公开(公告)号：US06802847B1

公开(公告)日：2004-10-12

申请号：US09915226

申请日：2001-07-23

申请人： Dean F. Carson ,  Michael L. Reo ,  David H. Cole ,  Darin C. Gittings ,  Keke Lepulu ,  A. Adam Sharkawy ,  Adam Kessler

发明人： Dean F. Carson ,  Michael L. Reo ,  David H. Cole ,  Darin C. Gittings ,  Keke Lepulu ,  A. Adam Sharkawy ,  Adam Kessler

IPC分类号： A61B1704

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/11 ,  A61B2017/00252 ,  A61B2017/00876 ,  A61B2017/1107 ,  A61B2017/1132 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61F2/064 ,  A61F2/07 ,  A61F2002/30079 ,  A61F2210/009 ,  H01F41/026

摘要： Methods and devices for forming magnetic anastomoses between hollow bodies. End-to-side, side-to-side and end-to-end anastomoses can be created with or without a mechanical connection between the components. The anastomotic components may have various constructions and may be secured to a vessel in various manners, for example, magnetically, mechanically or adhesively. Also provided are alternative delivery devices, as well as devices for checking the position of a component on a loaded delivery device, and for checking the seal between a vessel and an anastomotic component secured thereto.

摘要翻译： 用于在中空体之间形成磁性吻合的方法和装置。 端对端，侧对端和端对端吻合可以在组件之间或之间进行机械连接而创建。 吻合部件可以具有各种结构，并且可以以各种方式固定到血管，例如磁力，机械或粘性。 还提供了替代的递送装置，以及用于检查装载的递送装置上的部件的位置以及用于检查容器和固定到其上的吻合部件之间的密封的装置。

公开(公告)号：US08518062B2

公开(公告)日：2013-08-27

申请号：US10299582

申请日：2002-11-18

申请人： David H. Cole ,  Darin C. Gittings ,  Stephen L. Olson ,  Dean F. Carson ,  Michael L. Reo ,  Keke Lepulu ,  A. Adam Sharkawy

发明人： David H. Cole ,  Darin C. Gittings ,  Stephen L. Olson ,  Dean F. Carson ,  Michael L. Reo ,  Keke Lepulu ,  A. Adam Sharkawy

IPC分类号： A61B17/08

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/11 ,  A61B2017/00252 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/00606 ,  A61B2017/00876 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61F2/064 ,  A61F2002/30079 ,  A61F2210/009 ,  H01F7/0242

摘要： An anastomosis device has first and second components which each having first and second parts. The first and second components are magnetically attracted to one another. The device forms a throughhole when in use. The first parts of the first and second components are positioned radially outward from the second parts relative to the longitudinal axis with the first parts of the first and second components contacting one another and being magnetically attracted to one another. The second parts of the first and second components also being magnetically attracted to one another and are separated by the vessel walls.

摘要翻译： 吻合装置具有第一和第二部件，每个部件具有第一和第二部分。 第一和第二组分彼此磁吸引。 使用时该装置形成通孔。 第一和第二部件的第一部分相对于纵向轴线从第二部分径向向外定位，第一和第二部件的第一部分彼此接触并彼此磁吸引。 第一和第二部件的第二部分也被磁吸引并被容器壁隔开。

公开(公告)号：US07578828B2

公开(公告)日：2009-08-25

申请号：US10441256

申请日：2003-05-19

申请人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

发明人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

IPC分类号： A61B17/08

CPC分类号： A61F2/95 ,  A61B17/11 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1205 ,  A61B2017/2923 ,  A61F2/064 ,  A61F2/07 ,  A61F2/86 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/9517 ,  A61F2220/0008 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2230/0054

摘要： Methods and devices for placing a conduit in fluid communication with a target vessel and a source of blood, such as the aorta or a heart chamber. The device may be actuated using one hand to place the conduit. The invention allows air in the conduit to be removed prior to placement of the conduit. The invention deploys the conduit in the target vessel by moving a sheath in a distal direction and then in a proximal direction. A conduit is provided with a reinforcing member to prevent kinking of the conduit, and a structure for preventing blockage of the conduit by tissue. A vessel coupling may be used to secure a conduit to a target vessel so as to preserve native blood flow through the vessel, and the conduit may be placed in fluid communication with a target vessel via a laparoscopic or endoscopic procedure.

