Entries |
Document | Title | Date |
20080200933 | Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body - A surgical instrument for creating an anastomosis between two organs. In various embodiments, the instrument may include a hollow outer sleeve for creating a tool-receiving passage between a natural orifice in the patient and the surgical site. The tool receiving passage may be used to operably accommodate various surgical instruments such as an endoscope, a hole-forming instrument, and suction and aeration tubes for assisting in the formation of the anastomosis. The hollow outer sleeve may further be used to position a hollow anastomosis sleeve segment within two aligned holes in the organs. The anastomosis sleeve segment supports an inflatable distal receptacle that is inflated within one of the organs and a proximal inflatable receptacle that is inflated in the other organ to retain the anastomosis sleeve segment in position. Thereafter, the hollow outer sleeve is withdrawn from the patient leaving the hollow anastomosis sleeve segment in position between the two organs. | 08-21-2008 |
20080200934 | Surgical devices and methods using magnetic force to form an anastomosis - A method for forming an anastomosis between first and second organs in a patient using a hollow receptacle that is inflatable with magnetic material. The method may include forming openings through the first and second organs utilizing a hole-forming instrument inserted into the organs through a natural orifice in the patient. The hollow receptacle may be supported on a catheter assembly that is also inserted through the patient's natural orifice and through the openings in the first and second organs and is positioned within the second organ. The hollow receptacle is then inflated with magnetic material and magnetic force is applied within the force organ to draw the inflated receptacle toward the first organ such that the inflated receptacle retains the second organ in sealing contact with the first organ while maintaining the alignment between the first and second openings to create an anastomosis between the first and second organs. | 08-21-2008 |
20080200935 | Anastomosis Device and Method - An apparatus and method for using an anastomosis device to repair severed tissues resulting from a surgical medical procedure such as a radical prostatectomy, ilio-orthotopic neobladder construction, cystoprostatectomy, cystectomy, urethral anastomosis, or ureteral anastomosis. | 08-21-2008 |
20080200936 | Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 08-21-2008 |
20080200937 | Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 08-21-2008 |
20080200938 | PROBE COUPLER ASSEMBLY - An assembly for joining two vessel segments of a patient comprises a coupler formed of adjoining coupler halves, and a cuff having a large diameter portion and a small diameter portion. Each of the coupler halves includes an aperture for receiving an end of one of the vessel segments. One of the coupler halves comprises a connector element sized and shaped for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. The large diameter portion of the cuff is positioned over at least a portion of the coupler, and the small diameter portion of the cuff is positioned over one of the vessel segments. The cuff further includes a probe positioned at the small diameter portion. The probe is positioned within the cuff in a manner such that a signal is receivable therein corresponding to fluid flow through the vessel segment. | 08-21-2008 |
20080208224 | INTESTINAL BYPASS USING MAGNETS - Medical devices and methods are provided for forming an intestinal bypass anastomosis, such as for treatment of obesity. The medical devices and methods are minimally invasive and reduce complications. Two magnet assemblies are deployed in a spaced apart relationship, and are transluminally brought together to approximate the tissue and form an anastomosis therebetween. | 08-28-2008 |
20080215075 | IMPLANTABLE COIL FOR INSERTION INTO A HOLLOW BODY ORGAN - An implant for placement within a hollow body organ including a member having an undeployed shape for delivery to the hollow body and a deployed shape for implantation therein. The member has a plurality of links pivotably connected to each other, and a flexible elongated tether connected to the member such that tensioning the tether places the member in the deployed shape. The member has sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. | 09-04-2008 |
20080221596 | APPLIER FOR FASTENER FOR SINGLE LUMEN ACCESS ANASTOMOSIS - An applier ( | 09-11-2008 |
20080228206 | Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 09-18-2008 |
20080243151 | Luminal Structure Anchoring Devices and Methods - The present invention relates to a device for endoscopy or endosonography-guided transluminal interventions whereby two luminal structures in the body may be drawn toward each other and a fluid conduit formed in between. The device may have a hollow central member to which is coupled a distal retention member and in one embodiment a proximal retention member. The retention members may each be positioned inside one of the luminal structures and expanded from a first condition to an expanded second condition having an increased radius. The length of the central member may be shortened and its diameter expanded to approximate the two retention members and thereby the luminal structures. | 10-02-2008 |
20080249546 | ANASTOMOSIS SYSTEMS AND METHODS - A surgical connection apparatus including a plurality of delivery assemblies, a housing assembly, and a drive mechanism. The delivery assemblies each include an outer member, an inner member, and optionally a retention member. The inner member is disposed within the outer member, terminates at a distal tip and forms an internal passage that is open at a window. The delivery assemblies releasably retain a self-closing clip. The housing assembly maintains the delivery assemblies in a generally circular arrangement. The drive mechanism operates to transition the delivery assembly in releasing a self-closing clip from the corresponding delivery assembly. With this construction, a plurality of self-closing clips can be simultaneously deployed in a manner effectuating, for example, an end-to-side anastomosis. | 10-09-2008 |
20080262519 | COMPOSITIONS AND METHODS FOR JOINING NON-CONJOINED LUMENS - Disclosed are compositions, methods, and kits for joining together non-conjoined lumens in a patient's body including vascular lumens. More particularly, in various aspects, this invention provides compositions, methods, and kits for joining such non-conjoined lumens, including small lumens typically requiring microsurgical technique | 10-23-2008 |
20080262520 | Devices and methods for treatment of obesity - Methods, devices, tools, instruments and systems for treating a patient to induce weight loss. In one method embodiment, a device, including an expandable member in a collapsed configuration, is passed through an opening in the skin of the patient, and into the abdominal cavity of the patient. At least a portion of the expandable member is anchored relative to at least one structure in the abdominal cavity, without piercing the stomach. The expandable member is expanded to an expanded configuration in a space in the abdominal cavity to perform at least one of: prevention of expansion of the stomach of the patient into the space; and compression of a portion of the stomach. | 10-23-2008 |
20080262521 | Devices and methods for treatment of obesity - Methods, devices, tools, instruments and systems for treating a patient to induce weight loss. In one method embodiment, a device, including an expandable member in a collapsed configuration, is passed through an opening in the skin of the patient, and into the abdominal cavity of the patient. At least a portion of the expandable member is anchored relative to at least one structure in the abdominal cavity, without piercing the stomach. The expandable member is expanded to an expanded configuration in a space in the abdominal cavity to perform at least one of: prevention of expansion of the stomach of the patient into the space; and compression of a portion of the stomach. | 10-23-2008 |
20080275479 | ANASTOMOTIC SEAL LOADING TOOL - Described herein are methods and devices for loading an anastomotic seal into a delivery lumen. A loading device can fold the seal into a configuration for insertion into the delivery lumen. For example, the loading device can fold the seal into a prolate spheroidal shape. The delivery lumen can then be inserted into the loading device and mated with the folded seal. | 11-06-2008 |
20080287972 | SYSTEMS FOR ANASTOMOSING AN EVERTED VESSEL WITH ANOTHER VESSEL - Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated. | 11-20-2008 |
20080287973 | VARIABLE PARIETAL/VISCERAL PLEURAL COUPLING - A variable parietal/visceral pleural coupling may be utilized to create an air-tight seal in the pleural space between the parietal and visceral pleura. This coupling may be utilized to create a seal for other implantable devices. | 11-20-2008 |
20090012542 | SATIATION DEVICES AND METHODS FOR CONTROLLING OBESITY - Satiation devices for controlling obesity and methods of implanting same are configured to create a small satiation pouch in the proximal portion of the stomach with a narrow passage leading into the lower portion of the stomach. The small satiation pouch is configured to collect a small amount of masticated food from the esophagus and the narrow passage delays emptying of the food from the satiation pouch into the larger part of the stomach, thereby causing a feeling of fullness. | 01-08-2009 |
20090012543 | DEVICE AND METHOD FOR ANASTOMOSIS - The invention relates to an anastomosis device for anastomising two vessel parts together. First and second attachment units are included. They are connectable to each other and attachable to a respective vessel part. According to the invention each attachment unit has a vessel receiving surface with an area that has a roughness with a large number of small sharp projections arranged to partly penetrate the wall of the received vessel part without reaching through said wall. The invention also relates to a method for anastomosis and to a use of the invented anastomosis device. | 01-08-2009 |
20090030435 | METHOD AND APPARATUS FOR ANCHORING CARDIOVASCULAR IMPLANTS - Methods, devices and systems facilitate retention of a variety of therapeutic devices. Devices generally include an anchoring element, which has been designed to promote fibrotic ingrowth, and an anchored device, which has been designed to firmly engage the complementary region of the anchoring element. The anchoring element may be placed in a minimally invasive procedure temporally separated from the deployment of the anchored device. Once enough time has passed to ensure appropriate fixation of the anchoring element by tissue and cellular ingrowth at the site of placement, the anchored device may then be deployed during which it firmly engages the complementary region of the anchoring element. In this manner, a firm attachment to the implantation site may be made with a minimum of required hardware. Some embodiments are delivered through a delivery tube or catheter and while some embodiments may require laparoscopy or open surgery for one or more of the placement procedures. Some embodiments anchor devices within the cardiovascular tree while others may anchor devices within the gastrointestinal, peritoneal, pleural, pulmonary, urogynecologic, nasopharyngeal or dermatologic regions of the body. An alternative embodiment provides for the placement of the anchoring element and anchored device simultaneously, but allows for their removal separately. This embodiment allows the device, which may be placed only temporarily and be designed to be removed, to experience significant fibrotic ingrowth, but then to be easily detached from the ingrowth-anchored region to allow for simple and quick device removal. | 01-29-2009 |
20090043319 | Pancreatic-enteric fistulary catheterization system - A catheterization system for forming dual sutureless anastomoses using two catheters connectable to one another. Once the fistula is healed, a dissolvable connection allows the catheters to separate one from the other and the separated pieces are extruded through normal bowel action. The two catheters may be connected in various ways. In one embodiment, a separate guide member may be used to pull a dissolvable suture through the first catheter. The suture is then attached to the second catheter and the suture may be used to pull the second catheter into contact with the first catheter so that the two catheters are closely connected by the suture. When the suture dissolves, the two catheters separate. In another embodiment, the first catheter has a section formed of a dissolvable mesh. The two catheters may be connected together by any of various types of connections. After a period of time, the mesh dissolves and allows the joined catheters to separate into two pieces. | 02-12-2009 |
20090048618 | APPARATUS AND METHOD FOR MAGNETIC ALTERATION OF ANATOMICAL FEATURES - A system for auto-anastomosing a region of the body using magnetic members that may be individually delivered to different locations in the body. The magnetic members have a polar alignment that generates an attractive force to compress tissue in the region between them. The tissue in the region necroses as a result of the compressive force such that tissue surrounding the necrosed tissue heals together to form an anastomosis. A cutting member may be coupled to either the first or second magnetic member to create a temporary opening in the tissue. | 02-19-2009 |
20090076531 | METHOD AND APPARATUS FOR BYPASS GRAFT - A vascular connector includes a main tube having a channel for fluid flow therethrough and opposed ends adapted to be connected to a vascular structure; and at least one inlet tube having a channel for fluid flow therethrough, a proximal end intersecting the main tube, and a distal end adapted to be connected to a vascular structure. | 03-19-2009 |
20090076532 | FRAGMENTABLE DEVICE FOR THE ANASTOMOSIS OF HOLLOW ORGANS - Fragmentable compression device for the anastomosis of hollow organs consisting of a pot-shaped body composed of two elements ( | 03-19-2009 |
20090105733 | ANASTOMOSIS DEVICES AND METHODS - Methods and devices are provided for anastomosing tissue in the body. In one exemplary embodiment, an anastomotic device is provided having an elongate tubular body that is disposable through a body lumen and that includes proximal and distal portions. The proximal and distal portions can each include a plurality of asymmetrical s-shaped slits and can each be adapted to expand upon rotation to form proximal and distal wings. The proximal and distal wings can extend toward one another to engage tissue therebetween and thereby form a passageway through the tissue. | 04-23-2009 |
20090105734 | MOUNTING TOOL AND A METHOD FOR A DEVICE FOR ANASTOMOSIS - A mounting tool ( | 04-23-2009 |
20090125042 | MAGNETIC ANASTOMOSIS DEVICE HAVING IMPROVED DELIVERY - A magnet assembly for a magnetic anastamosis device is provide that is minimally invasive, easily and quickly delivered, and is accurately positioned to improve the delivery procedure. The magnet assembly includes an elongated hub and a plurality of magnetic members disposed over the elongated hub. The elongated hub is formed of a resilient or shape memory material, permitting the magnet assembly to be operable between a delivery configuration and a deployed configuration. In this manner, the package width of the magnet assembly is greatly reduced for delivery, thereby permitting delivery over a wire guide as well as through an access device such as a catheter. Associated delivery procedures and medical devices are also provided. | 05-14-2009 |
20090131957 | DEVICE FOR CONNECTING HOLLOW ORGANS, ESPECIALLY BLOOD VESSELS, BY SURGERY - The invention elates to a device ( | 05-21-2009 |
20090138030 | DEVICE AND A METHOD FOR ANASTOMOSIS | 05-28-2009 |
20090177214 | Apparatus including multiple invaginators for restoring a gastroesophageal flap valve and method - A transoral gastroesophageal flap valve restoration assembly comprises a pair of tissue grippers. The device comprises an elongated member having a distal end arranged for being fed down an esophagus in communication with a stomach and a tissue shaper carried on the distal end of the longitudinal member. The tissue shaper comprises a first member adjacent the distal end of the elongated member and a second member. The first and second members are hingedly coupled to receive the stomach tissue to be shaped there between. The distal end of the elongated member has one of the tissue grippers that grips esophageal tissue oral of a Z line and the first member of the tissue shaper has the other tissue gripper that grips stomach tissue aboral of the Z line. A tissue fastener maintains the shaped stomach tissue. | 07-09-2009 |
20090177215 | SATIATION POUCHES AND METHODS OF USE - A method for controlling appetite by means of a satiation device is disclosed. The device, which includes a flexible webbing defining proximal and distal openings and a biasing structure, is attached to the patient's stomach with the proximal opening positioned adjacent and below the patient's gastro-esophageal junction. The biasing structure imparts pressure against the wall of the patient's stomach adjacent the gastro-esophageal junction. | 07-09-2009 |
20090177216 | METHOD AND APPARATUS FOR ANASTOMOSIS INCLUDING AN ANCHORING SLEEVE - Apparatus for performing a surgical anastomosis are disclosed. The apparatus include a tubular body having a proximal end and a distal end, an onion sleeve portion formed near the distal end of the tubular body and an inner tube disposed within the tubular body. The inner tube includes at least one pair of longitudinally aligned needle passages formed below the onion sleeve portion of the tubular body. The apparatus further includes at least one needle assembly disposed within the at least one pair of longitudinally aligned needle passages and a firing assembly operatively coupled to the proximal end of the tubular body. The firing assembly is configured and adapted to eject the pair of needles from the apparatus. | 07-09-2009 |
20090182355 | Porous barbs for long-term anchoring in the gastrointestinal tract - Gastrointestinal implants in areas such as the esophageal area, the stomach, and the intestinal area are used in the treatment of conditions like obesity and diabetes. An implant including an anchor with barbs having pores, can allow for longer term anchoring. The pores can promote tissue ingrowth from the surrounding tissue that the barb is penetrating, thus advantageously allowing increased stability and longer term anchoring compared to a non-porous barb. | 07-16-2009 |
20090187199 | COMPOSITIONS AND METHODS FOR JOINING NON-CONJOINED LUMENS - Disclosed are compositions, methods, and kits for joining together non-conjoined lumens in a patient's body including vascular lumens. More particularly, in various aspects, this invention provides compositions, methods, and kits for joining such non-conjoined lumens, including small lumens typically requiring microsurgical technique. | 07-23-2009 |
20090187200 | GASTRIC RETAINING DEVICES AND METHODS - Methods, devices and systems facilitate gastric retention of a variety of therapeutic devices. devices generally include a support portion for preventing the device from passing through the pyloric valve or esophagus wherein a retaining member may optionally be included on the distal end of the positioning member for further maintaining a position of the device in the stomach. Some embodiments are deliverable into the stomach through the esophagus, either by swallowing or through a delivery tube or catheter. Some embodiments are fully reversible. Some embodiments self-expand within the stomach, while others are inflated or otherwise expanded. | 07-23-2009 |
20090187201 | GASTRIC RETAINING DEVICES AND METHODS - Methods, devices and systems facilitate gastric retention of a variety of therapeutic devices. devices generally include a support portion for preventing the device from passing through the pyloric valve or esophagus wherein a retaining member may optionally be included on the distal end of the positioning member for further maintaining a position of the device in the stomach. Some embodiments are deliverable into the stomach through the esophagus, either by swallowing or through a delivery tube or catheter. Some embodiments are fully reversible. Some embodiments self-expand within the stomach, while others are inflated or otherwise expanded. | 07-23-2009 |
20090192531 | METHODS AND DEVICES FOR TREATING OBESITY AND GERD BY INTUSSUSCEPTING A PORTION OF STOMACH TISSUE - Described here are devices and methods for intussuscepting a portion of stomach tissue. Typically the intussusception is created at a position near, but distal to the gastroesophageal junction, and a pouch capable of storing a volume (from about 0 cc up to about 100 cc) is created proximal the intussuscepted tissue. In this way, the amount of food that may be ingested is reduced, helping to ameliorate GERD symptoms, and aiding in weight loss efforts. Some of the devices described here include an expandable member and at least one suction inlet. In these devices, the expandable member is expanded to create a proximal cavity into which the stomach tissue is pulled (e.g., using suction), thereby creating the intussusception. | 07-30-2009 |
20090192532 | IMPLANT FOR PARASTOMAL HERNIA - An implant for the prevention or treatment of a hernia in the proximity of an organ stoma formed in an abdominal wall includes a porous structure having a surface intended to face the abdominal cavity covered by a first film of anti-adhesive material. The porous structure includes a first part intended to be in contact with a stoma organ and having a first thickness, and a second part having a second thickness greater than the first thickness, the first part including a surface intended to face the abdominal wall covered by a second film of anti-adhesive material. | 07-30-2009 |
20090209984 | METHODS FOR PERFORMING GASTROPLASTY - Methods for performing gastroplasty include reducing the effective volume or cross-sectional area of the stomach via approximation of gastric tissue. Such reduction preferably is achieved endoluminally, either with or without laparoscopic ports. In one variation, a sleeve, pouch, Magenstrasse and Mill, Vertical Banded Gastroplasty (“VBG”), etc., is formed within the stomach by approximating opposing anterior and posterior segments or ridges of the stomach wall at locations inferior to the gastroesophageal junction. In another variation, opposing walls of the stomach are approximated at a plurality of substantially random locations to reduce an effective volume of the stomach. In yet another variation, both a sleeve and random approximations are formed, the random approximations preferably disposed in a portion of the stomach excluded by the sleeve. In still another variation, opposing walls of the stomach are approximated over significant lengths at random or specified locations. | 08-20-2009 |
