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    METHODS, DEVICES, AND APPARATUS FOR PERFORMING A VASCULAR ANASTOMOSIS
    61.
    发明申请
    METHODS, DEVICES, AND APPARATUS FOR PERFORMING A VASCULAR ANASTOMOSIS 审中-公开
    用于执行血管分析的方法，装置和装置

    公开(公告)号：WO2011130656A2

    公开(公告)日：2011-10-20

    申请号：PCT/US2011032723

    申请日：2011-04-15

    Applicant: UNIV UTAH RES FOUND ,  AGARWAL JAYANT P ,  GALE BRUCE K ,  NGUYEN LAM ,  SHORR CORY ,  STAUFFER BRIAN ,  GEHRKE CODY LEE

    Inventor： AGARWAL JAYANT P ,  GALE BRUCE K ,  NGUYEN LAM ,  SHORR CORY ,  STAUFFER BRIAN ,  GEHRKE CODY LEE

    IPC: A61B17/11 ,  A61B17/08 ,  A61B17/122 ,  A61F2/06

    CPC classification number: A61B17/11 ,  A61B2017/00004 ,  A61B2017/00349 ,  A61B2017/00477 ,  A61B2017/00867 ,  A61B2017/00893 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1121 ,  A61B2017/1125 ,  A61B2017/1132

    Abstract: Methods, devices, apparatus, assemblies, and kits for performing a vascular anastomosis are disclosed. A device for a vascular anastomosis includes tissue engaging portions that can move between at least two configurations. In some embodiments, the tissue engaging portions move without the aid of moving parts, while in other embodiments the tissue engaging portions extend from one or more movable wings. The tissue engaging portions may be separated by a first distance when in a pre-deployment configuration and by a second distance when in a deployed configuration. A method includes engaging a plurality of tissue engaging members of a coupling device against first end tissue. After selectively engaging the tissue engaging members and first end tissue, the first end tissue is stretched by at least moving the tissue engaging members. The stretched first end tissue is coupled to second end tissue by mating the coupling device to a mating anastomosis device.

    Abstract translation: 公开了用于执行血管吻合术的方法，装置，装置，组件和试剂盒。 用于血管吻合的装置包括可在至少两种构型之间移动的组织接合部分。 在一些实施例中，组织接合部分不借助移动部件移动，而在其它实施例中，组织接合部分从一个或多个活动翼部延伸。 当处于部署前的配置中时，组织接合部分可以分开第一距离，并且当处于展开配置时，组织接合部分可以分开第一距离。 一种方法包括将联接装置的多个组织接合构件抵靠第一端组织接合。 在选择性地接合组织接合构件和第一端部组织之后，通过至少移动组织接合构件来拉伸第一端部组织。 拉伸的第一端组织通过将联接装置配合到配合的吻合装置而耦合到第二端组织。

    STAPLING APPARATUS FOR PERFORMING ANASTOMOSIS ON HOLLOW ORGANS
    62.
    发明申请
    STAPLING APPARATUS FOR PERFORMING ANASTOMOSIS ON HOLLOW ORGANS 审中-公开
    用于执行中空机构分析的装订装置

    公开(公告)号：WO2011093986A1

    公开(公告)日：2011-08-04

    申请号：PCT/US2011/000008

    申请日：2011-01-04

    Applicant: ZAKEASE SURGICAL INC.

    Inventor： TZAKIS, Andreas, G. ,  MORELLI, James ,  SADOWSKI, Daniel

    IPC: A61B17/08 ,  A61D1/00

    CPC classification number: A61B17/115 ,  A61B17/1114 ,  A61B17/1152 ,  A61B2017/00969 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1125 ,  A61B2017/1132

    Abstract: A stapling apparatus for performing anastomosis on hollow organs consists of two combinable L-shaped tools, a clip retaining tool and a staple retaining tool. Each tool is provided with an elongated handle and a C-shaped jaw. In combined configuration the C-shaped jaw of the clip retaining tool is positioned below the C-shaped jaw of the staple retaining tool with the respective staples in registration with respective underlying clips. The C-shaped jaws provide gaps which permit ingress and egress of hollow organ ends. A staple firing mechanism is operated from the proximal top end of one of the handles of the apparatus whereby downward pressure is applied uniformly and simultaneously against the top of all staples to force them from their retaining sockets, through the hollow organ ends, and into stapling engagement with the respective underlying staple retaining clips.

