WO2000074579A3 - Surgical grafting apparatus and methods - Google Patents

Surgical grafting apparatus and methods Download PDF

Info

Publication number
WO2000074579A3
WO2000074579A3 PCT/US2000/015259 US0015259W WO0074579A3 WO 2000074579 A3 WO2000074579 A3 WO 2000074579A3 US 0015259 W US0015259 W US 0015259W WO 0074579 A3 WO0074579 A3 WO 0074579A3
Authority
WO
WIPO (PCT)
Prior art keywords
body conduit
tissue holding
holding structure
sharpened distal
opening
Prior art date
Application number
PCT/US2000/015259
Other languages
French (fr)
Other versions
WO2000074579A2 (en
Inventor
John Logan
Scott Thome
Alex Peterson
Todd A Berg
Original Assignee
St Jude Medical Cardiovascular
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by St Jude Medical Cardiovascular filed Critical St Jude Medical Cardiovascular
Priority to AU53175/00A priority Critical patent/AU5317500A/en
Priority to EP00938087A priority patent/EP1187566A2/en
Publication of WO2000074579A2 publication Critical patent/WO2000074579A2/en
Publication of WO2000074579A3 publication Critical patent/WO2000074579A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections

Abstract

Instrumentation for facilitating cutting an opening in a side wall of a body conduit in a patient. A tubular structure defines a lumen and has a sharpened distal end portion configured to cut a section of the body conduit to create the opening. A tissue holding structure is provided which is axially movable within the lumen of the tubular structure. The tissue holding structure includes a piercing portion to permit passage of the tissue holding structure through the body conduit from an entrance side to an exit side thereof. The tissue holding structure also includes a retention member to secure the section of the body conduit to the tissue holding structure during movement of the tissue holding structure to approximate the entrance side of the body conduit with the sharpened distal portion of the tubular structure to enable the sharpened distal structure to cut the body conduit. A connector is also provided for attaching a new length of tubing to the body conduit at the opening made by the cutting.
PCT/US2000/015259 1999-06-04 2000-06-02 Surgical grafting apparatus and methods WO2000074579A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU53175/00A AU5317500A (en) 1999-06-04 2000-06-02 Medical grafting apparatus and methods
EP00938087A EP1187566A2 (en) 1999-06-04 2000-06-02 Surgical grafting apparatus and methods

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13776499P 1999-06-04 1999-06-04
US60/137,764 1999-06-04

Publications (2)

Publication Number Publication Date
WO2000074579A2 WO2000074579A2 (en) 2000-12-14
WO2000074579A3 true WO2000074579A3 (en) 2001-07-12

Family

ID=22478950

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/015259 WO2000074579A2 (en) 1999-06-04 2000-06-02 Surgical grafting apparatus and methods

Country Status (3)

Country Link
EP (1) EP1187566A2 (en)
AU (1) AU5317500A (en)
WO (1) WO2000074579A2 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8932316B2 (en) 2011-05-13 2015-01-13 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9345532B2 (en) 2011-05-13 2016-05-24 Broncus Medical Inc. Methods and devices for ablation of tissue
US9533128B2 (en) 2003-07-18 2017-01-03 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6352543B1 (en) 2000-04-29 2002-03-05 Ventrica, Inc. Methods for forming anastomoses using magnetic force
CA2360587A1 (en) 1999-01-15 2000-07-20 Darin C. Gittings Methods and devices for forming vascular anastomoses
US7232449B2 (en) 2000-04-29 2007-06-19 Medtronic, Inc. Components, systems and methods for forming anastomoses using magnetism or other coupling means
US6802847B1 (en) 2000-04-29 2004-10-12 Ventrica, Inc. Devices and methods for forming magnetic anastomoses and ports in vessels
US6966917B1 (en) * 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US7708712B2 (en) 2001-09-04 2010-05-04 Broncus Technologies, Inc. Methods and devices for maintaining patency of surgically created channels in a body organ
US6814743B2 (en) 2001-12-26 2004-11-09 Origin Medsystems, Inc. Temporary seal and method for facilitating anastomosis
WO2004086985A1 (en) * 2003-03-28 2004-10-14 St Jude Medical Atg, Inc. Apparatus for making anastomotic connections larger than the graft conduit
US8409167B2 (en) 2004-07-19 2013-04-02 Broncus Medical Inc Devices for delivering substances through an extra-anatomic opening created in an airway
WO2013078235A1 (en) 2011-11-23 2013-05-30 Broncus Medical Inc Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
WO2014179310A1 (en) 2013-04-29 2014-11-06 Regenerative Sciences, Llc Percutaneous tendon-muscle-ligament approximation device

