Conduit device and system for implanting a conduit device in a tissue wall

• US 8,858,489 B2
• Filed: 03/18/2013
• Issued: 10/14/2014
• Est. Priority Date: 04/24/2007
• Status: Active Grant

• Current Assignee: Emory University, Georgia Tech Research Corporation (University System of Georgia)
• Original Assignee: Emory University, Georgia Tech Research Corporation (University System of Georgia)
• Inventors: Vassiliades, Thomas A., Yoganathan, Ajit, Jimenez, Jorge Hernan
• Primary Examiner(s): MARCETICH, ADAM M
• Application Number:
  US13/845,960
• Publication Number:
  US 20130218169A1
• Time in Patent Office: 575 Days
• Field of Search: 606/1, 606/108, 606/153, 606/156, 606/158, 606/167, 606/180, 606/184, 606/185, 623/1, 623/1.11, 623/1.23, 623/3.1, 623/3.13, 623/3.16, 623/3.26, 623/3.27, 623/3.3, 604/8, 604/9, 604/10, 128/898
• US Class Current: 604/8
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61M 2210/1085 Bladder
• CPC Class Codes: A61M 2210/125 Heart
• CPC Class Codes: A61M 25/04 in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 27/002 Implant devices for drainage of body fluids from one part of the body to another intraocular A61F9/00781; middle ear A61F11/202
• CPC Class Codes: A61M 60/148 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
• CPC Class Codes: Y10S 623/904 Heart

Abstract

Various embodiments of the present invention provide a conduit device including an attaching device configured for defining a helical pathway through a tissue wall and complementary ring in cooperation for securing the device within an aperture defined in the tissue wall. Some embodiments of the present invention further provide a system for implanting a conduit device in a tissue wall. More specifically, some embodiments provide a system including a coring device for defining an aperture in a tissue by removing and retaining a tissue core and securely implanting a conduit device therein so as to provide fluid communication between a first and second surface of the tissue wall via the conduit device.

Claims

1. A system for sutureless anchoring onto a ventricular wall, the system comprising:

an attaching device configured for advancing along a helical path at least partially through the ventricular wall such that at least a portion of the attaching device becomes disposed substantially between a first surface and a second surface of the ventricular wall;

an inner tube configured for extending at least partially through the attaching device and the ventricular wall to establish fluid communication between the first surface and the second surface of the ventricular wall; and

a ventricular assist device attached to the attaching device;

wherein the attaching device and the inner tube are configured to compress at least a portion of the ventricular wall between the attaching device and the inner tube.

2. The system of claim 1, wherein the attaching device comprises a coil or a spring member.

3. The system of claim 2, wherein the coil or the spring member comprises a radially-expanding helix shape.

4. The system of claim 1, wherein the attaching device is configured to compress at least a portion of the ventricular wall inward towards an aperture extending from the first surface to the second surface of the ventricular wall.

5. The system of claim 1, further comprising a ring configured for placement against the first surface of the ventricular wall.

6. The system of claim 5, wherein the ring comprises a frusto-conical shape.

7. The system of claim 5, wherein the ring is positioned about the attaching device.

8. The system of claim 5, wherein the ring is configured for receiving at least a portion of the first surface of the ventricular wall.

9. The system of claim 5, wherein the ventricular assist device is attached to the attaching device via the ring.

10. The system of claim 1, further comprising a valved conduit.

11. The system of claim 1, further comprising a sealing element configured for sealing against the first surface of the ventricular wall.

12. The system of claim 11, wherein the sealing element is configured for positioning about an aperture extending from the first surface to the second surface of the ventricular wall.

13. The system of claim 1, wherein the attaching device is configured to prevent peri-sheath bleeding around the inner tube.

14. The system of claim 1, wherein the ventricular assist device is attached to the attaching device via the inner tube.

15. The system of claim 1, further comprising an outer tube engaged with an approximate proximal end of the attaching device.

16. The system of claim 15, wherein the ventricular assist device is attached to the attaching device via the outer tube.

17. The system of claim 1, further comprising a cutting device configured for advancing through the attaching device and through the ventricular wall to define an aperture extending from the first surface and the second surface of the ventricular wall.

18. The system of claim 17, wherein the inner tube is configured for extending at least partially through the aperture defined by the cutting device, and wherein an outer diameter of the inner tube is greater than an inner diameter of the aperture.

19. The system of claim 18, wherein the attaching device comprises a coil or a spring member.

20. The system of claim 19, wherein the coil or the spring member comprises a radially-expanding helix shape.

21. The system of claim 17, wherein the cutting device comprises a coring member configured for coring a portion of the ventricular wall in defining the aperture.

22. The system of claim 21, wherein the cutting device further comprises an expandable element configured for removing the cored portion of the ventricular wall.

23. The system of claim 1, further comprising a cap configured for closing an aperture extending from the first surface and the second surface of the ventricular wall to block fluid communication between the first surface and the second surface of the ventricular wall.

24. The system of claim 23, wherein the cap is configured for removeably closing the aperture.

25. A system for securing in a ventricular wall having a first surface and a second surface, the system comprising:

an attaching device configured for advancing at least partially through the ventricular wall such that at least a portion of the attaching device becomes disposed substantially between the first surface and the second surface of the ventricular wall;

a cap configured for closing an aperture extending from the first surface to the second surface of the ventricular wall; and

a ring configured for placement against the first surface of the ventricular wall

wherein the attaching device comprises a coil or a spring member comprising a radially-expanding helix shape;

wherein the attaching device is configured to compress at least a portion of the ventricular wall inward towards the aperture.

26. The system of claim 25, wherein the coil or the spring member has a larger helical diameter at a distal end relative to a proximal end.

27. The system of claim 25, wherein the cap is configured for removeably closing the aperture.

28. The system of claim 25, further comprising a sealing element configured for extending about the aperture and sealing against the first surface of the ventricular wall.