Adhesive anastomosis connection system

• US 20060030869A1
• Filed: 11/13/2003
• Published: 02/09/2006
• Est. Priority Date: 11/14/2002
• Status: Abandoned Application

• Current Assignee: By-Pass Incorporated
• Original Assignee: By-Pass Incorporated
• Inventors: Kilemnik, Ido, Loshakove, Amir
• Application Number:
  US10/535,383
• Publication Number:
  US 20060030869A1
• Time in Patent Office: Days
• US Class Current: 606/153
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/1103 Approximator
• 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

Abstract

A method of performing an anastomosis, comprising, juxtaposing two blood vessels to be anastomosed using an juxtaposition device, to a desired configuration in which at least one vessel is an end vessel; applying an adhesive to said vessels while they are in said configuration, said adhesive being sufficient to ensure both sealing and bonding of said two vessels to each other, and removing said juxtaposition device after said adhesive sufficiently sets.

Claims

1. A method of performing an anastomosis, comprising:

juxtaposing two blood vessels to be anastomosed using an juxtaposition device, to a desired configuration in which at least one vessel is an end vessel;

applying an adhesive to said vessels while they are in said configuration, said adhesive being sufficient to ensure both sealing and bonding of said two vessels to each other; and

removing said juxtaposition device after said adhesive sufficiently sets.

3. A method according to claim 1, wherein juxtaposing comprises inserting at least a portion of said juxtaposing device into at least one of said vessels.

4. A method according to claim 1, wherein juxtaposing comprises inserting at least a portion of said juxtaposing device into a wall of at least one of said vessels.

18. A method according to claim 1, wherein applying comprises applying using a plurality of nozzles arranged in a ring.

19. A method according to claim 1, wherein applying comprises applying into a mold adjacent said anastomosis area, which mold shapes the adhesive about said area

21. A method according to claim 1, wherein applying comprises applying a pre-measured amount of adhesive.

25. A method according to claim 1, wherein said removing comprises removing before said adhesive sets completely.

26. A method according to claim 1, wherein said removing comprises removing as soon as said adhesive starts to set.

29. A method according to claim 1, wherein no foreign materials other than said adhesive remain in said anastomosis.

30. A method according to claim 1, comprising providing at least one strengthening element in said anastomosis and leaving said at least one strengthening element permanently in said anastomosis.

2. (canceled)

5-17. -17. (canceled)

20. (canceled)

22-24. -24. (canceled)

27-28. -28. (canceled)

31. A method of performing an anastomosis, comprising:

attaching at least a first scaffold element to a first blood vessel;

attaching at least said first scaffold element or a second scaffold element to a second blood vessel;

positioning said blood vessels using said at least a first scaffold element, to a desired configuration;

applying an adhesive to said vessels while they are in said configuration, said adhesive being sufficient to ensure both sealing and bonding of said two vessels to each other; and

removing said at least first scaffolding element.

32. A method according to claim 31, wherein said first blood vessel is a side vessel.

33. A method according to claim 31, wherein said first blood vessel is an end vessel.

34. A method according to claim 31, comprising mechanically attaching said at least first scaffolding element to said first blood vessel.

35. A method according to claim 34, wherein mechanically attaching comprises piercing.

36. A method according to claim 34, wherein mechanically attaching comprises hooking.

41. A method according to claim 31, wherein said at least one scaffolding element comprises a plurality of wires adapted to engage a blood vessel.

43. A method according to claim 31, wherein said at least one scaffolding element comprises a balloon.

51. A method according to claim 31, wherein removing comprises removing at least one of said at least one scaffolding elements before said adhesive sets.

37-40. -40. (canceled)

42. (canceled)

44-50. -50. (canceled)

52-76. -76. (canceled)

77. An adhesive anastomotic system, comprising:

a first blood vessel holder;

a second blood vessel holder adapted to interlock with said first blood vessel holder, such that blood vessels held by said two vessel holders contact; and

an adhesive port configured to deliver an adhesive to said contact.

78-81. -81. (canceled)