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5470320A (en) * 1992-04-10 1995-11-28 Tiefenbrun; Jonathan Method and related device for obtaining access to a hollow organ
US5690662A (en) * 1995-10-12 1997-11-25 The Trustees Of Columbia University In The City Of New York Device and method to create a smooth opening on a tubular structure such as an artery or a vein
US5695504A (en) * 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
DE19650204A1 (en) * 1996-12-04 1998-06-18 Aesculap Ag & Co Kg Surgical punch, e.g. for positioning bypass vessel
US5827316A (en) * 1997-06-05 1998-10-27 Atrion Medical Products, Inc. Rotating aortic punch
US5893369A (en) * 1997-02-24 1999-04-13 Lemole; Gerald M. Procedure for bypassing an occlusion in a blood vessel
WO1999038454A2 (en) * 1998-01-30 1999-08-05 St. Jude Medical Cardiovascular Group, Inc. Medical graft connector or plug structures, and methods of making and installing same
WO2000027311A1 (en) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Medical graft connector and methods of making and installing same
WO2000027313A2 (en) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Medical anastomosis apparatus

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5976178A (en) 1996-11-07 1999-11-02 Vascular Science Inc. Medical grafting methods

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5470320A (en) * 1992-04-10 1995-11-28 Tiefenbrun; Jonathan Method and related device for obtaining access to a hollow organ
US5695504A (en) * 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5690662A (en) * 1995-10-12 1997-11-25 The Trustees Of Columbia University In The City Of New York Device and method to create a smooth opening on a tubular structure such as an artery or a vein
DE19650204A1 (en) * 1996-12-04 1998-06-18 Aesculap Ag & Co Kg Surgical punch, e.g. for positioning bypass vessel
US5893369A (en) * 1997-02-24 1999-04-13 Lemole; Gerald M. Procedure for bypassing an occlusion in a blood vessel
US5827316A (en) * 1997-06-05 1998-10-27 Atrion Medical Products, Inc. Rotating aortic punch
WO1999038454A2 (en) * 1998-01-30 1999-08-05 St. Jude Medical Cardiovascular Group, Inc. Medical graft connector or plug structures, and methods of making and installing same
WO2000027311A1 (en) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Medical graft connector and methods of making and installing same
WO2000027313A2 (en) * 1998-11-06 2000-05-18 St. Jude Medical Cardiovascular Group, Inc. Medical anastomosis apparatus

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9533128B2 (en) 2003-07-18 2017-01-03 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue
US8932316B2 (en) 2011-05-13 2015-01-13 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9345532B2 (en) 2011-05-13 2016-05-24 Broncus Medical Inc. Methods and devices for ablation of tissue
US9421070B2 (en) 2011-05-13 2016-08-23 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
US9486229B2 (en) 2011-05-13 2016-11-08 Broncus Medical Inc. Methods and devices for excision of tissue
US9993306B2 (en) 2011-05-13 2018-06-12 Broncus Medical Inc. Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall

Also Published As

Publication number Publication date
WO2000074579A2 (en) 2000-12-14
AU5317500A (en) 2000-12-28
EP1187566A2 (en) 2002-03-20

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