473 results about "Anastomosis" patented technology

A two piece anastomosis device for attaching two organs together and creating a passage between the organs is disclosed. The anastomosis device has a first tissue clamping ring and a second tissue clamping ring that are brought together to clamp tissue therebetween and cut off the flow of blood to the tissue. The tissue clamping rings are locked together with an adhesive, and over time, causes the clamped tissue to necrose and slough off. The sloughed tissue creates a passageway through the anastomosis device. A method of using the fastener to create a bypass passageway between the stomach and small intestine is disclosed.

Apparatus for intratubular intussusception and anastomosis of a hollow organ portion including a cylindrical enclosure, coaxial intratubular intussusception device, for intussusception and clamping means. The apparatus also includes an intratubular anastomosis apparatus for joining organ portions after intussusception thereof with an anastomosis ring and crimping support element. The ring is formed of a shape memory alloy wire, for crimping adjacent organ portions against the crimping support element so as to cause anastomosis therebetween. The ring assumes a plastic or malleable state, at a lower temperature and an elastic state at a higher temperature. The apparatus further includes the crimping support element for intratubular insertion so as to provide a support for crimping the organ portions against the support element. The apparatus additionally includes a surgical excising means, for excising an intussuscepted organ portion, after crimping adjacent intussuscepted organ walls against the crimping support element with the anastomosis ring.

A method for forming an anastomosis between first and second organs in a patient using a hollow receptacle that is inflatable with magnetic material. The method may include forming openings through the first and second organs utilizing a hole-forming instrument inserted into the organs through a natural orifice in the patient. The hollow receptacle may be supported on a catheter assembly that is also inserted through the patient's natural orifice and through the openings in the first and second organs and is positioned within the second organ. The hollow receptacle is then inflated with magnetic material and magnetic force is applied within the force organ to draw the inflated receptacle toward the first organ such that the inflated receptacle retains the second organ in sealing contact with the first organ while maintaining the alignment between the first and second openings to create an anastomosis between the first and second organs.

A combination medical device comprising a circular stapler instrument (4) and one or more portions of preformed buttress material (16) adapted to be stably positioned upon the staple cartridge (12) and / or anvil (14) components of the stapler (4) prior or at the time of use. Positioned buttress material(s) (16) are delivered to a tissue site where the circular stapler (4) is actuated to connect previously severed tissue portions. An embodiment of the invention allows tissue portions to be joined without the use of sutures. The buttress material (16) is made up of two regions, one of which serves primarily to secure the buttress material (16) to the stapler (4) prior to acuation, and one of which serves primarily to form the improved seal. The former region is severed and discarded upon activation of the circular stapler (4) to form anastomoses, while the remaining material secures and seals the newly connected tissue. Methods of use and preparation of the buttress material (16) are also described.

Methods and devices for forming an anastomosis during a bypass procedure utilize a graft vessel secured to a vessel coupling adapted to be fixed to a target vessel without using suture. The graft vessel is placed in fluid communication with a heart chamber containing blood. The vessel coupling may be collapsed for introduction into the target vessel and then expanded to fix the coupling thereto. The vessel coupling may be a stent with the graft vessel secured thereto to form a stent-graft assembly. The anastomosis is carried out to place the graft and target vessels in fluid communication while preserving native proximal flow through the target vessel, which may be a coronary artery. As a result, blood flowing from the aorta and past an obstruction in the coronary artery is not blocked by formation of the anastomosis; rather, such proximal blood flow is free to move past the vessel coupling and the anastomosis.

Provided herein is a device for use in an anastomosis of tissue(s) comprising a biocompatible material and a means of applying radiofrequency energy or electrical energy to generate heat within said biocompatible material. The device also may be used to bond or fuse at two materials where at least one of the material is a tissue. Also provided are methods to anastomose tissue or to bond or to fuse these materials using these devices.

The present invention relates to a stapler apparatus, comprising a stapler having a proximal end, a distal end and a longitudinal axis, the stapler further comprising a trigger, an anvil docking pin aligned substantially parallel with the longitudinal axis of the stapler, and a stapling means, the anvil docking pin and stapling means being at the distal end of the stapler, and a detachable anvil, comprising an anvil head and an anvil shaft, wherein the anvil shaft is adapted to receive the anvil docking pin and operation of the trigger causes the stapling means to be actuated, characterised in that the length of the anvil shaft is at least 4 cm. The present invention also relates to a method of forming an anastomosis between two surfaces using the stapler apparatus of the invention and a method of forming a stoma trephine in a subject using the stapler apparatus of the invention. The present invention further relates to the use of the stapler apparatus or anvil for a stapler apparatus in such methods and a kit of parts comprising the stapler apparatus of the invention and additional components.

An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.

