WO2002030172A2 - Anastomotic connection system - Google Patents

Anastomotic connection system Download PDF

Info

Publication number
WO2002030172A2
WO2002030172A2 PCT/IL2001/000903 IL0100903W WO0230172A2 WO 2002030172 A2 WO2002030172 A2 WO 2002030172A2 IL 0100903 W IL0100903 W IL 0100903W WO 0230172 A2 WO0230172 A2 WO 0230172A2
Authority
WO
WIPO (PCT)
Prior art keywords
connector
segments
clip
spike
tissue
Prior art date
Application number
PCT/IL2001/000903
Other languages
English (en)
French (fr)
Other versions
WO2002030172A3 (en
Inventor
Amir Loshakove
Ido Kilemnik
Tanchum Feld
Eitan Konstantino
Original Assignee
By-Pass, 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
Priority claimed from PCT/IL2000/000611 external-priority patent/WO2001041624A2/en
Priority claimed from PCT/IL2000/000609 external-priority patent/WO2001041623A2/en
Priority claimed from PCT/IL2001/000074 external-priority patent/WO2001070119A1/en
Priority claimed from PCT/IL2001/000266 external-priority patent/WO2001070090A2/en
Priority claimed from IL14405101A external-priority patent/IL144051A0/xx
Priority claimed from PCT/IL2001/000600 external-priority patent/WO2002047561A1/en
Priority to KR10-2003-7004275A priority Critical patent/KR20030068134A/ko
Priority to PCT/IL2001/000903 priority patent/WO2002030172A2/en
Priority to IL15513301A priority patent/IL155133A0/xx
Priority to AU2001295847A priority patent/AU2001295847A1/en
Priority to JP2002533625A priority patent/JP2005506095A/ja
Priority to CA002425336A priority patent/CA2425336A1/en
Priority to EP01976583A priority patent/EP1359850A2/en
Priority to BRPI0114275-5A priority patent/BR0114275A/pt
Application filed by By-Pass, Inc. filed Critical By-Pass, Inc.
Priority to JP2002572902A priority patent/JP2005503185A/ja
Priority to EP02707066A priority patent/EP1414367A2/en
Priority to IL15795802A priority patent/IL157958A0/xx
Priority to CA002442056A priority patent/CA2442056A1/en
Priority to PCT/IL2002/000215 priority patent/WO2002074188A2/en
Publication of WO2002030172A2 publication Critical patent/WO2002030172A2/en
Priority to EP02772788A priority patent/EP1446057A2/en
Priority to AU2002337595A priority patent/AU2002337595A1/en
Priority to PCT/IL2002/000790 priority patent/WO2003026475A2/en
Priority to JP2003530121A priority patent/JP2005527251A/ja
Priority to US10/402,375 priority patent/US20040092975A1/en
Priority to US10/459,373 priority patent/US20040049221A1/en
Publication of WO2002030172A3 publication Critical patent/WO2002030172A3/en
Priority to US10/668,059 priority patent/US20050101983A1/en
Priority to US10/809,274 priority patent/US20050038454A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488—Fixation to inner organ or inner body tissue

Definitions

  • an aspect of some embodiments ofthe invention relates to an extension mechanism for an anastomosis delivery and/or hole punching system.
  • a same system can be used for open chest, for keyhole and/or for endoscopic surgery.
  • the delivery system includes at least one axial rod (which may be hollow) that is advanced, retracted and/or rotated to effect the operation of the system.
  • the rod(s) is formed from two parts that interlock to provide the required coupling. To extend the delivery system, the two parts are disconnected and an extension piece having matching interlock mechanism inserted.
  • a method of mounting a graft on a generally cylindrical connector having a plurality of axially extending spikes, each with a curved tip at a distal end ofthe connector comprising: bending each spike such that the spike points inwards towards the axis and the tip points outwards away from the axis; bringing a graft to said axis between the inward pointing spikes; and mounting the graft on the spike points.
  • bringing comprises conveying the graft between the spikes from a proximal end of the connector to the spike tips.
  • mounting comprises mounting the graft sequentially over the tips.
  • bending comprises mounting the connector in a jig.
  • bending comprises bending the spikes outwards and then bending inwards so that the bent part ofthe spikes define a diameter greater than that of unbent spikes.
  • a blood vessel cutter for forming an aperture in a blood vessel, comprising: a first section having a cutting face; and a second section having a cutting face matching said cutting face of said first section and axially movable relative thereto to provide shearing cutting action, wherein, said second section comprises a pointed tip adapted for piercing a blood vessel; and wherein said second section is flexible and said pointed tip is twisted towards a plane of said first section, such that when said first section is moved towards said second section, said first section pushes said second section out of its way.
  • said cutting face of said second section is sharp.
  • Fig. 3 illustrates a portion of a delivery system for plastic deforming of clips, in accordance with an exemplary embodiment ofthe invention
  • Fig. 5 illustrates an alternative clip design, in accordance with an exemplary embodiment ofthe invention
  • each puller 704 comprises a shaft 710 having protrusions 708 that match tabs 718.
  • An optional puller shearing point (e.g., a thinning) is not shown.
  • the puller includes a tab that prevents the puller tip from falling out ofthe aperture. The tab cannot pass by the cutting plate (744, Fig. 7C) so further attempted retraction of the puller tears the puller, at the shearing point, which is, for example, a thinner portion of the puller shaft.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • External Artificial Organs (AREA)
  • Nonmetallic Welding Materials (AREA)
PCT/IL2001/000903 1998-05-29 2001-09-25 Anastomotic connection system WO2002030172A2 (en)

