公开(公告)号：US06884251B2

公开(公告)日：2005-04-26

申请号：US10384250

申请日：2003-03-06

申请人： Paul A. Spence ,  Warren P. Williamson, IV ,  George Christakis ,  Mark Ortiz ,  Craig B. Berky ,  Douglas P. Allen ,  Matthew J. Huddleston ,  Delbert Ted Leimbach ,  Cecil R. Robinson ,  E. Dale VanHoose ,  Thomas J. Ward ,  Marty J. Warnecke

发明人： Paul A. Spence ,  Warren P. Williamson, IV ,  George Christakis ,  Mark Ortiz ,  Craig B. Berky ,  Douglas P. Allen ,  Matthew J. Huddleston ,  Delbert Ted Leimbach ,  Cecil R. Robinson ,  E. Dale VanHoose ,  Thomas J. Ward ,  Marty J. Warnecke

IPC分类号： A61B17/11 ,  A61B17/115 ,  A61B17/08

CPC分类号： A61B17/11 ,  A61B17/1152 ,  A61B2017/1135 ,  A61B2017/1139

摘要： An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.

摘要翻译： 使用安装在至少一个容器的外部的柔性安装结构进行吻合。 紧固件延伸穿过容器并朝向切口弯曲，以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。 安装结构被定向在每个容器上，因此当两个容器被接合在一起时，在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。 这产生两个互补的正弦形容器边缘，其中一个边缘的峰值被容纳在另一个边缘的谷部中。 峰 - 谷取向形成无泄漏的正弦形接头。 紧固件间隔开，以便适当的压力施加到组织以促进愈合而不泄漏。 此外，紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。 还公开了用于进行根据本发明的吻合的方法和工具。 公开了用于形成紧固件和具有适当特性的尖齿的方法。 还公开了可吸收的环形支架。

公开(公告)号：US06565581B1

公开(公告)日：2003-05-20

申请号：US09641284

申请日：2000-08-17

申请人： Paul A. Spence ,  Warren P. Williamson IV ,  George Christakis ,  Mark Ortiz ,  Craig B. Berky ,  Douglas P. Allen ,  Matthew J. Huddleston ,  Delbert Ted Leimbach ,  Cecil R. Robinson ,  E. Dale VanHoose ,  Thomas J. Ward ,  Marty J. Warnecke

发明人： Paul A. Spence ,  Warren P. Williamson IV ,  George Christakis ,  Mark Ortiz ,  Craig B. Berky ,  Douglas P. Allen ,  Matthew J. Huddleston ,  Delbert Ted Leimbach ,  Cecil R. Robinson ,  E. Dale VanHoose ,  Thomas J. Ward ,  Marty J. Warnecke

IPC分类号： A61B1708

CPC分类号： A61B17/11 ,  A61B17/1152 ,  A61B2017/1135 ,  A61B2017/1139

摘要： An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.

摘要翻译： 使用安装在至少一个容器的外侧上的柔性安装结构进行吻合。 紧固件延伸穿过容器并朝向切口弯曲，以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。 安装结构被定向在每个容器上，因此当两个容器被接合在一起时，在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。 这产生两个互补的正弦形容器边缘，其中一个边缘的峰值被容纳在另一个边缘的谷部中。 峰 - 谷取向形成无泄漏的正弦形接头。 紧固件间隔开，以便适当的压力施加到组织以促进愈合而不泄漏。 此外，紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。 还公开了用于进行根据本发明的吻合的方法和工具。 公开了用于形成紧固件和具有适当特性的尖齿的方法。 还公开了可吸收的环形支架。