Vascular access systems and devices for facilitating repeated access to a blood vessel for the external treatment of blood, such as dialysis, and in intra-venous administration of medicines, such as heparin, for extended periods of time. The vascular access systems comprise an anastomosis graft vessel, an occlusal balloon, and a port device for accessing the occlusal balloon. Occlusal balloons can be nonpermeable or permeable to drive an osmotic gradient and to deliver agents, such as heparin, into the blood stream. In addition, occlusal balloons can adopt a distended and a collapsed configuration, the latter allowing for blood flow through the anastomosis graft vessel.

A compression assembly for use in compressing tissue comprising a first portion which includes a first compression element and a second portion which comprises a second compression element, at least one support element, and at least one spring element. Typically the spring element is formed of a shape-memory material. The at least one spring element is in compressive force contact with the second compression element and the tissue to be joined is positioned between the first and second compression elements. A plurality of needles on one of the support elements is operative to pierce the tissue and the first portion of the assembly, holding the first compression element to the second portion of the assembly. The invention is appropriate for joining severed tissue in anastomosis procedures or closing natural or surgically produced tissue perforations.

A needle array adapted to deliver sutures for the anastomosis of two separated tissues through the intermediary of suturing and sewing. More particularly, provided is needle array delivering sutures for the side-to-side anastomosis of two separated vessels, such as an artery or body lumen and a vessel graft or the like. A method of utilizing a needle array is shown, which will provide sutures for sewing separated tissues together, and especially facilitates the side-to-side anastomosis of body lumens or vessels.

Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include a tubular body having a distal end and a proximal end and defining a longitudinal axis, the tubular body including an expandable anchor provided near the distal end thereof and an expandable cuff provided near the distal end of the tubular body and proximal of the expandable anchor, and a joining member (200) configured and adapted to be received about the expandable cuff of the tubular body, the joining member having an annular body portion (202) including a pair of opposed terminal edges (204, 206). The joining member has a retracted position in which the pair of opposed terminal edges overlap by a predetermined amount and an expanded position in which the pair of opposed terminal edges overlap by an amount less than the predetermined amount.

Vascular access systems and devices for facilitating repeated access to a blood vessel. These systems and devices can be used in external treatment of blood, such as dialysis, and in intra-venous administration of medicines, such as heparin, for extended periods of time, while avoiding deleterious effects such as those derived from repeated puncturing of the blood vessel tissues or exposure of such tissues to abnormal fluid flows. The vascular access systems comprise an anastomosis graft vessel, an occlusal balloon, and a port device for accessing the occlusal balloon. Occlusal balloons can be self-contained, they can rely on osmosis, and they can serve as the support of an agent to which the blood stream is exposed, either by transport or by mere contact. In addition, occlusal balloons can adopt a distended and a collapsed configuration, the latter allowing for blood flow through the anastomosis graft vessel.

The invention provides a composite repair material which facilitates surgical operation and realizes quick defect nerve bridging and composition, preparation and application of a stent made of the composite repair material. The composite repair material consists of a fibroin layer, a collagen layer and a high-molecular polymer layer which are sequentially arranged, and during application, the composite repair material is folded or wound to form the nerve bridging stent taking the fibroin layer as the inner layer, the collagen layer as the middle layer and the high-molecular polymer as the outer layer. The composite repair material and the stent made of the composite repair material adopt the layered arrangement and a specific three-dimensional design to bring the advantages of various repair materials into full play, and meanwhile, make up for the deficiencies of the various repair materials. During surgical operation, only suturing or bonding anastomosis of epineurium is required but not suturing of perineurium, so that the operation time of a defect nerve bridging operation is greatly shortened, the operation technical difficulty is lowered, and the security is improved.

A temporary hemostatic plug apparatus for use in a patient includes a plug structure configured to be placed within a patient's tubular body structure. The plug structure may be configured to be placed in an incision to create a bloodless operating field for a surgeon to operate, for example to perform an anastomosis. This may be done by deploying the plug structure out from within the lumen to create a hemostatic seal around the incision. Once the surgeon has completed the operation, the plug apparatus may be removed from the lumen through the incision, or through any other point of access in the lumen.

An external stent type prosthesis is provided that is extraluminal, with at least one tubular member, interconnectable in an upper end, and inflatable by a balloon with a central lumen, single but with multiple projections in equal plurality of tubular members of the stent which is adjusted in its interior, for side-to-side, end-to-end, end-to-side anastomosis without clamping and sutureless, or with expeditious clamping and sutureless, where the vascular graft, or anastomotic trunk, or any other grafts, inserted in the lumen of the balloon and prosthesis, comprising a distensible mesh and after being coated with graft, this mesh is expansible by the balloon until the necessary gauge to keep the graft wall joined together and sealed in relation to the organ wall, that can contain a bag suture around the place where the anastomosis is made.

