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    Apparatus and methods for occluding an access tube anastomosed to sidewall of an anatomical vessel
    1.
    发明授权
    Apparatus and methods for occluding an access tube anastomosed to sidewall of an anatomical vessel 有权
    用于封闭与解剖血管的侧壁吻合的进入管的装置和方法

    公开(公告)号：US07131959B2

    公开(公告)日：2006-11-07

    申请号：US10351172

    申请日：2003-01-23

    申请人： Duane D. Blatter ,  Troy J. Orr ,  Michael C. Barrus

    发明人： Duane D. Blatter ,  Troy J. Orr ,  Michael C. Barrus

    IPC分类号： A61M37/00 ,  C02F1/44 ,  A61B17/08

    CPC分类号： A61M1/3653 ,  A61B17/32053 ,  A61B2017/1135 ,  A61B2017/3488 ,  A61M1/3655 ,  A61M1/3659 ,  A61M1/3661

    摘要： The invention provides vascular access methods, systems and devices facilitating long-term, repeated, percutaneous access to a patient's blood stream. This is provided by an access tube apparatus adapted for anastomosis to the sidewall of a target anatomical vessel. The access tube has a replaceable occluder that fits within the conduit of the access tube in between blood treatments or when vascular access is otherwise not needed. When such access is desired, the percutaneously accessible occluder is simply removed from the access tube.

    摘要翻译： 本发明提供促进长期，重复，经皮地进入患者血液的血管通路方法，系统和装置。 这是通过适于与目标解剖血管的侧壁吻合的入口管装置来提供的。 进入管具有可更换的封堵器，其在血液处理之间或当不需要血管通路时，其适配于进入管的导管内。 当需要这种接近时，可以从接入管中简单地移除经皮可触及的封堵器。

    Apparatus and methods for fluid occlusion of an access tube anastomosed to an anatomical vessel
    2.
    发明授权
    Apparatus and methods for fluid occlusion of an access tube anastomosed to an anatomical vessel 失效
    用于吻合到解剖血管的进入管的流体闭塞的装置和方法

    公开(公告)号：US07124570B2

    公开(公告)日：2006-10-24

    申请号：US10624711

    申请日：2003-07-21

    申请人： Duane D. Blatter ,  Troy J. Orr ,  Michael C. Barrus

    发明人： Duane D. Blatter ,  Troy J. Orr ,  Michael C. Barrus

    IPC分类号： A61M37/00 ,  A61M5/00 ,  A61M1/00

    CPC分类号： A61M1/3653 ,  A61B17/32053 ,  A61B2017/1135 ,  A61B2017/3488 ,  A61M1/3655 ,  A61M1/3661

    摘要： The invention provides a vascular access system and methods for facilitating long-term, repeated access to any of a patient's vascular systems. This is provided by an access tube apparatus adapted for anastomosis to an anatomical vessel. The access tube is occluded with an fluid occluder that fits within the conduit of the access tube in between treatments or when vascular access is otherwise not needed. When such access is desired, the fluid occluder is withdrawn from the access tube and the body fluid is accessed through the access tube.

    摘要翻译： 本发明提供一种血管通路系统和用于促进长期，重复进入患者血管系统中的任何一种的方法。 这由通过适于吻合到解剖血管的入口管装置提供。 进入管在处理之间或当不需要血管通路时封闭具有适配于进入管的导管内的流体封堵器。 当需要这种接近时，流体封堵器从进入管中取出，并且体液通过进入管进入。

    Paired expandable anastomosis devices and related methods
    6.
    发明授权
    Paired expandable anastomosis devices and related methods 失效
    配对可扩展吻合装置及相关方法

    公开(公告)号：US06736825B2

    公开(公告)日：2004-05-18

    申请号：US10035084

    申请日：2001-12-27

    申请人： Duane D. Blatter ,  Michael C. Barrus ,  Troy J. Orr

    发明人： Duane D. Blatter ,  Michael C. Barrus ,  Troy J. Orr

    IPC分类号： A61B1708

    CPC分类号： A61B17/115 ,  A61B17/0643 ,  A61B17/32053 ,  A61B17/3403 ,  A61B2017/0641 ,  A61B2017/1135

    摘要： A paired, expandable anastomosis device joins two vessels together and can expand and contract with changes in the size of the two vessels. The anastomosis device has two expandable rings with a plurality of holding tabs. The holding tabs of one ring are shaped to enable a graft vessel tissue to be everted through one of the rings and to be held on one of the rings. Similarly, the holding tabs of the other ring are shaped to enable a target vessel to be everted through the other ring and to be retained by the holding tabs. Once the graft and target vessels are loaded, the rings are adapted to be brought together to a position in which the graft and target vessels are anastomosed together.

    摘要翻译： 配对的可扩展吻合装置将两个血管连接在一起，并可随着两个血管的尺寸的变化而扩张和收缩。 吻合装置具有两个具有多个保持片的可扩张环。 一个环的保持突片被成形为使得移植物血管组织能够穿过其中一个环并被保持在其中一个环上。 类似地，另一个环的保持突出部被成形为使得目标血管能够穿过另一个环并被保持突片保持。 一旦移植物和靶容器被装载，则环适合于一起到移植物和靶血管吻合在一起的位置。

    Intraluminally directed anvil apparatus and related methods and systems
    9.
    发明授权
    Intraluminally directed anvil apparatus and related methods and systems 失效
    内镜定向砧设备及相关方法和系统

    公开(公告)号：US06726694B2

    公开(公告)日：2004-04-27

    申请号：US09736839

    申请日：2000-12-14

    申请人： Duane D. Blatter ,  Kenneth C. Goodrich ,  Michael C. Barrus ,  Bruce M. Burnett

    发明人： Duane D. Blatter ,  Kenneth C. Goodrich ,  Michael C. Barrus ,  Bruce M. Burnett

    IPC分类号： A61B1710

    CPC分类号： A61B17/1152 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/11 ,  A61B17/115 ,  A61B17/320016 ,  A61B17/32053 ,  A61B17/3403 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： Anastomosis procedures are achieved through the use of an intraluminally directed anvil apparatus. The apparatus is inserted at a catheter site and is then positioned through the lumen of the blood vessel to a remote anastomosis site. The intraluminally directed anvil apparatus has an anvil pull extending from an anvil. At the anastomosis site, the anvil is extended through the wall of the vessel at an initial piercing. The anvil is too large to pass through the initial piercing so the anvil pull can be used to pull the anvil against the wall of the vessel and distend the vessel wall in preparation for being cut to form an opening. The apparatus is used with a cutter to form openings in a wall of a blood vessel. After the opening is formed then the vessel is joined with another vessel.

    摘要翻译： 吻合手术是通过使用经内镜定向的砧设备实现的。 将装置插入导管部位，然后将其定位成通过血管的内腔至远端吻合部位。 经肛门导管的砧设备具有从砧座延伸的砧座拉。 在吻合部位，砧座在初始穿刺时延伸穿过血管壁。 砧座太大而不能通过初始穿孔，因此可以使用砧座拉动将砧座拉向容器的壁并扩张容器壁以准备切割以形成开口。 该装置与切割器一起使用以在血管的壁中形成开口。 在开口形成之后，容器与另一容器连接。