20090216253 | Methods and Apparatus for Treating Ventral Wall Hernia - This invention relates to a surgical implant system for repairing abdominal hernias and is particularly useful for repairing ventral hernias. In particular, the present invention relates to an implant, a delivery device and a method for implanting the implant. The implant is implanted in a substantially slackened condition relative to the ventral wall. | 08-27-2009 |
20090216254 | Device for Preventing Dilation of an Anatomical Lumen or Body Object - A novel device is provided for the treatment or prevention of a disorder of a patient characterized by regaining lost weight after RNY surgery as a result of dilation failure of the gastro-jujunal stoma. One embodiment the device involves inserting an envelope-like device into the patient's body during or post RNY surgery. Once inserted, the surgeon positions the device to substantially surround the RNY pouch. The device automatically applies a localized compressive force against the proximal Roux limb (jujunum), proportional to the degree of over—fullness of the Roux pouch. Thus a sphincter-like replacement for the pyloric valve is created that substantially reduces the efferent flow of chyme through the g-j stoma, thereby substantially preventing traumatic dilating pressure forces from being imposed on the g-j stoma. The present invention thus uniquely provides a safe and reliable means to ensure the long-term success of the RNY procedure. | 08-27-2009 |
20090222030 | Gastric Tube - With the invention, a gastric tube with an inflatable stopper and a supply cannula that can be introduced into the oesophagus and on which a lumen is superposed in the region of the inflatable stopper, which is connected to the interior of the inflatable stopper and permits a rapid volume equalization between different regions of the inflatable stopper, is to be improved in that the lumen which is located between the supply cannula and the inflatable stopper and connected to the interior of the inflatable stopper, can be produced in a technically simple manner and at the same time provides sufficient volume equalization between partial volumes of the inflatable stopper. This object is achieved by a gastric tube with an inflatable stopper in which a separate molding body is mounted on the supply cannula which determines the shape of the lumen. | 09-03-2009 |
20090254105 | Anastomotic connectors - Methods and anastomotic connector device usable for connecting adjacently located blood vessels, ducts or other natural or artificial anatomical structures that have walls with openings formed therein. The anastomotic connector devices may be delivered through catheters and may be initially deployed in a non-collapsed configuration and subsequently transitioned to a collapsed configuration whereby they hold the adjacent vessels or structures in substantially abutting contact such that fluid or other matter may flow from one anatomical structure into the other. | 10-08-2009 |
20090259236 | GASTRIC RETAINING DEVICES AND METHODS - Methods, devices and systems facilitate gastric retention of a variety of therapeutic devices. devices generally include a support portion for preventing the device from passing through the pyloric valve or esophagus wherein a retaining member may optionally be included on the distal end of the positioning member for further maintaining a position of the device in the stomach. Some embodiments are deliverable into the stomach through the esophagus, either by swallowing or trough a delivery tube or catheter. Some embodiments are fully reversible. Some embodiments self-expand within the stomach, while others are inflated or otherwise expanded. | 10-15-2009 |
20090259237 | Pyloric valve devices and methods - A pyloric valve is provided for inhibiting the flow of chyme through the pyloric region of the gastrointestinal tract. The pyloric valve includes a blocking portion having a plurality of disc-shaped flanges connected in series. The blocking portion may be disposed in a contracted position wherein the plurality of disc-shaped flanges is disposed in a stacked configuration and a resting position wherein the plurality of disc-shaped flanges is disposed in a linear configuration. The pyloric valve may further include a sleeve that may have a beveled distal end. The pyloric valve may be constructed of silicon. Also provided are methods of inserting and removing the pyloric valve, which each include a step of manipulating the support between its resting and contracted positions. Insertion and removal systems are also provided for use with the pyloric valve. | 10-15-2009 |
20090259238 | Pyloric valve devices and methods - A pyloric valve is provided for inhibiting the flow of chyme through the pyloric region of the gastrointestinal tract. The pyloric valve includes a blocking portion having a disc-shaped inlet and a helical flange. The helical flange may be disposed in a contracted position defining a contracted length and a contracted diameter and an extended position defining an extended length and an extended diameter, wherein the extended length is longer than the contracted length and the extended diameter is smaller than the contracted diameter. The pyloric valve may further include a sleeve that may have a beveled distal end. The pyloric valve may be constructed of silicon. Also provided are methods of inserting and removing the pyloric valve, which each include a step of manipulating the support between its contracted and extended positions. Insertion and removal systems are also provided for use with the pyloric valve. | 10-15-2009 |
20090259239 | Pyloric valve devices and methods - A pyloric valve is provided for inhibiting the flow of chyme through the pyloric region of the gastrointestinal tract. The pyloric valve includes a blocking portion having at least one axially-aligned annular flange defining a central opening and a support having a rim and a support surface. The support may be disposed in a nested position wherein the support surface is disposed within the central opening and an inverted position wherein the support surface is disposed away from the central opening. The pyloric valve may further include a sleeve that may have a beveled distal end. The pyloric valve may be constructed of silicon. Also provided are methods of inserting and removing the pyloric valve, which each include a step of manipulating the support between its inverted and nested positions. Insertion and removal systems are also provided for use with the pyloric valve. | 10-15-2009 |
20090259240 | PYLORIC VALVE - A pyloric valve for regulating the flow of fluids in the pyloric region a patient's gastrointestinal tract is disclosed herein. In one embodiment, a pyloric valve includes a plurality of axially connected blocking members located along a longitudinal axis of the valve in a proximal to distal direction. Each blocking member of the valve preferably includes at least one blocking portion defining at least one entryway adapted to receive fluids such as chyme therethrough. The at least one entryway of each blocking member is preferably not aligned with the at least one entryway of each blocking member adjacent thereto along the longitudinal axis. The non-alignment of the at least one entryways of the blocking members preferably creates a non-linear path for fluids such as chyme to travel through the pyloric region of the patient. | 10-15-2009 |
20090281559 | ANASTOMOSIS PATCH - An apparatus, system, and method for covering an anastomosis are disclosed. The apparatus includes a resilient flexible patch having a diameter that is greater than the diameter of an anastomosis. A opening is formed in the patch. The opening has a diameter that is less than the diameter of the anastomosis. The system further includes a joining element to attach the patch to tissue adjacent to the anastomosis. At least one hole is formed around the perimeter of the patch. The at least one hole is to receive the joining element therethrough. The method includes inserting a resilient flexible patch having a diameter that is greater than the diameter of an anastomosis through a working channel of an endoscope, locating the patch adjacent to the anastomosis, and attaching the patch to tissue adjacent to the anastomosis using a joining element. | 11-12-2009 |
20090281560 | Method for anastomosis surgery using zip-ties - A double or triple zip-tied anastomosis surgery method is provided. The method includes circumferentially fastening a first and a second zip-ties around a tubular organ or a connecting region between two tubular organs, with the first and second zip-ties beside each other with a space therebetween; dissecting the tubular organ or the connecting region at the space between the first and second zip-ties, forming a first tubular portion with a first zip-tied end and a second tubular portion with a second zip-tied end; resecting a target segment from the second tubular portion, and centrally fastened the resected end; then rejoining the first and the second tubular portions together using a circular stapler, with staples encircling the first zip-tied end and the centrally fastened resected end; and cutting and removing tissues and zip-tie encircled by the staples to recreate a tubular pathway, with a smooth interface between the two tubular portions. | 11-12-2009 |
20090287230 | ANASTOMOSIS COMPOSITE GASKET - The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material. | 11-19-2009 |
20090292302 | Method And Apparatus For Radical Prostatectomy Anastomosis Including An Anchor For Engaging A Body Vessel And Deployable Sutures - A radical prostatectomy anastomosis device including a cartridge having a plurality of anchors slidably disposed in a plurality of distally angled radial channels formed in the cartridge and a pusher assembly operatively coupled within the cartridge. The pusher assembly being configured and adapted to push each of the plurality of anchors out of the angled radial channels of the radial cartridge. The device further including a fitting removably coupled to a distal end of the cartridge. The fitting including a flange having a plurality of holes formed radially around the flange, wherein each of the plurality of holes includes suture locking means configured and adapted to permit a suture to be drawn distally through each of the plurality of holes and to prevent the sutures from being drawn proximally through each of the plurality of holes. The device further including a plurality of sutures secured to an inner surface of the cartridge. The sutures passing through the fitting, through a respective hole of the plurality of holes formed in the fitting and secured to an outer surface of a respective anchor. | 11-26-2009 |
20090299387 | METHOD AND APPARATUS FOR FLUIDLY ISOLATING A PORTION OF A BODY LUMEN WALL FROM FLOW THROUGH THE BODY LUMEN - An apparatus for fluidly isolating a portion of a blood vessel wall from bloodflow at an anastomosis site within a blood vessel is described. An insertion catheter has longitudinally spaced proximal and distal catheter ends and an operative lumen extending therebetween, and is configured for insertion into the blood vessel at an insertion location spaced apart from the anastomosis site. An isolation device is attached to the distal catheter end, and includes a concave working surface bounded by an isolation rim and a bloodflow surface opposite the working surface. The isolation rim is configured to contact at least a portion of the blood vessel longitudinally aligned with, and radially spaced from, the anastomosis site. The bloodflow surface is in contact with bloodflow past the anastomosis site within the blood vessel when the isolation device engages the blood vessel wall. A retention means is attached to the isolation device and in fluid communication with the operative lumen. The retention means is configured to exert force on the blood vessel wall to at least partially engage the blood vessel wall with the isolation device. A method of fluidly isolating a portion of a blood vessel wall from bloodflow at an anastomosis site within a blood vessel is also provided. | 12-03-2009 |
20090326566 | TRANSABDOMINAL NEEDLE INTRODUCER - A transabdominal needle introducer for the repair of large ventral incisional hernias comprises a handle connected to a long tubular shaft and a disposable needle cartridge at its distal end. The handle has a round knob or head, and a needle pusher to extrude the needles out. The long tubular shaft contains two metal rods disposed inside thereof, one to change the angle of the cartridge, and the other one to extrude the needles. At the proximal end of the tubular shaft there is a rotatable cylindrical control provided with a spiral groove that moves a metal rod destined to pivot the needle cartridge. The second metal rod inside the shaft is assigned to extrude the needles and is connected to a flexible resilient wire that protrudes at the distal end of the tubular shaft and is provided at its distal end with an oval tip that engages a piston-type pusher inside the needle cartridge. There are two straight needles inside the cartridge that are attached to a single strand of suture at each end, and they can be extruded by action of the needle pusher. | 12-31-2009 |
20100010516 | INSERTABLE PROSTHESIS AND PROSTHESIS BOARD FOR ANASTOMOSIS - Prosthetic devices are provided used for anastomosis of extremity with lateral, extremity with extremity and lateral with lateral without clamping and sutureless or with quick clamping sutureless, in which the graft is inserted in at least one of the intraluminal parts of the tubular member of the insertable prosthesis, the flanges including lateral inserts allowing the configuration of different prosthesis sets. The present invention also describes a board of prostheses including one flange with multiple holes through which intraluminal parts or occluders will be inserted, according to the need of the anastomosis to be carried out. The invention also includes prostheses in which the grafts cover only externally their extraluminal parts. | 01-14-2010 |
20100010517 | Anastomosis Sheath And Method Of Use - The invention relates a sheath that is affixed to a body lumen, proximal to an anastomosis site. The sheath includes a sleeve defining a passage. A grasping structure is positioned distally of the distal opening of the sheath to facilitate elongation of the sleeve from a first length to a second longer length. A method for using the sheath is also disclosed. | 01-14-2010 |
20100010518 | Anastomosis Sheath And Method Of Use - A sheath is affixed to a body lumen, proximal to an anastomosis site. The sheath includes a sleeve defining a passage. A first ring-shaped member or balloon, attached to a proximal portion of the sleeve, is positioned proximal to an anastomosis and a second ring-shaped member or balloon, attached to a distal portion of the sleeve, is positioned distal to an anastomosis. The sleeve is further elongated from a first length to a second longer length. A method for using the sheath is also disclosed. | 01-14-2010 |
20100023032 | PROSTHESIS FOR ANASTOMOSIS - Prosthetic devices are provided that are used for anastomosis on end-to-side, end-to-end, and side-to-side without clamping and sutureless, or with quick clamping and sutureless. The prosthetic device can have an external flange, rigid or flexible, whether having elastic memory or not, and intraluminal parts having small or none rigid part, compact, and prolonged by metallic wire that makes possible anastomosis without clamping and sutureless. Prosthesis may also have several dimensions and formats in order to accommodate sizes, number and several types of implants in a simultaneous way. | 01-28-2010 |
20100036397 | Vascular graft connector - The present invention is to provide a prosthetic vascular connector which comprises a male fastener of ring-shaped body and a ring-shaped female fastener; where the outer side of the female fastener is a smooth surface while the inner side, facing the male fastener, is provided with a tapered wall that is gradually contracted inward and an indented catch trough next to the minimum diameter of the tapered wall; when in use, the male fastener and the female fastener each offers the terminal portion of a separate prosthetic blood vessel to pass through its inside, followed by a outward to backward fold around it, and then push the male fastener with the folded terminal portion of the prosthetic blood vessel into the tapered wall of the female fastener covered with the prosthetic blood vessel, where the male fastener is being pushed into a deformed shape to move across the minimum diameter of the tapered wall of the female fastener, and lodged in the catch trough with its original shape restored. | 02-11-2010 |
20100036398 | Vascular clip - A vascular clip for use in end-to-side anastomoses having a handle connected to a lower ring and an upper ring. The handle includes a resilient element biasing the two rings together so that the rings are closely juxtaposed when the clip is closed. The respective facing surfaces of each of the rings may be provided with a rough surface. A graft vessel or an artificial aneurysm may be sutured to the lower ring. The graft vessel or artificial aneurysm may be autologous or heterologous material or may be made of synthetic material. The handle may fit into a clip applier that facilitates the application of the clip. The handle and the clip applier may be of different shapes depending on the various applications of the clip. The rings may also have different shapes and sizes to accommodate different kinds of anastomoses and different vessels of all sizes in all parts and cavities of the human or animal body. The two rings are substantially the same dimension, which preferably may be in the range of from around 2 mm up to around 2.5 cm. | 02-11-2010 |
20100036399 | MAGNETIC COMPRESSION ANASTOMOSIS DEVICE - An apparatus for joining organ wall portions of first and second hollow organs, including first and second connectors, wherein the first and second connectors are magnetically attracted to one another. A device for delivering and deploying the first and second connectors to portions of the first and second hollow organs can be provided, wherein the device is configured and dimensioned to axially align the first and second connectors for performing circular anastomosis of the first and second hollow organs. | 02-11-2010 |
20100036400 | Vascular anastomosis device - A device for creating an end-to-side anastomosis between a graft vessel and a recipient vessel having an extravascular member, such as an upper ring, an intravascular member, such as a lower ring, and means to fix the intravascular member in the recipient vessel, such as a handle with a resilient element biasing the extravascular member and the intravascular member together. A graft vessel is attached to the intravascular member around an edge of an opening in the intravascular member. Other means than a biasing resilient element may be employed to fix the intravascular member in the recipient vessel which do not require an extravascular member, such as expandable cylinders. In other embodiments, means may be employed to insert the intravascular member into the recipient vessel such as delivery systems that open an arteriotomy while simultaneously delivering the intravascular member into the recipient vessel. | 02-11-2010 |
20100042120 | TISSUE RETAINING SYSTEM - A tissue retaining system having a pair of tissue retainers for retaining two end portions of tubular tissue, such as a heart valve, to a bioreactor is disclosed. Each tissue retainer includes a stepped portion that permits custom fitting of the tissue retainer to a particular size of tubular tissue. The tissue retainer further includes a tubular portion in communication with the stepped portion that provides a means for engaging the tissue retainer to the bioreactor through a tubular connector. The stepped portion of each tissue retainer defines a plurality of progressively larger concentric steps in which one of the concentric steps matches the size of a particular tubular tissue being engaged. The tubular tissue is then anchored to the tissue retainer by suture pull downs that anchor the tubular tissue to one of the concentric steps of the tissue retainer in a fluid tight engagement. A clamp may also be engaged to the tubular tissue to further secure the tubular tissue to the tissue retainer in a fluid tight engagement. This engagement process is repeated to secure the other end portion of the tubular tissue to another tissue retainer such that the tissue retaining system may then be engaged to the bioreactor. | 02-18-2010 |
20100049223 | PROSTHESIS FOR ANASTOMOSIS - A prosthetic device is provided with a double flange used for anastomosis of extremity with lateral, extremity with extremity and lateral with lateral without clamping and sutureless or with clamping and sutureless, in which a graft is inserted in at least one of the intraluminal parts of the tubular member of the prosthesis and is fixed to the internal flange of the prosthesis by a circular point or another method. The present invention describes different ways of fixing the flanges when they are in separate parts, making sure that there will be no protuberance of the anastomotic set in the lumen of the organ. | 02-25-2010 |
20100049224 | Intragastric Implant Devices - An intragastric implant comprises an anchor and a therapeutic device or a diagnostic device. The anchor is adapted to extend between the fundus and the pyloric valve of a stomach, to be retained without attachment to the stomach wall, and to anchor the device within the stomach with a relatively stable position and orientation. The therapeutic or diagnostic device is adapted to extend from the esophagus or stomach to the intestines or stomach. The therapeutic or diagnostic device, when extending into the esophagus, will be slidably received through the gastroesophageal junction and, when extending into the intestines, will be slidably received in the pyloric valve. | 02-25-2010 |
20100063520 | ANASTOMOTIC DEVICE - The present invention relates to an anastomotic device ( | 03-11-2010 |
20100063521 | METHOD AND APPARATUS FOR RADICAL PROSTATECTOMY ANASTOMOSIS INCLUDING AN ANCHOR FOR ENGAGING A BODY VESSEL AND DEPLOYABLE SUTURES - A device for joining a first body vessel to a second body vessel including a cartridge having a distal end and defining a longitudinal axis, a radially expandable anchor disposed at the distal end of the cartridge for engaging the first body vessel, the expandable anchor having an initial condition and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition, and a plurality of sutures disposed within the cartridge and being deployable therefrom so as to engage the second body vessel, the sutures being threaded through the expandable anchor. | 03-11-2010 |
