Implantable flow connector

• US 10,434,293 B2
• Filed: 12/11/2015
• Issued: 10/08/2019
• Est. Priority Date: 04/15/2012
• Status: Active Grant

• Current Assignee: TVA Medical, Inc. (Becton, Dickinson & Co)
• Original Assignee: TVA Medical, Inc. (Becton, Dickinson & Co)
• Inventors: Park, Jin S., Paris, Michael, Valentine, Hunter, Dakin, Adam
• Primary Examiner(s): Deak, Leslie R
• Application Number:
  US14/967,222
• Publication Number:
  US 20160096008A1
• Time in Patent Office: 1,397 Days
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections
• CPC Class Codes: A61M 1/3655 Arterio-venous shunts or fistulae
• CPC Class Codes: A61M 2205/04 implanted
• CPC Class Codes: A61M 27/002 Implant devices for drainage of body fluids from one part of the body to another intraocular A61F9/00781; middle ear A61F11/202

Abstract

A system for coupling a first space within a body of a patient with a second space within the body of the patient including a flow connector insertable into the first and second spaces within the body and having a conduit having a wall forming a lumen therein and first and second orifices. A first retention member is engageable with a first portion of the first space within the body and has a first opening, and the flow connector is positioned within the first opening. A second retention member is engageable with the second space within the body, the second retention member has a second opening and the flow connector is positioned within the second opening. The second retention member interlocks with the first retention member.

Claims

1. A system for coupling a first space within a body of a patient with a second space within the body of the patient, the system comprising:

a flow connector configured to be positioned in the first and second spaces within the body, the flow connector having a conduit having a wall forming a lumen therein and having a first orifice at a first portion of the conduit and a second orifice at a second portion of the conduit, the conduit providing fluid communication between the first space within the body and the second space within the body such that fluid can flow from the first space within the body to the second space within the body by flow initially through the first orifice of the conduit, then through the lumen of the conduit, then out the second orifice and into the second space within the body, the wall of the conduit containing the fluid within the lumen;

a first retention member engageable with a first portion of the first space within the body having a first opening, wherein the flow connector is configured to be positioned within the first opening; and

a second retention member engageable with an internal portion and an external portion of the second space within the body, the second retention member having a second opening configured to receive the flow connector therein and wherein the second retention member is configured to interlock with the first retention member.

2. The system of claim 1, wherein the first retention member is positioned internal of the second retention member.

3. The system of claim 1, wherein the first retention member has a first penetrating member and a second penetrating member, the first penetrating member having a first length and the second penetrating member having a second length, the first length being greater than the second length.

4. The system of claim 1, wherein the first retention member includes an engagement wall engageable with a slot in the second retention member to interlock the first and second components.

5. The system of claim 1, wherein the second retention member includes first and second movable members, the first and second movable members movable from a first positon closer to a longitudinal axis of the second retention member to a second position further from the longitudinal axis, the first movable member including a first penetrating tip and the second movable member including a second penetrating tip, the first and second penetrating tips configured to penetrate an external wall of the second space within the body.

6. The system of claim 5, wherein the second retention member includes a set of petals, the set of petals movable from a first position wherein proximal ends thereof are closer together to a second position wherein the proximal ends are further apart.

7. The system of claim 1, wherein the second retention member includes a set of petals, the first set of petals movable from a first position where distal ends thereof are closer together to a second position wherein the distal ends are further apart to provide a radial force against an internal wall of the second space within the body.

8. The system of claim 6, wherein the set of petals are biased to a position wherein the distal ends are in a closer position and the first and second movable members are biased to a position closer to the longitudinal axis of the second retention member.

9. The system of claim 1, wherein the second space within the body is held between an inner portion and an outer portion of the second retention member.

10. A system for coupling a first space within a body of a patient with a second space within the body of the patient, the system comprising:

a flow connector having a lumen for fluid flow therethrough and configured to be positioned in both the first space and the second space within the body;

a first retention member having an opening to receive the flow connector; and

a second retention member having a longitudinal axis and an opening configured to receive the flow connector, the second retention member having a first set of engaging members movable from a first position at a first angle to the longitudinal axis to a second position at a second angle to the longitudinal axis, the second retention member interlocking with the first retention member.

11. The system of claim 10, wherein the second retention member comprises a second set of engaging members, the second set of engaging members movable from a first position closer the longitudinal axis to a second position at a second angle to the longitudinal axis to provide a ramped surface.

12. The system of claim 11, wherein the second retention member applies a radially outward force and an external compression force on the second space within the body.

13. The system of claim 10, wherein the first and second retention members interlock by engagement of a wall and slot.

14. The system of claim 10, wherein, the second retention member includes a plurality of penetrating members, the penetrating members having penetrating tips which do not extend radially beyond a transverse dimension of the second retention member.

15. A method of implanting and securing an implantable flow connector in a body of a patient for providing communication of a first space within the body of the patient with a second space within the body of the patient, the method comprising:

a) providing a flow connector having a lumen having a first orifice at a first portion and a second orifice at a second portion;

b) providing a retention device having a proximal component and a distal component;

c) inserting the proximal component into the first space within the body to engage the first space within the body;

d) inserting the flow connector through an opening in the proximal component so the second orifice is in fluid communication with the first space within the body;

(e) placing the second space within the body over the distal component and flow connector wither before or after step (c) or step (d), the distal component having inner engaging members positioned internal of the second space within the body and outer engaging members positioned external of the second space within the body; and

(f) connecting the proximal and distal components to thereby fluidly connect the second space within the body to the first space within the body via the flow connector.

16. The method of claim 15, wherein the outer engaging members provide a compression force on the second space within the body and the inner engaging members provide a radially outward force on the second space within the body.

17. The method of claim 15, further comprising the step of moving the inner engaging members inwardly to provide a ramp for placement of the second space within the body thereover.

18. The method of claim 15, further comprising the step of moving the outer engaging members away from a longitudinal axis of the distal component for placement of the second space within the body over the distal component and subsequently releasing the outer members to engage an external wall of the second space within the body.