公开(公告)号：EP1126796B1

公开(公告)日：2005-06-01

申请号：EP99958801.5

申请日：1999-11-05

申请人： St. Jude Medical ATG, Inc.

发明人： BERG, Todd, Allen ,  SULLIVAN, Daniel, J. ,  BAKER, Matthew, W. ,  HINDRICHS, Paul, J. ,  BOLDENOW, Gregory, Alan ,  GALDONIK, Jason, A. ,  WAHLBERG, Mark, D.

IPC分类号： A61F2/06

CPC分类号： A61F2/064 ,  A61B17/0644 ,  A61B17/11 ,  A61B17/122 ,  A61B17/221 ,  A61B17/32053 ,  A61B17/3207 ,  A61B17/3478 ,  A61B90/39 ,  A61B2017/00252 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/22038 ,  A61B2017/22077 ,  A61B2017/2212 ,  A61B2017/2217 ,  A61M25/0068 ,  A61M25/0074 ,  A61M25/0082 ,  A61M25/0108 ,  A61M25/10 ,  A61M2025/0081 ,  A61M2025/1079

摘要： A bypass graft conduit (200) is installed in the circulatory system of a patient using apparatus which facilitates performing most or all of the necessary work intraluminally (i.e., via lumens of the patient's circulatory system). A guide structure such as a wire (600) is installed in the patient via circulatory system lumens (210) so that a portion (220) of the guide structure extends along the desired path of the bypass conduit, which bypass conduit path is outside the circulatory system as it exists prior to installation of the bypass graft. The bypass graft is then introduced into the patient along the guide structure and connected at each of its ends to the circulatory system using connectors (60) that form fluid-tight annular openings from the bypass graft lumen into the adjacent circulatory system lumens. The guide structure is then pulled out of the patient.

摘要翻译： 旁路移植导管（200）安装在患者的循环系统中，使用便于在腔内（即经由患者的循环系统的腔）执行大部分或全部必要工作的设备。 诸如导线（600）之类的导引结构通过循环系统管腔（210）安装在患者体内，使得导引结构的一部分（220）沿着旁路导管的期望路径延伸，该旁路导管路径在 循环系统，因为它在安装旁路移植物之前就存在。 然后将旁路移植物沿引导结构引入患者体内，并在其每个末端使用连接器（60）连接至循环系统，连接器（60）从旁路移植管腔形成流体密封的环形开口进入相邻的循环系统管腔。 然后引导结构被拉出患者。

公开(公告)号：EP1246574A2

公开(公告)日：2002-10-09

申请号：EP00980878.3

申请日：2000-11-29

申请人： St. Jude Medical ATG, Inc.

发明人： GALDONIK, Jason, A. ,  SWANSON, William, J. ,  HINDRICHS, Paul, J. ,  BOLDENOW, Gregory, A. ,  BERG, Todd, A. ,  CORNELIUS, Rick ,  BONILLA, Luis

IPC分类号： A61B17/115 ,  A61B17/11

CPC分类号： A61B17/115 ,  A61B17/0644 ,  A61B17/11 ,  A61B46/17 ,  A61B2017/00557 ,  A61B2017/0641 ,  A61B2090/0801

摘要： Methods and apparatus for making an anastomotic connection between a first conduit (10) and a second conduit (20). A connector structure (200) having a first end portion and a second end portion is positioned about a balloon catheter (300), which when pressurized, expands to a significant extent at the distal end thereof. The balloon (300) enlarges the connector structure (200) when positioned at the distal end portion of the balloon (300) to create the anastomosis, and at the same time reduces the axial length of the connector (200), thereby compressing the first conduit (10) to the second conduit (20), creating a hemodynamic seal and a firm attachment of the two conduits (10, 20). After enlargement, the connector structure (200) remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly (404) to prevent trauma to the second conduit (20) while the apparatus is being introduced. The nosecone assembly (404) has a flexible structure which may change configuration to expose the second set of members (218) after insertion into the second conduit (20) and to allow removal of the nosecone (404) after deployment.