20100069932 | ANASTOMOTIC DEVICE - An anastomotic device ( | 03-18-2010 |
20100069933 | POSITIONING DEVICE FOR DEPLOYING AT LEAST ONE LOCKING PORTION OF AN ANASTOMOTIC DEVICE AND METHOD FOR CARRYING OUT ANASTOMOSIS IN TRACTS OF THE DIGESTIVE TUBE - A positioning device for deploying at least one locking portion ( | 03-18-2010 |
20100069934 | Anastomosis Method Utilizing Tool with Fluid-Driven Actuator - A method of performing anastomosis between a graft vessel and a target vessel, each having a circumferential wall and a lumen therethrough, may include providing an anastomosis tool including a tissue effector and a fluid-driven actuator operationally connected to that tissue effector; connecting the fluid-driven actuator to an energy source; placing an end of the graft vessel in proximity to the side of the target vessel; and actuating the fluid-driven actuator to connect the end of the graft vessel to the side of the target vessel. | 03-18-2010 |
20100076466 | HOLLOW TISSUE INOSCULATION APPARATUS - A hollow tissue inosculation apparatus is to inosculate two hollow tissues to each other with a staple having a plurality of elastically deformable bent staple pins. The inosculation apparatus includes a staple holder to hold the staple, a curvature control mechanism to control curvature of the staple pins of the staple held in the staple holder, an incision mechanism to incise the hollow tissues, and a gap control mechanism to control gaps between the staple holder and the hollow tissues. The curvature control mechanism straightens the staple pins. The gap control mechanism reduces the gaps to cause the straightened staple pins to penetrate through the hollow tissues. The inosculation apparatus further includes a stenosis detecting element to detect a stenosis part of one of the hollow tissues. The stenosis detecting element is located at a position spaced apart from the staple held in the staple holder. | 03-25-2010 |
20100076467 | STAPLE TO INOSCULATE HOLLOW TISSUES - A staple is to inosculate two hollow tissues to each other. The staple includes an elastically deformable ring member and elastically deformable pins fixed to the ring member. The pins are bent toward the inside of the ring member. | 03-25-2010 |
20100076468 | HOLLOW TISSUE INOSCULATION APPARATUS - A hollow tissue inosculation apparatus is to inosculate two hollow tissues to each other with a staple having a plurality of elastically deformable bent staple pins. The hollow tissue inosculation apparatus includes a staple holder to hold the staple, a curvature control mechanism to control curvature of the staple pins of the staple held in the staple holder, an incision mechanism to incise the hollow tissues, and a gap control mechanism to control gaps between the staple holder and the hollow tissues. The curvature control mechanism substantially straightens the staple pins The gap control mechanism reduces the gaps to cause the substantially straightened staple pins to penetrate through the hollow tissues. The incision mechanism includes two cutters to incise the hollow tissues, respectively, and locates the blades of the cutters between the hollow tissues to incise them from their outside. | 03-25-2010 |
20100076469 | HOLLOW TISSUE INOSCULATION APPARATUS - A hollow tissue inosculation apparatus inosculate two hollow tissues with a staple having elastically deformable pins. The inosculation apparatus includes a holder to hold the staple, a curvature control mechanism to control curvature of the pins of the staple held in the holder so as to straighten the pins, and a gap control mechanism to control gaps between the holder and the hollow tissues so as to reduce the gaps to cause the straightened pins to penetrate through the hollow tissues. The gap control mechanism includes two support mechanisms to support the hollow tissues and a mechanism to move the support mechanisms with respect to the holder. The support mechanisms include supports to support the hollow tissues when the pins are stuck into the hollow tissues. Contact parts of the supports with the hollow tissues are spaced apart from positions where the pins penetrate through the hollow tissue. | 03-25-2010 |
20100082048 | PROSTHESIS FOR ANASTOMOSIS - Prosthetic devices are provided that are used in end-to-side, end-to-end and side-to-side anastomosis without clamping and sutureless, without clamping and with suture, with clamping and sutureless, and/or with clamping and with suture, where the graft is inserted under the light of prosthesis or in at least one of the intraluminal portions of the prosthesis tubular member. The prosthesis can be produced in varied shapes and sizes to accommodate varied sizes and types of grafts, and also can be formed by two halves that can be joined by pressure, bolts or by a rocker portion, and can be made of any proper material for surgical use, such as titanium, stainless steel, nitinol, pyrolitic carbon, silicon, biodegradable materials, or any other biocompatible and inert materials. | 04-01-2010 |
20100082049 | METHOD AND APPARATUS FOR ANASTOMOSIS - Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include at least one fastener including a first fastener portion having an anchoring leg portion, a second fastener portion including an anchoring leg portion, wherein the first and second fastener portions are operatively associated with one another to selectively fix the position of the first fastener portion relative to the second fastener portion. | 04-01-2010 |
20100087841 | ANASTOMOSIS INSTRUMENT AND METHOD FOR PERFORMING SAME - A surgical instrument for anastomosis of first and second blood vessels is provided. The surgical instrument includes a housing having distal and proximal ends and a handle and a disposable loading unit removably mounted to the distal end of the housing. The housing includes upper and lower fastener support members having a passage defined therethrough configured to receive an end of the second blood vessel and configured to releasably support a plurality of substantially L-shaped surgical fasteners and a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support members in response to actuation of the handle to simultaneously deform the surgical fasteners. | 04-08-2010 |
20100087842 | Methods and Apparatus for Anastomosis Including an Expandable Anchor - The present disclosure is directed to devices for approximating body vessels and method for performing the same. In accordance with one aspect of the present disclosure, the device includes an inner member, an outer member having a lumen dimensioned to receive the inner member, an expandable anchor for engaging the a first body vessel, and a joining member for engagement between the first body vessel and the second body vessel. | 04-08-2010 |
20100094319 | METHOD AND APPARATUS FOR ANASTOMOSIS INCLUDING AN EXPANDABLE ANCHOR - The present disclosure is directed to devices for approximating body vessels and method for performing the same. In accordance with one aspect of the present disclosure, the device includes an inner member having a first expandable anchor operatively coupled near a distal end thereof, an outer member having a second expandable anchor, and a sleeve disposed about at least a portion of the inner member and the outer member. | 04-15-2010 |
20100100109 | METHOD AND APPARATUS FOR MODIFYING THE EXIT ORIFICE OF A SATIATION POUCH - A prosthetic device is described that is positionable within the gastro-esophageal junction region of a patient. The prosthetic device includes a proximal opening and a distal orifice that is adjustable in size prior to and/or following implantation. During use, the prosthetic device is attached to tissue of the gastro-esophageal junction region of the patient, with the device positioned such that food ingested by the patient passes from the esophagus through the proximal opening into the interior of the prosthetic device, and eventually exits the prosthetic device via the distal opening. | 04-22-2010 |
20100106171 | TRANSCAVAL MESENTERIC VENOUS ANASTOMOSIS AND ACCESS SYSTEM - 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. | 04-29-2010 |
20100106172 | MECHANICAL ANASTOMOSIS SYSTEM FOR HOLLOW STRUCTURES - A system for making anastomoses between hollow structures by mechanical means is provided with a device in the shape of an annular or tubular element comprising circumferentially provided means, such as pin-shaped elements, for joining the abutting walls of the hollow structures together. An applicator is intended for moving said annular or tubular element in position and activating the joining means thereof, so as to make the anastomosis. Possibly, intraluminal joining means can be inserted without using an annular or tubular element. | 04-29-2010 |
20100114128 | GASTRIC BYPASS DEVICES AND PROCEDURES - Methods and devices for treating obesity are provided, and more particularly, methods and devices for performing gastric bypasses are disclosed. In one exemplary embodiment a gastric bypass procedure is provided that includes forming a gastro-entero anastomosis between a stomach and an intestine and forming an entero-entero anastomosis between a portion of the intestine distal to the gastro-entero anastomosis and a portion of the intestine proximal to the gastro-entero anastomosis. A surrogate path is formed between the esophagus and the gastro-entero anastomosis to at least partially direct fluid from the esophagus to the intestine by way of the gastro-entero anastomosis, thereby bypassing the stomach. A variety of devices that are particularly useful in gastric bypass procedures are also disclosed. The devices include anastomotic devices that can be coupled to or integrally formed with a shunt. The devices can include a plurality of tubular bodies that are configured to have an adjustable length. Still further, methods for repairing an abdominal aortic aneurysm and leaking heart valve are also disclosed. | 05-06-2010 |
20100114129 | TISSUE JOINING DEVICES CAPABLE OF DELIVERY OF BIOACTIVE AGENTS AND METHODS OF USE THEREOF - The instant invention concerns a device for joining tissue comprising a ring and rivet, the ring comprises a biocompatible and biodegradable polymer and contains at least one bioactive agent. The rivet has a hollow lumen. The invention also relates to methods of making such devices and the use of such devices in joining tissue. | 05-06-2010 |
20100121357 | Tissue Penetrating Catheters having Integral Imaging Transducers and Their Methods of Use - A catheter device that is useable to penetrate from a blood vessel in which the catheter device is positioned to a target location comprises a flexible catheter advanceable into the first blood vessel, a tissue penetrator lumen adapted to receive an operative tissue penetrator which is usable to penetrate from the blood vessel to the target location when properly aimed. Further said catheter including an imaging transducer fixedly mounted on or within the catheter body to provide an imaging signal from which an image of the target location can be obtained. The catheter device may include an imageable marker on the catheter to form on the image obtainable from the imaging signal a penetrator path indication that indicates the path that will be followed by the tissue penetrator when the tissue penetrator exits from the catheter. Alternatively, or addition thereto, the imaging transducer may comprise a plurality of imaging elements which are located so that the penetrator path indication can be obtained. A method of utilizing such a catheter device to bypass an arterial obstruction is also disclosed. | 05-13-2010 |
20100130993 | Anastomosis device and system - An anastomosis device for forming two lumen-comprising body structures having an un-deployed and a deployed state and switchable from the former to the latter, comprising: a body with an overall cylindrical shape defining a proximal-distal extending axis of and comprising an external essentially cylindrical body part with a lumen and an internal body part at least a portion thereof being deployed within the lumen of the external body part and axially displacable with respect thereto in the switch between the un-deployed and the deployed states; said internal body part having an internal duct extending axially therethrough whereby in the deployed state there is a fluid communication between the distal and the proximal ends of the body; and two tissue-engaging units axially displaced from one another along said axis; at least one of the two units can change its state from a closed state in the un-deployed state of the device to an opened, tissue-engaging state in the deployed state of the device in which said first unit extends in an overall radial direction and is adapted in this state for tight association with internal walls of one of the body structures, such that the combined tissue-engaging action of the two unit holds the two structures together. | 05-27-2010 |
20100130994 | VESSEL CONNECTOR AND KIT HAVING AN APPLICATIOR FOR SURGERY - The invention relates to a vessel connector ( | 05-27-2010 |
20100130995 | ANASTOMOTIC CONNECTOR - An anastomotic connector comprises a generally tubular access port having a first end and a second end and a main body portion in fluid communication with the second end of the access port that is structured to be deployed within a fluid passageway. The main body portion includes an expandable mesh frame defining a pair of flanges extending outwardly from the second end of the access port and a retention strap extending across the second end of the access port. The pair of flanges and the retention strap are structured to exert a radial force on an internal surface of a fluid passageway when the mesh frame of the main body portion is expanded within the fluid passageway. Furthermore, the pair of flanges and the retention strap allow the passage of fluid to the distal tissues that the native fluid passageway is supplying. | 05-27-2010 |
20100137891 | TISSUE ANCHORABLE DEVICES - A device for treating GERD is provided. The device includes a device body capable of at least partially preventing reflux of stomach content to the esophagus while enabling flow of esophageal content around said device body and into the stomach. | 06-03-2010 |
20100160936 | DEVICES AND METHODS FOR REVERSAL OF PERMANENT STERILIZATION - An anastomosis device and related methods of using said device for reversing a female sterilization procedure. The anastomosis device can include a tissue approximation structure allowing for grasping and approximation of proximal and distal tube stumps remaining from the sterilization procedure so as to restore a lumen defined by the fallopian tubes for subsequent passage of reproductive cells. The anastomosis device can comprise a catheter body that is advanced through the reproductive tract, past the uterus and into the proximal stump. A flexible guidewire can guide a tissue approximation structure to the proximal stump wherein a set of proximal approximating structures are extended to grasp the proximal stump. The tissue approximation structure is then advanced into the distal stump wherein a set of distal approximating structures grasp the distal stump and cause the proximal and distal stumps to be brought into contact so as to commence biological healing. | 06-24-2010 |
20100168772 | ANASTOMOSIS DEVICE CONFIGURATIONS AND METHODS - A surgical tool which comprises an elongated body having a proximal end and a distal end, first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body, an actuating mechanism extending from the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures, a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end, a main balloon adjacent to the distal end of the elongated body, and a strap connector extending from the elongated body that is connectable with a stabilization strap. | 07-01-2010 |
20100191263 | PROSTHESIS FOR LAPAROSCOPIC ANASTOMOSIS - Prosthetic devices are provided for laparoscopic anastomosis, of end-to-side, end-to-end and side-to-side, with clamping and sutureless or with quick clamping and sutureless, where a prosthesis of large caliber can be introduced in the inner of the cavity where the anastomosis will be done passing through trocars of small caliber. When the prosthesis has intraluminal part, this will be covered by the grafts avoiding the contact of fluids which flow with the prosthesis material and with the anastomosis threads. The flange or the intraluminal part can also have openings or small straps allowing the fixation of the prosthesis to the external part of the tissue, vein, artery or tubular organ to eliminate the contact of foreign bodies with the inner of the anastomosis. | 07-29-2010 |
20100191264 | DEVICES, SYSTEMS AND METHODS FOR DIAGNOSING AND DELIVERING THERAPEUTIC INTERVENTIONS IN THE PERITONEAL CAVITY - A device and system are described that are capable of isolating at least one targeted tissue and forming an anastomosis between two internal body structures though a completely endoscopic procedure. Further, the device and system described generally comprise two tubular members that are capable of moving in a telescopic fashion relative to one another. Additionally, a method is described for using the device and/or system to bypass the duodenum from digestion. | 07-29-2010 |
20100198237 | MUCOSAL CAPTURE FIXATION OF MEDICAL DEVICE - An implantable medical device and method of implanting a medical device in a hollow organ or cavity lined with the mucosa includes providing a medical device having a wall configured to the size and shape of a portion of a cavity or hollow organ lined with the mucosa. At least one opening is provided in the wall that is large enough to receive a section of the mucosa extending in the opening. The wall is positioned against the portion of the cavity or hollow organ thereby receiving the section of the mucosa within the opening. A retainer may be provided to retain the section of the mucosa within the opening while maintaining perfusion of the section of the mucosa. | 08-05-2010 |
20100204718 | COMPOSITIONS AND METHODS FOR JOINING NON-CONJOINED LUMENS - Disclosed are compositions, methods, and kits for joining together non-conjoined lumens in a patient's body including vascular lumens. More particularly, in various aspects, this invention provides compositions, methods, and kits for joining such non-conjoined lumens, including small lumens typically requiring microsurgical technique. | 08-12-2010 |
20100211086 | APPARATUS AND METHODS FOR FORMING AND SECURING GASTROINTESTINAL TISSUE FOLDS - Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point and moving the first tissue contact point from a position initially distal to, or in line with, a second tissue contact point to a position proximal of the second contact point, thereby forming the tissue fold, and extending an anchor assembly through the tissue fold from a vicinity of the second tissue contact point. Adjustable anchor assemblies; as well as anchor delivery systems, shape-lockable guides and methods for endoluminally performing medical procedures, such as gastric reduction, treatment of gastroesophageal reflux disease, resection of lesions, and treatment of bleeding sites; are also provided. | 08-19-2010 |
20100217289 | IMPLANTABLE TISSUE CONNECTOR - An implantable tissue connector ( | 08-26-2010 |
20100217290 | Surgical connector systems and methods of use - A system and method of use for effecting the bypass or other anastomosis, connection, or port in a portion of a native blood vessel, duct, lumen or other tubular organ within the body of a living being. The system includes a connector assembly and a deployment instrument for carrying the device to the desired position within the vessel, duct, lumen or tubular organ. The system includes a piercer-dilator instrument to form an opening in the wall of the vessel, duct, lumen or tubular organ into which a connector assembly may be deployed by the deployment instrument. The connector assembly may be at least partially formed of a resorbable material and includes movable members for securing it to the tissue of the vessel, duct, lumen or tubular organ contiguous with the opening. Other components may be included in the device for expediting the procedure, with or without the use of sutures. | 08-26-2010 |
20100217291 | Invaginator for gastroesophageal flap valve restoration device - An assembly for restoring a gastroesophageal flap valve includes a restoration device substantially free for rotation. The assembly comprises an elongated member configured to be fed through a throat, down an adjoining esophagus and into an associated stomach. The elongated member has a distal end. The assembly further comprises a gastroesophageal flap valve restoration device carried on the distal end of the elongated member for placement in the stomach, and an invaginator carried by the elongated member. The invaginator is configured to grip the esophagus and the elongated member and invaginator are coupled for restricted relative axial movement and substantially free relative rotational movement. | 08-26-2010 |
20100228272 | ENDOSCOPIC PLICATION DEVICE AND METHOD - Described herein are endoscopic plicators passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention. After one or more plications is formed, medical devices may be coupled to the plication(s) for retention within the stomach. | 09-09-2010 |
20100241146 | DEVICES AND METHODS FOR RETAINING A GASTRO-ESOPHAGEAL IMPLANT - Various methods and devices are described for retaining a medical implant within a body cavity. According to one aspect, one or more plications are formed and the medical device is coupled to or seated against the plication(s). | 09-23-2010 |
20100249812 | INSUFFLABLE PROSTHESIS FOR ANASTOMOSE - An insufflable prosthesis is provided, that is radiopaque or with a circumferential radiopaque mark, for sutureless and non clamping side-to-side, end-to-end and end-to-side anastomosis, or fast clamping and sutureless wherein vessel graft or any other is inserted or not (whether externally covered or not if using grafts), in the lumen of the prosthesis comprised by an insufflable balloon, whether distensible or not and after being covered by graft, the balloon can be filled with polymerizable fluid, like silicon or cyanoacrylate glue, whether radiopaque or not, by a syringe having unidirectional valve to a needed caliber in order to keep the graft wall jointed and tight in relation to the organ which performs the anastomosis. The insufflable balloon, elastic and distensible, or non elastic and having preset dimensions also comprises non elastic punctiform bars inside that are responsible for keeping constant the distance between the elastic balloon walls. | 09-30-2010 |
