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

• US 9,308,015 B2
• Filed: 09/02/2014
• Issued: 04/12/2016
• 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:
  US14/475,068
• Publication Number:
  US 20140371518A1
• Time in Patent Office: 588 Days
• US Class Current: 1/1
• 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 method for establishing fluid communication between a first surface and a second surface of a tissue wall, the method comprising:

engaging the tissue wall with a conduit device such that a substantially fluid-tight seal is established between the conduit device and the tissue wall, the conduit device comprising an outer tube formed of a substantially rigid material; and

after engaging the tissue wall with the conduit device, advancing a coring device through the outer tube of the conduit device and through the tissue wall to core an aperture in the tissue wall extending from the first surface to the second surface of the tissue wall while maintaining the substantially fluid-tight seal between the conduit device and the tissue wall.

2. The method of claim 1, wherein the substantially fluid-tight seal is established between the outer tube of the conduit device and the tissue wall.

3. The method of claim 1, wherein the substantially fluid-tight seal is established between a distal end of the outer tube of the conduit device and the tissue wall.

4. The method of claim 1, wherein the conduit device further comprises a ring positioned about the outer tube, and wherein the substantially fluid-tight seal is established between the ring of the conduit device and the tissue wall.

5. The method of claim 4, wherein the ring is positioned about a distal end of the outer tube.

6. The method of claim 4, wherein the ring has a disc shape configured to abut the tissue wall.

7. The method of claim 4, wherein the ring has a frusto-conical shape configured to receive a portion of the tissue wall therein.

8. The method of claim 1, wherein the conduit device further comprises a sealing member positioned about the outer tube, and wherein the substantially fluid-tight seal is established between the sealing member of the conduit device and the tissue wall.

9. The method of claim 8, wherein the sealing member is formed of an elastomeric material.

10. The method of claim 1, further comprising, before advancing the coring device, attaching the conduit device to the tissue wall.

11. The method of claim 10, wherein the conduit device further comprises an attaching device, and wherein attaching the conduit device to the tissue wall comprises advancing the attaching device at least partially through the tissue wall such that at least a portion of the attaching device is disposed substantially between the first surface and the second surface of the tissue wall.

12. The method of claim 11, wherein the attaching device comprises a helical coil or a helical spring member.

13. The method of claim 1, wherein the coring device comprises a coring tube.

14. The method of claim 1, further comprising removing the coring device from the tissue wall while maintaining the substantially fluid-tight seal between the conduit device and the tissue wall.

15. The method of claim 1, further comprising removing the coring device from the outer tube of the conduit device while maintaining the substantially fluid-tight seal between the conduit device and the tissue wall.

16. The method of claim 1, further comprising inserting an inner tube of the conduit device through the outer tube of the conduit device and through the aperture in the tissue wall to maintain fluid communication between the first surface and the second surface of the tissue wall.

17. The method of claim 1, further comprising attaching a ventricular assist device to the tissue wall via the conduit device.

18. The method of claim 1, wherein the tissue wall is a heart tissue wall.

19. The method of claim 1, wherein the tissue wall is a ventricular wall of a beating heart.

20. The method of claim 1, wherein engaging the tissue wall with the conduit device comprises engaging at least the first surface of the tissue wall with the conduit device.

21. The method of claim 20, wherein the first surface of the tissue wall is an outer surface of the tissue wall, and wherein the second surface of the tissue wall is an inner surface of the tissue wall.

22. The method of claim 1, further comprising, before advancing the coring device, fixing a position of the outer tube relative to the tissue wall.

23. The method of claim 1, further comprising, before the advancing the coring device, assessing the seal established between conduit device and the tissue wall.

24. A system for establishing fluid communication between a first surface and a second surface of a tissue wall, the system comprising:

a conduit device configured for engaging the tissue wall such that a substantially fluid-tight seal is established between the conduit device and the tissue wall, the conduit device comprising an outer tube formed of a substantially rigid material; and

a coring device configured for advancing through the outer tube and through the tissue wall to core an aperture in the tissue wall extending from the first surface to the second surface of the tissue wall after engaging the tissue wall with the conduit device and while maintaining the substantially fluid-tight seal between the conduit device and the tissue wall.

