Temporary seal and method for facilitating anastomosis
First Claim
1. A method for forming a sealing element for insertion and removal with respect to a fluid-carrying vessel of a patient, the method comprising:
- forming fluid-impervious flange extending radially from a central region to a substantially circular periphery; and
including forming a continuous disassociation region along a meandering path from the central region to the circular periphery.
3 Assignments
0 Petitions
Accused Products
Abstract
Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting a fluid-impervious sealing element with a lateral flange and central stem into the vessel through the puncture. An anastomosis of a graft vessel over the puncture is partially completed with the central stem of the sealing element protruding through the partial anastomosis. A removal instrument attaches to the central stem and retrieves the sealing element that disassembles in helical disassociation of the flange and stem into a continuous strand that is withdrawn from the partial anastomosis prior to completion of the procedure.
122 Citations
37 Claims
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1. A method for forming a sealing element for insertion and removal with respect to a fluid-carrying vessel of a patient, the method comprising:
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forming fluid-impervious flange extending radially from a central region to a substantially circular periphery; and
includingforming a continuous disassociation region along a meandering path from the central region to the circular periphery. - View Dependent Claims (2, 3, 4, 5)
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6. A method of forming a temporary fluid-impervious sealing element comprising:
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configuring a strand along a path and including an axial stem and a substantially lateral flange, with the path continuously meandering between the stem and an outer periphery of the flange; and
adhering contiguous adjacent segments of the strand in the stem and flange to form the fluid-impervious sealing element. - View Dependent Claims (7, 8)
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9. A method for establishing a temporary fluid-tight seal within an aperture in a wall of a fluid-carrying vessel in the body of a patient, the method comprising:
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introducing through the aperture a sealing element having a flange of substantially circular periphery and stem substantially normal to the flange in a central region thereof; and
exerting a supporting force through the aperture on one of the stem and flange for retaining fluid-sealing engagement of the circular periphery of the flange against an inner wall of the vessel covering the aperture. - View Dependent Claims (10, 11)
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12. A temporary sealing element for forming a fluid-tight seal on the inner wall of a fluid conduit within a patient'"'"'s body, the temporary sealing element comprising:
a fluid impervious flange having an outer stem centrally formed thereon, the flange including a continuous region of diminished shear strength extending from the stem along a continuous path to the periphery for selectively reconfiguring the flange in response to tension applied to the stem to dissemble the flange along the continuous region into a continuous strand. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
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23. A punch for forming an aperture in the wall of the fluid-carrying vessel in a patient'"'"'s body, the punch comprising:
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an elongated hemostatic sheath including a lumen therethrough between distal and proximal ends thereof;
a plunger element slidably and rotatably disposed within the lumen through the hemostatic sheath and carrying a tissue-penetrating member for selective axial extension thereof beyond the distal end of the hemostatic sheath to penetrate the wall of a fluid-carrying vessel. - View Dependent Claims (24, 25, 26)
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27. A kit of surgical components for anastomosing a graft vessel on a fluid-carrying vessel, comprising:
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a punch for forming an aperture in a fluid-carrying vessel;
a sealing element including a continuous strand of material extending along a path forming an axial stem and a substantially lateral flange to a perimeter thereof of dimension greater than an aperture formable by the punch; and
an insertion instrument incorporating the sealing element in configuration for positioning the sealing element within an aperture formable by the punch. - View Dependent Claims (28, 29, 30, 31)
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32. A method for preparing for insertion into a vessel an anastomotic seal having a resilient fluid-impervious flange and a stem attached thereto and having a resilient member including a pair of mating ends tethered by a strand attached in tension therebetween and attached to one of the flange and stem, the method comprising:
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confining the resilient member within a tube with the mating ends in substantially contiguous orientation with the strand therebetween untensioned; and
confining the flange and stem within the tube in substantially tandem orientation relative to the resilient member. - View Dependent Claims (33, 34, 35)
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36. Apparatus for forming a temporary seal within a blood vessel, comprising:
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a tube having a bore therein and including a plunger axially slidable within the bore;
a fluid-impervious flange of resilient material disposed within the bore near a distal end thereof, the flange having a stem extending substantially normally therefrom and rolled laterally substantially about a diameter of the flange with the stem extending within the bore proximally from the distal end thereof;
a resilient member confined within the bore intermediate the flange and plunger, the resilient member including a pair of arms extending to mating ends for tensioning a strand attached thereto and to one of the flange and stem, the pair of arms being disposed within the bore in substantially contiguous orientation with the strand untensioned between the mating ends. - View Dependent Claims (37)
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Specification