20100249813 | ANASTOMOSIS DEVICE APPROXIMATING STRUCTURE CONFIGURATIONS - A surgical tool including an elongated body having a proximal end and a distal end, first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body, an actuating mechanism at the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures, and a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end. The tool further includes a main balloon adjacent to the distal end of the elongated body, and a second balloon spaced from the main balloon toward the proximal end of the elongated body, wherein the second balloon has an expanded condition in which it diverts one of the set of tissue approximating structures away from the main balloon. | 09-30-2010 |
20100249814 | TISSUE MANIPULATION AND SECUREMENT SYSTEM - Tissue manipulation and securement systems are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member and has a lower jaw member and an upper jaw member pivotably coupled to the lower jaw member. A reconfigurable launch tube is also pivotably coupled to the upper jaw member and is used to urge the jaw members from a low-profile configuration to an open configuration for receiving tissue. The tissue manipulation assembly may be advanced through a shape-lockable endoscopic device, a conventional endoscope, or directly by itself into a patient. A second tool can be used in combination with the tissue manipulation assembly to engage tissue and manipulate the tissue in conjunction with the tissue manipulation assembly. | 09-30-2010 |
20100262170 | ANASTOMOTIC TISSUE CONNECTION DEVICE - The invention relates to an anastomotic tissue connection device in the form of a circular suture clip device which has a head side end ( | 10-14-2010 |
20100286717 | Method and Apparatus for Anastomosis Including an Expandable Anchor - The present disclosure relates a device for joining a first body vessel to a second body vessel, including an inner member having a distal end portion and defining a longitudinal axis, an outer member defining a lumen dimensioned to receive the inner member therein, and a radially expandable anchor disposed at the distal end of the inner member, the expandable anchor having an initial condition wherein the expandable anchor is disposed between the outer member and the inner member and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition. | 11-11-2010 |
20100312261 | SHEATH FOR GASTROSTOMA, SHEATHED DILATOR, SHEATH FOR GASTROSTOMA WITH INSERTION AID, GASTROSTOMY CATHETER KIT, AND METHOD OF SPLITTING SHEATH FOR GASTROSTOMA - The present invention provides a sheath for gastrostoma ( | 12-09-2010 |
20100318109 | PROSTHESIS FOR ANASTOMOSIS - Prosthetic devices are provided that are used in end-to-side, end-to-end, and side-to-side anastomosis without clamping and sutureless, or with clamping and sutureless, where the graft is inserted in at least one of the intraluminal parts of the tubular member of the prosthesis, and is everted and coated, being previously fixed to the flange. The tubular member and flange are screwed among them in order to make the size of the intraluminal part more flexible. | 12-16-2010 |
20100331866 | LINEAR CLAMPS FOR ANASTOMOSIS - The present embodiments provide medical apparatuses, systems, and methods for rapidly forming an anastomosis between two viscera. The medical apparatus generally comprises two bases with two clamp members rotatably attached to the bases, the clamp members being capable of compressing tissue. The system generally comprises positioning and then deploying the medical apparatus between and within two stomas via an elongate member. The method generally comprises using the medical system to create an anastomosis between the stomach and the jejunum. | 12-30-2010 |
20110004228 | Systems and Methods for Treating Obesity and Type 2 Diabetes - The present invention provides systems and methods for treating and/or controlling obesity and type II diabetes. In one aspect of the invention, a device for treating obesity includes a flow restrictor and an anchor coupled to the flow restrictor. The flow restrictor is movable between a first or collapsed configuration sized and shaped for endoscopic advancement through the patient's esophagus and into a distal region of the stomach and a second or operative configuration sized and shaped for inhibiting a flow of chyme from the stomach to the pyloric sphincter. It is believed that this will cause the prolongation of satiety, and result in fewer meals being eaten and/or smaller meals being ingested. The anchor is movable between a first or collapsed configuration sized and shaped for advancement through the esophagus, stomach and pyloric sphincter and into the proximal region of the duodenum and a second or operative configuration sized and shaped to inhibit proximal movement of the anchor through the pyloric sphincter. | 01-06-2011 |
20110004229 | Systems and Methods for Treating Obesity and Type 2 Diabetes - The present invention provides systems and methods for treating and controlling obesity and/or type II diabetes. In one aspect of the invention, a bypass device includes gastric and duodenal anchors coupled to each other and positioned on either side of the pylorus and a hollow sleeve designed to extend from the pylorus through at least a proximal portion of a patient's small intestine. The gastric and duodenal anchors are movable between collapsed configurations for advancement through the esophagus and an expanded configuration for inhibiting movement of the anchors through the pyloric sphincter. Thus, the bypass device can be placed and removed endoscopically through the patient's esophagus in a minimally invasive outpatient procedure and it is “self-anchoring” and does not require invasive tissue fixation within the patient's GI tract, thereby reducing collateral tissue damage and minimizing its impact on the digestive process. | 01-06-2011 |
20110004230 | Atraumatic Gastrointestinal Anchor - The present invention relates to methods and articles for anchoring within a natural bodily lumen. An anchor is adapted to provide differing radially-outward forces along its length, a securing force and a transitional force. Production of these forces can be controlled by varying a physical property of the anchor, such as its stiffness, thickness, or shape. For example, the stiffness of an elongated anchor can be varied from a relatively soft value at its proximal and distal ends to a relatively stiff value at its center by varying the diameter of wire forming the anchor, thereby tailoring it to an intended application. Such force tailoring can be combined with external barbs and used to reliably anchor other instruments, such as feeding tubes and intestinal sleeves. | 01-06-2011 |
20110009886 | METHODS AND DEVICES FOR ENDOSCOPICALLY CREATING AN ANASTOMOSIS - A method and devices that endoscopically create an anastomosis between two sections of the digestive tract, thereby allowing at least some chyme to bypass a section of the digestive tract while, optionally, the remaining chyme passes through the entire tract. | 01-13-2011 |
20110009887 | METHODS FOR REDUCING GASTRIC VOLUME - The present invention involves new interventional methods for reducing gastric volume, and thereby treating obesity. The procedures are generally performed laparoscopically and may generally be described as laparoscopic plication gastroplasty (LPG) in which, after obtaining abdominal access, spaced apart sites on a gastric wall are engaged, approximated and fastened to create one or more tissue folds forming one or more plications projecting into the gastrointestinal space. The serosal tissue may optionally be treated during the procedure to promote the formation of a strong serosa-to-serosa bond that ensures the long-term stability of the tissue plication. These procedures are preferably carried out entirely extragastrically (i.e. without penetrating through the gastrointestinal wall), thereby minimizing the risks of serious complications. | 01-13-2011 |
20110015657 | DEVICE AND METHOD FOR ESTABLISHING AN ARTIFICIAL ARTERIO-VENOUS FISTULA - A shunt rivet for implantation in the aorta and inferior vena cava to treat chronic obstructive pulmonary disease, and a method of treating chronic obstructive pulmonary disease. | 01-20-2011 |
20110046650 | Support Structures and Methods of Using the Same - According to an aspect of the present disclosure, an apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes an anastomosis device having an anvil and a tubular body portion, wherein the anvil is selectively attachable to the tubular body portion by a shaft; and a support structure for deposition between the intestinal sections of tissue. The support structure includes a body defining an aperture therein for receiving the shaft. The body has an outer terminal edge. The support structure includes at least one layer of expandable material disposed at the outer terminal edge of the body. | 02-24-2011 |
20110054501 | SECURING DEVICE AND ASSEMBLY COMPRISING SUCH A SECURING DEVICE - The invention relates to a securing device for an anastomosis connection, comprising a ring provided with two cantilever pins. The ring has an axial axis. The ring has a first transverse axis and, at right angles thereto, a second transverse axis, which are both at right angles to the axial axis. The first transverse axis divides the ring into a first half and a second half. The second transverse axis and the first transverse axis together define a transverse plane, which has a first side along which the first half of the ring extends and a second side along which the second half of the ring extends. Each cantilever pin, at in each case one attachment site, is connected to the ring by a fixed end in order, in a cantilevered manner, to extend from the ring to the other, free end of the pin. The pins extend in the same direction. The free ends of the pins are situated on the second side of the transverse plane. The attachment sites are situated on the first half of the ring. | 03-03-2011 |
20110066170 | ENDOVASCULAR ANASTOMOTIC CONNECTOR DEVICE, DELIVERY SYSTEM, AND METHODS OF DELIVERY AND USE - An endovascular anastomotic connector and method of using the same. The endovascular anastomotic connector includes a vascular conduit and a supply conduit. The vascular conduit has proximal and distal ends that reside within a vascular structure. The supply conduit extends at an angle from the vascular conduit. The proximal end of the supply conduit is configured to be attached to an auxiliary device. | 03-17-2011 |
20110066171 | DEVICE AND METHOD FOR ANASTOMOSIS - A device for forming an anastomosis of blood vessels or ducts includes a first inner cylindrical element for engaging a corresponding first blood vessel/prosthesis end portion and a first middle cylindrical element into which the first inner cylindrical element is inserted to bend the legs of the first inner cylindrical element inwards to a predetermined extent so that deformable legs thereof engage the vessel/prosthesis wall. The device includes a second inner cylindrical element for engaging a corresponding second blood vessel/prosthesis end portion and a second middle cylindrical element into which the second inner cylindrical element can be inserted to bend the legs of the second inner cylindrical element inwards to a predetermined extent so that deformable legs thereof engage the vessel/prosthesis wall. The device also includes an outer element for reciprocally connecting the first and second middle cylindrical elements. | 03-17-2011 |
20110087252 | BILIARY DECOMPRESSION AND ANASTOMOSIS STENT - A stent and a method for implanting a stent for decompression and anastomosis formation are provided. The stent includes a non-expandable, generally tubular body having a proximal portion and a distal portion, a lumen extending through at least a portion of the body, a distal opening in the distal portion in fluid communication with the lumen and a proximal opening in the proximal portion in fluid communication with the lumen. The stent further includes a first magnetic element positioned on the distal portion of the tubular body and a second magnetic element movably positionable on the proximal portion of the tubular body. The second magnetic element is configured to surround and move over the proximal portion of the tubular body towards the first magnetic element. | 04-14-2011 |
20110087253 | Anastomosis Device - An anastomosis device ( | 04-14-2011 |
20110092993 | TISSUE APPROXIMATING DEVICE - The present invention is referred to a tissue approximating device comprising a two-piece anastomosis clamp that can be used to approximate two tissue sections together via an open or laparoscopic technique, via Natural Orifice Translumenal Endoscopic Surgery (NOTES) or via single site surgery. The clamp may be releasable attached to a clamp applying instrument for delivery in accordance with such procedures. The clamp includes a first member and a second member, where the clamp members are operable configured to fasten together to clamp and hold tissue, in juxtaposition to establish an anastomosis. The first clamp member includes a set of spikes and the second clamp member includes a set of receptacles for receiving said spikes. Said members may have a rectilinear shape depending on the type of tissue to be anastomosed, and they are made of an absorbable material. During the surgical procedure, a soft curtain-like covering made also of an absorbable or biodegradable material will be placed over said first and second members before the procedure as well as over the tissue to be anastomosed. | 04-21-2011 |
20110098732 | VISCERAL TISSUE APPROXIMATING METHOD AND DEVICE - The present invention is referred to a tissue approximating device comprising a two-piece anastomosis clamp that can be used to approximate two tissue sections together via open or laparoscopic technique, via Natural Orifice Translumenal Endoscopic Surgery (NOTES) or via single site surgery. The clamp includes a first member and a second member, where the clamp members are operable configured to fasten together, in juxtaposition to establish an anastomosis. The first clamp member includes a set of spikes and with a circumferential indentation and the second clamp member includes also a set of complementary receptacles for receiving said spikes and a circumferential indentation too. Said members have a circular shape, and they are made out of an absorbable material. The purposed method includes the steps of: | 04-28-2011 |
20110106118 | ABSORBABLE VASCULAR ANASTOMOTIC SYSTEM - Provided is an absorbable vascular anastomotic system including an insertion tube of which a front end has a plurality of hooks protruding outward and a rear end has ring-shaped protrusions, and an interlocking tube having grooves corresponding to the protrusions of the insertion tube such that two insertion tubes are inserted into the interlocking tube at both ends of the interlocking tube to be fixed. The insertion tube and the interlocking tube are formed of a material which is absorbed into a living body, and when two insertion tubes into which two blood vessels are respectively inserted to be fixed to the hooks are inserted into the interlocking tube at both ends of the interlocking tube, inner walls of both the blood vessels come into contact with each other in the center of the interlocking tube to be anastomosed. Since the absorbable vascular anastomotic system does not require an additional anastomotic device, it is possible to perform the anastomosis even in a narrow space. Further, since the absorbable vascular anastomotic system is completely absorbed into a living body, it is possible to avoid a risk of foreign body reaction. After the absorbable vascular anastomotic system is completely absorbed, the anastomosed vessels recover their own elasticity. | 05-05-2011 |
20110106119 | ANASTOMOSIS DEVICE - The present invention discloses an microvascular anastomosis device. The device comprises two rotatable and movable ring bodies disposed relatively on a guiding base, and a guiding member lead two vessels to pass through the two ring bodies respectively, wherein a tenon structure is disposed at the two ring bodies for aligning and embedding each other, and inner surface of each vessel is pressured in axial symmetry to make the outer surface of each vessel adhered and fixed onto the inner surface of each ring body, so as not to turn the vessels inside out when performing microvascular Anastomsis. | 05-05-2011 |
20110106120 | INTRAVASCULAR DEVICE ATTACHMENT SYSTEM HAVING TUBULAR EXPANDABLE BODY - An attachment system for attaching an intravascular device to a vessel wall of a body vessel is disclosed. The attachment system includes a tubular expandable body defining a lumen therethrough. The tubular expandable body is configured to move between an expanded state to contact the body vessel and a collapsed state for delivery or retrieval. The tubular expandable body is configured to contact the vessel wall along the length of the tubular expandable body in the expanded state when deployed in the body vessel. An intravascular device is held to the exterior side of the tubular expandable body and is configured to contact the vessel wall when the tubular expandable body is in the expanded state and the system is deployed within a body vessel. | 05-05-2011 |
20110118763 | METHOD AND APPARATUS FOR EFFECTING AN AORTIC VALVE BYPASS, INCLUDING THE PROVISION AND USE OF A T-STENT FOR EFFECTING A DISTAL ANASTOMOSIS FOR THE SAME - A connector for joining a first hollow structure to the side wall of a second hollow structure, the connector comprising:
| 05-19-2011 |
20110118764 | METHOD AND APPARATUS FOR EFFECTING A MINIMALLY INVASIVE DISTAL ANASTOMOSIS FOR AN AORTIC VALVE BYPASS - A connector for joining a first hollow structure to the side wall of a second hollow structure, the connector comprising:
| 05-19-2011 |
20110118765 | ANASTOMOSIS STENT - A stent made of single nitinol wire or other biocompatible material having shape memory properties may be configured to define a flower-like configuration generally providing a proximal plane and a distal plane, each generally centered around a generally cylindrical passage and configured for maintaining patency of an anastomosis or other opening. The wire or other biocompatible material may include a shroud or other covering and may also include one or more loops configured to allow relatively secure engagement of sutures. Methods of deployment are also provided. | 05-19-2011 |
20110118766 | Attachment System, Device and Method - A ventricular assist system and a method of implanting the system are disclosed. The system can have a pump, an inflow conduit, an outflow conduit, attachment ring, ring clamp, and a valvular structure. The attachment ring can be attached to the apex of the heart. The valvular structure can have a flexible, one-way valve in a rigid housing. The inflow conduit can be passed through the valvular structure and the attachment ring into a beating heart with minimal loss of blood. Devices such as slitting tool, coring knife, and/or C-clamp and use of the devices can form part of the system and method for implanting the ventricular assist device. | 05-19-2011 |
20110118767 | Method and Apparatus for Determining Status of Approximation Structures on Anastomosis Device - An anastomosis device ( | 05-19-2011 |
20110130775 | Device and Method for the Therapy of Obesity - A device for drawing tissues together and creating an anastomosis comprises a main guide wire ( | 06-02-2011 |
20110152899 | OBESITY TREATMENT TOOLS AND METHODS - Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods. | 06-23-2011 |
20110152900 | Surgical String Applicator For Anastomosis Surgery And Method Of Use - A surgical string applicator and the method of use for anastomosis surgery are provided. The surgical string applicator includes an elongate shaft, a string applying assembly including a pair of opposing jaws connected to a distal end of the shaft, one or more jaws including one or more grooves along an inner surface of the jaw, each of the grooves configured to receive therein at least a portion of a surgical string, such as a zip-tie to be applied, and a string fastening mechanism adapted to engage and fasten the surgical string; and a handle portion connected to the proximal end of the shaft; the handle portion including control mechanisms adapted to open and close at least one of the jaws and to actuate the string fastening mechanism. Further provided is an intra-lumenal position guide to be used together with the surgical string applicator. | 06-23-2011 |
20110160751 | EXTRALUMINAL STENT TYPE PROSTHESIS FOR ANASTOMOSIS - An external stent type prosthesis is provided that is extraluminal, with at least one tubular member, interconnectable in an upper end, and inflatable by a balloon with a central lumen, single but with multiple projections in equal plurality of tubular members of the stent which is adjusted in its interior, for side-to-side, end-to-end, end-to-side anastomosis without clamping and sutureless, or with expeditious clamping and sutureless, where the vascular graft, or anastomotic trunk, or any other grafts, inserted in the lumen of the balloon and prosthesis, comprising a distensible mesh and after being coated with graft, this mesh is expansible by the balloon until the necessary gauge to keep the graft wall joined together and sealed in relation to the organ wall, that can contain a bag suture around the place where the anastomosis is made. | 06-30-2011 |
20110160752 | ELONGATE MAGNET FOR A MAGNETIC ANASTOMOSIS DEVICE - A magnetic anastomosis device is provided for forming an anastomosis between two bodily walls. The device includes a first magnet assembly and a second magnet assembly configured to be magnetically coupled to compress the two bodily walls therebetween to form the anastomosis. The first magnet assembly includes a first magnet and a second magnet disposed within a first jacket and the second magnet assembly includes a third magnet and a fourth magnet disposed within a second jacket. | 06-30-2011 |
20110160753 | INTRALUMINAL OCCLUSION DEVICES AND METHODS OF BLOCKING THE ENTRY OF FLUID INTO BODILY PASSAGES - An intraluminal occlusion device includes a frame and an attached covering. The frame includes longitudinal struts having concave and convex portions. The intraluminal occlusion devices can be implanted at an opening to a body vessel, such as a blind passage, to block the entry of fluid into the vessel. Methods of blocking the entry of fluid into bodily passages are also described. | 06-30-2011 |
20110160754 | SPRING-LOADED ANASTOMOSIS DEVICE AND METHOD - An anastomosis device and related methods for performing an anastomosis procedure, such as rejoining a urethra with a bladder following a radical prostatectomy. The engagement structures each have deployable tines for grasping the tissue proximate to the end of the biological lumen and the opening in the bodily organ. The anastomosis device also has a positioning apparatus for dynamically maintaining the engagement structures in proximity throughout a healing process such that tissue to be joined remains in approximation. | 06-30-2011 |
