Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery
First Claim
1. Apparatus for establishing access to the interior of a hollow anatomical structure, such as a heart or a blood vessel comprising:
- a malleable frame;
a flexible sleeve having a distal end and being fixed to said frame;
a plurality of fasteners on said frame, each fastener having a prong located and shaped to extend through a wall of the anatomical structure for fixing said sleeve to the structure adjacent to an incision therein for communication with the interior of the structure through the incision; and
closure means for closing said sleeve and approximating the wall of the anatomical structure adjacent to the incision to promote healing of the vessel after an operation has been completed.
7 Assignments
0 Petitions
Accused Products
Abstract
An access and cannulation device includes a mounting element such as the anastomosis mounting element disclosed in U.S. application Ser. No. 08/714,615 (now U.S. Pat. No. 5,868,763) and U.S. application Ser. No. 09/200,796. The device is used to provide access therethrough and via an incision to the interior of a hollow anatomical structure such as a vessel, an organ or the like during surgery, especially minimally invasive surgery. It includes a flexible sleeve with a suture therein for closing the sleeve and locating edges of the structure adjacent to the incision in position for proper healing after completion of a surgical procedure. A tool is also disclosed for manipulating the device to configure it for the surgery and to close it after completion of the surgery whereby the edges of the wall of the structure adjacent to an incision are approximated to promote proper healing.
346 Citations
60 Claims
-
1. Apparatus for establishing access to the interior of a hollow anatomical structure, such as a heart or a blood vessel comprising:
-
a malleable frame;
a flexible sleeve having a distal end and being fixed to said frame;
a plurality of fasteners on said frame, each fastener having a prong located and shaped to extend through a wall of the anatomical structure for fixing said sleeve to the structure adjacent to an incision therein for communication with the interior of the structure through the incision; and
closure means for closing said sleeve and approximating the wall of the anatomical structure adjacent to the incision to promote healing of the vessel after an operation has been completed. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
-
-
10. Apparatus for establishing restricted access to a hollow anatomical structure during surgery comprising:
-
a sleeve;
a docking element on said sleeve for attaching an element such as a cannula to said sleeve;
means for mounting said sleeve on the hollow anatomical structure; and
a one-way valve on said sleeve. - View Dependent Claims (11, 12, 15)
-
-
13. Apparatus for establishing restricted access to a hollow anatomical structure during surgery comprising:
-
a malleable frame for mounting on an anatomical structure adjacent to an incision through a wall of the structure;
means on said frame for creating a sealable passage between the interior of the structure and the exterior of the structure through said frame; and
means for sealably closing said passage. - View Dependent Claims (14)
-
-
16. Apparatus for establishing a resealable access into the interior of an anatomical structure through a wall of the structure during a surgical procedure comprising:
-
a malleable frame mounted on a wall of the structure adjacent to an incision through the wall, said frame being movable from a first configuration holding the incision open to a second configuration closing the incision;
a sleeve secured to the wall around the incision; and
means on said sleeve for closing the incision. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24, 25, 26)
-
-
27. A method of cannulating a hollow anatomical structure during surgery comprising:
-
establishing access to the interior of an internal anatomical structure;
creating a sealable passage between the interior of the structure and the exterior of the structure;
performing a surgical procedure in the interior of the structure through the passage; and
after completing the surgical procedure sealing the passage with a tissue manipulating malleable frame. - View Dependent Claims (28, 29, 30, 31, 32, 33, 34, 35)
-
-
36. Apparatus for establishing access to the interior of a hollow anatomical structure, such as a heart or a blood vessel comprising:
-
a malleable frame;
a flexible sleeve having a distal end and being fixed to said frame;
a plurality of fasteners on said frame, each fastener having a prong located and shaped to extend through a wall of the anatomical structure for fixing said sleeve to the structure adjacent to an incision therein for communication with the interior of the structure through the incision; and
closure structure engaged with said sleeve, said structure being selectively operable to compress the sleeve into a closed condition adjacent to the incision to promote healing of the vessel after an operation has been completed. - View Dependent Claims (37, 38, 39, 40, 41, 42, 43)
-
-
44. Apparatus for establishing restricted access to a hollow anatomical structure during surgery comprising:
-
a sleeve;
a docking element on said sleeve for attaching an element such as a cannula to said sleeve;
fasteners on the sleeve securely engageable with the hollow anatomical structure for mounting said sleeve around an incision in the anatomical structure; and
a one-way valve on said sleeve. - View Dependent Claims (45, 46)
-
-
47. Apparatus for establishing restricted access to a hollow anatomical structure during surgery comprising:
-
a malleable frame for mounting on an anatomical structure adjacent to an incision through a wall of the structure;
a passage element having an end peripherally secured to the frame for creating a sealable passage between the interior of the structure and the exterior of the structure through said frame; and
closure structure engaged with the passage element, said closure structure being selectively operable to close the passage element. - View Dependent Claims (48, 49)
-
-
50. Apparatus for establishing a resealable access into the interior of an anatomical structure through a wall of the structure during a surgical procedure comprising:
-
a malleable frame mounted on a wall of a structure adjacent to an incision through the wall, said frame being movable from a first configuration holding the incision open to a second configuration closing the incision;
a sleeve secured to the wall around the incision; and
structure engaged with said sleeve for selectively closing the incision. - View Dependent Claims (51, 52, 53, 54, 55, 56, 57, 58, 59, 60)
-
Specification