25. The system of claim 24, wherein the outer tube of the conduit device is configured for engaging the tissue wall such that the substantially fluid-tight seal is established between the outer tube of the conduit device and the tissue wall.

26. The system of claim 24, wherein a distal end of the outer tube of the conduit device is configured for engaging the tissue wall such that the substantially fluid-tight seal is established between the distal end of the outer tube of the conduit device and the tissue wall.

27. The system of claim 24, wherein the conduit device further comprises a ring positioned about the outer tube and configured for engaging the tissue wall such that the substantially fluid-tight seal is established between the ring of the conduit device and the tissue wall.

28. The system of claim 27, wherein the ring is positioned about a distal end of the outer tube.

29. The system of claim 27, wherein the ring has a disc shape configured for abutting the tissue wall.

30. The system of claim 27, wherein the ring has a frusto-conical shape configured for receiving a portion of the tissue wall therein.

31. The system of claim 24, wherein the conduit device further comprises a sealing member positioned about the outer tube and configured for engaging the tissue wall such that the substantially fluid-tight seal is established between the sealing member of the conduit device and the tissue wall.

32. The system of claim 31, wherein the sealing member is formed of an elastomeric material.

33. The system of claim 24, wherein the conduit device is configured for attaching to the tissue wall.

34. The system of claim 33, wherein the conduit device further comprises an attaching device configured for advancing at least partially through the tissue wall such that at least a portion of the attaching device is disposed substantially between the first surface and the second surface of the tissue wall.

35. The system of claim 34, wherein the attaching device comprises a helical coil or a helical spring member.

36. The system of claim 24, wherein the coring device comprises a coring tube.

37. The system of claim 24, wherein the conduit device is configured to maintain the substantially fluid-tight seal between the conduit device and the tissue wall while the coring device is removed from the tissue wall.

38. The system of claim 24, wherein the conduit device is configured to maintain the substantially fluid-tight seal between the conduit device and the tissue wall while the coring device is removed from the outer tube of the conduit device.

39. The system of claim 24, wherein the conduit device further comprises an inner tube configured for inserting through the outer tube of the conduit device and through the aperture in the tissue wall to maintain fluid communication between the first surface and the second surface of the tissue wall.

40. The system of claim 24, wherein the conduit device is configured for attaching a ventricular assist device to the tissue wall.

41. The system of claim 24, wherein the tissue wall is a heart tissue wall.

42. The system of claim 24, wherein the tissue wall is a ventricular wall of a beating heart.

43. A method for establishing fluid communication between a first surface and a second surface of a tissue wall, the method comprising:

engaging the tissue wall with a conduit device such that a substantially fluid-tight seal is established between the conduit device and the tissue wall, the conduit device comprising an outer tube;

after engaging the tissue wall with the conduit device, advancing a coring device through the outer tube of the conduit device and through the tissue wall to core an aperture in the tissue wall extending from the first surface to the second surface of the tissue wall while maintaining the substantially fluid-tight seal between the conduit device and the tissue wall, the coring device comprising a coring tube; and

inserting an inner tube through the outer tube of the conduit device and through the aperture in the tissue wall.

44. A system for establishing fluid communication between a first surface and a second surface of a tissue wall, the system comprising:

a conduit device configured for engaging the tissue wall such that a substantially fluid-tight seal is established between the conduit device and the tissue wall, the conduit device comprising an outer tube;

a coring device configured for advancing through the outer tube and through the tissue wall to core an aperture in the tissue wall extending from the first surface to the second surface of the tissue wall after engaging the tissue wall with the conduit device and while maintaining the substantially fluid-tight seal between the conduit device and the tissue wall, the coring device comprising a coring tube; and

an inner tube configured for inserting through the outer tube of the conduit device and through the aperture in the tissue wall.