Anastomosis device and related methods

• US 8,747,386 B2
• Filed: 12/16/2011
• Issued: 06/10/2014
• Est. Priority Date: 12/16/2010
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: Rykhus, Robert L. Jr., Rhode, Richard G.
• Primary Examiner(s): HAND, MELANIE JO
• Application Number:
  US13/328,729
• Publication Number:
  US 20120157974A1
• Time in Patent Office: 907 Days
• Field of Search: 604/95.04, 604/525, 604/528, 604/540, 604/541, 604/544
• US Class Current: 604/524
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 2017/1139 Side-to-side connections, e.g. shunt or X-connections
• CPC Class Codes: A61M 25/0017 specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections

Abstract

An anastomosis device that includes a catheter body is provided. A distal end portion of the catheter can include a spring device to prevent the formation of blood clots and to improve the flow of urine out of the catheter. The device may be used, for example, in performing procedures such as a vesico-urethral anastomosis in association with a radical prostatectomy, or with an end-to-end urethral anastomosis.

Claims

1. A urinary catheter, comprising:

a catheter body having a proximal manipulation end and a distal treatment end, the catheter body including a drainage lumen defined between the proximal manipulation end and the distal treatment end, the catheter body further including a drainage aperture proximate the distal treatment end, the drainage aperture being fluidly connected to the drainage lumen; and

a clot prevention component mounted over the distal treatment end so as to cover the drainage aperture, the clot prevention component including a spring device including a spring body formed by a plurality of wound coils in adjacent relation, the entry points defined as spaces between adjacent wound coils, whereby a fluid can simultaneously enter the drainage aperture via the plurality of entry points, and whereby the fluid flows through the drainage lumen for removal of the fluid at the proximal manipulation end.

2. The urinary catheter device of claim 1, wherein the spring device comprises a flexible spring device, wherein patient movement can result in flexing of the spring body, whereby clots formed between adjacent wound coils are broken up by relative movement between the adjacent wound coils.

3. The urinary catheter device of claim 2, wherein a pitch of the adjacent wound coils varies along a length of the spring body.

4. The urinary catheter device of claim 1, further comprising:

a displacement device including a displacement body, a displacement tip and a displacement manipulation end, wherein said displacement body is slidably insertable into the drainage lumen whereby the displacement tip can be directed into contact with the spring body to stretch or otherwise displace the adjacent wound coils.

5. The urinary catheter device of claim 1, wherein the adjacent wound coils along the spring body define a fluid filter preventing large clots from entering the drainage lumen.

6. An anastomosis device for use in a radical prostatectomy procedure, comprising:

a catheter body having a proximal manipulation end and a distal treatment end, the catheter body including a drainage lumen defined between the proximal manipulation end and the distal treatment end, the catheter body further including a drainage aperture proximate the distal treatment end, the drainage aperture being fluidly connected to the drainage lumen; and

a flexible spring mounted over the distal treatment end so as to cover the drainage aperture, the flexible spring including a spring body defined by a plurality of adjacent wound coils, wherein a plurality of fluid entry points are defined along the spring body between adjacent wound coils, wherein a fluid enters the drainage aperture through the plurality of fluid entry points, whereby the fluid flows through the drainage lumen for removal of the fluid at the proximal manipulation end.

7. The anastomosis device of claim 6, wherein the plurality of adjacent wound coils define a fluid filter to prevent large clots from entering the drainage lumen.

8. The anastomosis device of claim 7, wherein flexing of the spring body breaks up large clots captured by the plurality of entry spaces.

9. The anastomosis device of claim 8, wherein a displacement device including a displacement tip is slidably insertable into and through the drainage lumen whereby the displacement tip can be directed into contact with the spring body to flex the spring body.

10. The anastomosis device of claim 6, wherein a pitch of the adjacent wound coils varies along a length of the spring body.

11. A method for preventing clotting of a urinary catheter, comprising:

providing a catheter body having a flexible spring mounted over a drainage aperture located at a distal treatment end of the catheter body, the flexible spring having a spring body formed by a plurality of adjacently wound coils wherein fluid entry points are continuously defined between the adjacently wound coils;

advancing the distal treatment end to a desired location within a patient'"'"'s urinary tract; and

removing fluid from the desired location by introducing the fluid through the fluid entry points and into the drainage aperture, the drainage aperture fluidly connected to a drainage lumen within the catheter body that is fluidly connected to a proximal manipulation end.

12. The method of claim 11, further comprising:

filtering the fluid with the flexible spring such that large clots are prevented from passing through the fluid entry points.

13. The method of claim 12, further comprising:

flexing the spring body to break up large clots captured by the fluid entry points.

14. The method of claim 13, wherein flexing the spring body, comprises:

advancing a displacement device through the drainage lumen whereby the displacement device is directed into contact with the flexible spring to flex the spring body.

15. The method of claim 12, wherein the flexing of the spring body is a result of patient movement.