公开(公告)号：US07025773B2

公开(公告)日：2006-04-11

申请号：US09850883

申请日：2001-05-07

申请人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

发明人： Darin C. Gittings ,  Alan R. Rapacki ,  Dean F. Carson ,  David H. Cole ,  Keke Lepulu ,  Adam Sharkawy ,  Gilbert S. Laroya ,  Wally S. Buch

IPC分类号： A61B17/08

CPC分类号： A61F2/915 ,  A61B17/11 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/2923 ,  A61F2/064 ,  A61F2/07 ,  A61F2/86 ,  A61F2/91 ,  A61F2/95 ,  A61F2002/91508 ,  A61F2002/91516 ,  A61F2002/91525 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/9517 ,  A61F2220/0008 ,  A61F2220/005 ,  A61F2220/0058 ,  A61F2220/0075 ,  A61F2230/0054 ,  A61F2230/0058 ,  A61F2230/0067 ,  A61F2230/0076

摘要： Methods and devices for placing a conduit in fluid communication with a target vessel and a source of blood, such as the aorta or a heart chamber. The device may be actuated using one hand to place the conduit. The invention allows air in the conduit to be removed prior to placement of the conduit. The invention deploys the conduit in the target vessel by moving a sheath in a distal direction and then in a proximal direction. A conduit is provided with a reinforcing member to prevent kinking of the conduit, and a structure for preventing blockage of the conduit by tissue. A vessel coupling may be used to secure a conduit to a target vessel so as to preserve native blood flow through the vessel, and the conduit may be placed in fluid communication with a target vessel via a laparoscopic or endoscopic procedure.

公开(公告)号：US20050080439A1

公开(公告)日：2005-04-14

申请号：US10920056

申请日：2004-08-16

申请人： Dean Carson ,  Michael Reo ,  David Cole ,  Darin Gittings ,  Keke Lepulu ,  A. Sharkawy ,  Adam Kessler

发明人： Dean Carson ,  Michael Reo ,  David Cole ,  Darin Gittings ,  Keke Lepulu ,  A. Sharkawy ,  Adam Kessler

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/11 ,  A61F2/00 ,  A61F2/06 ,  H01F41/02 ,  A61B17/08

CPC分类号： H01F41/026 ,  A61B17/00491 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B2017/00252 ,  A61B2017/00876 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61F2/064 ,  A61F2002/30079 ,  A61F2210/009

摘要： Methods and devices for forming magnetic anastomoses between hollow bodies. End-to-side, side-to-side and end-to-end anastomoses can be created with or without a mechanical connection between the components. The anastomotic components may have various constructions and may be secured to a vessel in various manners, for example, magnetically, mechanically or adhesively. Also provided are alternative delivery devices, as well as devices for checking the position of a component on a loaded delivery device, and for checking the seal between a vessel and an anastomotic component secured thereto.

摘要翻译： 用于在中空体之间形成磁性吻合的方法和装置。 端对端，侧对端和端对端吻合可以在组件之间或之间进行机械连接而创建。 吻合部件可以具有各种结构，并且可以以各种方式固定到血管，例如磁力，机械或粘性。 还提供了替代的递送装置，以及用于检查装载的递送装置上的部件的位置以及用于检查容器和固定到其上的吻合部件之间的密封的装置。

公开(公告)号：US20050192604A1

公开(公告)日：2005-09-01

申请号：US11041088

申请日：2005-01-21

申请人： Dean Carson ,  Michael Reo ,  Stephen Olson ,  Keke Lepulu ,  Sam Crews ,  David Cole ,  Adam Sharkawy ,  Darin Gittings ,  Mark Foley

发明人： Dean Carson ,  Michael Reo ,  Stephen Olson ,  Keke Lepulu ,  Sam Crews ,  David Cole ,  Adam Sharkawy ,  Darin Gittings ,  Mark Foley

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/11 ,  A61B17/12 ,  A61B19/00 ,  A61F2/02 ,  A61F2/06 ,  A61F2/24 ,  A61N5/00 ,  A61B17/08

