Devices and methods for interconnecting body conduits

• US 7,351,247 B2
• Filed: 09/04/2002
• Issued: 04/01/2008
• Est. Priority Date: 09/04/2002
• Status: Active Grant

• Current Assignee: Bioconnect Systems, Inc.
• Original Assignee: Bioconnect Systems, Inc.
• Inventors: Kupiecki, David, Pinson, Candice Danielle, Moshe, Meir, Yamamoto, Ron K., Conston, Stanley R., Miller, Aaron
• Primary Examiner(s): Woo; Julian W.
• Application Number:
  US10/235,944
• Publication Number:
  US 20040087984A1
• Time in Patent Office: 2,036 Days
• Field of Search: 606/139, 606/142, 606/143, 606/101, 606/108, 606/191, 606/192, 606/194, 606/198, 606/153, 606/154, 606/155, 623/1.11, 623/1.35, 600/204, 604/107
• US Class Current: 606/153
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections

Abstract

The present invention provides devices and associated methods for delivering side-to-side and end-to-side anastomotic connectors to join any two (or more) vessels together such that fluid communication is established between the lumens of the two or more joined vessels. The systems of the present invention employ one or more deployment mechanisms over which the anastomotic connector is positioned for delivery and subsequently deployment within a vessel. The deployment mechanisms may be inflatable balloons or expandable baskets or a combination thereof or the like, which, when inflated and/or expanded, cause one or more portions of the anastomotic connector to deploy.

Claims

1. A system for delivering an anastomotic connector to interconnect vessels, comprising:

an elongated connector engagement member having a connector deployment mechanism at a distal end thereof, the connector deployment mechanism including an expandable member which, in a pre-deployment position is receivable within the anastomotic connector;

a connector retaining member axially receiving said elongated connector engagement member therein and comprising a slit at a distal end thereof for holding at least a portion of the anastomotic connector therein;

and a cuff engageable with the distal end of said retaining member and configured for receiving at least a portion of said anastomotic connector.

2. The system of claim 1, further comprising a sheath axially receiving said retaining member, wherein said sheath and said retaining member are axially translatable relative to each other to selectively maintain said anastomotic connector from an insertion configuration to a deployed configuration.

3. The system of claim 2, wherein said cuff is adapted for configuring the anastomotic connector into the insertion configuration and for loading the anastomotic connector into said sheath.

4. The system of claim 3, wherein said cuff comprises a split sleeve configuration.

5. The system of claim 3, wherein said cuff further comprises an opening for accommodating a portion of the anastomotic connector therein.

6. The system of claim 1, wherein said expandable member comprises at least one inflatable member.

7. The system of claim 6 wherein said at least one inflatable member is selectively inflatable and deflatable.

8. The system of claim 1, wherein said connector deployment mechanism comprises two expandable members.

9. A system for creating an anastomotic connection between a target vessel and a graft vessel, comprising:

an anastomotic connector comprising at least one flexible member and a tubular flow channel, a flexibility of the flexible member being selected to enable the flexible member to conform to a shape of an inner surface of the target vessel and to be held, under normal physiological conditions, by an internal fluid pressure within the target vessel in sealing contact with an inner surface thereof; and

a plurality of deployment members axially positioned within said tubular flow channel, wherein at least a portion of a first one of the deployment members is expandable to deploy the flexible member within a target vessel and a second one of the deployment members includes an expandable basket positioned within said tubular flow channel when said flexible member is deployed within said target vessel.

10. The system of claim 9, wherein the first deployment member includes an inflatable balloon.

11. A method of forming an anastomotic connection between two vessels, said method comprising:

providing, in a deployed configuration, an anastomotic connector comprising a proximal flexible member, a distal flexible member and a tubular flow channel extending therebetween;

inserting a first expandable member within the anastomotic connector;

compressing the anastomotic connector to an insertion configuration;

positioning the compressed anastomotic connector so that the distal flexible member is received within a first vessel;

expanding the first expandable member to return the distal flexible member to the deployed configuration;

collapsing the first expandable member;

positioning the compressed anastomotic connector so that the proximal flexible member is received within a second vessel; and

expanding the first expandable member within the second vessel to return the proximal flexible member to the deployed configuration.

12. The method of claim 11, wherein the first expandable member is a balloon which is expanded by providing an inflation fluid thereto.

13. The method of claim 11 further comprising expanding said tubular flow channel.