Device and method for performing end-to-side anastomosis
First Claim
1. A method for suturing an end of a first body duct to a hole in a side of a second body duct, said method comprising:
- positioning the end of the first body duct adjacent to the hole in the second body duct;
advancing simultaneously a plurality of needles carrying a plurality of sutures along a plurality of paths such that each needle first passes radially into and forwardly out of the end of the first body duct, through the hole of the second body duct and then everts outwardly and passes through tissue peripheral to the hole of the second body duct, thereby to pass the plurality of sutures through the first and second body ducts; and
securing a portion of at least one of said sutures extending outwardly from the first body duct to an opposed portion of the suture extending outwardly from the peripheral tissue surrounding the hole in the second body duct.
2 Assignments
0 Petitions
Accused Products
Abstract
Devices, methods, and kits are provided for suturing an end of a first body duct to a hole in the side of a second body duct. The present devices and methods are used to simplify the suturing procedure and thus reduce operating time. In one embodiment, the present device includes a structure for holding the end of the first body duct and positioning the end adjacent to the hole in the side of the second body duct. The structure of the device is typically a shaft having a surface adapted to receive the first body duct. A plurality of needles are arranged on the structure to be advanced along a plurality of paths. Each needle path first passes radially into and forwardly out of the end of the first body duct and into the hole of the second body duct. The path then everts so that the needles and associated sutures will pass outwardly through tissue peripheral to the hole when the end of the first body duct is on the structure adjacent to the hole in the second body duct. The needles preferably travel along such paths when they are advanced forward. In one embodiment, the device uses a J-shaped tube for guiding one of the needles along the desired path. In another embodiment, shape-memory needles having an arcuate profile are used to create the desired path.
674 Citations
29 Claims
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1. A method for suturing an end of a first body duct to a hole in a side of a second body duct, said method comprising:
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positioning the end of the first body duct adjacent to the hole in the second body duct;
advancing simultaneously a plurality of needles carrying a plurality of sutures along a plurality of paths such that each needle first passes radially into and forwardly out of the end of the first body duct, through the hole of the second body duct and then everts outwardly and passes through tissue peripheral to the hole of the second body duct, thereby to pass the plurality of sutures through the first and second body ducts; and
securing a portion of at least one of said sutures extending outwardly from the first body duct to an opposed portion of the suture extending outwardly from the peripheral tissue surrounding the hole in the second body duct. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
providing a suturing device having an inner tube coaxially mounted within an outer tube, where at least one of said needles is made of a shape-memory alloy and is mounted on the inner tube; and
extending said needles beyond the outer tube by relative motion between the needles and the outer tube, such that said needles are extended to a configuration where pointeded tips of the needles point substantially in a proximal direction.
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9. A method as in claim 8, further comprising lifting said shaft structure in a proximal direction to pull the needles through the peripheral tissue surrounding the hole in the second body duct.
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10. A method as in claim 1, wherein advancing the needles comprises unconstraining said needles so that each of the needles assumes an arcuate, everted configuration as the needles are passed forwardly.
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11. A method as in claim 1, wherein advancing the needles comprises using a plunger having a tubular structure releasably coupled to said needles to push said needles along said paths.
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12. A method as in claim 1, further comprising everting the first body duct over said needles.
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13. A method as in claim 1, wherein securing said sutures comprises:
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collecting sutures carried near pointed tips of said needles; and
tying off the sutures to connect the body ducts together.
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14. A method as in claim 1, wherein the second body duct comprises an artery.
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15. A method as in claim 1, wherein the second body duct comprises the aorta.
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16. A method as in claim 1, wherein said advancing and securing steps are performed on a beating heart.
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17. A method as in claim 1, wherein said advancing and securing steps are performed on a stopped heart.
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18. A method as in claim 1, wherein said positioning, advancing, and securing steps are performed minimally invasively.
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19. A method as in claim 1, wherein said positioning, advancing, and securing steps are performed in an surgery environment.
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20. A method as in claim 1, wherein said positioning, advancing, and securing steps are performed through minimally invasive percutaneous openings in a chest of a patient.