20110166585 | SINGLE FOLD DEVICE FOR TISSUE FIXATION - A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ. | 07-07-2011 |
20110172684 | PROSTHESIS FOR ANASTOMOSIS - Prosthetic devices are provided that are used for end-to-side, end-to-end and side-to-side anastomosis, without clamping and sutureless or with quick clamping and sutureless, where the tubular member of the prosthesis, besides having its intraluminal part angled in relation to the flange, can also have more than one intraluminal part, in form of a “Y”, a “T”, and other variations. The flange can also be with or without openings or small handles and chamfers, allowing the tie-up to the external part of the tissue, vein, artery or tubular organ to eliminate the contact of foreign bodies inside the anastomosis. The prosthesis can also be without flange or have a tubular member with tapered center to peripheral part or from external part to intraluminal one, and it can be cut in the desired size and gauge. Therefore, the prosthesis can have varied sizes and shapes to accommodate varied graft sizes and types in a simultaneous way. | 07-14-2011 |
20110172685 | TRANSESOPHAGEAL GASTRIC REDUCTION DEVICE, SYSTEM AND METHOD - A gastric reduction system and method provides for transesophageal formation of a gastric reduction pouch of the stomach. The system includes an expandable structure, which may be placed in a stomach and expanded to occupy a fractional volume of the stomach. An evacuator is then fed through the expandable structure and utilized to deflate the stomach and draw the stomach to and around the expandable structure to form the gastric reduction pouch. A self-deploying fastener is then deployed to maintain the gastric reduction pouch. | 07-14-2011 |
20110172686 | Device For Engaging Tissue Having a Preexisting Opening - A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis | 07-14-2011 |
20110178540 | PERCUTANEOUS ABDOMINAL IMPLANT - An implant for percutaneous implantation through the abdominal wall for encircling and engaging an externalized length of a body duct of a human or animal patient. The implant has an exterior tubular section defined by an circumferential exterior wall at least a part of which is adapted to protrude outwardly from the abdominal wall with a free end for mounting of a detachable device, an interior section defined by an circumferential interior wall adapted to extend through the abdominal wall and inside the patient for internal fixation of the implant, wherein the exterior tubular section and the interior section have a common axis A. The circumferential exterior wall of the exterior tubular section and the circumferential interior wall of the interior section are arranged axially spaced apart at a distance D from each other to provide an axial gap between opposing free ends of the exterior tubular section and the interior section, with the exterior tubular section and interior section being connected inside the sections. | 07-21-2011 |
20110184443 | Stapling apparatus for performing anastomosis on hollow organs - A stapling apparatus for performing anastomosis on hollow organs. The apparatus consists of two combinable tools which are L-shaped, one tool for retaining staple retaining clips, and the other tool for retaining staples. The L-shaped tools are each provided with an elongated handle and a C-shaped jaw positioned at a distal bottom end of the handle in a plane substantially transverse to the handles of the tools. When the two tools are combined, the C-shaped jaw retaining a series of staple retaining clips is positioned below the C-shaped jaw retaining the arranged series of staples with the respective staples in registration with respective underlying clips for stapling. The C-shaped jaws provide gaps which permit ingress and egress of hollow organ ends to be stapled. A staple firing mechanism is operated from the proximal top end of one of the handles of the stapling apparatus whereby downward pressures 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. | 07-28-2011 |
20110184444 | ANASTOMOSIS COMPOSITE GASKET - The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material. | 07-28-2011 |
20110190796 | TRANSORAL ENDOSCOPIC GASTROESOPHAGEAL FLAP VALVE RESTORATION DEVICE, ASSEMBLY, SYSTEM AND METHOD - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 08-04-2011 |
20110196392 | APPARATUS AND METHODS FOR PERFORMING TRANSLUMINAL GASTROINTESTINAL PROCEDURES - Methods and apparatus are provided for diagnosing and treating digestive or other organs (as well as other parts of the body) endoluminally and transluminally, via instruments passed into the GI tract per-orally and/or per-anally. The instruments may, for example, pass transluminally out of the stomach and/or the colon through a breach formed therein in order to conduct diagnostic or therapeutic procedures, such as gastroenterostomy. | 08-11-2011 |
20110196393 | URETHRAL ANASTOMOSIS DEVICE AND METHOD OF USING THE SAME - The present invention provides a urethral catheter | 08-11-2011 |
20110202077 | Temporary Anastomotic Seal and Method - Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure. | 08-18-2011 |
20110202078 | TRANSORAL ENDOSCOPIC GASTROESOPHAGEAL FLAP VALVE RESTORATION DEVICE, ASSEMBLY, SYSTEM AND METHOD - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 08-18-2011 |
20110208218 | Vascular Clamps for Vascular Repair - A magnetic vascular clamp for vascular repair is described. There are two clamp pieces, where each clamp piece forms a partial cylindrical section of an annular cylinder. Each clamp piece has an outer surface and an inner surface, structural ribs arranged across the inner surface from one sectional end to the other, and a pair of magnetic sectional end surfaces connecting the outer surface and the inner surface and having a characteristic magnetic field arrangement. The sectional end surfaces and magnetic field arrangements of each clamp piece cooperate with the sectional end surfaces and magnetic field arrangements of the other clamp piece to form a complete annular cylinder held together by the magnetic field arrangements and enclosing an inner cylinder so as to structurally support damaged vascular tissue therein with minimal fluid leakage. | 08-25-2011 |
20110208219 | METHOD AND APPARATUS FOR ENDOSCOPIC REPAIR OF THE LOWER ESOPHAGEAL SPHINCTER - The present invention includes a method and apparatus for adhering tissue to one another. In an embodiment of the present invention the two tissues to be joined, for example the lower esophagus and the fundus of the stomach, are first placed adjacent to one another. Next a first restraint is placed near the outside surface of one of the tissues and a second restraint is placed near the outside surface of the other tissue. An irritant is then placed between the two adjacent tissues. The restraints, and consequently the tissue surfaces, are then drawn together. As the touching irritated tissue surfaces heal they will become bonded to one another and their need for the mechanical fastening of the restraints, to secure them together, will be diminished. | 08-25-2011 |
20110213389 | DEVICES AND RELATED METHODS FOR SECURING A TISSUE FOLD - The present invention relates to devices and methods for creating and securing a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall. An aspect of the invention includes a two-piece tissue clip configured to be installed through an endoluminal device to secure a tissue fold. The clip includes a female member and a male member configured to engage one another to secure the tissue fold. Another aspect of the invention includes a clipping device comprising a tissue clip magazine. The magazine is configured to hold a plurality of tissue clips and install the plurality of tissue clips in a single actuation of the magazine. A method for using the clipping device together with the tissue clips of the present invention to create and secure a fold of tissue during an endoluminal procedure also is disclosed. | 09-01-2011 |
20110213390 | TRANSORAL ENDOSCOPIC GASTROESOPHAGEAL FLAP VALVE RESTORATION DEVICE, ASSEMBLY, SYSTEM AND METHOD - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 09-01-2011 |
20110224705 | SURGICAL TOOL FOR ANASTOMOSIS - According to various embodiments, a surgical tool comprises a body including a pair of legs, each leg having a leading edge and a butt end, the pair of legs being connected to at their butt ends, wherein the pair of legs are configured to come close and depart at the leading edges; and a deformable connecting member connecting, either directly or indirectly, the pair of legs to one another at the leading edges. | 09-15-2011 |
20110230901 | SUPPORT STRUCTURES AND METHODS OF USING THE SAME - According to an aspect of the present disclosure, an apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes an anastomosis device having an anvil and a tubular body portion, wherein the anvil is selectively attachable to the tubular body portion by a shaft; and a support structure for deposition between the intestinal sections of tissue. The support structure includes a body defining an aperture therein for receiving the shaft. The body has an outer terminal edge. The support structure includes at least one layer of expandable material disposed at the outer terminal edge of the body. | 09-22-2011 |
20110230902 | ANASTOMOSIS DEVICE - An anastomosis device including a graft vessel having a tubular body with two open ends. At least one of the ends is provided with a ring-shaped coupling unit integrated with the tubular body. The unit has a connection means element for coupling it to a complementary ring-shaped coupling unit. Anastomosis thereby can easily be made by connecting the graft vessel to a coupling unit attached on a target vessel, when coupling the two units together. | 09-22-2011 |
20110238096 | APPARATUS INCLUDING MULTIPLE INVAGINATORS FOR RESTORING A GASTROESOPHAGEAL FLAP VALVE AND METHOD - A transoral gastroesophageal flap valve restoration assembly comprises a pair of tissue grippers. The device comprises an elongated member having a distal end arranged for being fed down an esophagus in communication with a stomach and a tissue shaper carried on the distal end of the longitudinal member. The tissue shaper comprises a first member adjacent the distal end of the elongated member and a second member. The first and second members are hingedly coupled to receive the stomach tissue to be shaped there between. The distal end of the elongated member has one of the tissue grippers that grips esophageal tissue oral of a Z line and the first member of the tissue shaper has the other tissue gripper that grips stomach tissue aboral of the Z line. A tissue fastener maintains the shaped stomach tissue. | 09-29-2011 |
20110238097 | Extraluminal Sealant Applicator And Method - An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto. | 09-29-2011 |
20110245853 | INTESTINAL ANASTOMOTIC SURGERY AID - An intestinal anastomotic surgery aid | 10-06-2011 |
20110245854 | DEVICES AND METHODS TO DELIVER, RETAIN AND REMOVE A SEPARATING DEVICE IN AN INTUSSUSCEPTED HOLLOW ORGAN - The present invention is an improved separating device for providing the malabsorptive component of a minimally invasive weight reduction system. This device may be a sleeve, liner, or tubular sheath that alters absorption of compositions through walls of hollow organs (stomach, intestines). The improvement involves better long-term retention through the ability of the device to engage with the interserosal fibrotic tissue formed in an intussusception. The separating device may be a distal extension of a retaining member that is directly engaged with and retained by intussuscepted tissue. Intussusception shrinks a hollow organ to provide a volume reducing restrictive component of a weight reduction system. Securing the separating device to an intussusception avoids retention problems of reference art devices as interserosal fibrosis helps secure the device. Also provided are an apparatus for retaining the device, a device and method for delivering the separating device, and a method for removing it. | 10-06-2011 |
20110251628 | ANASTOMOTIC DEVICE FOR TUBULAR ORGAN - Provided is an anastomotic device including a first holder and a second holder for holding a first anastomotic ring and a second anastomotic ring, respectively, a first slave body which is connected to the first holder, and which has a first slave surface, a second slave body which is connected to the second holder, and which has a second slave surface, a first driving body which has a first driving surface sliding along the first slave surface, and which moves along a predetermined direction, and a second driving body which has a second driving surface sliding along the second slave surface, and which moves along the predetermined direction. The first slave body moves toward the second slave body and the second slave body moves toward the first slave body by the movements of the first driving body and the second driving body. | 10-13-2011 |
20110257667 | ANASTOMOTIC INSTRUMENT, ENDOSCOPE SYSTEM, AND CONTROL METHOD OF ANASTOMOTIC INSTRUMENT - An anastomotic instrument includes first and second units. The first unit is attached to a distal end portion of an insert section of an endoscope, and has a self-propellable apparatus and an anvil. The second unit is attached behind the first unit, and has a cartridge and a balloon. The insert section with the anastomotic instrument is inserted into the alimentary canal. In the alimentary canal, fluid is sucked out from space enclosed by the first and second unit through a suction port provided in the cartridge, to bring the space into negative pressure. While the alimentary canal is shrunk in the space, the second unit is shifted relative to the first unit. In a state where the shrunk alimentary canal is caught between the first and second units, a cutter resects living body tissue, and staples are struck to join edges of an incision of the alimentary canal. | 10-20-2011 |
20110257668 | SYSTEMS AND METHODS FOR CREATING ANASTOMOSES - Medical system and methods are provided for forming an Anastomosis, such as an intestinal bypass anastomosis for treatment of obesity or diabetes. The medical devices and methods are minimally invasive and reduce complications. One embodiment of the method includes forming a first opening in the first section and forming a second opening in the first section. A proximal portion of the second section is moved to a position adjacent the first opening, and a distal portion of the second section is moved to a position adjacent the second opening. In this manner, an intermediate portion of the second section extends along the first section and an anastomosis can then be formed between the first section and the second section. | 10-20-2011 |
20110264121 | SLEEVE TYPE FIXING METHOD AND DEVICE FOR ANASTOMOSIS FOR TUBULAR ORGANS SUCH AS INTESTINES, STOMACH, ESOPHAGUS ETC - A sleeve type fixing method for anastomosis for tubular organs, using an anastomosis device which has an inner and an outer ring. The outer ring is made of elastic material, and the inside of the lower portion of the outer ring has an inwardly protruding ring. The protruding ring is clamped to the connecting portion of the inner ring. In operation, one intestine is sleeved and fixed on the flange of the anastomosis portion of the inner ring, and the outer ring is overturned to let the lower edge overturn. Then another intestine is sleeved and fixed on the outer ring, and both the outer ring and the intestine are overturned so that the intestine is connected in the inner edge of the outer ring. Finally the inner ring is inserted and the two intestines overlapped on the anastomosis portion of the inner and outer ring. | 10-27-2011 |
20110264122 | DEVICE FOR APPLYING GLUE ON TISSUES TO BE CONNECTED - A device for applying a connecting glue ( | 10-27-2011 |
20110264123 | VASCULAR GRAFT - A vascular graft for anastomosis of blood vessels or ducts comprises piercing means ( | 10-27-2011 |
20110270287 | VASCULAR GRAFT - A vascular graft for anastomosis of blood vessels or ducts comprises piercing means ( | 11-03-2011 |
20110276067 | Method and Apparatus for Anastomosis Including Annular Joining Member - Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include a tubular body having a distal end and a proximal end and defining a longitudinal axis, the tubular body including an expandable anchor provided near the distal end thereof and an expandable cuff provided near the distal end of the tubular body and proximal of the expandable anchor, and a joining member configured and adapted to be received about the expandable cuff of the tubular body, the joining member having an annular body portion including a pair of opposed terminal edges. The joining member has a retracted position in which the pair of opposed terminal edges overlap by a predetermined amount and an expanded position in which the pair of opposed terminal edges overlap by an amount less than the predetermined amount. | 11-10-2011 |
20110276068 | Method And Apparatus For Radical Prostatectomy Anastomosis Including An Anchor For Engaging A Body Vessel And Deployable Sutures - A device for joining a first body vessel to a second body vessel including a cartridge having a distal end and defining a longitudinal axis, a radially expandable anchor disposed at the distal end of the cartridge for engaging the first body vessel, the expandable anchor having an initial condition and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition, and a plurality of sutures disposed within the cartridge and being deployable therefrom so as to engage the second body vessel, the sutures being threaded through the expandable anchor. | 11-10-2011 |
20110276069 | Method and Apparatus for Anastomosis Including an Anchoring Sleeve - Apparatus for performing a surgical anastomosis include a tubular body having an onion portion formed near the distal end of the tubular body. The apparatus includes a sleeve having a radius sized and dimensioned to slidably receive the tubular body therein. The apparatus includes a plunger assembly sized and dimensioned to be slidably received within the central lumen of the tubular body. The plunger assembly includes a distal end configured and adapted to deploy the onion portion. | 11-10-2011 |
20110282366 | Method and Apparatus for Anastomosis Including an Anchoring Sleeve - Apparatus for performing a surgical anastomosis include a tubular body having an onion portion formed near the distal end of the tubular body. The apparatus includes a sleeve having a radius sized and dimensioned to slidably receive the tubular body therein. The apparatus includes a plunger assembly sized and dimensioned to be slidably received within the central lumen of the tubular body. The plunger assembly includes a distal end configured and adapted to deploy the onion portion. | 11-17-2011 |
20110282367 | Method And Apparatus for Radical Prostatectomy Anastomosis - Apparatus for performing a surgical anastomosis include a tubular body having an expandable anchor operatively coupled near a distal end thereof. The apparatus further includes a sleeve slidably received about the tubular body. The sleeve has an expandable anchor operatively coupled near a distal end thereof. The expandable anchor of the tubular body has an annular ring concentric with a longitudinal axis defined by the tubular body. | 11-17-2011 |
20110288570 | ANASTOMOSIS DEVICE - An anastomosis device for avoiding stretching of a catheter body during an extending healing period while reducing scrap costs. The anastomosis device includes a catheter body defining a proximal end portion and a distal end portion, wherein a device body portion is operably attached at the proximal end portion. The device body portion includes a funnel shaped aperture connecting the device body portion to the proximal end portion. The device body portion provides access into the catheter body so as to allow for placement of a tension cable or flexible core tubing within the catheter body following inspection and verification of an overmold between the device body portion and catheter body. Placement of the tension cable or flexible core tubing subsequent to overmolding reduces scrap costs while eliminating stretching of the catheter body. | 11-24-2011 |
20110295285 | METHODS AND APPARATUS FOR MAGNET-INDUCED COMPRESSION ANASTOMOSIS BETWEEN ADJACENT ORGANS - Methods and apparatus for creating an anastomosis or fistula between the gallbladder and an adjacent organ are disclosed. First, a parent magnet, typically a permanent magnet, is deployed in the stomach, small intestine, or another organ adjacent to the gallbladder, and a mating daughter material is deployed in the gallbladder in order to create a magnet-compression anastomosis. The gallbladder may then be ablated or otherwise functionally inactivated through the anastomosis. Another aspect of the invention relates to an all-in-one surgical kit that contains all the necessary specialized tools for a surgeon to perform the procedure. | 12-01-2011 |
20110295286 | METHODS AND DEVICES FOR REGULATING THE ACTIVATION OF GHRELIN HORMONES WITHIN A STOMACH - Methods and devices regulate the activation of ghrelin hormones within a stomach in order to treat weight disorders, to promote learning and memory functions, to treat stress-induced depression, and to control sleep duration. In one embodiment, a method for regulating activation of ghrelin hormones within a stomach comprises a means for isolating non-activated ghrelin hormones from food content and dietary lipids within the stomach. These means for isolating may take any number of forms and may comprise one or more of a surgical procedure, an implanted device, or an ingestible substance. | 12-01-2011 |
20110295287 | ACTUATION SYSTEM FOR AN ANASTOMOSIS DEVICE - An anastomosis device including an actuation system adapted to control the deployment of the anastomosis device. The anastomosis device includes a watertight barrier for preventing bodily fluids from traversing an actuation wire lumen containing a plurality of actuation wires. The anastomosis device can include a lockout system on a mechanical actuator that prevents disengagement of a grasping assembly until healing from an anastomosis procedure is complete and the anastomosis device is removed. | 12-01-2011 |
20110295288 | SURGICAL DEVICE FOR THE TEMPORARY PROTECTION OF ANASTOMOSIS - A surgical device ( | 12-01-2011 |
