公开(公告)号：US07175637B2

公开(公告)日：2007-02-13

申请号：US09946791

申请日：2001-09-04

申请人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

发明人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.

摘要翻译： 吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶血管的单件装置。 吻合装置包括可扩张管，其构造成具有固定到管的移植脉管。 该装置具有位于装置的一端的可扩张连接件，并且该连杆的膨胀使得第一径向延伸的凸缘向外折叠。 该第一法兰邻接目标血管的内壁，并且形成第二凸缘，该第二凸缘邻接在两个凸缘之间捕集目标血管的靶血管的外壁，并将移植血管的端部固定在 目标船。 该设备大大增加了可以通过已知的缝合方法进行吻合的速度，并允许在狭窄的空间中进行吻合。

公开(公告)号：US06966920B2

公开(公告)日：2005-11-22

申请号：US10331356

申请日：2002-12-30

申请人： Stephen A. Yencho ,  Michael Hendricksen ,  Jaime Vargas ,  Jamey Nielsen ,  Bernard A. Hausen ,  Scott Vance

发明人： Stephen A. Yencho ,  Michael Hendricksen ,  Jaime Vargas ,  Jamey Nielsen ,  Bernard A. Hausen ,  Scott Vance

IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/04

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00252 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135

摘要： The anastomosis device according to the present invention is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes a frame for receiving and holding the end of a graft vessel in an everted position and first and second spreading members configured to be inserted into an opening in the target vessel. The first and second spreading members are arranged substantially in a plane for insertion into an opening in a target vessel, and are moved away from one another to capture the edges of the opening in the target vessel securing the graft vessel to the target vessel. One version of the anastomosis device includes a plurality of linkages arranged in two rows for grasping opposite sides of an opening in the target vessel. A portion of the linkages fold outward to trap vessel walls on opposite sides of the opening in the target vessel. The anastomosis devices greatly increases the speed with which anastomosis can be performed over known suturing methods.

摘要翻译： 根据本发明的吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶容器的一体式装置。 吻合装置包括用于接收和保持移植物容器的端部处于脱开位置的框架，以及构造成插入到靶容器中的开口中的第一和第二扩散构件。 第一和第二扩散构件基本上布置在用于插入靶容器中的开口的平面中，并且彼此远离，以捕获将移植物容器固定到靶容器的靶容器中的开口的边缘。 吻合装置的一个版本包括布置成两排的多个连杆，用于抓住目标血管中的开口的相对侧。 连杆的一部分向外折叠，以在靶容器的开口的相对侧上捕获容器壁。 吻合装置大大增加了可以通过已知的缝合方法进行吻合的速度。

公开(公告)号：US06471713B1

公开(公告)日：2002-10-29

申请号：US09709373

申请日：2000-11-13

申请人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen ,  Russell C. Mead, Jr. ,  Heather Klaubert ,  Brendan M. Donohoe ,  Theodore Bender

发明人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen ,  Russell C. Mead, Jr. ,  Heather Klaubert ,  Brendan M. Donohoe ,  Theodore Bender

IPC分类号： A61B1704

CPC分类号： A61B17/11 ,  A61B17/320016 ,  A61B2017/00371 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61F2/064

摘要： A deployment system for forming an incision in a target vessel, for placement of an anastomosis device and for deployment of an anastomosis device having an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device.

摘要翻译： 用于在靶容器中形成切口的部署系统，用于放置吻合装置并用于部署具有通过装置的径向膨胀形成的内凸缘的吻合装置和通过装置的轴向压缩形成的外凸缘。

公开(公告)号：US06428550B1

公开(公告)日：2002-08-06

申请号：US09314278

申请日：1999-05-18

申请人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

发明人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

IPC分类号： A61B1711

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.

摘要翻译： 吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶血管的单件装置。 吻合装置包括可扩张管，其构造成具有固定到管的移植脉管。 该装置具有位于装置的一端的可扩张连接件，并且该连杆的膨胀使得第一径向延伸的凸缘向外折叠。 该第一法兰邻接目标血管的内壁，并且形成第二凸缘，该第二凸缘邻接在两个凸缘之间捕集目标血管的靶血管的外壁，并将移植血管的端部固定在 目标船。 该设备大大增加了可以通过已知的缝合方法进行吻合的速度，并允许在狭窄的空间中进行吻合。

公开(公告)号：US06398797B2

公开(公告)日：2002-06-04

申请号：US09725232

申请日：2000-11-29

申请人： David Bombard ,  Theodore Bender ,  Tenny Chang ,  Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

