Medical graft connector or plug structures, and methods of making and installing same

• US 6,994,713 B2
• Filed: 03/05/2002
• Issued: 02/07/2006
• Est. Priority Date: 01/30/1998
• Status: Expired due to Term

• Current Assignee: St Jude Medical ATG Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St Jude Medical ATG Incorporated (Abbott Laboratories Incorporated)
• Inventors: Peterson, Alex Alden, St. Germain, Jon Patrick, Berg, Todd Allen, Wahlberg, Mark D.
• Primary Examiner(s): Woo, Julian W.
• Application Number:
  US10/091,143
• Publication Number:
  US 20020082627A1
• Time in Patent Office: 1,435 Days
• Field of Search: 606/151, 606/153, 606/213, 623/1.16, 623/1.2, 623/1.14, 623/1.36
• US Class Current: 606/153
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00659 located only on one side of the opening
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11

Abstract

A medical graft connector or plug is made, for example, by cutting end portions of a tube of highly elastic material axially at numerous locations spaced circumferentially around the tube to produce a plurality of fingers which extend axially from each end of an uncut medial portion of the tube. The fingers are deflected radially outwardly from the medial portion and set in that condition. For a graft connector, the medial portion is coaxially connected to an end portion of a tubular graft. The connector is then installed through an aperture in the side wall of a patient'"'"'s tubular body conduit, for example, by using a delivery tube in which the fingers are elastically deflected back to approximately their initial positions. When the delivery conduit is withdrawn from the connector, the fingers spring out to engage the inner and outer surfaces of the body conduit wall. For a plug, the medial portion is occluded and then the structure is installed through the aperture to be plugged in a manner similar to installation of the connector.

Claims

1. An anastomotic connector for attaching two blood vessels, comprising:

a cylinder-like portion defining a lumen, having two ends and comprising a mesh wherein a cross-section of said lumen variable along said lumen; and

a tissue engaging portion comprising at least one set of fingers arranged adjacent each of the two ends of said cylinder-like portion.

2. A connector according to claim 1, comprising at least a second set of fingers adjacent each of the two ends.

4. A connector according to claim 2 or 3, wherein said at least one spike is arranged to extend out of said lumen when said tissue engaging portions engage tissue in a completed anastomosis.

5. A connector according to claim 4, wherein said extended finger lies in a plane perpendicular to said cylinder-like portion.

6. A connector according to claim 2 or 3, wherein said device is arranged to release said at least one finger to assume an extended configuration by an expansion of said cylinder-like portion.

7. A connector according to claim 2 or 3, wherein said finger comprises a protrusion to prevent engaged tissue from slipping off said finger.

8. A connector according to claim 2 or 3, wherein said finger comprises a protrusion to prevent engaged tissue from slipping along said finger beyond said protrusion.

9. A connector according to claim 2 or 3, wherein said finger is arranged to bend at least 90°

when it extends.

10. A connector according to claim 2 or 3, wherein said finger is arranged to bend at least 150°

when it extends.

11. A connector according to claim 2 or 3, wherein said finger is arranged to bend at least 180°

when it extends.

12. A connector according to claim 2 or 3, wherein said finger is arranged to bend at least 210°

when it extends.

13. A connector according to claim 2 or 3, wherein said finger is arranged to bend at at least two points thereon when it extends.

14. A connector according to claim 2 or 3, wherein said finger is arranged to bend in a continuous curve when it extends.

15. A connector according to claim 2 or 3, wherein said at least one finger comprises at least two fingers and wherein said connector comprises at least a second finger and wherein said second finger is arranged to bend towards said at least one finger and said at least one finger is arranged to bend towards at least a second finger.

16. A connector according to claim 15, wherein fingers of said at least a second finger are arranged to be in a same plane as fingers of said at least one finger, when the fingers are in a bent configuration.

18. A device according to any of claims 1–

17, wherein said lumen has an elliptical cross-section.

19. A device according to any of claims 1–

17, wherein said lumen has a circular cross-section.

20. A device according to any of claims 1–

17, wherein said lumen has a polygonal cross-section.

21. A device according to any of claims 1–

17, wherein said lumen has a varying inner diameter, wherein said lumen is flared at the ends of the lumen.

22. A device according to any of claims 1–

17, wherein said lumen has a varying inner diameter, wherein said lumen is flared at one end of the lumen.

23. A device according to any of claims 1–

17, wherein said lumen is matched to a coronary vessel.

24. A device according to any of claims 1–

17, wherein at least one portion of said mesh has parallelogram geometry.

25. A device according to any of claims 1–

17, wherein at least one portion of said mesh is arranged to conform to a blood vessel lumen when that portion is expanded along a certain axis thereof.

26. A device according to any of claims 1–

17, wherein at least one portion of said mesh comprises an outline geometrical shape.

27. A device according to any of claims 1–

17, wherein at least one of said cell elements is not planar.

28. A device according to any of claims 1–

17, wherein said mesh is arranged as bands on at least a portion of said cylinder-like portion, each of said bands comprising substantially a single type of parallelogram.

29. A device according to claim 28, wherein said bands are axial bands.

30. A device according to claim 28, wherein said bands are circumferential bands.

31. A device according to any of claims 1–

17, wherein substantially all of said cylinder-like portion is composed of a mesh.

32. A device according to any of claims 1–

17, wherein said cylinder-like portion comprises several perforations and wherein said perforations are uniformly distributed on said cylinder-like portion.

33. A device according to any of claims 1–

17, wherein said cylinder-like portion comprises at least one part which comprises a highly elastic shape-memory material.

34. A device according to any of claims 1–

17, wherein said at least one of tissue engagers comprises at least one part which comprises a highly elastic shape-memory material.

35. A device according to any of claims 1–

17, wherein said anastomotic connector is adapted to engage a side of one of said vessels and an end of another of said vessels, to perform a side-to-end anastomosis.

36. A device according to claim 35, wherein said anastomosis is sealed by radial pressure exerted by said cylinder-like portion and wherein said tissue engaging portions maintain the cylinder-like portion in its position.

37. A device according to claim 35, wherein said tissue engagers maintain the relative positions of the two blood vessels.

38. A device according to claim 35, wherein said tissue-engaging portions are arranged on said cylinder-like portion such that when the anastomosis is complete, the cylinder like portion is at a certain angle to the “

side”

vessel.

39. A device according to claim 38, wherein said certain angle is between about 70°

and about 90°

.

3. An anastomotic connector for attaching two blood vessels, comprising:

a cylinder-like portion defining a lumen, wherein a cross-section of said lumen variable along said lumen; and

a plurality of tissue engaging portions for engaging two blood vessels, said plurality comprising at least one finger, wherein radial expansion of said cylinder-like portion causes said at least one finger to engage tissue, wherein said cylinder-like portion comprises a mesh.

17. An anastomotic connector for attaching two blood vessels, comprising:

a radially expandable cylinder-like portion defining a lumen, wherein a cross-section of said lumen variable along said lumen;

a plurality of tissue engaging portions for engaging two blood vessels, wherein said cylinder-like portion comprises a mesh and said plurality of tissue engaging portions comprises a plurality of fingers extending from each of two ends of said cylinder-like portion.