 A3 WO 2001015618A3 US 0023958 W US0023958 W US 0023958W WO 0115618 A3 WO0115618 A3 WO 0115618A3
Authority
WO
WIPO (PCT)
Prior art keywords
vascular bypass
instruments
occlusive vascular
novel
sectioned
Prior art date
Application number
PCT/US2000/023958
Other languages
French (fr)
Other versions
WO2001015618A2 (en
Inventor
Thomas H S Hsu
Inderbir Gill
Original Assignee
Cleveland Clinic Foundation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cleveland Clinic Foundation filed Critical Cleveland Clinic Foundation
Priority to AU74732/00A priority Critical patent/AU7473200A/en
Publication of WO2001015618A2 publication Critical patent/WO2001015618A2/en
Publication of WO2001015618A3 publication Critical patent/WO2001015618A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/064Blood vessels with special features to facilitate anastomotic coupling
    • 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
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32053Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • A61B2017/00247Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • A61B2018/00386Coronary vessels

Abstract

The present invention includes non-occlusive vascular bypass methods that can be accomplished in either an open or a laparoscopic setting. The inventive methods of vascular bypass surgery involve implanting a novel graft prosthesis in a patient, while not occluding the patient's blood vessel, or at least one of either the donor or recipient vessels, depending on the particular bypass surgery. The novel graft section is attached as desired at both its ends, one or two vessel wall pieces are sectioned while retained with a novel vessel wall grasping means, also provided, sectioned with the excimer laser, circular scalpel, aortic punch or some other suitable means, and removed with the grasping means.
PCT/US2000/023958 1999-08-31 2000-08-31 Non-occlusive vascular bypass surgical methods and instruments WO2001015618A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU74732/00A AU7473200A (en) 1999-08-31 2000-08-31 Non-occlusive vascular bypass surgical methods and instruments

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US15164699P 1999-08-31 1999-08-31
US60/151,646 1999-08-31

Publications (2)

Publication Number Publication Date
WO2001015618A2 WO2001015618A2 (en) 2001-03-08
WO2001015618A3 true WO2001015618A3 (en) 2001-11-29

Family

ID=22539654

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/023958 WO2001015618A2 (en) 1999-08-31 2000-08-31 Non-occlusive vascular bypass surgical methods and instruments

Country Status (2)

Country Link
AU (1) AU7473200A (en)
WO (1) WO2001015618A2 (en)

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9232997B2 (en) 2006-11-07 2016-01-12 Corvia Medical, Inc. Devices and methods for retrievable intra-atrial implants
US10413284B2 (en) 2006-11-07 2019-09-17 Corvia Medical, Inc. Atrial pressure regulation with control, sensing, monitoring and therapy delivery
US20110257723A1 (en) 2006-11-07 2011-10-20 Dc Devices, Inc. Devices and methods for coronary sinus pressure relief
US10624621B2 (en) 2006-11-07 2020-04-21 Corvia Medical, Inc. Devices and methods for the treatment of heart failure
US8328828B2 (en) 2008-08-11 2012-12-11 Board Of Trustees Of The University Of Arkansas Device for performing an anastomosis
US20120265183A1 (en) * 2009-09-11 2012-10-18 Amj Bv Catheter system for bypass surgery and a method for preparing a catheter system for bypass surgery
JP5730909B2 (en) 2010-01-29 2015-06-10 ディーシー ディヴァイシーズ インコーポレイテッド Device and system for treating heart failure
CN103635226B (en) * 2011-02-10 2017-06-30 可维亚媒体公司 Device for setting up and keeping intra-atrial pressure power release aperture
WO2013096965A1 (en) 2011-12-22 2013-06-27 Dc Devices, Inc. Methods and devices for intra-atrial devices having selectable flow rates
JP6344930B2 (en) * 2014-02-25 2018-06-20 大日本印刷株式会社 Laser probe and laser equipment
US10675450B2 (en) 2014-03-12 2020-06-09 Corvia Medical, Inc. Devices and methods for treating heart failure
WO2016014821A1 (en) 2014-07-23 2016-01-28 Corvia Medical, Inc. Devices and methods for treating heart failure
WO2018148456A1 (en) * 2017-02-10 2018-08-16 Texas Medical Center Transcatheter device for interatrial anastomosis
KR102137740B1 (en) 2018-11-15 2020-07-24 (주) 타우피엔유메디칼 Pacemaker lead for cerclage pacing
CA3150143A1 (en) 2019-09-13 2021-03-18 Thomas D. Pate Systems, devices, and methods for forming an anastomosis

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5431173A (en) * 1991-05-29 1995-07-11 Origin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5470320A (en) * 1992-04-10 1995-11-28 Tiefenbrun; Jonathan Method and related device for obtaining access to a hollow organ
WO1997013463A1 (en) * 1995-10-13 1997-04-17 Transvascular, Inc. Methods and apparatus for bypassing arterial obstructions and/or performing other transvascular procedures
WO1998006356A1 (en) * 1996-08-13 1998-02-19 Heartstent Corporation Method and apparatus for performing coronary artery bypass surgery
WO1998007399A1 (en) * 1996-08-23 1998-02-26 Beth Israel Deaconess Medical Center CATHETER APPARATUS AND METHOD USING A SHAPE-MEMORY ALLOY CUFF FOR CREATING A BYPASS GRAFT $i(IN VIVO)
WO1998019634A2 (en) * 1996-11-07 1998-05-14 Vascular Science Inc. Medical grafting methods and apparatus
WO1999013808A1 (en) * 1997-09-11 1999-03-25 Willem Wisselink System and method for endoluminal grafting of bifurcated or branched vessels

