Anastomosis stent and stent selection system

• US 5,425,739 A
• Filed: 12/17/1992
• Issued: 06/20/1995
• Est. Priority Date: 03/09/1989
• Status: Expired due to Fees

• Current Assignee: Avatar Design and Development Incorporated
• Original Assignee: Avatar Design and Development Incorporated
• Inventors: Jessen, John W.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US07/992,070
• Time in Patent Office: 915 Days
• Field of Search: 606/153-156, 623/12
• US Class Current: 606/155
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• 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 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1125 Forceps, specially adapted for performing or assisting anastomosis
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length

Abstract

A stent or support is disclosed for use in the connection or anastomosis of severed vessels to support and seal the anastomotic site. The stent includes substantially cylindrical sections separated by a tapered transitional region. The cylindrical sections are provided with flanges that define tapered sealing surfaces. The dimensions of the two sections are selected to correspond with the diameter of the portions of the vessel to be supported. The stent is preferably made of polyglycolic acid and the dimensions of the stent are selected to provide optimal support and sealing characteristics with a minimum of damage to the epithelial lining of the vas deferens. In three preferred applications, the stent is used in anastomosis of the severed ends of a vas deferens, a Fallopian tube, and a blood vessel. A gauge is used to measure the severed ends and, in that manner, determine the appropriate dimensions of the stent. A technique of forming porous stents, and other structures, is also disclosed.

Claims

1. A stent for use in the reconnection of first and second portions of a severed vessel that may carry fluid, said stent comprising:

a tube for supporting the first and second portions of the vessel, said tube having first and second sections that are insertable into the first and second portions of the vessel, said first and second sections having first and second outer surfaces and terminating in first and second ends, respectively, said tube including an inner passage extending between said first and second ends, the outer diameter of said first section of said tube being a first predetermined function of the inner diameter of the first portion of the vessel, the outer diameter of said first end of said first section of said tube being a second predetermined function of the inner diameter of the first portion of the vessel, the outer diameter of said second section of said tube being a third predetermined function of the inner diameter of the second portion of the vessel, the outer diameter of said second end of said second section of said tube being a fourth predetermined function of the inner diameter of the second portion of the vessel; and

first and second flanges provided on said first and second outer surfaces of said tube, respectively, to sealably engage the first and second portions of the vessel, said first flange including a first seal surface that defines an obtuse angle with respect to said first outer surface extending toward said first end, said second flange including a second seal surface that defines an obtuse angle with respect to said second outer surface extending toward said second end, the outer diameter of said first flange being a fifth predetermined function of the inner diameter of the first portion of the vessel, the outer diameter of said second flange being a sixth predetermined function of the inner diameter of the second portion of the vessel, said tube in said first and second flanges being made of a material that dissolves when exposed to fluid.

2. The stent of claim 1, wherein the first and third predetermined functions are 75 percent, the second and fourth predetermined functions are 70 percent, and the fifth and sixth predetermined functions are 100 percent.

3. The stent of claim 1, wherein the length of the stent is a seventh predetermined function of the inner diameter.

4. The stent of claim 3, wherein the seventh predetermined function is 500 percent.

5. The stent of claim 1, wherein the vessel said stent is for use with is a blood vessel.

6. A stent for use in the reconnection of a severed vessel that may carry fluid and that has a first free portion and a second free portion, said stent comprising:

support means for supporting the first and second portions of the vessel, said support means having first and second sections that are insertable into the first and second free portions of the vessel, said first and second sections having first and second outer surfaces and terminating in first and second ends, respectively; and

first and second flanges provided on said first and second outer surfaces of said support means, respectively, to sealably engage the first and second portions of the vessel, said first flange including a first seal surface that defines an obtuse angle with respect to said first outer surface extending toward said first end, said second flange including a second seal surface that defines an obtuse angle with respect to said second outer surface extending toward said second end, said support means and said first and second flanges being made of a material that dissolves when exposed to fluid, allowing the seal between the first seal surface and the first portion of the vessel and the seal between the second seal surface and the second portion of the vessel to vary during use of said stent to minimize trauma to the vessel.

7. The stent of claim 6, wherein said support means comprises a tube having an inner passage extending between said first and second ends.

8. A stent for use in the reconnection of first and second portions of a severed vessel that may carry fluid, said stent comprising:

a porous tube formed of micospheres and having proximal and distal ends for supporting the first and second portions of the vessel, said tube having first and second sections that are insertable into the first and second portions of the vessel; and

first and second porous flanges provided on said first and second sections of said porous tube, respectively, to sealably engage the first and second portions of the vessel, said tube and said first and second flanges spaced from said proximal and distal ends being made of a material that dissolves when exposed to fluid.