Priority Applications (21)

Application Number Priority Date Filing Date Title
AU2001295847A AU2001295847A1 (en) 2000-09-28 2001-09-25 Anastomotic connection system
JP2002533625A JP2005506095A (ja) 2000-09-28 2001-09-25 吻合接合システム
CA002425336A CA2425336A1 (en) 2000-09-28 2001-09-25 Anastomotic connection system
EP01976583A EP1359850A2 (en) 2000-09-28 2001-09-25 Anastomotic connection system
KR10-2003-7004275A KR20030068134A (ko) 2000-09-28 2001-09-25 문합 연결 시스템
PCT/IL2001/000903 WO2002030172A2 (en) 2000-09-28 2001-09-25 Anastomotic connection system
BRPI0114275-5A BR0114275A (pt) 2000-09-28 2001-09-25 conector anastomótico, sistema de abastecimento para um conector de anastomose, dispositivo de remoção em um conector, método para montar um enxerto em um conector, gabarito, e, cortador de vaso sangüìneo
IL15513301A IL155133A0 (en) 2000-09-28 2001-09-25 Anastomotic connection system
PCT/IL2002/000215 WO2002074188A2 (en) 2001-03-20 2002-03-18 Method and apparatus for forming apertures in blood vessels
CA002442056A CA2442056A1 (en) 2001-03-20 2002-03-18 Method and apparatus for forming apertures in blood vessels
IL15795802A IL157958A0 (en) 2001-03-20 2002-03-18 Method and apparatus for forming apertures in blood vessels
EP02707066A EP1414367A2 (en) 2001-03-20 2002-03-18 Method and apparatus for forming apertures in blood vessels
JP2002572902A JP2005503185A (ja) 2001-03-20 2002-03-18 血管に小孔を形成する方法及び装置
EP02772788A EP1446057A2 (en) 2001-09-25 2002-09-25 Anastomotic delivery system
JP2003530121A JP2005527251A (ja) 2001-09-25 2002-09-25 吻合搬送システム
PCT/IL2002/000790 WO2003026475A2 (en) 2001-09-25 2002-09-25 Anastomotic delivery system
AU2002337595A AU2002337595A1 (en) 2001-09-25 2002-09-25 Anastomotic delivery system
US10/402,375 US20040092975A1 (en) 1999-03-19 2003-03-27 Anastomotic connection system
US10/459,373 US20040049221A1 (en) 1998-05-29 2003-06-11 Method and apparatus for forming apertures in blood vessels
US10/668,059 US20050101983A1 (en) 1998-05-29 2003-09-22 Method and apparatus for forming apertures in blood vessels
US10/809,274 US20050038454A1 (en) 1998-05-29 2004-03-25 Anastomotic delivery system

Applications Claiming Priority (13)

Application Number Priority Date Filing Date Title
PCT/IL2000/000611 WO2001041624A2 (en) 1999-05-30 2000-09-28 Vessel lip attachment
PCT/IL2000/000609 WO2001041623A2 (en) 1999-05-30 2000-09-28 Anastomotic devices and methods
ILPCT/IL00/00611 2000-09-28
ILPCT/IL00/00609 2000-09-28
ILPCT/IL01/00074 2001-01-25
PCT/IL2001/000074 WO2001070119A1 (en) 2000-03-20 2001-01-25 An anastomotic connector and graft expander for mounting a graft
PCT/IL2001/000266 WO2001070090A2 (en) 2000-03-20 2001-03-20 Graft and connector delivery
ILPCT/IL01/00266 2001-03-20
IL144051 2001-06-28
PCT/IL2001/000600 WO2002047561A1 (en) 2000-03-20 2001-06-28 Method and apparatus for forming apertures in blood vessels
IL14405101A IL144051A0 (en) 2000-09-28 2001-06-28 Anastomotic connection system
ILPCT/IL01/00600 2001-06-28
PCT/IL2001/000903 WO2002030172A2 (en) 2000-09-28 2001-09-25 Anastomotic connection system

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US10/402,375 Continuation US20040092975A1 (en) 1998-05-29 2003-03-27 Anastomotic connection system

Publications (2)

Publication Number Publication Date
WO2002030172A2 true WO2002030172A2 (en) 2002-04-18
WO2002030172A3 WO2002030172A3 (en) 2003-08-21

Family

ID=29798306

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/IL2001/000903 WO2002030172A2 (en) 1998-05-29 2001-09-25 Anastomotic connection system
PCT/IL2002/000215 WO2002074188A2 (en) 1998-05-29 2002-03-18 Method and apparatus for forming apertures in blood vessels

Family Applications After (1)