20110306994 | DEVICE FOR PERFORMING END-TO-END ANASTOMOSIS - Herein is provided an anastomosis device which includes a cylindrical support housing having a tapered section being formed of a plurality of compliant fingers integrally formed around the circumference of an end of the cylindrical section which can flex at their connection point to the cylindrical section. Each compliant finger holds a suture needle. The device includes a push rod having a cam head at one end of the rod section. The cam head is located adjacent to the tapered portion. In operation the anastomosis device is aligned with the anatomical tubular structure undergoing an anastomosis process. When a back end of the push rod is pushed towards the tapered section of the support housing, the cam head section bears against an inner surface causing each compliant finger to flex radially outwards forcing the suture needles to simultaneously pierce the wall of the anatomical tubular structure. | 12-15-2011 |
20110319916 | SLOT DRIVE TYPE ANASTOMOSIS DEVICE - Provided is an anastomosis device including a first head holding a first anastomosis ring, a second head holding a second anastomosis ring, a first guide bar connected to the first head and switching a release position and a standby position to each other, wherein the first guide bar includes a first rotation groove, a second guide bar connected to the second head and switching the release position and the standby position to each other, wherein the second guide bar includes a second rotation groove, and a rotation driver moving approximately in a parallel direction to the first and second guide bars and including a first guide protrusion and a second guide protrusion, which move along the first and second rotation grooves, respectively. | 12-29-2011 |
20120004676 | Intragastric Implant Devices - An intragastric anchor implant device is provided with a substantially rigid member having proximal and distal ends and atraumatic tips or features disposed near the proximal and distal ends. The atraumatic features prevent damage to the tissues of the stomach and the gastrointestinal track and may help to anchor the device in the stomach, while the substantially rigid member resists bending so as to engage a tissue of the stomach or the gastrointestinal tract to prevent passage through the stomach. The anchor implant device is coupled with a therapeutic device, typically a sleeve, such as an intestinal bypass sleeve. Ideally, the device includes a sliding seal to direct a flow of food particles from the stomach through the sleeve, so as to be useful in treating a disorder, including obesity and diabetes. Methods of deploying the anchor implant devices are also disclosed. | 01-05-2012 |
20120004677 | TISSUE-ACQUISITION AND FASTENING DEVICES AND METHODS - Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s). | 01-05-2012 |
20120004678 | ANASTOMOSIS INSTRUMENT AND METHOD FOR PERFORMING SAME - A surgical instrument for creating an anastomosis includes a housing, a handle extending from the housing and a fastener support member extending distally from the housing. The fastener support member is configured and dimensioned to releasably support a plurality of surgical fasteners. The instrument further includes a tissue retaining mechanism which is selectively movable from a first position relative to the fastener support member to a second position in closer proximity with the fastener support member such that tissue disposed adjacent to the fastener support member is retained thereagainst. Upon actuation of the handle, a fastener firing mechanism simultaneously deforms the plurality of surgical fasteners to complete the anastomosis. | 01-05-2012 |
20120010639 | Apparatus and method for manipulating tissue - Apparatus for reconfiguring tissue, the apparatus comprising a shaft having a distal end and a proximal end; at least one effector mechanism movably mounted to the distal end of the shaft, each effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, the at least one effector mechanism being configured to capture the gripped tissue against said shaft, at least one actuating mechanism mounted to the proximal end of the shaft, and at least one connection mechanism connecting the at least one actuating mechanism to the at least one effector mechanism, whereby a user may utilize the at least one actuating mechanism to actuate the at least one effector mechanism so as to reconfigure tissue. | 01-12-2012 |
20120016392 | METHOD FOR TREATING MORBID OBESITY - A method for treating morbid obesity in a body of a mammal having a gastrointestinal tract extending through a stomach and a pyloric sphincter and a wall forming the stomach and pyloric sphincter. At least one implant is formed in the wall in the vicinity of the pyloric sphincter to inhibit emptying of the stomach. | 01-19-2012 |
20120016393 | INSTRUMENTATION AND METHOD FOR PERFORMING A MULTISTAGE GASTRIC BYPASS - 1. Instrumentation for carrying out a gastrointestinal bypass comprising:
| 01-19-2012 |
20120029541 | METHOD OF SECURING A GRAFT - Disclosed is an anastomosis catheter, for achieving a tissue to tissue or synthetic graft to tissue attachment. The catheter includes a plurality of deployable tissue anchors, which may be laterally deployed into surrounding tissue. The anchors may be used to achieve end to end or end to side anastomoses. Methods are also disclosed. | 02-02-2012 |
20120035628 | DELIVERY SYSTEM FOR MAGNETIC ANASTOMOSIS DEVICE - A magnet delivery system for forming an anastomosis that comprises a wire guide; a catheter having a delivery portion for advancement into a intracorporeal space, the delivery portion having a lumen extending at least partially therethrough, and a strand connected to the catheter, whereby the magnet is disposed over the wire guide and distal to the catheter, and retained by the strand being releasably connected to the wire guide. | 02-09-2012 |
20120035629 | VISCEROTOMY CLOSURE DEVICE AND METHOD OF USE - Viscerotomy closure devices and methods of use close a hole in a bodily organ, such as one created during a natural orifice transgastric surgery procedure. A mesh with a hole in its center and an attached loop of suture having a Roeder knot is mounted on the protruding rod of an end-to-end anastomosis stapler between the anvil and the staple carrying member. The mesh covers the staple receiving slots. When rotated when in contact with tissue, an augur-shaped blade attached to the anvil's exterior self-feeds the tissue through a notch in the anvil's base into the space between the anvil and the staple carrying member. After the stapler is fired to staple the mesh to the tissue and create a viscerotomy, a knot pusher cinches the loop of suture and subsequently tightens the Roeder knot to maintain the cinch. | 02-09-2012 |
20120059398 | Magnetic Ventricular Connector - A magnetic coupling for connecting a cannula to the apex of a ventricle comprising a first member having a first orifice, a first magnetic material attached to the first member, a means for attaching a cannula to the first member, a second member having a second orifice, a second magnetic material attached to the second member, a means for attaching the second member to a ventricle, so that when the first magnet is placed in proximity to the second magnet the first member and second member are held substantially concentric by magnetic force to allow for the communication of fluid between the first and second orifices. | 03-08-2012 |
20120059399 | BIOLOGICAL TISSUE CONNECTION AND REPAIR DEVICES AND METHODS OF USING SAME - The instant invention provides compositions and methods for promoting the repair and/or growth of biological tissue, e.g., tubular biological tissue such as nerves. Specifically, the instant invention provides tissue connection devices and tissue repair devices and methods for using these devices. | 03-08-2012 |
20120065651 | GASTRO-INTESTINLAL COMPRESSION DEVICE - Devices, methods, and systems for treating Type-2 Diabetes and/or obesity by facilitating the delivery of under-digested nutrients within the gastro-intestinal tract without substantial tissue removal are disclosed. In one aspect, the gastro-intestinal tract of a patient is modified by a gastro-intestinal treatment device comprising an elongate element configured to extend within the gastro-intestinal tract, a first attachment element and a second attachment element disposed on the elongate element, wherein the first attachment element and the second attachment element are configured to attach to the gastro-intestinal tract such that a portion of the gastro-intestinal tract is compressed between the first and the second attachment elements. The length of the gastro-intestinal tract modified by the device is effectively shortened, and its surface area is reduced. | 03-15-2012 |
20120065652 | ANASTOMOTIC DEVICES AND METHODS - Exemplary embodiments comprise AV fistulas and other anastomotic devices for creating new or reinforcing existing side-branch vessels, and/or bridging neighboring vessels together. An exemplary embodiment may comprise a sidewall port, such as a flanged sidewall port, and/or flow frame design, such as a partially bare, flexible stent or a whisk, for purposes of creating a transmural flow. Another exemplary embodiment may comprise a compliant vessel support to aid in the transition from device to vessel and/or vessel to device, and to promote vessel dilation. | 03-15-2012 |
20120065653 | INTRA-GASTRIC FASTENING DEVICES - Intra-gastric fastening devices are disclosed herein. Expandable devices that are inserted into the stomach of the patient are maintained within by anchoring or otherwise fixing the expandable devices to the stomach walls. Such expandable devices, like inflatable balloons, have tethering regions for attachment to the one or more fasteners which can be configured to extend at least partially through one or several folds of the patient's stomach wall. The fasteners are thus affixed to the stomach walls by deploying the fasteners and manipulating the tissue walls entirely from the inside of the organ. Such fasteners can be formed in a variety of configurations, e.g., helical, elongate, ring, clamp, and they can be configured to be non-piercing. Alternatively, sutures can be used to wrap around or through a tissue fold for tethering the expandable devices. Non-piercing biased clamps can also be used to tether the device within the stomach. | 03-15-2012 |
20120071906 | MOUNTING TOOL FOR ANASTOMOSIS DEVICE - A mounting tool for mounting a flexible ring-shaped part of an anastomotic device on a rigid part of an anstomotic device is provided. The tool comprises a receiving portion ( | 03-22-2012 |
20120078276 | Method and Apparatus for Anastomosis Including Annular Joining Member - Apparatus and method for performing surgical anastomotic procedures are disclosed herein. The apparatus for performing the surgical anastomotic procedure includes a tubular sleeve defining an axial lumen therethrough, a positioning tube defining an axial lumen therethrough, an expansion assembly having a tubular body and an expandable tip operatively coupled to a distal end thereof, and an anchoring assembly. The positioning tube is preferably configured and adapted to be slidably received within the axial lumen of the tubular sleeve. | 03-29-2012 |
20120083808 | Suturing graft tubes to lumen walls percutaneously - A graft tube is percutaneously placed inside the lumen of a vessel and attached to the lumen wall by loops of suture material. The short sutures are made in the shape of a loop with a sharp and a blunt end then forced into a plurality of first tunnels located in sections of circular cuffs that are attached to graft tube ends. The short sutures are pushed out the first tunnel by push rods and curve back to their original shape through the adjacent lumen wall and into a plurality of second tunnels where the short sutures are lodged. | 04-05-2012 |
20120095483 | ANCHORED NON-PIERCING DUODENAL SLEEVE AND DELIVERY SYSTEMS - An intragastric implant for obesity treatment is disclosed. The device delays digestion by providing a duodenal sleeve, and may also slows gastric emptying by limiting flow through the pyloric sphincter. The implant includes an elongated axially-compressible duodenal sleeve having a non-tissue-piercing anchor on a proximal end sized to lodge within the duodenal bulb. The anchor may have oppositely-directed anchoring flanges to resists migration in both directions. The sleeve may also have barbed ribs to resist proximal movement back up into the stomach. A method of implant includes collapsing/compressing the device and transorally advancing it through the esophagus to be deployed within the duodenum. A dissolvable jacket may constrain the implant for delivery and naturally dissolve upon implant. Removal of the implant may occur in the reverse. | 04-19-2012 |
20120109168 | BLOOD VESSEL ATTACHMENT FOR A VASCULAR PROSTHESIS - A blood vessel connection for a vessel prosthesis includes a connection part, which may be introduced in sections into an open end of a blood vessel and forms a flow channel from the blood vessel to a vessel prosthesis connected on the connection part. The blood vessel connection has a clamping component wherein the blood vessel may be fastened on the connection part. | 05-03-2012 |
20120109169 | Compression Anastomosis Device And Method - An anastomotic device for use in the joining of a first tubular structure and a second tubular structure is provided. The anastomotic device includes a cylindrical sleeve configured and dimensioned for placement at least partially within the first tubular structure, the cylindrical sleeve defining a bore therethrough; an inverting member configured and dimensioned for placement at least partially within the second tubular structure, the inverting member defining a bore therethrough which is configured and dimensioned to selectively receive the cylindrical sleeve therein; and a constricting member selectively positionable on the inverting member and movable onto the cylindrical sleeve when the cylindrical sleeve is at least partially positioned within the bore of the inverting member. | 05-03-2012 |
20120116426 | METHOD OF ENLARGING AN ANASTOMOSIS FISTULA INTO A LARGER ANASTOMOSIS - Methods and devices are provided for enlarging an anastomosis fistula. In general, a surgical clip is applied to tissue surrounding a strictured anastomosis. The clip will exert a pressure on the engaged tissue that causes ischemic necrosis, and as a result the necrotic tissue and the clip will slough off, leaving an anastomosis with a larger diameter fistula. | 05-10-2012 |
20120116427 | Device and Method for Anastomosis - Device and method for anastomosis may include a circular stapler with central anvil and multiple circumferentially disposed stapling limbs. A tubular graft may be sleeved on the anvil. The anvil with sleeved graft may be inserted into an end of a dissected aorta to form an overlap. Control actuation may cause the limbs to all substantially simultaneously close and then fire staples respectively into the overlap. The staples may form two generally parallel rows around the overlap with staples of each row being staggered relative to staples of the other row, thereby making a leak-free connection between the tubular graft and the end of the aorta. Control actuation may cause the limbs to open so the anvil may be removed from the end of the aorta, leaving the tubular graft in a leak-free connection with the aorta's end. Exemplary embodiments may allow for generally faster anastomosis than prior art. | 05-10-2012 |
20120116428 | DEVICE FOR PRODUCING ANASTOMOSES - A device for producing anastomoses between a first hollow organ and a second hollow organ including a sheath and an adhesive applicator that can be positioned next to the sheath in order to apply an adhesive to the adhesive bonding section. A method for producing anastomoses between a first hollow organ and a second hollow organ includes folding the first hollow organ over a sheath, positioning the second hollow organ over the first hollow organ, producing a first connection between the hollow organs by applying a high frequency (RF) voltage, and producing a second connection between the hollow organs by applying a tissue adhesive. | 05-10-2012 |
20120123451 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - A system is described for performing vascular anastomosis without the use of sutures. The system includes a connector comprised of memory material and an incision seal, The connector has one end configured to securely engage a graft vessel and another end with wings and barbs. The wings are configured to securely engage an inner wall of a main vessel and the barbs are configured to lock with the incision seal, Once locked, the incision seal and the connector apply a clamping force that secures the graft vessel with the main vessel. | 05-17-2012 |
20120123452 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - A system is described for performing vascular anastomosis without the use of sutures. The system includes a connector comprised of memory material and an incision seal. The connector has one end configured to securely engage a graft vessel and another end with wings and barbs. The wings are configured to securely engage an inner wall of a main vessel and the barbs are configured to lock with the incision seal. Once locked, the incision seal and the connector apply a clamping force that secures the graft vessel with the main vessel. | 05-17-2012 |
20120123453 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - Techniques for sutureless vascular anastomosis are described, including a connector having a tip configured to be inserted into a graft vessel, a body having a tine configured to engage tissue associated with a graft vessel, and a base having a front wing, a rear wing, and a barb, each of the front wing, the rear wing, and the barb being formed integrally with the base using a memory material, wherein the front wing, the rear wing, and the barb deploy at one or more pre-determined angles when a restraining force is removed, the restraining force keeping the front wing, the rear wing, and the barb in substantially axial alignment with the body. | 05-17-2012 |
20120123454 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - Techniques for sutureless vascular anastomosis are described, including a sutureless vascular anastomosis connector configured to couple a graft vessel to a main vessel, including a connector body configured to engage a main vessel when inserted into an opening in a wall of the main vessel, and a wing coupled to the connector body and formed using a memory material, the wing being configured to rotate about a transverse axis of the connector when a restraining force is removed from an exterior surface of the wing. | 05-17-2012 |
20120123455 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - Techniques for sutureless vascular anastomosis are described, including a connector configured to provide fluid communication between a graft vessel and a main vessel, the connector having tines disposed circumferentially about an outer surface of the connector, a front wing coupled to the base, the front wing having a tine configured to engage an inner surface of the main vessel, and having a hinge coupling the front wing to the connector, and a rear wing coupled to the base, the rear wing having another tine configured to engage the inner surface of the main vessel, and having another hinge coupling the rear wing to the connector. | 05-17-2012 |
20120123456 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - Techniques for sutureless vascular anastomosis are described, including an incision seal including a base configured to partially house an outer surface of a main vessel, the base being formed using a material that is configured to be penetrated by a barb disposed on a connector the main vessel being secured to the base when the base is at least partially pierced by the barb, an upper lumen configured to guide a graft vessel, and a housing opening configured to receive the graft vessel. | 05-17-2012 |
20120123457 | Anvil Delivery Device Accessory - A method for performing a surgical procedure is disclosed which uses an anvil delivery system including an anvil assembly, a flexible tube having a first end portion and a second end portion, and a fitting to deliver the anvil assembly to a desired site. The method includes the steps of cutting a second end portion of the flexible tube, attaching a fitting to the second end portion of the flexible tube which has been cut, inserting the insertion tip into tissue, advancing the insertion tip along with the flexible tube and anvil assembly to the desired site within a patient's body, and removing the flexible tube from the anvil assembly and from the desired site leaving the anvil assembly in a patient's body at the desired site. | 05-17-2012 |
20120143229 | DEVICE AND METHOD FOR PERFORMING MULTIPLE ANASTOMOSES - Methods and devices for creating a seal in a vessel for performing multiple anastomoses. The device includes an expandable region at the shaft assembly distal end with a sealing membrane that spans the expandable region, and a corresponding clamping member moveable toward the expandable region. Once inserted into the vessel lumen the expandable region is deployed from a first low-profile position into a second expanded position, and positioned at the target site of the anastomoses. Movement of the distal end of the clamping member, which remains located outside the vessel, against the expanded region creates a seal at the target site allowing a blood-free, graft site area that is large enough to accommodate multiples anastomoses. | 06-07-2012 |
20120150206 | REINFORCING MEDICAL DEVICE - Such reinforcing medical device for a sutured tissue area, comprising a stapling line and a stapling circle, the device having a ring shape, so as to cover and reinforce the area along the stapling circle, wherein the ring comprises covering and reinforcing side means ( | 06-14-2012 |
20120158025 | ANASTOMOSIS DEVICE AND RELATED METHODS - An anastomosis device that includes a distal end portion is provided. The distal end portion of the catheter can include a stent-like drainage feature to prevent the formation of blood clots and to improve the flow of urine out of the catheter. The device can further include a balloon device having a thickened wall region to prevent puncturing or damage from the catheter tines. | 06-21-2012 |
20120158026 | GASTROINTESTINAL IMPLANT DEVICE - A gastrointestinal implant device | 06-21-2012 |
20120165842 | ENDOLUMINAL FOLD CREATION - Devices and methods are provided for forming one or more plications in the walls of a body cavity. In particular, endoscopic devices and methods are provided for forming and/or securing endoluminal tissue folds to reduce the volume of the gastric cavity. An end effector that includes a tissue receiving cavity can be delivered to a desired surgical site to allow a tissue fold to be formed within the tissue receiving cavity. A fastener can be used to secure the adjacent layers of tissue that form the tissue fold. The tissue folds can be effective to limit the stomach's capacity and create a feeling of satiety. | 06-28-2012 |