发明人： David Bombard ,  Theodore Bender ,  Tenny Chang ,  Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

IPC分类号： A61B1704

CPC分类号： A61B17/0644 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/072 ,  A61B17/11 ,  A61B17/115 ,  A61B17/1152 ,  A61B17/122 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2090/037 ,  A61F2/064

摘要： A method and system for performing anastomosis uses an anvil to control and support a tissue site during an anastomosis procedure involving tissue bonding techniques such as tissue welding and adhesive tissue bonding. The anvil is particularly useful for supporting a wall of a coronary artery during attachment of a graft vessel in a coronary artery bypass graft procedure. The anvil is inserted into a pressurized or unpressurized target vessel and is pulled against an inner wall of the target vessel causing tenting of the thin tissue of the vessel wall. A graft vessel is then advanced to the anastomosis site and an end of the graft vessel is positioned adjacent an exterior of the target vessel. When tissue welding is used, a graft vessel fixture is positioned over the tissue surfaces to be welded in order to clamp the graft and target vessel tissue together. The tissue contacting surfaces of the anvil and/or graft vessel fixture are provided with one or more energy applying surfaces. Energy in the form of RF power, laser energy or ultrasonic energy is then applied to the compressed graft and target vessel tissue to weld the vessels together. When adhesive bonding is used, the adhesive may be applied to mating surfaces of the graft and/or target vessels either before or after the vessels are brought into contact. After tissue bonding is complete, an incision is formed in the wall of the target vessel to allow blood flow between the target vessel and the graft vessel. The incision may be made with an electro-cautery cutting device.

摘要翻译： 用于进行吻合的方法和系统在涉及组织粘合技术例如组织焊接和粘合剂组织粘合的吻合过程中使用砧来控制和支撑组织部位。 砧座特别可用于在冠状动脉旁路移植手术中移植血管附着期间支撑冠状动脉壁。 将砧座插入加压或非加压的靶容器中并且被拉到靶容器的内壁上，导致容器壁的薄组织的隆起。 移植血管然后前进到吻合部位，移植血管的末端位于靶血管外部附近。 当使用组织焊接时，将移植物容器夹具放置在待焊接的组织表面上方，以将移植物和靶血管组织夹在一起。 砧座和/或移植物容器固定装置的组织接触表面设置有一个或多个能量施加表面。 然后将RF功率，激光能量或超声波能量的能量施加到压缩的移植物和靶血管组织上以将血管焊接在一起。 当使用粘合剂时，粘合剂可以在容器接触之前或之后施加到移植物和/或靶容器的配合表面。 在组织粘合完成之后，在靶容器的壁中形成切口以允许目标血管和移植血管之间的血液流动。 切口可以用电火花切割装置制成。

公开(公告)号：US06391038B1

公开(公告)日：2002-05-21

申请号：US09363255

申请日：1999-07-28

申请人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

发明人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

IPC分类号： A61B1704

摘要： An anastomosis system and method uses an anvil to control and support a tissue site during an anastomosis procedure. The anvil is particularly useful for supporting a wall of a coronary artery during attachment of a graft vessel to the coronary artery because the wall of the coronary artery is very thin, difficult to grasp, and susceptible to tearing. In one method, the anvil is inserted into a pressurized or unpressurized target vessel and is pulled against an inner wall of the target vessel causing tenting of the thin tissue of the vessel wall. A graft vessel is then advanced to the anastomosis site and an end of the graft vessel is positioned adjacent and exterior of the target vessel. Staples are inserted through the tissue of the graft vessel and the target vessel by pivoting the arms of a staple holder towards the anvil. When the ends of the staples engage staple bending features on the anvil, the ends of the staples bend over securing the graft vessel and target vessel together. After stapling is complete, an incision is formed in the wall of the target vessel to allow blood flow between the target vessel and the graft vessel.

公开(公告)号：US07611523B2

公开(公告)日：2009-11-03

申请号：US10665170

申请日：2003-09-18

申请人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

发明人： Jaime Vargas ,  Stephen A. Yencho ,  Jamey Nielsen ,  Michael Hendricksen ,  Bernard A. Hausen

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/32053 ,  A61B17/3415 ,  A61B17/3439 ,  A61B2017/00247 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/064

摘要： An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.

