ANASTOMOSIS DEVICE CONFIGURATIONS AND METHODS

• US 20100168772A1
• Filed: 03/11/2010
• Published: 07/01/2010
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: Hauschild, Sidney F., Roychowdhury, Suranjan, Rykhus, Robert L., Hamel, Kory P., Copa, Vincent G.
• Granted Patent: US 8,277,467 B2
• Time in Patent Office: Days
• US Class Current: 606/153
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/1103 Approximator
• 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 2018/00547 Prostate

Abstract

A surgical tool which comprises an elongated body having a proximal end and a distal end, first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body, an actuating mechanism extending from the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures, a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end, a main balloon adjacent to the distal end of the elongated body, and a strap connector extending from the elongated body that is connectable with a stabilization strap.

Claims

1. A method of performing anastomosis, the method comprising:

inserting a portion of an anastomosis device into a body lumen of a patient, the anastomosis device comprising;

an elongated body having a proximal end and a distal end;

first and second tissue approximating structures having deployed and retracted positions relative to the elongated body; and

an actuating mechanism at the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures;

deploying the first and second tissue approximating structures into severed tissue of the patient by activating the actuating mechanism;

maintaining the first and second tissue approximating structures within the severed tissue for a period of time;

using an extraction tool to disengage at least one of the first and second tissue approximating structures from the severed tissue.

2. The method of claim 1, wherein the extraction tool comprises a tubular structure that has a diameter that is slightly larger than a diameter of the elongated body of the anastomosis device.

3. The method of claim 2, further comprising the step of sliding the extraction tool over the elongated body of the anastomosis device until it contacts one of the first and second tissue approximating structures.

4. The method of claim 3, further comprising sliding the extraction tool further along the length of the elongated body until at least one of the first and second tissue approximating structures is compressed between the elongated body and the extraction tool.

5. The method of claim 4, wherein both the first and second tissue approximating structures are positioned within the extraction tool, the method further comprising removing the extraction tool and anastomosis device from the body lumen.

6. The method of claim 1, wherein the extraction tool comprises a tubular structure that has a diameter that is slightly smaller than a diameter of a central drainage lumen positioned within elongated body of the anastomosis device.

7. The method of claim 6, wherein the extraction tool further comprises a cutting mechanism that is extendible from the tubular structure.

8. The method of claim 7, further comprising the step of sliding the extraction tool into the central drainage lumen and extending the cutting mechanism from the tubular structure.

9. The method of claim 8, further comprising the steps of severing the central drainage lumen with the cutting mechanism, contacting one of the first and second sets of tissue approximating structures with the cutting mechanism, and moving the contacted sets of tissue approximating structures laterally relative to the central drainage lumen.

10. A surgical tool comprising:

an elongated body having a proximal end and a distal end;

first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body;

an actuating mechanism at the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures;

a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end;

a main balloon adjacent to the distal end of the elongated body;

wherein the actuating mechanism comprises an actuation device that is rotatable to create linear motion of at least one of a first and second actuation wire for deploying and retracting the first and second sets of tissue approximating structures.

11. A surgical tool comprising:

an elongated body having a proximal end and a distal end;

first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body;

an actuating mechanism extending from the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures;

a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end;

a main balloon adjacent to the distal end of the elongated body; and

a strap connector extending from the elongated body that is connectable with a stabilization strap, wherein the stabilization strap comprises an elastic ring of material.