20120165843 | METHOD AND DEVICE FOR USE IN ENDOSCOPIC ORGAN PROCEDURES - Methods and devices for use in tissue approximation and fixation are described herein. The present invention provides, in part, methods and devices for acquiring tissue folds in a circumferential configuration within a hollow body organ, e.g., a stomach, positioning the tissue folds for affixing within a fixation zone of the stomach, preferably to create a pouch or partition below the esophagus, and fastening the tissue folds such that a tissue ring, or stomas, forms excluding the pouch from the greater stomach cavity. The present invention further provides for a liner or bypass conduit which is affixed at a proximal end either to the tissue ring or through some other fastening mechanism. The distal end of the conduit is left either unanchored or anchored within the intestinal tract. This bypass conduit also includes a fluid bypass conduit which allows the stomach and a portion of the intestinal tract to communicate. | 06-28-2012 |
20120165844 | SINGLE FOLD DEVICE FOR TISSUE FIXATION - A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ. | 06-28-2012 |
20120165845 | METHODS AND DEVICES FOR REDUCING GASTRIC VOLUME - The present invention involves new interventional methods for reducing gastric volume, and thereby treating obesity. The procedures are generally performed laparoscopically and may generally be described as laparoscopic plication gastroplasty (LPG) in which, after obtaining abdominal access, spaced apart sites on a gastric wall are engaged, approximated and fastened to create one or more tissue folds forming one or more plications projecting into the gastrointestinal space. The serosal tissue may optionally be treated during the procedure to promote the formation of a strong serosa-to-serosa bond that ensures the long-term stability of the tissue plication. These procedures are preferably carried out entirely extragastrically (i.e. without penetrating through the gastrointestinal wall), thereby minimizing the risks of serious complications. | 06-28-2012 |
20120172899 | A GASTROINTESTINAL TRACT - A system including an implantable fastener for fastening layers of tissue is disclosed. In one embodiment, the fastener includes a proximal anchor member and a distal anchor member each being movable from a reduced profile position to a deployed position. The anchor members are mesh structures capable of moving to the deployed position by reducing the axial spacing between opposite ends of the anchor members. | 07-05-2012 |
20120179177 | EQUIPMENT TO APPROXIMATE TISSUE PORTIONS, WHICH ARE INTENED TO FORM AN ANASTOMOSIS, AND A METHOD FOR PERFORMING ANASTOMOSES IN TRACTS OF THE DIGESTIVE TUBE - An equipment to approximate tissue portions, which are intended to form an anastomosis comprises a guide means suitable for passing through a first tissue portion ( | 07-12-2012 |
20120197273 | ENDOSCOPIC TISSUE APPOSITION DEVICE WITH MULTIPLE SUCTION PORTS - The present invention relates to an improved endoscopic tissue apposition device having multiple suction ports. The invention permits multiple folds of tissue to be captured in the suction ports with a single positioning of the device and attached together by a tissue securement mechanism such as a suture, staple or other form of tissue bonding. The improvement reduces the number of intubations required during an endoscopic procedure to suture tissue or join areas of tissue together. The suction ports may be arranged in a variety of configurations on the apposition device to best suit the desired resulting tissue orientation. The inventive tissue apposition device may also incorporate tissue abrasion means to activate the healing process on surfaces of tissue areas that are to be joined by operation of the device to promote a more secure attachment by permanent tissue bonding. | 08-02-2012 |
20120197274 | METHOD AND APPARATUS FOR ANASTOMOSIS - Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include at least one fastener including a first fastener portion having an anchoring leg portion, a second fastener portion including an anchoring leg portion, wherein the first and second fastener portions are operatively associated with one another to selectively fix the position of the first fastener portion relative to the second fastener portion. | 08-02-2012 |
20120197275 | Adhesive Coated Stent And Insertion Instrument - A deployment cartridge is provided to insert a coated stent into a junction formed between to tubular tissue sections. The deployment cartridge includes a pusher and a coated stent contained within the pusher. The pusher includes support structure for engagement with the stent. The stent is coated with a tissue sealant or tissue adhesive. An insertion instrument is also disclosed for advancing the deployment cartridge into the junction formed between the two tubular tissue sections. There is also disclosed a method of facilitating the support and healing at a juncture formed between tubular tissue sections with a coated stent. | 08-02-2012 |
20120215238 | END-TO-END JOINT FOR CONNECTING END ZONES OF BODY DUCTS - An end-to-end joint for joining end zones ( | 08-23-2012 |
20120232568 | SURGICAL TREATMENT OF GASTRIC EMPTYING DISORDERS - Devices and methods for surgically altering stomach tissue to change gastric emptying. Plications are formed in the stomach speed up or slow down gastric emptying, depending on the number and locations of plications used. The plications may be formed endolumenally. | 09-13-2012 |
20120245606 | URETHRAL ANASTOMOSIS DEVICE AND METHOD - Provided herein is a two-part coupling assembly for re-connecting a first hollow body part to a second body part and an instrument and method for emplacement. The coupling assembly comprises coupling parts having securement elements that are actuated by separate deployment mechanisms of the instrument and attach to the first and second body parts. The first and second coupling parts having interconnecting elements that couple the two-part assembly together and re-connect the first and second body parts. | 09-27-2012 |
20120253367 | VASCULAR ANASTOMOSIS DEVICE - A vascular anastomosis device of an aspect of the presently disclosed subject matter can include: a head portion that is provided on a distal side of an insertion portion and is capable of projecting a joining member and a cutting member from a distal surface thereof; an anvil configured to deform the joining member projecting from the head portion at a position where the anvil faces the distal surface of the head portion; and a connection member that can be installed so as to be able to project from and retract into the head portion. The anvil can be connected to the distal end of the connection member. The connection member can be configured to allow, along an axial direction, a portion thereof to be separated and ends of the remaining portion to be joined together. | 10-04-2012 |
20120253368 | PROBE COUPLER ASSEMBLY - An assembly for joining two vessel segments of a patient includes a coupler formed of adjoining coupler halves. Each coupler half includes an aperture for receiving an end of one of the vessel segments. One of the coupler halves includes a connector element configured for connection to the other coupler half. The vessel segments are alignable in the respective coupler halves such that a path for fluid flow is formed therebetween upon connection of the coupler halves. A probe is aligned in engagement with a coupler half for generating a signal corresponding to fluid flow through the path. | 10-04-2012 |
20120259350 | Incisionless Gastric Bypass Method And Devices - A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes. | 10-11-2012 |
20120265224 | GASTRIC BYPASS DEVICES AND PROCEDURES - Methods and devices for treating obesity are provided, and more particularly, methods and devices for performing gastric bypasses are disclosed. In one exemplary embodiment a gastric bypass procedure is provided that includes forming a gastro-entero anastomosis between a stomach and an intestine and forming an entero-entero anastomosis between a portion of the intestine distal to the gastro-entero anastomosis and a portion of the intestine proximal to the gastro-entero anastomosis. A surrogate path is formed between the esophagus and the gastro-entero anastomosis to at least partially direct fluid from the esophagus to the intestine by way of the gastro-entero anastomosis, thereby bypassing the stomach. Still further, methods for repairing an abdominal aortic aneurysm and leaking heart valve are also disclosed. | 10-18-2012 |
20120277774 | Method and Apparatus for Vascular Anastomosis - Methods and apparatus can be used for anastomosis, and more specifically, for joining two vascular vessels, e.g., arterial or venous vessels or the like, using a stent. | 11-01-2012 |
20120277775 | APPARATUS AND METHODS FOR FORMING AND SECURING GASTROINTESTINAL TISSUE FOLDS - Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point. Adjustable anchor assemblies, as well as anchor delivery systems, are also provided. | 11-01-2012 |
20120277776 | TRANSORAL ENDOSCOPIC GASTROESOPHAGEAL FLAP VALVE RESTORATION DEVICE, ASSEMBLY, SYSTEM AND METHOD - The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device. | 11-01-2012 |
20120296353 | Graft Devices and Methods of Fabrication - A graft device is provided comprising a flow conduit and a surrounding covering. The graft device is for connecting between a first body space and a second body space. In one embodiment, the flow conduit is a vein, such as a harvested saphenous vein, useful as an arterial graft, for example and without limitation, in a coronary artery bypass procedure. Also provided are methods of preparing a graft device and connecting the graft between a first body space and a second body space, such as the aorta and a location on an occluded coronary artery, distal to the occlusion. | 11-22-2012 |
20120296354 | METHODS AND DEVICES FOR TREATING OBESITY AND GERD BY INTUSSUSCEPTING A PORTION OF STOMACH TISSUE - Described here are devices and methods for intussuscepting a portion of stomach tissue. Typically the intussusception is created at a position near, but distal to the gastroesophageal junction, and a pouch capable of storing a volume (from about 0 cc up to about 100 cc) is created proximal the intussuscepted tissue. In this way, the amount of food that may be ingested is reduced, helping to ameliorate GERD symptoms, and aiding in weight loss efforts. Some of the devices described here include an expandable member and at least one suction inlet. In these devices, the expandable member is expanded to create a proximal cavity into which the stomach tissue is pulled (e.g., using suction), thereby creating the intussusception. | 11-22-2012 |
20120330329 | METHODS OF FORMING A LAPAROSCOPIC GREATER CURVATURE PLICATION USING A SURGICAL STAPLER - A method of plicating a stomach by accessing the exterior of a stomach of a patient and grasping tissue on a first and second location on a first side of the greater curvature of the stomach. Also forming a plication therebetween with a first staple. The method involves grasping tissue on a third and fourth location on a second side of the greater curvature of the stomach and forming a plication with a second staple. The first and second plications are near a location selected from the group consisting of a gastroesophageal junction, a pylorus, and an incisura angularis. The method further includes grasping tissue on a first and second side of a greater curvature of the stomach and forming a fold along a length of the greater curvature by attaching the first and second sides together along a first attachment line with a first plurality of staples. | 12-27-2012 |
20120330330 | Incisionless Gastric Bypass Method And Devices - A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes. | 12-27-2012 |
20120330331 | METHOD FOR OPEN SURGICAL PLACEMENT - A method for open surgical repair of a damaged portion of an artery or vein. A tubular medical assembly may include one or more shaped members, such as microbarbs, configured to anchor into the tunica intima and the tunica media of the vessel wall, and not to the tunic adventitia and vasa vasorum. The medical assembly is delivered to the damaged vessel portion via a delivery device through an open air pathway, and forms a conduit between transected ends of the damaged vessel. | 12-27-2012 |
20120330332 | Surgical Apparatus and Structure for Applying Sprayable Wound Treatment Material - According to an aspect of the present disclosure, an apparatus for forming an anastomosis between adjacent sections of tissue is provided. The apparatus includes a body portion; an actuation assembly operatively supported at a proximal end of the body portion; an anvil assembly movably mounted at the distal end of the body portion for movement toward and away from the body portion; an approximation assembly extending between the body portion and the anvil assembly for moving the anvil toward and away from the tubular body portion; a dispersion assembly operatively associated with the approximation assembly, the dispersion assembly including at least one angled surface defining at least one channel interposed between the anvil assembly and the body portion and being configured to dispense a fluid therefrom; and at least one conduit for conducting wound treatment material to the dispersion assembly. | 12-27-2012 |
20130006281 | Apparatus and Methods for Anastomosis - Apparatus and methods for performing an anastomosis. More particularly, the apparatus may be used to perform a single or multiple anastomosis with the ability of maintaining fluid flow (e.g., blood) through the anastomosis vessel according to one aspect of the invention. | 01-03-2013 |
20130023908 | ANASTOMOSIS DEVICE AND METHOD - An apparatus and method for using an anastomosis device to repair severed tissues resulting from a surgical medical procedure such as a radical prostatectomy, ilio-orthotopic neobladder construction, cystoprostatectomy, cystectomy, urethral anastomosis, or ureteral anastomosis. | 01-24-2013 |
20130030453 | ADHESIVE PATCH VASCULAR APPLICATOR - Apparatus is provided for applying one or more patches to a tubular structure in a body of a patient. The apparatus includes an applicator, which is configured to removably hold the one or more patches, and to place the one or more patches at least partially around the tubular structure. The applicator includes one or more patch supports. Each of the patch supports includes a yielding pad, which is removably coupleable to one of the patches; and a stiff back support structure, to which the yielding pad is fixed. Each of the patch supports is shaped so as to define at least one chamber that itself has a volume of at least 0.5 ml when the patch supports are in respective resting states. Other embodiments are also described. | 01-31-2013 |
20130030454 | VENTRICULAR ASSIST DEVICE AND RELATED METHODS - A method and system are provided for percutaneously gaining access to oxygenated blood with an anastomosis device and pumping such oxygenated blood to other arterial regions of the vascular system. In one embodiment, a system may include an anastomosis device extending through an opening of the atrial septum. A filament may be coupled to the anastomosis device. A snare access the right atrium through the superior vena cave, grasp the filament, and withdraw the filament through the superior vena cave. The filament may then he used as a guide to direct a catheter, a conduit or some other structure into the right atrium of the heart via the superior vena cava. A flow path may be defined between the anastomosis device and an arterial location, such as in the aorta, such that at least some oxygenated blood may by-pass the left ventricle and he discharged into the aorta. | 01-31-2013 |
20130041390 | METHODS, COMPOSITIONS AND KITS FOR PERFORMING ANASTOMOSIS PROCEDURES IN CONJUNCTION WITH A RADICAL PROSTATECTOMY PROCEDURE - In some aspects, a surgical procedure for the removal of a prostate gland is provided. The procedure comprises: (a) positioning an implant material within the urethra, (b) removing the prostate, thereby creating a urethral stump and a bladder neck, wherein the implant material occupies the urethral stump, the bladder neck, or both, and (c) securing the bladder neck to the urethral stump in an anastomosis procedure to establish a path of urine flow from the bladder to an external urethral opening (e.g., the meatus). Subsequently, the implant material is removed from the urethra, for example, by natural urine voiding or by flowing a removal fluid through and/or around the implant material in the urethra. In other aspects, a medical kit is provided. | 02-14-2013 |
20130060267 | CANNULA TIPS, TISSUE ATTACHMENT RINGS, AND METHODS OF DELIVERING AND USING THE SAME - A surgical cannula system. The surgical cannula system includes a cannula having a proximal end, a distal end, and a lumen extending therebetween. A tissue attachment ring, being configured to be coupled to a biological tissue, includes a lumen extending therethrough. A locking mechanism has a first locking state, in which the cannula is configured to move with respect to the tissue attachment ring, and a second locking state, in which movement of the cannula with respect to the tissue attachment ring is resisted. | 03-07-2013 |
20130060268 | VASCULAR ACCESS SYSTEM WITH CONNECTOR - A connector for fluidly coupling proximal and distal tubular segments of a fluid conduit is provided. In one embodiment, the connector can include a connector body having an outer surface defining a first outer perimeter and an inner surface defining a lumen. The connector can also include a connecting device having an open configuration and a plurality of closed configurations. The connecting device can include first and second members configured to engage each other to secure the fluid conduit to the connector. The connecting device can also include a plurality of closed configurations for securing fluid conduits of different sizes. | 03-07-2013 |
20130066344 | METHODS AND DEVICES FOR MANIPULATING AND FASTENING TISSUE - A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold. | 03-14-2013 |
20130090673 | Vascular Clamps for Vascular Repair - A magnetic vascular clamp for vascular repair is described. There is a vascular sleeve forming a flexible cylindrical bellows that cylindrically encloses a section of vascular tissue to allow freely movement of the enclosed vascular tissue within the vascular sleeve. A pair of sleeve anchor rings are at each end of the vascular sleeve and they form a fixed seal with underlying vascular tissue to minimize fluid leakage from within the vascular clamp. | 04-11-2013 |
20130096585 | Blood Vessel Transecting and Anastomosis - Method and device for cutting a blood vessel using a cutting tool from within the blood vessel. A first cut portion of the blood vessel is fused to a second blood vessel to provide a flow channel therebetween. | 04-18-2013 |
20130110139 | GENTLE HEMORRHOID TREATMENT OFFERING A SUBSTANTIALLY PAINLESS HEALING | 05-02-2013 |
20130110140 | ANASTOMOSIS SYSTEM | 05-02-2013 |
20130110141 | Biliary Decompression and Anastomosis Stent | 05-02-2013 |
20130116712 | APPARATUS AND METHOD FOR ENDOSCOPIC COLECTOMY - Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis. | 05-09-2013 |
20130123817 | ANASTOMOSIS SYSTEM AND METHOD - A system for performing anastomosis includes a plurality of staples, an annular staple support having structure for holding the staples, and a staple closing device for closing the staples to secure the canal ends together. A method for performing anastomosis and staples for performing anastomosis are also disclosed. | 05-16-2013 |
20130138126 | Methods And Devices For Endoscopically Creating An Anastomosis - A method and devices that endoscopically create an anastomosis between two sections of the digestive tract, thereby allowing at least some chyme to bypass a section of the digestive tract while, optionally, the remaining chyme passes through the entire tract. | 05-30-2013 |
20130150873 | Methods And Devices For Endoscopically Creating An Anastomosis - A method and devices that endoscopically create an anastomosis between two sections of the digestive tract, thereby allowing at least some chyme to bypass a section of the digestive tract while, optionally, the remaining chyme passes through the entire tract. | 06-13-2013 |
20130178877 | Methods, Instruments and Devices for Extragastric Reduction of Stomach Volume - Methods, instruments and systems are provided for separating opposite walls of the stomach by extragastric application of suction. Plication of the stomach can be performed between the separated walls after which the separate walls are brought back toward one another. In another aspect, methods, instruments, devices and systems are provided for reducing the effective volume of a stomach by performing one or more extragastric plications of the stomach. | 07-11-2013 |
20130178878 | SURGICAL STAPLE FOR ANASTOMOSIS - A surgical staple for connecting two tubular tissue structures may include a substantially rectangular base having a first edge and a second edge substantially parallel to one another, and a third edge substantially perpendicular to the first and said second edges; and may also include at least three deformable tines extending from the first and second edges of said base; where no tine that extends from the first edge may be positioned at substantially the same distance from the third edge as any said tine that extends from the second edge; and where deformation of the tines secures the tubular tissue structures together. | 07-11-2013 |
20130184725 | TISSUE MANAGEMENT APPARATUS FOR VASCULAR ACCESS - Tissue management methods can include inserting a clamping device into a vessel and clamping a vessel wall via the clamping device. Tissue can be dilated about the clamping device and an anastomotic device provided to the vessel. | 07-18-2013 |
20130190787 | IMPLANTABLE FLOW CONNECTOR - A method of implanting and securing an implantable flow connector in a body of a patient for providing communication of a first space within the body of the patient with a second space within the body of the patient. The method includes providing a flow connector having a lumen having a first orifice and a second orifice, inserting a retention device into the first space within the body, subsequently inserting the flow connector through an opening in the retention device so the second portion of the flow connector extends into the first space within the body and placing the second space within the body over the retention device. | 07-25-2013 |
20130197546 | IMPLANTABLE FLOW CONNECTOR - A system for coupling a first space within the body of a patient with a second space within the body of the patient including a flow connector insertable into the first and second spaces within the body, the flow connector having a conduit having a lumen having a first orifice at a first portion of the conduit and a second orifice at a second portion of the conduit, the conduit providing communication between the first and second spaces within the body. A retention device retains the conduit with respect to the first space within the body and is engageable with the first space within the body. | 08-01-2013 |