CPC分类号： A61F2/064 ,  A61B17/04 ,  A61B17/0643 ,  A61B17/11 ,  A61B90/39 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2018/00392 ,  A61F2/07 ,  A61F2/2493

摘要： Devices and methods for placing a conduit in fluid communication with a target vessel to communicate the target vessel with a source of blood. A conduit is coupled to the target vessel by first and second securing components that compress or sandwich the vessel wall. The conduit may be preshaped to assume a desired orientation when in an unbiased state, for example, to allow the conduit to be deformed during delivery and then regain its desired orientation once which is regained when deployed. The first and second securing components may be any shape but are preferably elongated in the direction of the vessel axis, e.g., elliptical or rectangular, such that a minimum amount of material is present at the outlet to closely approximate the cross-sectional area of the native target vessel. The securing components do not significantly occlude the target vessel lumen, may be secured to the vessel wall in non-penetrating fashion, and provides a fluid-tight seal around the attachment site. The conduit may comprise tissue, synthetic material, etc., and one or both securing components may be constructed or provided with means for attaching an autologous vessel.

摘要翻译： 用于将导管与靶容器流体连通以将目标血管与血源连通的装置和方法。 导管通过压缩或夹持血管壁的第一和第二固定部件联接到靶血管。 当处于无偏的状态时，导管可以预成形为呈现期望的取向，例如允许导管在输送期间变形，然后在展开时重新获得其期望的取向。 第一和第二固定部件可以是任何形状，但是优选地在容器轴线的方向上是细长的，例如椭圆形或矩形的，使得在出口处存在最小量的材料，以紧密接近截面积 本地目标船。 固定部件不会显着堵塞靶血管腔，可以以非穿透方式固定到血管壁，并且在附着位置周围提供流体密封的密封。 导管可以包括组织，合成材料等，并且一个或两个固定部件可以构造或设置有用于附接自体血管的装置。

公开(公告)号：US20050021059A1

公开(公告)日：2005-01-27

申请号：US10774345

申请日：2004-02-06

申请人： David Cole ,  Samuel Crews ,  Michael Reo ,  Dean Carson ,  Keke Lepulu ,  Darin Gittings

发明人： David Cole ,  Samuel Crews ,  Michael Reo ,  Dean Carson ,  Keke Lepulu ,  Darin Gittings

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/11 ,  A61F2/00 ,  A61F2/02 ,  A61F2/06 ,  A61F2/24 ,  A61F2/94 ,  H01F7/02 ,  H01F41/02 ,  A61B17/08

CPC分类号： A61F2/2493 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/00606 ,  A61B2017/00876 ,  A61B2017/1107 ,  A61B2017/1132 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2018/00392 ,  A61F2/064 ,  A61F2/07 ,  A61F2/94 ,  A61F2002/30079 ,  A61F2210/0076 ,  A61F2210/009 ,  H01F7/0263 ,  H01F41/026

摘要： Methods and devices for forming an anastomosis between hollow bodies utilize magnetic force to couple anastomotic securing components and connect the lumens of the hollow bodies. End-to-side, side-to-side and end-to-end anastomoses can be created without using suture or any other type of mechanical fasteners, although such attachment means may be used in practicing some aspects of the invention. The securing components have the ability to produce a magnetic field and may include materials or assemblies. A component may also be used to form a port into the lumen of a vessel, the component being attached to the vessel by mechanical and/or magnetic means. Magnetic components may include means for concentrating the magnetic flux between respective components to increase the attraction force, thereby enhancing the security of the anastomosis. Also, rather than form a port communicating with a lumen of a vessel or other cavity, the components may have an occlusion surface and be used to close an opening in tissue, e.g., an atrial septal defect.

摘要翻译： 用于形成中空体之间的吻合的方法和装置利用磁力来联接吻合的固定部件并连接中空体的内腔。 可以在不使用缝合线或任何其它类型的机械紧固件的情况下创建端对侧，侧向对侧和端对端吻合，尽管这些附接手段可用于实践本发明的某些方面。 固定部件具有产生磁场的能力并且可以包括材料或组件。 组件也可用于在容器的内腔中形成端口，该部件通过机械和/或磁性方式附接到容器。 磁性部件可以包括用于将磁通集中在各个部件之间以增加吸引力的装置，从而增强吻合的安全性。 而且，组件可以具有闭塞表面，并且用于封闭组织中的开口，例如房间隔缺损，而不是形成与容器或其它空腔的内腔连通的端口。