Apparatus and methods are provided for forming a working space on the interior wall of a blood vessel, such as the aorta. The working space is isolated from blood flow and permits creation of an anastomotic hole and subsequent suturing of the hole to form an end-to-side anastomosis, even while the heart is beating. The apparatus comprises tools including inflatable barriers, such as cup-shaped balloons, which engage the inner wall of the blood vessel with minimum trauma and maximum sealing. In a first embodiment, the inflatable barrier is introduced through a penetration at the site of the anastomotic attachment. In a second embodiment, the inflatable barrier is introduced through a second penetration axially spaced-apart from the site of the anastomotic attachment.

A pulmonary visceral pleura anastomosis reinforcement device may be positioned in proximity to a pulmonary pleural stabilizer or conduit to be inserted into a lung. The reinforcement device provides structural reinforcement and aids in preventing damage to the visceral pleura during insertion of a conduit or other device into the lung.

The invention relates to anastomosis stents and plugs comprised of a non-polyglycolic acid material that is resorbable by the patient in about a few minutes up to about 90 days. Such stents and plugs may be employed in surgical techniques wherein tissue is joined at an interface without need for sutures, optionally through use of a tissue sealant. As a result, interfacial tensile strengths of at least about 1.3N / cm2 may be achieved.

Provided is a two-piece anastomosis fastener that can be used to join two tissue sections together in accordance with Natural Orifice Transendoscopic Surgery (NOTES). The fastener may be releasably attached to a fastener applying instrument for delivery in accordance with such procedures. The fastener includes a first member and a second member, where the clamp members are operably configured to fasten together to clamp and hold tissue, such as gastric tissue, in juxtaposition to establish an anastomosis. The first clamp member and the second clamp member are coupled with an adhesive.

The invention relates to an anastomosis device for anastomosing the end of two vessel parts together. It includes two attachment units attachable to a respective end of the vessel parts. The units are connectable to each other. Each unit has a through-hole defining a central axis. According to the invention the device has at least two connection means. Each connection means includes an axially extending member having a free end, which member is provided on any of the attachment units and a receiving opening provided on the other of the attachment units. The receiving opening is arranged to axially receive the free end of the member. The member is arranged to snap into a locking position in the receiving opening in which the member is axially locked. The invention also relates to a method for anatomising of ends of two vessel parts together and to a use of the device.

Vascular access systems for performing hemodialysis are disclosed. Some embodiments relate to vascular access grafts (250) comprising an instant access or self-sealing material (254) reinforced with expanded PTFE (252) to resist stretching of the instant access material (254) and thereby resist leakage associated with stretching or bending. The graft may comprise two end segments (260, 262) comprising ePTFE (252) without the instant access material (254) to allow easier anastomosis of the graft (250) to veins and arteries. The graft (250) may have a unibody design or have modular components that may be joined together to create a graft with customized length or other features. One or more sections of the graft (296) may also be cut or trimmed to a custom length.

The invention discloses an attentiveness training and evaluation device based on force tactile-sensation feedback and electroencephalic signal analysis. The device includes a force tactile-sensation training unit, an electroencephalic recording unit and a control unit. The force tactile-sensation training unit is used to send finger touch force data of a trainee to the control unit. The electroencephalic recording unit is used to send electroencephalic signals of the trainee in a training process to the control unit. The control unit includes a training module, an evaluation module and a control module. The training module is used to store training modes. The evaluation module evaluates data fed back by the force tactile-sensation training unit and the electroencephalic recording unit. Thecontrol module adaptively adjusts training difficulty according to an evaluation result. A physiological index and a behavioral index which characterize an attentiveness level are obtained at the same time, the attentiveness level of the subject can be improved in a short term, an anastomosis degree between the obtained physiological index and behavioral index is very high, and the attentivenesslevel of the trainee can be reliably analyzed and evaluated.

Systems and methods for performing transcatheter coronary artery bypass grafting procedures are provided. The methods generally involve passing the graft from the aorta to the coronary artery through the pericardial space. The systems include poke-out wires, a coring device, and devices for forming anastomoses at the proximal and distal ends of a vascular graft.

Methods for creating an anastomosis between a channel through the chest wall and an opening in the visceral membrane of a lung using a medical device. The methods include creating the channel through the chest wall into the pleural cavity; forming an adhesion between the chest wall and the visceral membrane of the lung; creating an opening in the visceral membrane of the lung which communicates with the channel; and inserting the medical device into the channel. The medical device has a compression structure which spans the channel. The methods include configuring the compression structure to apply a compressive force to tissue surrounding the anastomosis and / or applying agents and materials to the tissue of the anastomosis thereby accelerating the formation and healing of the anastomosis.