Anastomosis device and related methods
First Claim
Patent Images
1. An anastomosis device comprising:
- an elongate body comprising a proximal end, a distal end, and an open drainage lumen extending through at least a portion of a length of the elongate body,a drainage aperture at a distal end of the elongate body for communication with the proximal end of the elongate body through the drainage lumen, wherein the open drainage lumen comprises an unobstructed passage from the proximal end of the elongate body to the drainage aperture,a balloon spaced from the drainage aperture along the length of the elongate body, andat least one elongate distal tissue approximating structure at the distal end of the elongate body and outwardly extendable from the elongate body on a proximal side of the balloon along the length of the elongate body so that a distal end of each distal elongate tissue approximating structure is spaced from the elongate body;
at least one elongate proximal tissue approximating structure, each of which is outwardly extendable from the elongate body on a proximal side of the at least one elongate distal tissue approximating structure so that a distal end of each proximal elongate tissue approximating structure is spaced from the elongate body; and
a tine support comprising a tine support body that includes a hollow channel and a tine deflector, wherein at least one of the at least one elongate distal tissue approximating structure and the at least one elongate proximal tissue approximating structure comprises;
a tine frame slidably supported by a drainage lumen connector that extends along at least a portion of the length of the elongate body,at least one tine extending from the tine frame, each tine supported by an aperture of the tine deflector, andan actuating mechanism operably connecting the tine frame to the proximal end of the device through an actuating lumen that extends along at least a portion of the length of the elongate body.
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Abstract
Described are methods and devices relating to anastomosis procedures, including those that reconnect the urethra and bladder after a radical prostatectomy, wherein the devices incorporate tissue approximating structure to maintain contact between tissues for healing the tissues together.
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Citations
17 Claims
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1. An anastomosis device comprising:
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an elongate body comprising a proximal end, a distal end, and an open drainage lumen extending through at least a portion of a length of the elongate body, a drainage aperture at a distal end of the elongate body for communication with the proximal end of the elongate body through the drainage lumen, wherein the open drainage lumen comprises an unobstructed passage from the proximal end of the elongate body to the drainage aperture, a balloon spaced from the drainage aperture along the length of the elongate body, and at least one elongate distal tissue approximating structure at the distal end of the elongate body and outwardly extendable from the elongate body on a proximal side of the balloon along the length of the elongate body so that a distal end of each distal elongate tissue approximating structure is spaced from the elongate body; at least one elongate proximal tissue approximating structure, each of which is outwardly extendable from the elongate body on a proximal side of the at least one elongate distal tissue approximating structure so that a distal end of each proximal elongate tissue approximating structure is spaced from the elongate body; and a tine support comprising a tine support body that includes a hollow channel and a tine deflector, wherein at least one of the at least one elongate distal tissue approximating structure and the at least one elongate proximal tissue approximating structure comprises; a tine frame slidably supported by a drainage lumen connector that extends along at least a portion of the length of the elongate body, at least one tine extending from the tine frame, each tine supported by an aperture of the tine deflector, and an actuating mechanism operably connecting the tine frame to the proximal end of the device through an actuating lumen that extends along at least a portion of the length of the elongate body.