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21. A method for suturing an end of a first body duct to a hole in a side of a second body duct, said method comprising:
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positioning the first body duct in an operative position, in which the end of the first body duct is adjacent the side of the second body duct and the hole in the second body duct is generally aligned with a mouth defined at the end of the first body duct, which mouth leads into a lumen defined by the first body duct;
using a needle driver to simultaneously pass a plurality of sutures through the end of the first body duct, inwardly through the hole of the second body duct, and outwardly through peripheral tissue surrounding the hole in the second body duct while the first body duct is in the operative position; and
securing a portion of the suture outside of the first body duct to a portion of the suture outside of the peripheral tissue surrounding the hole in the second body duct. - View Dependent Claims (22)
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23. A method for suturing an end of a first body duct to a hole in the side of a second body duct, said method comprising:
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positioning the end of the first body duct adjacent to the hole in the second body duct while the first body duct is mounted on a structure;
advancing a plurality of needles carrying a plurality of sutures along a plurality of paths, wherein each needle first passes radially into and forwardly out of the end of the first body duct and into the hole of the second body duct and then everts so that the needles will pass outwardly through tissue peripheral to the hole when the end of the first body duct is on the structure adjacent to the hole in the second body duct; and
securing a portion of at least one of said sutures outside of the first body duct to a portion of the suture outside of the peripheral tissue surrounding the hole in the second body duct;
wherein advancing the needles comprises passing the needles through guide channels which define the paths. - View Dependent Claims (24, 25)
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26. A method for suturing an end of a first body duct to a hole in the side of a second body duct, said method comprising:
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positioning the end of the first body duct adjacent to the hole in the second body duct while the first body duct is mounted on a structure;
advancing a plurality of needles carrying a plurality of sutures along a plurality of paths defined in guide channels of the structure, wherein each path first passes radially into and forwardly out of the end of the first body duct and into the hole of the second body duct and then everts so that the needles will pass outwardly through tissue peripheral to the hole when the end of the first body duct is on the structure adjacent to the hole in the second body duct; and
securing a portion of at least one of said sutures outside of the first body duct to a portion of the suture outside of the peripheral tissue surrounding the hole in the second body duct;
wherein securing the sutures comprises removing said sutures from said guide channels by lifting the sutures out of the channels through a longitudinal slot running along a length of each of said guide channels.
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27. A method for suturing an end of a first body duct to a hole in the side of a second body duct, said method comprising:
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positioning the end of the first body duct adjacent to the hole in the second body duct while the first body duct is mounted on a structure defined by a suturing device having an inner tube coaxially mounted within an outer tube;
advancing a plurality of needles carrying a plurality of sutures along a plurality of paths, wherein each needle first passes radially into and forwardly out of the end of the first body duct and into the hole of the second body duct and then everts so that the needles will pass outwardly through tissue peripheral to the hole when the end of the first body duct is on the structure adjacent to the hole in the second body duct;
securing a portion of at least one of said sutures outside of the first body duct to a portion of the suture outside of the peripheral tissue surrounding the bole in the second body duct;
wherein at least one of said needles is made of a shape-memory alloy and is mounted on the inner tube; and
extending said needles beyond the outer tube by relative motion between the needles and the outer tube, said needles extended to a configuration where sharpened tips of the needles point substantially in a proximal direction.
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28. A method for suturing an end of a first body duct to a hole in the side of a second body duct, said method comprising:
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positioning the end of the first body duct adjacent to the hole in the second body duct while the first body duct is mounted on a structure;
advancing a plurality of needles carrying a plurality of sutures along a plurality of paths, wherein each path first passes radially into and forwardly out of the end of the first body duct and into the hole of the second body duct and then everts so that the needles will pass outwardly through tissue peripheral to the hole when the end of the first body duct is on the structure adjacent to the hole in the second body duct;
securing a portion of at least one of said sutures outside of the first body duct to a portion of the suture outside of the peripheral tissue surrounding the hole in the second body duct; and
lifting said shaft structure in a proximal direction to pull the needles through the peripheral tissue surrounding the hole in the second body duct.
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29. A method for suturing an end of a first body duct to a hole in the side of a second body duct, said method comprising:
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positioning the end of the first body duct adjacent to the hole in the second body duct while the first body duct is mounted on a structure;
advancing a plurality of needles carrying a plurality of sutures along a plurality of paths, wherein each path first passes radially into and forwardly out of the end of the first body duct and into the hole of the second body duct and then everts so that the needles will pass outwardly through tissue peripheral to the hole when the end of the first body duct is on the structure adjacent to the hole in the second body duct;
securing a portion of at least one of said sutures outside of the first body duct to a portion of the suture outside of the peripheral tissue surrounding the hole in the second body duct;
wherein advancing a plurality of needles carrying a plurality of sutures along a plurality of paths, wherein each path first passes radially into and forwardly out of the end of the first body duct, comprises everting the first body duct over said needles.
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Specification