Apparatus for forming an anastomosis
First Claim
1. A surgical instrument for forming an anastomosis between two lumens, the surgical instrument comprising:
- a first catheter comprising a proximal end, a distal end, at least one first opening and at least one second opening, the at least one first opening configured to slidably receive a hollow needle from the proximal end to the distal end of the first catheter;
a hollow sleeve slidably receivable over the distal end of the first catheter;
a magnet defining an opening there-through, wherein the magnet is retained within the hollow sleeve;
an inflatable member mounted near the distal end of the first catheter and in fluid communication with the at least one second opening, wherein the inflatable member is configured to pass through the opening of the magnet when the inflatable member is in a deflated state, retain the magnet when the inflatable member is in an inflated state, wherein the hollow sleeve retains at least a portion of the inflatable member in an inflated state, wherein the hollow sleeve is slidably removable from the magnet and the inflatable member, and be removed from the magnet when the inflatable member is in a deflated state; and
wherein the inflatable member is inflatable to an inner diameter of the hollow sleeve, wherein the hollow sleeve prevents over inflation of the inflatable member, and wherein the inflatable member may be deflated when the hollow sleeve is slidably removed from the magnet and inflatable member.
1 Assignment
0 Petitions
Accused Products
Abstract
A surgical instrument, for forming an anastomosis between first and second lumens in a patient, includes a first catheter, a second catheter, a hollow needle, a guide wire, an inflatable member, and a hollow sleeve. The first catheter includes at least one first opening, which may be configured to slidably receive the hollow needle and the guide wire, which may be disposed within the hollow portion of the needle, and at least one second opening. The hollow needle includes a rotary needle. The inflatable member is mounted near the distal end of the first catheter and is in fluid communication with the second opening. The magnet is polarized such that magnetic attraction occurs perpendicular to an axis of the cylindrical body. The hollow sleeve is configured to retain at least a portion of the inflatable member, the guide wire, the hollow needle, and the magnet.
1131 Citations
15 Claims
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1. A surgical instrument for forming an anastomosis between two lumens, the surgical instrument comprising:
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a first catheter comprising a proximal end, a distal end, at least one first opening and at least one second opening, the at least one first opening configured to slidably receive a hollow needle from the proximal end to the distal end of the first catheter; a hollow sleeve slidably receivable over the distal end of the first catheter; a magnet defining an opening there-through, wherein the magnet is retained within the hollow sleeve; an inflatable member mounted near the distal end of the first catheter and in fluid communication with the at least one second opening, wherein the inflatable member is configured to pass through the opening of the magnet when the inflatable member is in a deflated state, retain the magnet when the inflatable member is in an inflated state, wherein the hollow sleeve retains at least a portion of the inflatable member in an inflated state, wherein the hollow sleeve is slidably removable from the magnet and the inflatable member, and be removed from the magnet when the inflatable member is in a deflated state; and wherein the inflatable member is inflatable to an inner diameter of the hollow sleeve, wherein the hollow sleeve prevents over inflation of the inflatable member, and wherein the inflatable member may be deflated when the hollow sleeve is slidably removed from the magnet and inflatable member. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method for forming an anastomosis between first and second lumens in a patient, comprising:
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placing a first magnet within a hollow outer sleeve slidably receivable over a catheter, the first magnet having a cylindrical body defining an opening along an axis of the cylindrical body, wherein the first magnet is diametrically polarized; forming a first opening in the first lumen, wherein the first opening is formed by a tissue penetrating tip attached to the catheter; inserting the catheter, the tissue penetrating tip, and the hollow outer sleeve through the first opening; forming a second opening in the second lumen using the tissue penetrating tip; inserting the catheter, the tissue penetrating tip, and the hollow outer sleeve within the second opening; inserting an inflatable member through the opening of the first magnet; inflating the inflatable member within the hollow outer sleeve to form a contiguous surface from a proximal portion of the hollow outer sleeve to a distal portion of the hollow outer sleeve such that the first magnet is retained on the inflatable member; retracting the hollow outer sleeve in a distal direction to expose the inflatable member and the first magnet; deflating the inflatable member to allow the inflatable member to be withdrawn from the opening of the first magnet to place the first magnet within the second opening; removing the hollow outer sleeve and inflatable member from the first and second openings; placing a second magnet within the hollow outer sleeve, wherein the second magnet is substantially similar to the first magnet; inserting the hollow outer sleeve through the first opening; inserting the inflatable member through the opening of the second magnet; inflating the inflatable member within the hollow outer sleeve to form a contiguous surface from a proximal portion of the hollow outer sleeve to a distal portion of the hollow outer sleeve such that the second magnet is retained on the inflatable member; retracting the hollow outer sleeve in a distal direction to expose the inflatable member and the second magnet; deflating the inflatable member to allow the inflatable member to be withdrawn from the opening of the second magnet to place the second magnet within the first opening; attracting the first magnet toward the second magnet using magnetic force wherein the first magnet retains the second magnet in contact with the first lumen to create an anastomosis between the first and second lumens. - View Dependent Claims (13, 14, 15)
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Specification