Method and device for connecting biological duct to a prosthesis

• US 5,480,434 A
• Filed: 07/13/1993
• Issued: 01/02/1996
• Est. Priority Date: 07/13/1993
• Status: Expired due to Fees

• Current Assignee: University of Miami
• Original Assignee: University of Miami
• Inventors: Eckstein, Eugene C., Block, Norman L.
• Primary Examiner(s): Prebilic, Paul B.
• Application Number:
  US08/091,818
• Time in Patent Office: 903 Days
• Field of Search: 623/1, 623/11, 623/12, 623/66, 606/151-153, 600/36, 128/898
• US Class Current: 128/898
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61F 2/042 Urinary bladders
• CPC Class Codes: A61F 2002/048 Ureters
• CPC Class Codes: Y10S 623/916 Blood vessel

Abstract

An anastomotic method for connecting a biological duct, such as the ureter, to a man-made device. The method involves connecting the duct to the prosthesis via an intermediate tissue so there is no direct connection between the ureter and the prosthesis. The method includes securing the resected duct to a remote living tissue, such as the peritoneum or omentum, and then securing that tissue to the prosthesis so that the duct drains into the prosthesis.

Claims

1. A method of connecting a biological duct to a prosthetic device comprising:

providing a prosthesis having a first, open end and side walls depending therefrom;

resecting a biological duct to which said prosthesis is to be attached to define a free end of said duct;

selecting a segment of living tissue remote from said duct;

securing said duct to a first portion of said tissue at a point spaced from the free end of said duct;

securing a second portion of said tissue spaced from said first portion to said first end of said prosthesis so that said free end of said duct is disposed at least partially in said open end of said prosthesis, whereby said duct is indirectly coupled to said prosthesis and a passage defined through said duct is in flow communication with said prosthesis through said open end thereof.

2. A method as in claim 1, further comprising the steps of incising said living tissue to define an opening therethrough;

and

inserting said biological duct through said incision so that said duct extends through said segment of living tissue.

3. A method as in claim 2, wherein said duct is inserted through said living tissue so that said free end of said duct projects from a surface of said tissue.

4. A method as in claim 1, wherein said duct is a biological ureter.

5. A method as in claim 1, wherein said step of providing comprises providing a prosthesis which further comprises a second open end and a flow path defined between said first end and said second end.

6. A method as in claim 1, wherein said step of securing said duct to said tissue comprises suturing said duct to said tissue.

7. A method as in claim 6, wherein said step of suturing comprises suturing with biodegradable sutures.

8. A method as in claim 1, wherein said step of securing said tissue to said prosthesis comprises suturing said tissue to said prosthesis.

9. A method as in claim 8, wherein said prosthesis further comprises an area of tissue ingrowth media which allows said tissue to grow into said media.

10. A method as in claim 1, wherein said step of providing a prosthesis comprises providing a prosthesis including a ring element and a main body portion, said ring element being secured to said main body portion to define said first open end, said tissue being secured to said ring element.

11. A method as in claim 10, wherein said ring element is secured to an outer surface of said main body portion.

12. A method as in claim 10, further comprising the step of guiding suture material into and through said duct adjacent said free end and through a surface of said prosthesis thereby to maintain said free end of said duct in an open configuration during initial healing, said suture material being biodegradable whereby said sutures gradually degrade and become ineffective.

13. A method as in claim 1, further comprising the step of guiding suture material into and through said duct adjacent said free end and through a surface of said prosthesis thereby to maintain said free end of said duct in an open configuration during initial healing, said suture material being biodegradable whereby said sutures gradually degrade and become ineffective.

14. A method as in claim 12, wherein said step of guiding suture material includes guiding suture material through said ring element.

15. A method as in claim 14, wherein said step of providing a prosthesis comprises providing a main body portion having a plurality of vertical slots, each for receiving a said suture when said ring is attached to said main body portion.

16. A method as in claim 1, wherein said first end of said prosthetic device is substantially circular and said prosthetic device is mounted in concentric, surrounding relation to said duct and secured to said tissue whereby said first end of said prosthetic device is disposed in spaced relation to said free end of said duct.

17. A method as in claim 1, wherein said living tissue is the omentum.

18. A method as in claim 1, wherein said living tissue is the peritoneum.

19. A method as in claim 1, wherein said step of providing comprises providing a prosthesis which further comprises a generally tubular second end portion which is collapsed so as to define a one way valve.

20. A method as in claim 1, wherein said step of providing comprises providing a prosthesis which further comprises a generally tubular second end portion having a one-way valve provided therewithin for controlling the direction of flow therethrough.