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    Anastomosis device having at least one frangible member
    61.
    发明授权
    Anastomosis device having at least one frangible member 有权
    具有至少一个易碎构件的吻合装置

    公开(公告)号：US07108702B2

    公开(公告)日：2006-09-19

    申请号：US10884591

    申请日：2004-07-02

    申请人： Stephen A. Yencho ,  Bernard A. Hausen

    发明人： Stephen A. Yencho ,  Bernard A. Hausen

    IPC分类号： A61B17/08

    CPC分类号： A61F2/064 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2090/037 ,  Y10S623/903

    摘要： An anastomosis device may include at least one first element connectible to at least one second element, where at least one first element is frangible. At least one second element may include at least one opening therethrough, where each opening receives a corresponding first element. At least one deflectable tab may extend into at least one opening to engage a corresponding first element.

    摘要翻译： 吻合装置可以包括可连接到至少一个第二元件的至少一个第一元件，其中至少一个第一元件是易碎的。 至少一个第二元件可以包括穿过其中的至少一个开口，其中每个开口接收相应的第一元件。 至少一个可偏转突片可以延伸到至少一个开口中以接合相应的第一元件。

    Anastomosis system
    67.
    发明授权
    Anastomosis system 有权

    公开(公告)号：US06994714B2

    公开(公告)日：2006-02-07

    申请号：US10253376

    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.

    Method of sutureless closure for connecting blood vessels
    68.
    发明授权
    Method of sutureless closure for connecting blood vessels 失效
    用于连接血管的无缝合封闭的方法

    公开(公告)号：US06652541B1

    公开(公告)日：2003-11-25

    申请号：US09664589

    申请日：2000-09-18

    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： 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。

    Method and system for attaching a graft to a blood vessel
    69.
    发明授权
    Method and system for attaching a graft to a blood vessel 有权
    将移植物附着到血管的方法和系统

    公开(公告)号：US06461320B1

    公开(公告)日：2002-10-08

    申请号：US09132711

    申请日：1998-08-12

    申请人： Stephen A. Yencho ,  Bernard A. Hausen

    发明人： Stephen A. Yencho ,  Bernard A. Hausen

    IPC分类号： A61M500

    CPC分类号： A61B17/11 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/115 ,  A61B17/1152 ,  A61B2017/00986 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61F2/064

    摘要： Anastomotic stents for connecting a graft vessel to a target vessel, and methods of use thereof. The anastomotic stents of the invention are suitable for use in a variety of anastomosis procedures, including coronary artery bypass grafting. One embodiment of the invention comprises a large vessel anastomotic stent for use with large diameter target vessels such as the aorta or its major side branches. Another embodiment of the invention comprises a small vessel anastomotic stent for use on a target vessel which has a small diameter such as a coronary artery. Another aspect of the invention involves applicators for use with the stents of the invention.

    摘要翻译： 用于将移植血管连接到目标血管的吻合支架及其使用方法。 本发明的吻合支架适用于各种吻合手术，包括冠状动脉旁路移植术。 本发明的一个实施例包括用于大直径靶血管如大主动脉或其主要侧枝的大血管吻合支架。 本发明的另一个实施方案包括用于具有小直径例如冠状动脉的靶容器上的小容器吻合支架。 本发明的另一方面涉及与本发明的支架一起使用的敷贴器。

    Sutureless closure for connecting a bypass graft to a target vessel
    70.
    发明授权
    Sutureless closure for connecting a bypass graft to a target vessel 有权
    用于将旁路移植物连接到目标血管的无缝合封闭

    公开(公告)号：US06179849B2

    公开(公告)日：2001-01-30

    申请号：US09330244

    申请日：1999-06-10

    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： A61B1704

    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。