    Abstract translation: 用于在中空器官上进行吻合的吻合装置包括两个可组合的L形工具，夹子保持工具和缝合钉保持工具。 每个工具都设有细长手柄和C形夹爪。 在组合配置中，夹子保持工具的C形夹爪位于钉保持工具的C形夹爪的下方，各个钉与相应的底部夹子对准。 C形夹爪提供允许进入和排出中空器官末端的间隙。 从装置的一个把手的近端上端操作钉枪击发机构，由此向下的压力均匀地并且同时地抵靠所有钉的顶部，以迫使它们从它们的保持插座穿过中空器官端部并进入缝合 与相应的底部钉保持夹的接合。

    SYSTEM AND METHOD FOR ATTACHING A VESSEL IN A VASCULAR ENVIRONMENT
    63.
    发明申请
    SYSTEM AND METHOD FOR ATTACHING A VESSEL IN A VASCULAR ENVIRONMENT 审中-公开
    用于连接血管内血管的系统和方法

    公开(公告)号：WO2011068591A1

    公开(公告)日：2011-06-09

    申请号：PCT/US2010/052253

    申请日：2010-10-12

    Applicant: CASTLEWOOD SURGICAL, INC. ,  HAMMAN, Baron, L. ,  COHN, William, E. ,  DOBIE, Devin, S. ,  HONOUR, Kirk, S. ,  MESTER, Dana Ray

    Inventor： HAMMAN, Baron, L. ,  COHN, William, E. ,  DOBIE, Devin, S. ,  HONOUR, Kirk, S. ,  MESTER, Dana Ray

    IPC: A61B17/11

    CPC classification number: A61B17/0293 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135

    Abstract: An apparatus is provided in one example embodiment and includes a body section having an upper surface, a lower surface, and an inner edge circumferentially arranged around at least a portion of an open area. The apparatus also includes a tool extending from the body section into the open area for holding a graft vessel. The lower surface of the body section opposes a receiving vessel when the tool is positioned to transfer the graft vessel to the receiving vessel, such that the graft vessel is axially accessible through the open area to be attached to the receiving vessel. In more specific embodiments, the body section has first and second opposing ends defining a gap sized to permit the vessel to pass through.

    Abstract translation: 在一个示例性实施例中提供了一种装置，并且包括具有上表面，下表面和围绕开口区域的至少一部分周向布置的内边缘的主体部分。 该装置还包括从身体部分延伸到用于保持移植血管的开放区域的工具。 当工具被定位成将移植物容器移动到接收容器时，主体部分的下表面与接收容器相对，使得移植容器可以通过待连接到接收容器的敞开区域轴向容纳。 在更具体的实施例中，主体部分具有第一和第二相对端部，其限定尺寸允许容器通过的间隙。

    APPARATUS AND METHODS FOR ACHIEVING SEROSA-TO-SEROSA CLOSURE OF A BODILY OPENING
    64.
    发明申请
    APPARATUS AND METHODS FOR ACHIEVING SEROSA-TO-SEROSA CLOSURE OF A BODILY OPENING 审中-公开
    用于实现开放式开关的SEROSA-to-SEROSA闭合的装置和方法

    公开(公告)号：WO2011053673A1

    公开(公告)日：2011-05-05

    申请号：PCT/US2010/054406

    申请日：2010-10-28

    Applicant: WILSON-COOK MEDICAL INC. ,  DUCHARME, Richard, W. ,  FAULKNER, Rob

    Inventor： DUCHARME, Richard, W. ,  FAULKNER, Rob

    IPC: A61B17/00 ,  A61B17/12

    CPC classification number: A61B17/0057 ,  A61B17/1114 ,  A61B17/12013 ,  A61B90/39 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/00349 ,  A61B2017/00557 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/0061 ,  A61B2017/00623 ,  A61B2017/00818 ,  A61B2017/1103 ,  A61B2017/12018 ,  A61B2017/22059 ,  A61B2017/22069 ,  A61B2017/306

    Abstract: The present embodiments provide apparatus and methods for facilitating closure of a bodily opening (75). In one embodiment, a tissue retraction member (20) and a closure member (91) are provided. The tissue retraction member is advanced in a distal direction through the bodily opening in a contracted state, and then expanded at a location distal to the opening. The tissue retraction member then is proximally retracted to engage first and second serosal tissue regions at least partially surrounding the opening, thereby causing the first and second serosal regions to be disposed in an adjacent relationship. The closure member then is deployed around first and second mucosal tissue regions, such that when deployed, the closure member imposes a compressive force to hold the first serosal tissue region in a sealing relationship against the second serosal tissue region to facilitate sealing of the opening.

