Anastomosis device and method

• US 8,277,466 B2
• Filed: 11/14/2007
• Issued: 10/02/2012
• Est. Priority Date: 11/14/2006
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: Hamel, Kory P., Copa, Vincent G.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US11/939,668
• Publication Number:
  US 20080200935A1
• Time in Patent Office: 1,784 Days
• Field of Search: 623/1.23, 623/1.36, 606/151, 606/153, 606/154, 606/155, 606/156, 604/544
• US Class Current: 606/153
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/1103 Approximator
• 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
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22055 with three or more balloons

Abstract

An apparatus and method for using an anastomosis device to repair severed tissues resulting from a surgical medical procedure such as a radical prostatectomy, ilio-orthotopic neobladder construction, cystoprostatectomy, cystectomy, urethral anastomosis, or ureteral anastomosis.

Claims

1. A method for performing a ureter-to-ureter anastomosis procedure comprising:

providing an anastomosis device including a distalmost pair of tines and a medial inflation balloon, said distalmost pair of tines including a first tine set and a second tine set with each tine set being located between a distal end and the medial inflation balloon;

advancing the distal end of the anastomosis device such that the distal end leads the anastomosis device through a urinary tract and into a severed ureteral member such that the first tine set is positioned within a distal severed ureter portion and the second tine set is positioned within a proximal severed ureter portion, said proximal severed ureter portion being attached to a bladder;

extending the first tine set to grasp the distal severed ureter portion;

inflating the medial inflation balloon within the bladder such that the medial inflation balloon is proximate the proximal severed ureter portion;

pushing on the bladder with the medial inflation balloon to direct the proximal severed ureter portion into contact with the distal severed ureter portion; and

extending the second tine set to grasp the proximal severed ureter portion and retain the proximal severed ureter portion and the distal severed ureter portion in approximation.

2. The method of claim 1, further comprising:

draining fluid in the distal severed ureter portion through a drainage aperture at the distal end of the anastomosis device.

3. The method of claim 1, further comprising

maintaining approximation of the proximal severed ureter portion and the distal severed ureter portion throughout a healing period.