摘要翻译： 吻合装置是用于在不使用常规缝合线的情况下将移植血管连接到靶血管的单件装置。 吻合装置包括可扩张管，其构造成具有固定到管的移植脉管。 该装置具有位于装置的一端的可扩张连接件，并且该连杆的膨胀使得第一径向延伸的凸缘向外折叠。 该第一法兰邻接目标血管的内壁，并且形成第二凸缘，该第二凸缘邻接在两个凸缘之间捕集目标血管的靶血管的外壁，并将移植血管的端部固定在 目标船。 该设备大大增加了可以通过已知的缝合方法进行吻合的速度，并允许在狭窄的空间中进行吻合。

公开(公告)号：US07217285B2

公开(公告)日：2007-05-15

申请号：US10897783

申请日：2004-07-23

申请人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

发明人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

IPC分类号： A61F2/06

CPC分类号： A61B17/0644 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/072 ,  A61B17/11 ,  A61B17/115 ,  A61B17/1152 ,  A61B17/122 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2090/037 ,  A61F2/064

摘要： An apparatus for performing anastomosis between a graft vessel and a target vessel may include a connector holder having spaced-apart arms, and a member connected to the connector holder, where the member is insertable through an opening in a wall of the target vessel at least partially into the lumen of the target vessel. One or more connectors, such as staples, may be deployed from each arm to connect the graft vessel to the target vessel. One or more connectors may be deformable against the member.

摘要翻译： 用于在移植血管和目标血管之间进行吻合的装置可以包括具有间隔开的臂的连接器保持器和连接到连接器保持器的构件，其中构件至少可以通过目标血管的壁中的开口插入 部分地进入目标血管的内腔。 可以从每个臂部署一个或多个连接器，例如钉，以将移植血管连接到目标血管。 一个或多个连接器可以相对于构件变形。

公开(公告)号：US06478804B2

公开(公告)日：2002-11-12

申请号：US09842792

申请日：2001-04-27

申请人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

发明人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

IPC分类号： A61B1704

CPC分类号： A61B17/0644 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/072 ,  A61B17/11 ,  A61B17/115 ,  A61B17/1152 ,  A61B17/122 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2090/037 ,  A61F2/064

摘要： An anastomosis system and method uses an anvil to control and support a tissue site during an anastomosis procedure. The anvil is particularly useful for supporting a wall of a coronary artery during attachment of a graft vessel to the coronary artery because the wall of the coronary artery is very thin, difficult to grasp, and susceptible to tearing. In one method, the anvil is inserted into a pressurized or unpressurized target vessel and is pulled against an inner wall of the target vessel causing tenting of the thin tissue of the vessel wall. A graft vessel is then advanced to the anastomosis site and an end of the graft vessel is positioned adjacent and exterior of the target vessel. Staples are inserted through the tissue of the graft vessel and the target vessel by pivoting the arms of a staple holder towards the anvil. When the ends of the staples engage staple bending features on the anvil, the ends of the staples bend over securing the graft vessel and target vessel together. After stapling is complete, an incision is formed in the wall of the target vessel to allow blood flow between the target vessel and the graft vessel.

公开(公告)号：US07063712B2

公开(公告)日：2006-06-20

申请号：US10253347

申请日：2002-09-24

申请人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

发明人： Jaime Vargas ,  Michael Hendricksen ,  Stephen A. Yencho ,  Jamey Nielsen ,  Bernard A. Hausen ,  Brendan Donohoe

IPC分类号： A61B17/04

CPC分类号： A61B17/11 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/115 ,  A61B17/1152 ,  A61B2017/1107 ,  A61B2017/1135

摘要： An anastomosis system and method uses an anvil to control and support a tissue site during an anastomosis procedure. The anvil is particularly useful for supporting a wall of a coronary artery during attachment of a graft vessel to the coronary artery because the wall of the coronary artery is very thin, difficult to grasp, and susceptible to tearing. In one method, the anvil is inserted into a pressurized or unpressurized target vessel and is pulled against an inner wall of the target vessel causing tenting of the thin tissue of the vessel wall. A graft vessel is then advanced to the anastomosis site and an end of the graft vessel is positioned adjacent and exterior of the target vessel. Staples are inserted through the tissue of the graft vessel and the target vessel by pivoting the arms of a staple holder towards the anvil. When the ends of the staples engage staple bending features on the anvil, the ends of the staples bend over securing the graft vessel and target vessel together. After stapling is complete, an incision is formed in the wall of the target vessel to allow blood flow between the target vessel and the graft vessel.