    Abstract translation: 本实施例提供了便于关闭身体开口（75）的装置和方法。 在一个实施例中，提供组织缩回构件（20）和闭合构件（91）。 组织缩回构件在收缩状态下沿远端方向前进穿过身体开口，然后在远离开口的位置膨胀。 然后将组织缩回构件向近端缩回以接合至少部分围绕开口的第一和第二浆膜组织区域，从而使第一和第二浆膜区域以相邻关系布置。 闭合构件然后被布置在第一和第二粘膜组织区域周围，使得当展开时，闭合构件施加压缩力以将第一浆膜组织区域保持在与第二浆膜组织区域的密封关系中，以便于密封开口。

    SYSTEM AND METHOD FOR SCAFFOLDING OF ANASTOMOSES
    66.
    发明申请
    SYSTEM AND METHOD FOR SCAFFOLDING OF ANASTOMOSES 审中-公开
    ANASTOMOSES的SCAFFAMING的系统和方法

    公开(公告)号：WO2010014628A2

    公开(公告)日：2010-02-04

    申请号：PCT/US2009051986

    申请日：2009-07-28

    Applicant: INCUBE LABS LLC ,  IMARAN MIR

    Inventor： IMARAN MIR

    IPC: A61B17/12 ,  A61F2/06 ,  A61L27/14

    CPC classification number: A61B17/1114 ,  A61B17/11 ,  A61B90/39 ,  A61B2017/00004 ,  A61B2017/00893 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1117 ,  A61B2017/1132 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2090/0807 ,  A61F2/04 ,  A61F2/064 ,  A61F2/848 ,  A61F2002/044 ,  A61F2002/072 ,  A61F2002/8483 ,  A61F2002/8486 ,  A61F2210/0004 ,  A61F2250/0018 ,  A61F2250/0069

    Abstract: Embodiments of the invention provide systems and methods for using a tissue scaffold to facilitate healing of an anastomosis. One embodiment provides a tissue scaffold for placement at an anastomotic site within a body lumen comprising a radially expandable scaffold structure having lateral and mid portions, at least one retention element coupled to each lateral portion and a barrier layer. The retention element engages a luminal wall when the scaffold structure is expanded to retain the structure and exert a compressive force on the anastomosis. The mid portion has a greater radial stiffness than the lateral portions such that when the structure is expanded, the lateral portions engage tissue prior to the mid portion. The barrier layer is configured to engage a luminal wall when the structure is expanded to provide a fluidic seal at the anastomosis. The barrier layer may also include releasable biological agents to promote anastomotic healing.

    Abstract translation: 本发明的实施方案提供了使用组织支架以促进吻合愈合的系统和方法。 一个实施例提供了一种用于放置在体腔内的吻合部位的组织支架，其包括具有侧向和中间部分的径向可扩展的支架结构，至少一个连接到每个侧向部分和阻挡层的保持元件。 当支架结构膨胀以保持结构并且在吻合上施加压缩力时，保持元件与腔壁接合。 中部具有比侧部更大的径向刚度，使得当结构膨胀时，侧部在中间部分之前接合组织。 当结构被扩张以在吻合处提供流体密封时，阻挡层被构造成与腔壁接合。 阻挡层还可以包括可释放的生物制剂以促进吻合愈合。

    TRANSCAVAL MESENTERIC VENOUS ANASTOMOSIS AND ACCESS SYSTEM
    69.
    发明申请
    TRANSCAVAL MESENTERIC VENOUS ANASTOMOSIS AND ACCESS SYSTEM 审中-公开
    TRANSCAVAL MESENTERIC VENOUS ANASTOMOSIS和ACCESS SYSTEM

    公开(公告)号：WO2006121855A3

    公开(公告)日：2008-11-06

    申请号：PCT/US2006017405

    申请日：2006-05-05

    Applicant: UNIV JOHNS HOPKINS

    Inventor： AREPALLY ARAVIND

    IPC: A61M5/00

    CPC classification number: A61B17/11 ,  A61B17/3498 ,  A61B2017/00252 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/22077 ,  A61B2090/3954

    Abstract: Disclosed is a system for creating an anastomosis between the inferior vena cava (IVC) and the mesenteric portal vein. The system includes an anastomosis device and a catheter. The anastomosis device brings the IVC and the portal vein into apposition. The resulting anastomosis enables treatment for portal hypertension as well as provides repeated and easy access to the portal system for direct delivery of therapeutic agents to portal organs. The anastomosis device has a proximal flange part, a distal flange part, a flow lumen between them. The proximal and distal flange parts include a plurality of radial struts. A valve part is disposed on one or both of the proximal and distal flange parts. The anastomosis device is made of a memory shape material. The catheter contains a collapsed anastomosis device for insertion and has one or more RF antennas to make the catheter visible under MRI guidance.

    Abstract translation: 公开了一种用于创建下腔静脉（IVC）与肠系膜门静脉吻合的系统。 该系统包括吻合装置和导管。 吻合装置将IVC和门静脉并入。 所得到的吻合可以治疗门静脉高压，并且可以重复和容易地进入门静脉系统，以将治疗剂直接递送到门静脉器官。 吻合装置具有近侧凸缘部分，远侧凸缘部分，它们之间的流动腔。 近侧和远侧凸缘部分包括多个径向支柱。 阀部分设置在近侧和远端凸缘部分中的一个或两个上。 吻合装置由记忆形状材料制成。 导管包含用于插入的折叠吻合装置，并且具有一个或多个RF天线以使导管在MRI引导下可见。

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