Application Number Title Priority Date Filing Date
PCT/IL2002/000215 WO2002074188A2 (en) 1998-05-29 2002-03-18 Method and apparatus for forming apertures in blood vessels

Country Status (7)

Country Link
EP (2) EP1359850A2 (ja)
JP (2) JP2005506095A (ja)
KR (1) KR20030068134A (ja)
AU (1) AU2001295847A1 (ja)
BR (1) BR0114275A (ja)
CA (2) CA2425336A1 (ja)
WO (2) WO2002030172A2 (ja)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003026475A2 (en) 2001-09-25 2003-04-03 By-Pass, Inc. Anastomotic delivery system
WO2004028376A1 (en) 2002-09-25 2004-04-08 By-Pass, Inc. Sliding surgical clip
US7004949B2 (en) * 1998-08-12 2006-02-28 Cardica, Inc. Method and system for attaching a graft to a blood vessel
EP1745751A1 (en) * 2005-07-22 2007-01-24 Ethicon Endo-Surgery, Inc. Flexible endoscopic anastomotic ring applier device
US7270670B1 (en) 2003-04-21 2007-09-18 Cardica, Inc. Minimally-invasive surgical system utilizing a stabilizer
US8182494B1 (en) 2002-07-31 2012-05-22 Cardica, Inc. Minimally-invasive surgical system

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6814743B2 (en) 2001-12-26 2004-11-09 Origin Medsystems, Inc. Temporary seal and method for facilitating anastomosis
US7322999B2 (en) 2003-05-09 2008-01-29 Atrion Medical Products, Inc. Tissue punch and method for creating an anastomosis for locating a bypass graft
US7758589B2 (en) * 2005-05-03 2010-07-20 Ethicon Endo-Surgery, Inc. Surgical instrument for extracting an anastomotic ring device
US20070203516A1 (en) * 2006-02-24 2007-08-30 Medtronic Vascular (A Delaware Corporation) Apparatus and Methods for Creating an Opening in a Tissue Membrane

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3908662A (en) * 1973-07-04 1975-09-30 Mikhail Mikhailovich Razgulov Device for the eversion of hollow organs and vascular stapling instrument incorporating same
US4368734A (en) * 1978-01-27 1983-01-18 Surgical Design Corp. Surgical instrument
US4696300A (en) * 1985-04-11 1987-09-29 Dennison Manufacturing Company Fastener for joining materials
US5366462A (en) * 1990-08-28 1994-11-22 Robert L. Kaster Method of side-to-end vascular anastomotic stapling
US5733308A (en) * 1995-04-21 1998-03-31 W. L. Gore & Associates, Inc. Surgical pledget dispensing system
US5833698A (en) * 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5702412A (en) * 1995-10-03 1997-12-30 Cedars-Sinai Medical Center Method and devices for performing vascular anastomosis
US5972014A (en) * 1998-06-11 1999-10-26 Nevins; Mark Crico thyrotomy punch set

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3908662A (en) * 1973-07-04 1975-09-30 Mikhail Mikhailovich Razgulov Device for the eversion of hollow organs and vascular stapling instrument incorporating same
US4368734A (en) * 1978-01-27 1983-01-18 Surgical Design Corp. Surgical instrument
US4696300A (en) * 1985-04-11 1987-09-29 Dennison Manufacturing Company Fastener for joining materials
US5366462A (en) * 1990-08-28 1994-11-22 Robert L. Kaster Method of side-to-end vascular anastomotic stapling
US5733308A (en) * 1995-04-21 1998-03-31 W. L. Gore & Associates, Inc. Surgical pledget dispensing system
US5833698A (en) * 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7004949B2 (en) * 1998-08-12 2006-02-28 Cardica, Inc. Method and system for attaching a graft to a blood vessel
US7041110B2 (en) * 1998-08-12 2006-05-09 Cardica, Inc. Method and system for attaching a graft to a blood vessel
WO2003026475A2 (en) 2001-09-25 2003-04-03 By-Pass, Inc. Anastomotic delivery system
US8182494B1 (en) 2002-07-31 2012-05-22 Cardica, Inc. Minimally-invasive surgical system
WO2004028376A1 (en) 2002-09-25 2004-04-08 By-Pass, Inc. Sliding surgical clip
US7270670B1 (en) 2003-04-21 2007-09-18 Cardica, Inc. Minimally-invasive surgical system utilizing a stabilizer
EP1745751A1 (en) * 2005-07-22 2007-01-24 Ethicon Endo-Surgery, Inc. Flexible endoscopic anastomotic ring applier device

Also Published As

Publication number Publication date
CA2442056A1 (en) 2002-09-26
JP2005506095A (ja) 2005-03-03
EP1414367A2 (en) 2004-05-06
CA2425336A1 (en) 2002-04-18
WO2002074188A3 (en) 2004-02-19
JP2005503185A (ja) 2005-02-03
WO2002030172A3 (en) 2003-08-21
BR0114275A (pt) 2006-05-09
AU2001295847A1 (en) 2002-04-22
KR20030068134A (ko) 2003-08-19
EP1359850A2 (en) 2003-11-12
WO2002074188A2 (en) 2002-09-26

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