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2. An anastomosis device comprising:
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an elongate body comprising a proximal end, a distal end, and an open drainage lumen extending through at least a portion of a length of the elongate body, a drainage aperture at a distal end of the elongate body for communication with the proximal end of the elongate body through the drainage lumen, wherein the open drainage lumen comprises an unobstructed passage from the proximal end of the elongate body to the drainage aperture, a balloon spaced from the drainage aperture along the length of the elongate body, and at least one elongate distal tissue approximating structure at the distal end of the elongate body and outwardly extendable from the elongate body on a proximal side of the balloon along the length of the elongate body so that a distal end of each distal elongate tissue approximating structure is spaced from the elongate body; and at least one elongate proximal tissue approximating structure, each of which is outwardly extendable from the elongate body on a proximal side of the at least one elongate distal tissue approximating structure so that a distal end of each proximal elongate tissue approximating structure is spaced from the elongate body, wherein the elongate body further comprises a body wall comprising an inflation lumen extending along the length of the elongate body from the proximal end to the balloon, and wherein the at least one elongate distal tissue approximating structure and the at least one elongate proximal tissue approximating structure comprise extendable tines. - View Dependent Claims (3, 4, 5, 6, 7)
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8. An anastomosis device comprising:
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an elongate body comprising a proximal end, a distal end, and an open drainage lumen extending through at least a portion of a length of the elongate body, a drainage aperture at a distal end of the elongate body for communication with the proximal end of the elongate body through the drainage lumen, wherein the open drainage lumen comprises an unobstructed passage from the proximal end of the elongate body to the drainage aperture, a balloon spaced from the drainage aperture along the length of the elongate body, and at least one elongate distal tissue approximating structure at the distal end of the elongate body and outwardly extendable from the elongate body on a proximal side of the balloon along the length of the elongate body so that a distal end of each distal elongate tissue approximating structure is spaced from the elongate body; and at least one elongate proximal tissue approximating structure, each of which is outwardly extendable from the elongate body on a proximal side of the at least one elongate distal tissue approximating structure so that a distal end of each proximal elongate tissue approximating structure is spaced from the elongate body, wherein the at least one elongate distal tissue approximating structure comprises at least one distal elongate tine positioned to extend from the elongate body on the proximal side of the balloon, and the at least one elongate proximal tissue approximating structure comprises at least one proximal elongate tine positioned to extend from the elongate body on a proximal side of the at least one elongate distal tissue approximating structure. - View Dependent Claims (9, 10, 11, 12)
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13. An anastomosis device comprising
an elongate body having a body wall, a proximal end, and a distal end, a drainage aperture at the distal end, a drainage lumen extending along at least a portion of a length of the elongate body and connecting the drainage aperture to the proximal end, an inflatable balloon spaced proximally from the drainage aperture along the length of the elongate body, an inflation lumen extending within a length of the body wall, connecting the balloon to the proximal end, a distal tissue approximating structure comprising at least one distal tine connected to a distal frame, each distal tine extendably supported within an aperture of a distal tine deflector, a distal actuating mechanism operably connecting the distal frame to the proximal end of the device, through an actuating lumen extending along a length of the elongate body in the body wall, a proximal tissue approximating structure comprising at least one proximal tine connected to a proximal frame, each proximal tine extendably supported within an aperture of a proximal tine deflector, a proximal actuating mechanism operably connecting the proximal frame to the proximal end of the device, through the actuating lumen.
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16. An anastomosis device comprising
an elongate body having a body wall, a proximal end, and a distal end, and an open drainage lumen extending through at least a portion of a length of the elongate body, the open drainage lumen comprising an unobstructed passage from the proximal end of the elongate body to the drainage aperture, a drainage aperture at the distal end, an inflatable balloon located on a proximal side of the drainage aperture along the length of the elongate body, an inflation lumen extending within a length of the body wall, connecting the balloon to the proximal end, a distal tissue approximating structure at the distal end of the elongate body and comprising at least one distal tine connected to a distal frame, each distal tine extending through an aperture located within the body wall at a location along a length of the body wall on a proximal side of the drainage aperture, and each distal tine being capable of extending from and retracting into the body wall through the aperture, a distal actuating mechanism operably connecting the distal frame to the proximal end of the device through an actuating lumen extending along a length of the elongate body in the body wall, a proximal tissue approximating structure at the distal end of the elongate body and comprising at least one proximal tine connected to a proximal frame, each proximal tine extending through another aperture located within the body wall at a location along a length of the body wall on a proximal side of the drainage aperture, and each proximal tine being capable of extending from and retracting into the body wall through the aperture, a proximal actuating mechanism operably connecting the proximal frame to the proximal end of the device, through the actuating lumen.
Specification