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5304220A (en) 1991-07-03 1994-04-19 Maginot Thomas J Method and apparatus for implanting a graft prosthesis in the body of a patient
US5211683A (en) 1991-07-03 1993-05-18 Maginot Thomas J Method of implanting a graft prosthesis in the body of a patient
US5452733A (en) 1993-02-22 1995-09-26 Stanford Surgical Technologies, Inc. Methods for performing thoracoscopic coronary artery bypass
US5330490A (en) 1992-04-10 1994-07-19 Wilk Peter J Endoscopic device, prosthesis and method for use in endovascular repair
US5366473A (en) 1992-08-18 1994-11-22 Ultrasonic Sensing And Monitoring Systems, Inc. Method and apparatus for applying vascular grafts

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5431173A (en) * 1991-05-29 1995-07-11 Origin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5470320A (en) * 1992-04-10 1995-11-28 Tiefenbrun; Jonathan Method and related device for obtaining access to a hollow organ
WO1997013463A1 (en) * 1995-10-13 1997-04-17 Transvascular, Inc. Methods and apparatus for bypassing arterial obstructions and/or performing other transvascular procedures
WO1998006356A1 (en) * 1996-08-13 1998-02-19 Heartstent Corporation Method and apparatus for performing coronary artery bypass surgery
WO1998007399A1 (en) * 1996-08-23 1998-02-26 Beth Israel Deaconess Medical Center CATHETER APPARATUS AND METHOD USING A SHAPE-MEMORY ALLOY CUFF FOR CREATING A BYPASS GRAFT $i(IN VIVO)
WO1998019634A2 (en) * 1996-11-07 1998-05-14 Vascular Science Inc. Medical grafting methods and apparatus
WO1999013808A1 (en) * 1997-09-11 1999-03-25 Willem Wisselink System and method for endoluminal grafting of bifurcated or branched vessels

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
MONOVSKY T ET AL: "APPLICAITONS OF LASERS IN VASCULAR NEUROSURGERY", LASERS IN SURGERY AND MEDICINE,US,WILEY- LISS, NEW YORK, vol. 19, no. 1, 1996, pages 107 - 108, XP000597107, ISSN: 0196-8092 *

Also Published As

Publication number Publication date
WO2001015618A2 (en) 2001-03-08
AU7473200A (en) 2001-03-26

Similar Documents

Publication Publication Date Title
WO2001015618A3 (en) Non-occlusive vascular bypass surgical methods and instruments
WO2003047465A3 (en) Apparatus and methods for delivery of braided prostheses
WO2002058547A3 (en) Electrosurical instrument with minimally invasive jaws
AU7441998A (en) Vascular prosthesis
WO1997012555A3 (en) Devices for performing vascular anastomoses
WO2002039906A3 (en) Method and device for the treatment of vulnerable tissue site
WO2004023976A3 (en) Method and apparatus for vascular and visceral clipping
WO2002071980A3 (en) Intravascular device and method for axially stretching blood vessels
CA2271658A1 (en) Stent with reduced thrombogenicity
BRPI9706197C1 (en) Anastomosis prosthesis
CA2333464A1 (en) Autologous vascular grafts created by vessel distension
WO2000013702A3 (en) Use of an angiogenic factor for the treatment of microvascular angiopathies
WO1998044869A1 (en) Haemodynamic control device
Suma et al. Bovine internal thoracic artery graft for myocardial revascularization: late results
Xiu et al. A new technique to anastomose vessels with great discrepancy in diameter
EP1417971A3 (en) Use of an angiogenic factor for the treatment of microvascular angiopathies
Harii Microvascular surgery in plastic surgery: Free‐tissue transfer
Aarnio et al. Polydioxanone and polypropylene suture material in free internal mammary artery graft anastomoses
Jenkins et al. Patch angioplasty following carotid endarterectomy using the ipsilateral superior thyroid artery
AU1480597A (en) Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery
Deshmukh et al. A simple cuff-suture technique for microvascular anastomosis
Dardik et al. Accurate placement of microvascular guide sutures
Suma et al. Vein holder for coronary bypass surgery
Hedén A triangular cutting arteriotomy scissors facilitating end-to-side anastomoses
Doi et al. Reconstruction of an amputated thumb in one stage. Case report--free neurovascular-flap transfer with iliac-bone graft.

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CR CU CZ DE DK DM DZ EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT TZ UA UG UZ VN YU ZA ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
AK Designated states

Kind code of ref document: A3

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CR CU CZ DE DK DM DZ EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT TZ UA UG UZ VN YU ZA ZW

AL Designated countries for regional patents

Kind code of ref document: A3

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG

REG Reference to national code

Ref country code: DE

Ref legal event code: 8642

122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: JP