Stented end graft vessel device for anastomosis and related methods for percutaneous placement

• US 20050216043A1
• Filed: 03/26/2004
• Published: 09/29/2005
• Est. Priority Date: 03/26/2004
• Status: Abandoned Application

• Current Assignee: Vital Access Corporation
• Original Assignee: Vital Access Corporation
• Inventors: Barrus, Michael C., Blatter, Duane D., Orr, Troy J.
• Application Number:
  US10/811,079
• Publication Number:
  US 20050216043A1
• Time in Patent Office: Days
• US Class Current: 606/153
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00243 cardiac
• 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 Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/90 characterised by a net-like or mesh-like structure
• CPC Class Codes: A61F 2002/072 Encapsulated stents, e.g. wire or whole stent embedded in lining
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching

Abstract

Fluid communication between vessels is obtained by joining a vessel with a graft vessel in an end-to-side anastomosis at one end of the graft vessel and by joining another vessel in a side-to-side anastomosis at the other end of the graft vessel. A compression ring device and a concentrically configured operator enable the end-to-side anastomosis to be achieved in an interdigitated configuration while controlling blood flow. A stent enables the side-to-side anastomosis to be achieved.

Claims

1. A method for connecting a vessel to another vessel comprising:

obtaining a graft vessel device comprising a graft vessel, an anastomosis device attached to a first end of the graft vessel and a stent attached to a second end of the graft vessel,

anastomosing the first end of the graft vessel to a side of a first vessel via the anastomosis device to yield an end-to-side anastomosis, and

anastomosing the second end of the graft vessel to a second vessel via the stent to yield an end-to-end anastomosis.

2. The method of claim 1, wherein the anastomosis device comprises two rings.

3. The method of claim 1, wherein the anastomosis device comprises a first anastomosis ring adapted to cooperate with a second anastomosis ring.

4. The method of claim 1, wherein the stent is fixedly attached to the exterior surface of the graft vessel at the second end.

5. The method of claim 1, wherein the second end of the graft vessel is attached to the second vessel by inserting the second end of the graft vessel into the lumen of the second vessel.

6. The method of claim 1, wherein the second end of the graft vessel is attached to the second vessel by inserting the second end of the graft vessel into the lumen of the second vessel via at least one tear-away sheath.

7. The method of claim 1, wherein the second end of the graft vessel is attached to the second vessel by inserting the second end of the graft vessel into the lumen of the second vessel and then allowing the stent to unfold.

8. The method of claim 1, wherein the second end of the graft vessel is attached to the second vessel by inserting the second end of the graft vessel into the lumen of the second vessel and then allowing the expand.

9. The method of claim 1, wherein the first end of the graft vessel is attached to the first vessel and then the second end of the graft vessel is attached to the second vessel.

10. The method of claim 1, further comprising loading the graft vessel device into a tubular housing of an operator used to attach the first end of the graft vessel to the side of the first vessel in cooperation with the anastomosis device to yield the end-to-side anastomosis.

11. The method of claim 1, further comprising:

loading the graft vessel device into a tubular housing of an operator used to attach the first end of the graft vessel to the side of the first vessel in cooperation with the anastomosis device to yield the end-to-side anastomosis, and

removing the graft vessel device from the tubular housing of the operator to attach the second end of the graft vessel to the second vessel to yield the end-to-end anastomosis.

12. A graft vessel device comprising:

a graft vessel;

an anastomosis device attached to a first end of the graft vessel,

wherein the anastomosis device is configured to facilitate end-to-side anastomosis of the graft vessel device to a side of a first vessel; and

a stent attached to a second end of the graft vessel.

13. A graft vessel device of claim 12, wherein the stent is configured to facilitate anastomosis of the second end of the graft vessel to a second vessel to yield an end-to-end anastomosis.

14. A graft vessel device of claim 12, wherein the stent is attached to the exterior surface of the graft vessel at the second end of the graft vessel device.

15. The graft vessel device of claim 12, wherein the stent is sutured to the graft vessel at the first end of the graft vessel device.

16. The graft vessel device of claim 12, wherein the stent is fixedly attached to the graft vessel with an adhesive.

17. The graft vessel device of claim 12, wherein the stent is fixedly attached to the graft vessel with a polymeric substance.

18. The graft vessel device of claim 12, wherein the stent is fixedly attached to the graft vessel with polyurethane.

19. A graft vessel device comprising:

a graft vessel having a first end opposite from a second end;

an anastomosis ring attached to the first end of the graft vessel,

wherein the anastomosis ring is configured to facilitate end-to-side anastomosis of the graft vessel device to a first vessel via cooperation with another anastomosis ring; and

a stent attached to the second end of the graft vessel.

20. A graft vessel device of claim 19, wherein the stent is configured to facilitate anastomosis of the second end of the graft vessel to a second vessel to yield an end-to-end anastomosis.

21. The graft vessel device of claim 19, wherein the stent is attached to the exterior surface of the graft vessel at the first end of the graft vessel device.

22. The graft vessel device of claim 19, wherein the stent is sutured to the graft vessel at the first end of the graft vessel device.

23. The graft vessel device of claim 19, wherein the stent is fixedly attached to the graft vessel with an adhesive.

24. The graft vessel device of claim 19, wherein the stent is fixedly attached to the graft vessel with a polymeric substance.

25. The graft vessel device of claim 19, wherein the stent is fixedly attached to the graft vessel with polyurethane.