摘要:
An encapsulation device (5) for repair of articular cartilage defects includes a body for disposition adjacent a bone in an area of the cartilage defect (55), and elongated leg structure (25) extending from the body and for disposition in the bone in the area of the cartilage defect. The leg structure is provided with a length which is a plurality of magnitudes greater than a thickness of the body, and is of a generally conical configuration.
摘要:
Graft delivery systems and methods for performing a cardiac by-pass procedure using a graft or a mammary artery are described. A combination of catheters and guide devices through the aorta, coronary artery, and the thoracic region can be used to accomplish these procedures.
摘要:
Hole forming apparatus (1900) for forming a hole in a blood vessel, comprising a penetration shaft (1908), having a tip (1904) adapted to be inserted through a wall of a blood vessel; a tissue holder (1986), configured to hold a portion of said wall, said holder (1986) being activated to perform said holding separately from an insertion of said penetration shaft (1908) through said wall; and a cutting surface (1910) adapted to cut through the wall.
摘要:
Apparatus for joining substantially tubular organs in a living organism, comprises a device for connecting a graft vessel to a target vessel such that the two vessels are in fluid communication. The graft vessel has a first end and a second end, and the first end is everted to form a cuff. The apparatus includes at least one agent in therapeutic dosages incorporated into the cuff for the treatment of reactions by the living organism.
摘要:
This invention is methods, devices, and systems for re-vascularization, and/or performing other medical procedures at a vascular or non-vascular intra-corporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the re-vascularization methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices (100, 103) and systems (138) which are usable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.
摘要:
A vascular clip includes a peripheral body defining a plane, and tines extending from the body transversely with respect to the plane, the tines biased towards a planar configuration. The clip includes expandable elements disposed along its periphery that are biased to expand from compressed to expanded states for increasing a diameter of the clip upon deployment. The clip is provided within a housing slidably mounted on an introducer sheath. The sheath is introduced through a puncture into a blood vessel, and after a procedure is performed via the sheath, the housing is advanced into the puncture and the clip deployed until the tines engage tissue adjacent the opening in the vessel wall. The sheath is withdrawn from the patient, leaving the clip in place. The tines at least partially move towards the planar configuration to pull the engaged tissue together and close the opening.
摘要:
A generally U-shaped surgical staple comprises a base 10 and a pair of generally "L"-shaped legs 12 extending substantially perpendicularly from opposite ends of the base respectively. The legs 12 in use of the staple are bent through approximately 9° relative to the base. To effect a greater compression of the stapled tissue the legs include a penetrative portion 16 adjacent the tip and a compressive structure 30 which, due to its increased height relative to that of the penetrative portion, spreads the compressive forces of the staple further along the length of the incision being closed. The compressive portion also provides a depth stop to avoid the tip penetrating too deeply into the tissue in which it is deployed.
摘要:
The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device.
摘要:
Method and apparatus for utilizing the vascular system as a conduit to reach other vascular and extravascular locations within the body. Included are methods for revascularization wherein the extravascular passageways are formed to permit blood flow between vascular locations. Also included are methods for performing transvascular interstitial surgery (TVIS) wherein extravascular passageways are formed from a blood vessel to another vascular or non-vascular intracorporeal location. Also disclosed are devices usable for forming extravascular passageways in accordance with the invention, or for modifying, valving, maintaining or closing such passageways.
摘要:
A prosthetic vessel graft assembly (10) has a tube of synthetic graft material (5) surrounding a stent (8) at its distal end, together with a plurality of collapsible anchors (9) projecting radially from the stent. The assembly mounts on an introducer (30) that may be tunneled through skin or inserted in an opening and pushed down to a vessel for introducing the graft through the vessel side wall. The introducer (30) is configured to follow a guide wire (35) which is inserted via a needle through an opening in the side wall of the vessel. A peel-away sheath (33) covers the stent, graft, and anchor members at the distal end keeping them collapsed against the tubular body. The proximal end of the graft tube may have a blood compatible fitting or connector, or may have a reinforced band or collar suitable for suturing or other surgical joining technique.