公开(公告)号：US20060282106A1

公开(公告)日：2006-12-14

申请号：US10299582

申请日：2002-11-18

申请人： David Cole ,  Darin Gittings ,  Stephen Olson ,  Dean Carson ,  Michael Reo ,  Keke Lepulu ,  A. Sharkawy

发明人： David Cole ,  Darin Gittings ,  Stephen Olson ,  Dean Carson ,  Michael Reo ,  Keke Lepulu ,  A. Sharkawy

IPC分类号： A61B17/08

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/11 ,  A61B2017/00252 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/00606 ,  A61B2017/00876 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61F2/064 ,  A61F2002/30079 ,  A61F2210/009 ,  H01F7/0242

摘要： An anastomosis device has first and second components which each having first and second parts. The first and second components are magnetically attracted to one another. The device forms a throughhole when in use. The first parts of the first and second components are positioned radially outward from the second parts relative to the longitudinal axis with the first parts of the first and second components contacting one another and being magnetically attracted to one another. The second parts of the first and second components also being magnetically attracted to one another and are separated by the vessel walls.

公开(公告)号：US20130310833A1

公开(公告)日：2013-11-21

申请号：US13871978

申请日：2013-04-26

申请人： Peter Brown ,  Sith Khoune ,  Keke Lepulu ,  Ryan Donovan ,  Kenneth F. Binmoeller

发明人： Peter Brown ,  Sith Khoune ,  Keke Lepulu ,  Ryan Donovan ,  Kenneth F. Binmoeller

IPC分类号： A61B17/34 ,  A61B17/11 ,  A61B18/12

CPC分类号： A61B18/1492 ,  A61B17/1114 ,  A61B17/320016 ,  A61B17/3476 ,  A61B17/3478 ,  A61B18/1206 ,  A61B2017/00278 ,  A61B2017/3425 ,  A61B2017/3454 ,  A61B2017/346 ,  A61B2018/00345 ,  A61B2018/00494 ,  A61B2018/00601 ,  A61B2018/1407 ,  A61B2018/1412 ,  A61B2018/1425 ,  A61B2018/144

摘要： Adjacent tissue layers can be accessed using a catheter device with a distal tip having a conductive portion including a first cutting feature and one or more projections extending from the first cutting feature towards an outer diameter of the distal tip. Electrical energy can be supplied to the conductive portion of the device to cut tissue. A stent can be delivered to form a fluid communication between the adjacent tissue layers.

摘要翻译： 相邻的组织层可以使用导管装置进行访问，其中远侧末端具有导电部分，该导电部分包括第一切割特征以及从第一切割特征向远侧末端的外径延伸的一个或多个突起。 电能可以被提供给装置的导电部分以切割组织。 可以输送支架以在相邻组织层之间形成流体连通。

公开(公告)号：US20120130417A1

公开(公告)日：2012-05-24

申请号：US13363297

申请日：2012-01-31

申请人： Keke Lepulu ,  Hoang Phan

发明人： Keke Lepulu ,  Hoang Phan

IPC分类号： A61M29/00

CPC分类号： A61M25/0082 ,  A61B17/1114 ,  A61B17/320016 ,  A61B17/3209 ,  A61B17/3478 ,  A61B2017/1139 ,  A61B2017/346 ,  A61B2017/3488 ,  A61F2/95 ,  A61M25/0194 ,  A61M25/04 ,  A61M29/00 ,  A61M2025/0095 ,  A61M2025/0096 ,  A61M2025/0197

摘要： A catheter for penetrating and dilating a passage from a first body lumen to a second body lumen comprises a catheter body, a tapered dilating tip at a distal end of the catheter body, a reciprocatable needle carried in a central passage of the catheter body, a deployable anchor carried near a distal end of the needle, and an advanceable blade carried in a slot at the distal end of the catheter body and advanceable in a track formed axially along the needle. The catheter can be used to penetrate adjacent luminal walls by first advancing the needle, and advancing the dilator over the needle followed by deploying the anchor, applying proximal tension to hold the adjacent tissue layers together, and then advancing the dilator with the exposed blade to fully dilate the passage.