Arteriovenous shunt

• US 6,086,553 A
• Filed: 07/01/1999
• Issued: 07/11/2000
• Est. Priority Date: 07/01/1999
• Status: Expired due to Fees

• Current Assignee: Mohamad J. Akbik
• Original Assignee: Mohamad J. Akbik
• Inventors: Akbik, Mohamad J.
• Primary Examiner(s): Polutta, Mark O.
• Assistant Examiner(s): Cheney, Kelly M
• Application Number:
  US09/345,413
• Time in Patent Office: 376 Days
• Field of Search: 604/8, 604/9, 604/175, 604/164
• US Class Current: 604/8
• CPC Class Codes: A61M 1/3655 Arterio-venous shunts or fistulae

Abstract

A vascular access that can be used for hemodialysis and other conditions where a vascular access may be needed. A soft main tube made of PTFE is used with two extension tubes. The ends of the main tube are anastomosed to an artery and a vein. The extension tubes connected to the main tube at one end are connected to the dialysis machine at an opposite end. The entire graft (main tube) is placed in the subcutaneous or deep tissues except for the two exposed ends of the extension tubes which remain in the external position allowing an easy, non-traumatic access to the blood flow.

Claims

1. An arteriovenous shunt for surgical implantation comprising:

a main tube having two ends for subcutaneous implantation and respective connection to a side of a peripheral artery and a side of a peripheral vein,

two extension tubes, each of said two extension tubes having two ends with one end of said two extension tubes being subcutaneously connected to said main tube and an opposite free end of said two extension tubes terminating in a hemostatic valve for connection to an input and an output, respectively, of a dialysis machine,

said two extension tubes extending substantially parallel and adjacent to each other from said free end towards said one end of said two extension tubes over a majority of their respective lengths so as to exit from the skin of a patient through a single outlet port, and

a separation distance between said one end of each of said two extension tubes subcutaneously connected to said main tube being sufficient for dialyzed blood to join venous circulation while avoiding recirculation of the dialyzed blood back to the dialysis machine and close enough so that said two extension tubes exit through said single outlet port to reduce exposure of the patient to a risk of infection.

2. An arteriovenous shunt for surgical implantation as claimed in claim 1, wherein the main tube has a length of 8 to 13 cm.

3. An arteriovenous shunt for surgical implantation as claimed in claim 2, wherein the extension tubes have a length of 3 to 5 cm.

4. An arteriovenous shunt for surgical implantation as claimed in claim 1, wherein the two extension tubes are connected to the main tube with said separation distance of 2 to 3 cm.

5. An arteriovenous shunt for surgical implantation as claimed in claim 4, wherein one of the extension tubes is connected to the main tube at a distance of 3 to 5 cm from one end of the main tube.

6. An arteriovenous shunt for surgical implantation as claimed in claim 5, wherein the other of the extension tubes is connected to the main tube at a distance of 3 to 5 cm from the other end of the main tube.

7. An arteriovenous shunt for surgical implantation as claimed in claim 1, wherein the main tube has a lumen of 4 to 6 mm and the two extension tubes have a lumen of 2 to 3 mm.

8. An arteriovenous shunt for surgical implantation as claimed in claim 1, wherein the main tube and the extension tubes are made of polytetrafluoroethylene.

9. An arteriovenous shunt for surgical implantation comprising:

a main tube having two ends for subcutaneous implantation and respective connection to a side of a peripheral artery and a side of a peripheral vein,

two extension tubes, each of said two extension tubes having two ends with one end of said two extension tubes being subcutaneously connected to said main tube,

said two extension tubes extending substantially parallel and adjacent to each other over a majority of their respective lengths so as to exit from the skin of a patient through a single outlet port, and

a separation distance between said one end of each of said two extension tubes subcutaneously connected to said main tube being sufficient for dialyzed blood to join venous circulation while avoiding recirculation of the dialyzed blood back to the dialysis machine and close enough so that said two extension tubes exit through said single outlet port to reduce exposure of the patient to a risk of infection.

10. An arteriovenous shunt for surgical implantation as claimed in claim 9, wherein the main tube has a length of 8 to 13 cm.

11. An arteriovenous shunt for surgical implantation as claimed in claim 10, wherein the extension tubes have a length of 3 to 5 cm.

12. An arteriovenous shunt for surgical implantation as claimed in claim 9, wherein the two extension tubes are connected to the main tube with said separation distance of 2 to 3 cm.

13. An arteriovenous shunt for surgical implantation as claimed in claim 12, wherein one of the extension tubes is connected to the main tube at a distance of 3 to 5 cm from one end of the main tube.

14. An arteriovenous shunt for surgical implantation as claimed in claim 13, wherein the other of the extension tubes is connected to the main tube at a distance of 3 to 5 cm from the other end of the main tube.

15. An arteriovenous shunt for surgical implantation as claimed in claim 9, wherein the main tube has a lumen of 4 to 6 mm and the two extension tubes have a lumen of 2 to 3 mm.

16. An arteriovenous shunt for surgical implantation as claimed in claim 9, wherein the main tube and the extension tubes are made of polytetrafluoroethylene.