Engagement device and method for deployment of anastomotic clips

• US 9,089,329 B2
• Filed: 03/15/2013
• Issued: 07/28/2015
• Est. Priority Date: 04/23/2012
• Status: Expired due to Fees

• Current Assignee: Thoratec LLC
• Original Assignee: Thoratec LLC
• Inventors: Hoarau, Carine, Reichenbach, Steven H., Hsu, George, Miller, Andrew R., Haarstad, Philip, Sundquist, Stephen Kenneth, Harrington, James N.
• Primary Examiner(s): Manahan, Todd
• Assistant Examiner(s): HERBERMANN, ERICH G.
• Application Number:
  US13/839,387
• Publication Number:
  US 20130282026A1
• Time in Patent Office: 865 Days
• Field of Search: 606/151, 606153-156, 606/139, 606/142, 606/143, 606/150, 623/1.11, 623/1.23, 227/175.1, 227/179.1, 227/19
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• 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 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/308 with suction cups
• CPC Class Codes: A61B 2090/309 using white LEDs

Abstract

A coupling system includes an applicator tool, an anastomotic prosthesis mounted on the applicator tool, and an engagement device. The applicator tool deploys a securement through the prosthesis and tissue which leaves the prosthesis attached to the tissue. The engagement device selectively engages the applicator tool onto the tissue, with the use of suction, in order to facilitate accurate placement of the prosthesis on the tissue and facilitate deployment of the securement into the tissue. The applicator tool and the tissue are able to move together while the engagement device prevents or inhibits relative movement between the applicator tool and the tissue. A method for securing an anastomotic prosthesis to tissue includes applying of suction to engage an applicator tool to the tissue while a securement is deployed out of the applicator tool and into the prosthesis and the tissue.

Claims

1. A method for connecting an anastomotic prosthesis to tissue, the method comprising:

applying suction to an engagement device attached to an applicator tool, the applicator tool configured to deploy a securement into an anastomotic prosthesis and tissue; and

deploying the securement into the anastomotic prosthesis and the tissue during the applying of the suction to the engagement device,

wherein the applying of the suction inhibits or prevents relative movement between the applicator tool and the tissue,

wherein the anastomotic prosthesis is an attachment ring for connecting an artificial conduit to a hollow anatomical organ, and the method further comprises positioning the attachment ring on the hollow anatomical organ before applying the suction to the engagement device and while the attachment ring is mounted on the applicator tool, and the method further comprises releasing the attachment ring from the applicator tool after the deploying of the securement.

2. The method of claim 1, further comprising removing the suction from the engagement device after the deploying of the securement, wherein the applying of the suction causes the engagement device to engage the tissue, and the removing of the suction causes the engagement device to disengage the tissue.

3. The method of claim 1, wherein the applying of the suction to the engagement device includes applying the suction to a plurality of contact members disposed on the tissue, each contact member including a suction opening and a joint, and the method further comprises flexing the joints to adjust angular orientations of the suction openings.

4. The method of claim 3, wherein each contact member includes a concave wall, the concave wall has an aperture, and the suction is applied through a fluid conduit coupled to the apertures.

5. The method of claim 3, further comprising placing a forward segment of the applicator tool in a coupling member, the contact members being attached to the coupling member.

6. The method of claim 5, further comprising adjusting an axial position of the contact members by sliding the coupling member on the forward segment of the applicator tool.

7. The method of claim 1, further comprising connecting an inflow conduit of a ventricular assist device to the attachment ring.

8. The method of claim 1, wherein the securement is a clip having a sharp tip for piercing the tissue.

9. A method for connecting an anastomotic prosthesis to tissue, the method comprising:

applying suction to an engagement device attached to an applicator tool, the applicator tool configured to deploy a securement into an anastomotic prosthesis and tissue; and

deploying the securement into the anastomotic prosthesis and the tissue during the applying of the suction to the engagement device,

wherein the applying of the suction inhibits or prevents relative movement between the applicator tool and the tissue, and

wherein the applying of the suction to the engagement device includes applying the suction to a plurality of contact members disposed on the tissue, each contact member including a suction opening and a joint, and the method further comprises flexing the joints to adjust angular orientations of the suction openings.

10. The method of claim 9, wherein each contact member includes a concave wall, the concave wall has an aperture, and the suction is applied through a fluid conduit coupled to the apertures.

11. The method of claim 9, further comprising placing a forward segment of the applicator tool in a coupling member, the contact members being attached to the coupling member.

12. The method of claim 11, further comprising adjusting an axial position of the contact members by sliding the coupling member on the forward segment of the applicator tool.