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公开(公告)号：US06533812B2
公开(公告)日：2003-03-18
申请号：US10078939
申请日：2002-02-19
IPC分类号： A61F224
CPC分类号： A61F2/88 , A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1135 , A61B2017/1139 , A61F2220/0008 , A61F2220/0016 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2250/0067
摘要： A connector for use in providing an anastomotic connection between two tubular body fluid conduits in a patient. The connector is preferably a single, integral, plastically deformable structure that can be cut from a tube. The connector has axial spaced portions that include members that are radially outwardly deflectable from other portions of the connector. The connector is annularly enlargeable so that it can be initially delivered and installed in the patient in a relatively small annular size and then annularly enlarged to provide the completed anastomosis. The radially outwardly deflected members of the first and second portions respectively engage the two body fluid conduits connected at the anastomosis and hold those two conduits together in fluid-tight engagement. Apparatus for use in delivering and deploying a connector is also disclosed.
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公开(公告)号：US06440163B1
公开(公告)日：2002-08-27
申请号：US09955231
申请日：2001-09-17
IPC分类号： A61F206
CPC分类号： A61F2/88 , A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1135 , A61B2017/1139 , A61F2220/0008 , A61F2220/0016 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2250/0067
摘要： A connector for use in providing an anastomotic connection between two tubular body fluid conduits in a patient. The connector is preferably a single, integral, plastically deformable structure that can be cut from a tube. The connector has axial spaced portions that include members that are radially outwardly deflectable from other portions of the connector. The connector is annularly enlargeable so that it can be initially delivered and installed in the patient in a relatively small annular size and then annularly enlarged to provide the completed anastomosis. The radially outwardly deflected members of the first and second portions respectively engage the two body fluid conduits connected at the anastomosis and hold those two conduits together in fluid-tight engagement. Apparatus for use in delivering and deploying a connector is also disclosed.
摘要翻译： 一种连接器，用于在患者体内的两个管状体液导管之间提供吻合连接。 连接器优选是可以从管切割的单一的，整体的，可塑性变形的结构。 连接器具有轴向隔开的部分，其包括可从连接器的其它部分径向向外偏转的构件。 连接器是环形可放大的，使得其可以最初以相对小的环形尺寸传送和安装在患者体内，然后环形扩大以提供完成的吻合。 第一和第二部分的径向向外偏转的部件分别接合在吻合处连接的两个体液管道，并将这两个管道以流体密封的方式保持在一起。 还公开了用于传送和展开连接器的装置。
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公开(公告)号：US6113612A
公开(公告)日：2000-09-05
申请号：US186774
申请日：1998-11-06
CPC分类号： A61F2/88 , A61B17/11 , A61B17/064 , A61B2017/0641 , A61B2017/1135 , A61B2017/1139 , A61F2220/0008 , A61F2220/0016 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2250/0067
摘要： A connector for use in providing an anastomotic connection between two tubular body fluid conduits in a patient. The connector is preferably a single, integral, plastically deformable structure that can be cut from a tube. The connector has axial spaced portions that include members that are radially outwardly deflectable from other portions of the connector. The connector is annularly enlargeable so that it can be initially delivered and installed in the patient in a relatively small annular size and then annularly enlarged to provide the completed anastomosis. The radially outwardly deflected members of the first and second portions respectively engage the two body fluid conduits connected at the anastomosis and hold those two conduits together in fluid-tight engagement. Apparatus for use in delivering and deploying a connector is also disclosed.
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公开(公告)号：US06309416B1
公开(公告)日：2001-10-30
申请号：US09527668
申请日：2000-03-17
IPC分类号： A61F206
CPC分类号： A61F2/88 , A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1135 , A61B2017/1139 , A61F2220/0008 , A61F2220/0016 , A61F2220/0075 , A61F2230/005 , A61F2230/0054 , A61F2250/0067
摘要： A connector for use in providing an anastomotic connection between two tubular body fluid conduits in a patient. The connector is preferably a single, integral, plastically deformable structure that can be cut from a tube. The connector has axial spaced portions that include members that are radially outwardly deflectable from other portions of the connector. The connector is annularly enlargeable so that it can be initially delivered and installed in the patient in a relatively small annular size and then annularly enlarged to provide the completed anastomosis. The radially outwardly deflected members of the first and second portions respectively engage the two body fluid conduits connected at the anastomosis and hold those two conduits together in fluid-tight engagement. Apparatus for use in delivering and deploying a connector is also disclosed.
摘要翻译： 一种连接器，用于在患者体内的两个管状体液导管之间提供吻合连接。 连接器优选是可以从管切割的单一的，整体的，可塑性变形的结构。 连接器具有轴向隔开的部分，其包括可从连接器的其它部分径向向外偏转的构件。 连接器是环形可放大的，使得其可以最初以相对小的环形尺寸传送和安装在患者体内，然后环形扩大以提供完成的吻合。 第一和第二部分的径向向外偏转的部件分别接合在吻合处连接的两个体液管道，并将这两个管道以流体密封的方式保持在一起。 还公开了用于传送和展开连接器的装置。
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公开(公告)号：US06866674B2
公开(公告)日：2005-03-15
申请号：US10084010
申请日：2002-02-27
申请人： Jason A. Galdonik , William J. Swanson , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
发明人： Jason A. Galdonik , William J. Swanson , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
IPC分类号： A61B17/00 , A61B17/064 , A61B17/11 , A61B17/115 , A61B17/04
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 and a second conduit. A connector structure having a first end portion and a second end portion is positioned about a balloon catheter, which when pressurized, expands to a significant extent at the distal end thereof. The balloon enlarges the connector structure when positioned at the distal end portion of the balloon to create the anastomosis, and at the same time reduces the axial length of the connector, thereby compressing the first conduit to the second conduit, creating a hemodynamic seal and a firm attachment of the two conduits. After enlargement, the connector structure remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly to prevent trauma to the second conduit while the apparatus is being introduced. The nosecone assembly has a flexible structure which may change configuration to expose the second set of members after insertion into the second conduit and to allow removal of the nosecone after deployment.
摘要翻译： 用于在第一导管和第二导管之间进行吻合连接的方法和装置。 具有第一端部部分和第二端部部分的连接器结构围绕球囊导管定位，当加压时，其在其远端处显着扩张。 当定位在球囊的远端部分时，气囊扩大连接器结构以产生吻合，并且同时减小连接器的轴向长度，从而将第一导管压缩到第二导管，产生血流动力学密封和 坚固的连接两个管道。 放大后，连接器结构保持原位，并将结构添加到吻合中。 在引入期间，连接器的第二端部被鼻锥组件覆盖，以在装置被引入时防止对第二导管的创伤。 鼻锥组件具有柔性结构，其可以改变配置以在插入第二导管之后暴露第二组构件，并且在展开之后允许去除鼻锥。
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公开(公告)号：US06602263B1
公开(公告)日：2003-08-05
申请号：US09693578
申请日：2000-10-20
申请人： William J. Swanson , Jason A. Galdonik , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
发明人： William J. Swanson , Jason A. Galdonik , Paul J. Hindrichs , Gregory A. Boldenow , Todd A. Berg , Rick Cornelius , Luis Bonilla
IPC分类号： A61B1712
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 and a second conduit. A connector structure having a first end portion and a second end portion is positioned about a balloon catheter, which when pressurized, expands to a significant extent at the distal end thereof. The balloon enlarges the connector structure when positioned at the distal end portion of the balloon to create the anastomosis, and at the same time reduces the axial length of the connector, thereby compressing the first conduit to the second conduit, creating a hemodynamic seal and a firm attachment of the two conduits. After enlargement, the connector structure remains in place and adds structure to the anastomosis. During introduction, the second end portion of the connector is covered by a nosecone assembly to prevent trauma to the second conduit while the apparatus is being introduced. The nosecone assembly has a flexible structure which may change configuration to expose the second set of members after insertion into the second conduit and to allow removal of the nosecone after deployment.
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公开(公告)号：US06511491B2
公开(公告)日：2003-01-28
申请号：US09920541
申请日：2001-08-01
IPC分类号： A61F206
CPC分类号： A61F2/064 , A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , Y10S623/903
摘要： Methods and apparatus for making an anastomotic connection between first and second tubular fluid conduits are provided. For example, a connector may be configured for attachment to the first and second tubular fluid conduits and have an interior thereof substantially accessible to the interior of the first tubular fluid conduit. The connector may be configured for annular enlargement. An expandable structure is provided having a first portion configured to annularly enlarge the connector by engaging the interior of the connector. A second portion may be configured to extend through an opening in the medial portion of the first tubular fluid conduit.
摘要翻译： 提供了用于在第一和第二管状流体导管之间进行吻合连接的方法和装置。 例如，连接器可以被配置为附接到第一和第二管状流体导管，并且其内部基本上可接近第一管状流体导管的内部。 连接器可以被配置为用于环形放大。 提供了一种可膨胀结构，其具有构造成通过接合连接器的内部来环形地扩大连接器的第一部分。 第二部分可以构造成延伸穿过第一管状流体导管的中间部分中的开口。
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公开(公告)号：US06508252B1
公开(公告)日：2003-01-21
申请号：US09430506
申请日：1999-10-29
IPC分类号： A61B1900
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61F2/064
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.
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公开(公告)号：US06960219B2
公开(公告)日：2005-11-01
申请号：US10309387
申请日：2002-12-02
IPC分类号： A61B17/064 , A61B17/11 , A61F2/06 , F16L11/12 , F16L55/00
CPC分类号： A61F2/064 , A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , Y10S623/903
摘要： Methods and apparatus for making an anastomotic connection between first and second tubular fluid conduits are provided. For example, a connector may be configured for attachment to the first and second tubular fluid conduits and have an interior thereof substantially accessible to the interior of the first tubular fluid conduit. The connector may be configured for annular enlargement. An expandable structure is provided having a first portion configured to annularly enlarge the connector by engaging the interior of the connector. A second portion may be configured to extend through an opening in the medial portion of the first tubular fluid conduit.
摘要翻译： 提供了用于在第一和第二管状流体导管之间进行吻合连接的方法和装置。 例如，连接器可以被配置为附接到第一和第二管状流体导管，并且其内部基本上可接近第一管状流体导管的内部。 连接器可以被配置为用于环形放大。 提供了一种可膨胀结构，其具有构造成通过接合连接器的内部来环形地扩大连接器的第一部分。 第二部分可以构造成延伸穿过第一管状流体导管的中间部分中的开口。
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公开(公告)号：US06920882B2
公开(公告)日：2005-07-26
申请号：US10120299
申请日：2002-04-09
IPC分类号： A61B17/064 , A61B17/08 , A61B17/11 , A61F2/06 , A61B19/00
CPC分类号： A61B17/064 , A61B17/11 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61F2/064
摘要： Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is installed at the operative site primarily by providing at least one graft location with instrumentation inserted through the patient's existing tubular body organ structure. Assistance in installing the new tubing may be provided by minimally invasive surgical access openings in the patient's chest. The tubing may be delivered through the patient's existing tubular body structure or, alternatively, through the surgical access openings.
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