20130218179 | DEVICE ESPECIALLY USEFUL FOR HERNIA REPAIR SURGERIES AND METHODS THEREOF - The present invention discloses an inflatable contour-balloon useful in minimal invasive and/or open surgery. The inflatable contour-balloon positioned in the contour of a mesh and/or a patch and/or a net. The inflatable contour-balloon is adapted to spread and/or deploy the mesh and/or the patch and/or the net in the abdominal cavity and/or pre-peritoneal and/or space and/or hollow body organs and/or natural and/or artificial orifices and/or spaces and/or post operative spaces. The present invention also discloses an elongate open-bored applicator (EOBP) adapted to spread and/or deploy a mesh and/or a patch and/or a net. The EOBP is useful in minimal invasive surgery. The EOBP has a distal portion that is insertable into the abdominal cavity and/or pre-peritoneal and/or space arid/or hollow body organs and/or natural and/or artificial orifices and/or spaces and/or post operative spaces; and a proximal portion that remains outside the body. The EOBP comprises: (a) at least one inflatable contour-balloon; (b) at least one inflatable dissection balloon. The inflatable contour-balloon and the inflatable dissection balloon are adjustable and located at the distal portion; and, (c) at least one actuating means located at the proximal portion. The actuating means is in communication with the inflatable contour-balloon and the inflatable dissection balloon. The actuating means is adapted to provide the inflatable contour-balloon and the inflatable dissection balloon with independent activation and/or de-activation. | 08-22-2013 |
20130218180 | METHOD AND APPARATUS FOR RADICAL PROSTATECTOMY ANASTOMOSIS - Apparatus for performing a surgical anastomosis include a tubular body having an expandable anchor operatively coupled near a distal end thereof. The apparatus further includes a sleeve slidably received about the tubular body. The sleeve has an expandable anchor operatively coupled near a distal end thereof. The expandable anchor of the tubular body has an annular ring concentric with a longitudinal axis defined by the tubular body. | 08-22-2013 |
20130226205 | Pediatric Esophageal Atresia Magnetic Anastomosis System - A system and a method for joining an upper and lower esophageal sacs in an infant are provided. The system includes a first elongate member having a first magnet, the first magnet including an end portion configured to abut an interior surface of the upper esophageal sac. The system also includes a second elongate member having a second magnet, the second magnet including an end portion configured to abut an interior surface of the lower esophageal sac. The system further includes a third elongate member having a third magnet and a spacer positioned distal to the third magnet. The third elongate member is positionable in the upper esophageal sac after the first elongate member has been removed. A magnetic force between the first magnet and the second magnet is configured to pull the first magnet and the second magnet towards each other to lengthen the upper and lower esophageal sacs. | 08-29-2013 |
20130231689 | LUMINAL STRUCTURE ANCHORING DEVICES AND METHODS - The present invention relates to a device for endoscopy or endosonography-guided transluminal interventions whereby two luminal structures in the body may be drawn toward each other and a fluid conduit formed in between. The device may have a hollow central member to which is coupled a distal retention member and in one embodiment a proximal retention member. The retention members may each be positioned inside one of the luminal structures and expanded from a first condition to an expanded second condition having an increased radius. The length of the central member may be shortened and its diameter expanded to approximate the two retention members and thereby the luminal structures. | 09-05-2013 |
20130253548 | Magnamosis - A magnamosis system for auto-anastomosing a region of the body using implants with magnetic members that may be individually delivered to different locations in the body. The implants with their magnetic members have a mating surface and polar alignment that generates an attractive force to compress tissue in the region between them. The tissue in the region necroses as a result of the compressive force such that tissue surrounding the necrosed tissue heals together to form an anastomosis. | 09-26-2013 |
20130253549 | METHODS AND DEVICES FOR SHEATH COMPRESSION - A sheath is configured for elongation from a first length to a second, longer length and a retention member retains the sheath at the first length. A portion of the retention member is removed or disengaged, the sheath is released and expands in situ to the second longer length. A method for releasing the retention member is also disclosed. | 09-26-2013 |
20130253550 | SELF-ASSEMBLING MAGNETIC ANASTOMOSIS DEVICE HAVING AN EXOSKELETON - The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed. | 09-26-2013 |
20130274771 | Circular Anastomosis Stapling Apparatus Utilizing a Two Stroke Firing Sequence - A circular anastomosis stapler is provided and includes a handle assembly having a firing trigger that is actuatable between a first firing stroke and a second firing stroke. A shell assembly includes a pusher assembly having a main pusher, a staple pusher and a knife pusher. A compressible member positioned between the main pusher and the knife pusher is movable between a first configuration for advancing the staple pusher through the first firing stroke to drive at least one staple from the shell assembly to staple tissue and a second configuration for advancing the knife pusher through the second firing stroke to drive a knife from the shell assembly to core the stapled tissue. | 10-17-2013 |
20130274772 | APPARATUSES AND METHODS FOR ANASTOMOSIS - Apparatuses and methods for performing anastomosis of distal and proximal vessels. An exemplary apparatus includes a distal anastomosis includes a distal hub and a distal engagement segment. The distal hub is configured to detachably connect to a distal catheter. The distal engagement segment is connected to the distal hub and includes one or more distal arm segments that are configured to engage an inner wall of the distal vessel. | 10-17-2013 |
20130296899 | OBESITY TREATMENT TOOLS AND METHODS - Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods. | 11-07-2013 |
20130304100 | DEVICE AND METHOD FOR ANASTOMOSIS - A device for anastomosis of a tubular structure comprises first and second hollow members having a rigid part and an elastic part, and a connection member for interlocking the first and second members. The elastic parts are essentially circular rings, and are made of a polymeric, a biocompatible and/or biodegradable material. The rigid parts have an outer surface that is partly semi-circular in cross section, wherein the diameter at a non-connecting end is larger than or equal to the diameter at a connecting end, which ends in an edge. The first and second members are connected to each other so that a distance is formed between the elastic parts. A cavity is formed between the rigid parts and the connection member and the tubular structure, when arranged in the device. | 11-14-2013 |
20130304101 | ANASTOMOSIS SHEATH AND METHOD OF USE - The invention relates a sheath that is affixed to a body lumen, proximal to an anastomosis site. The sheath includes a sleeve defining a passage. A grasping structure is positioned distally of the distal opening of the sheath to facilitate elongation of the sleeve from a first length to a second longer length. A method for using the sheath is also disclosed. | 11-14-2013 |
20130325042 | PYLORUS PLUG AND ANASTOMOSIS - A method for creating an anastomosis between a stomach and a portion of a small intestine, and simultaneously controlling passage of stomach contents through a pylorus with a pylorus plug that includes a valve operative to either close or at least partially open passageway through the pylorus. | 12-05-2013 |
20140031842 | DEVICE AND METHOD FOR ESTABLISHING AN ARTIFICIAL ARTERIO-VENOUS FISTULA - A shunt rivet for implantation in the aorta and inferior vena cava to treat chronic obstructive pulmonary disease, and a method of treating chronic obstructive pulmonary disease. | 01-30-2014 |
20140046352 | CIRCULAR STAPLER WITH THE CAPABILITY TO RESECT AND ANASTOMOSE VARIABLE VOLUMES OF TISSUE - According to the disclosure, a variable tissue volume circular stapler instrument ( | 02-13-2014 |
20140052160 | OPEN SURGERY ANASTOMOSIS DEVICE, SYSTEM, AND METHOD - A medical device, system and method tor an open surgical procedure configured to couple, for example, open ends of anatomical structures. The system includes an expandable tubular structure and inflatable balloon positioned within the tubular structure. The tubular structure includes a lateral opening defined in a wall of the tubular structure through which the balloon is inflated to radially expand the tubular structure, after which the balloon is deflated, and then removed from the tubular structure to, thereby, provide a fluid flow path through the tubular structure. | 02-20-2014 |
20140058418 | METHODS AND DEVICES FOR MANIPULATING AND FASTENING TISSUE - A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold. | 02-27-2014 |
20140058419 | METHOD OF FORMING THROUGH HOLE - This tissue fastening apparatus is a tissue fastener for clamping first biological tissue and second biological tissue so as to be in close contact with each other, including: a first tissue fixation portion, made of an elastic wire wound in a coil, that is locked on the first biological tissue; and a second tissue fixation portion, made of an elastic wire wound in a coil, that is locked on the second biological tissue, the second tissue fixation portion continuing into the first tissue fixation portion, in which when falling off first and second biological tissue necrotized by being clamped between the first tissue fixation portion and the second tissue fixation portion, the tissue fastener moves only from the second tissue fixation portion to the first tissue fixation portion side and falls off. | 02-27-2014 |
20140074130 | Methods for Applying Surgical Staples to Internal Walls of Hollow Tissue Organs - A method of performing a surgical anastomosis is disclosed. The method includes providing an anastomotic device including a fluid supply channel extending between a handle assembly and a head assembly. The method also includes positioning the head assembly of the anastomotic device adjacent a hollow tissue organ, inserting the head assembly of the anastomotic device into the hollow tissue organ, and discharging an inflation fluid through at least one fluid outlet and into the hollow tissue organ to insufflate at least a portion of the hollow tissue organ. | 03-13-2014 |
20140088621 | ANASTOMOSIS CLIPPING TOOL WITH HALF-LOOP CLIP - A tool to fasten tissue or to fasten a prosthetic to tissue includes a gripper to hold one or more tissue portions, a needle, an actuator to drive the needle, a fastener cartridge to store one or more tissue fasteners, a holder cartridge to store one or more holders, and a holder applier to secure one of the holders on one of the fasteners. The actuator drives the needle and the needle pulls a first fastener from the fastener cartridge. The actuator drives the needle through the one or more tissue portions held by the gripper to form a hole in the tissue portions. The needle pulls a leading portion of the first fastener through the hole without a trailing portion of the first fastener being pulled through the hole. The holder applier secures a first holder from the holder cartridge onto the leading portion of the first fastener. | 03-27-2014 |
20140088622 | Negative Pressure Intestinal Anastomosis Protection Devices - A device is disclosed that provides for the protection of intestinal anastomosis sites and other body sites from bodily fluids and contaminants. Additionally, the device provides the ability to create negative pressure at the site of the obstruction to ensure that contaminants flow from the visceral compartment into the inner lumen of the bowel. Further, the device provides the sectional forces through natural constrictions of the intestinal muscles through peristaltic action. | 03-27-2014 |
20140088623 | ARTERIAL VENOUS SPOOL ANCHOR - An anastomotic connector comprises a generally tubular main body having a distal end and a proximal end, and an anchor member integrally coupled to the distal end of the tubular main body. The anchor member includes first and second annular flanges that are movable from a first loaded position to a second expanded position. In the second expanded position, the annular flanges are substantially perpendicular to a longitudinal axis of the tubular main body portion. | 03-27-2014 |
20140094832 | METHODS AND DEVICES FOR MANIPULATING TISSUE - The present invention includes a method and apparatus for adhering tissue to one another. In an embodiment of the present invention the two tissues to be joined, for example the lower esophagus and the fundus of the stomach, are first placed adjacent to one another. Next a first restraint is placed near the outside surface of one of the tissues and a second restraint is placed near the outside surface of the other tissue. An irritant is then placed between the two adjacent tissues. The restraints, and consequently the tissue surfaces, are then drawn together. As the touching irritated tissue surfaces heal they will become bonded to one another and their need for the mechanical fastening of the restraints, to secure them together, will be diminished. | 04-03-2014 |
20140107676 | SURGICAL INSTRUMENT WITH DOUBLE CARTRIDGE AND ANVIL ASSEMBLIES - An end effector for use with a surgical instrument having a first cartridge assembly configured to deploy a first set of fasteners and a second cartridge assembly disposed distally of the first cartridge assembly. The second cartridge assembly is configured to move between an open position and an approximated position relative to clamp tissue. A central rod extends between the first cartridge assembly and the second cartridge assembly. | 04-17-2014 |
20140121685 | DEVICES, SYSTEMS AND METHODS FOR CREATION OF A PERIPHERALLY LOCATED FISTULA - Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include a device for the creation, modification and maintenance of a fistula that includes an integral fistula creation assembly near its distal end that passes through the skin of the patient, through a first vessel such as an artery, and into a second vessel such as a vein. The fistula creation assembly preferably includes an anastomotic implant that is placed within the fistula to maintain long-term blood flow therethrough. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome. | 05-01-2014 |
20140121686 | METHODS OF USING WOUND TREATMENT INFUSED SUTURES - A surgical suture needle assembly includes an elongate tube defining a lumen through at least a portion of a length thereof; and a wound treatment material contained within the lumen of the suture structure. Methods of using the surgical suture needle assembly in anastomotic procedures and the like are disclosed. | 05-01-2014 |
20140128892 | METHODS FOR TREATING A GASTROINTESTINAL TRACT - A system including an implantable fastener for fastening layers of tissue is disclosed. In one embodiment, the fastener includes a proximal anchor member and a distal anchor member each being movable from a reduced profile position to a deployed position. The anchor members are mesh structures capable of moving to the deployed position by reducing the axial spacing between opposite ends of the anchor members. | 05-08-2014 |
20140148828 | APPARATUS AND METHODS FOR FORMING AND SECURING GASTROINTESTINAL TISSUE FOLDS - Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point and moving the first tissue contact point from a position initially distal to, or in line with, a second tissue contact point to a position proximal of the second contact point, thereby forming the tissue fold, and extending an anchor assembly through the tissue fold from a vicinity of the second tissue contact point. Adjustable anchor assemblies; as well as anchor delivery systems, shape-lockable guides and methods for endoluminally performing medical procedures, such as gastric reduction, treatment of gastroesophageal reflux disease, resection of lesions, and treatment of bleeding sites; are also provided. | 05-29-2014 |
20140155918 | Methods And Devices For Performing Gastroplasty - A gastroplasty method involves a staple line that terminates prior to reaching the gastroesophageal junction such that the bypassed portion of the stomach does not require resection. Additionally, bougies are taught that assist a physician in following the improved staple line of the present invention. | 06-05-2014 |
20140155919 | MAGNETIC COMPRESSION ANASTOMOSIS DEVICE - An apparatus for joining organ wall portions of first and second hollow organs, including first and second connectors, wherein the first and second connectors are magnetically attracted to one another. A device for delivering and deploying the first and second connectors to portions of the first and second hollow organs can be provided, wherein the device is configured and dimensioned to axially align the first and second connectors for performing circular anastomosis of the first and second hollow organs. | 06-05-2014 |
20140163588 | TISSUE MANAGEMENT APPARATUS FOR VASCULAR ACCESS - Tissue management methods can include inserting a clamping device into a vessel and clamping a vessel wall via the clamping device. Tissue can be dilated about the clamping device and an anastomotic device provided to the vessel. | 06-12-2014 |
20140171985 | STAPLER FOR MUCOSECTOMY - The head of a stapler for mucosectomy comprises an external goblet-shaped body ( | 06-19-2014 |
20140188141 | Device and Method for the Application of a Curable Fluid Composition to a Portion of a Bodily Organ - Disclosed are devices and methods suitable for application of a curable fluid composition to a bodily organ, such as to a lower portion of a bodily organ. The device comprises a monolithic piece of material having a lower surface, two spaced-apart sides, and two spaced-apart walls connecting the two spaced-apart sides. A receptacle for containing the curable fluid composition is defined by the lower surface, the two sides, and the two walls. At least a portion of the height of the two walls is less than the height of at least a portion of the two sides. The device is deployable underneath the bodily organ such that a lower portion of the bodily organ is supported by at least a portion of each of the two walls. | 07-03-2014 |
20140188142 | APPARATUS AND METHOD FOR ENDOSCOPIC COLECTOMY - Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis. | 07-03-2014 |
20140194909 | METHOD AND APPARATUS FOR EFFECTING A MINIMALLY INVASIVE DISTAL ANASTOMOSIS FOR AN AORTIC VALVE BYPASS - A connector for joining a first hollow structure to the side wall of a second hollow structure, the connector comprising a first component comprising an inner collar; a hollow body; and a graft mounted to the inner collar and forming a conduit through the hollow body and the inner collar; and a second component comprising an outer collar and a hollow body, the hollow body of the second component being sized for coaxial disposition over the hollow body of the first component so that the outer collar of the second component can be adjustably positioned relative to the inner collar of the first component and so that the conduit of the graft provides fluid communication between (i) the region beyond the inner collar, and (ii) the region beyond the hollow body of the first component. | 07-10-2014 |
20140194910 | VESSEL SHAPING DEVICES AND METHODS - Disclosed is a medical device for shaping a vessel accommodated therein in a predetermined form, wherein said vessel includes a vein and an artery which are connected at a artifactual vascular junction thereof. The device includes an external vascular support ( | 07-10-2014 |
20140214055 | METHODS AND APPARATUS FOR ANASTOMOSIS INCLUDING EXPANDABLE ANCHOR - The present disclosure is directed to devices for approximating body vessels and method for performing the same. In accordance with one aspect of the present disclosure, the device includes an inner member having a first expandable anchor operatively coupled near a distal end thereof, an outer member having a second expandable anchor, and a sleeve disposed about at least a portion of the inner member and the outer member. | 07-31-2014 |
20140214056 | METHODS AND APPARATUS FOR ANASTOMOSIS INCLUDING EXPANDABLE ANCHOR - The present disclosure is directed to devices for approximating body vessels and method for performing the same. In accordance with one aspect of the present disclosure, the device includes an inner member having a first expandable anchor operatively coupled near a distal end thereof, an outer member having a second expandable anchor, and a sleeve disposed about at least a portion of the inner member and the outer member. | 07-31-2014 |
20140222040 | Method and Device for Connecting a Conduit to a Hollow Organ - This invention provides an improved method for connecting a conduit to a hollow organ/structure and a unique device consisting of an expandable metallic mesh and a bio-compatible graft material. | 08-07-2014 |
20140236200 | SELF-ASSEMBLING MAGNETIC ANASTOMOSIS DEVICE HAVING AN EXOSKELETON - The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed. | 08-21-2014 |
20140257351 | METHODS AND APPARATUS FOR REVISION OF OBESITY PROCEDURES - Methods and apparatus for the endoluminal revision of previously performed obesity procedures which have failed are described. One or more endoluminal instruments may be advanced per-orally into the previously formed failed pouch where a number of different procedures can be performed. One or more tissue folds can be formed and secured to reduce the size of the pouch, or the stoma connecting the pouch to the intestinal tract can be reduced in size using endoluminally deployed tissue anchors. These procedures can be performed entirely from within the pouch lumen or upon the exterior surface of the pouch via transgastric entry of the instruments into the peritoneal cavity of a patient. Alternatively, the interior tissue within the pouch can be injured or sclerosed to shrink the pouch lumen. In another alternative, a length of the Roux limb can be shortened endoluminally to create a malabsorptive region. | 09-11-2014 |
20140296887 | TISSUE DEVICE - Systems and methods for fastening tissue include a hollow element and an elongate insertion element. The insertion element has a delivery device including a cone, suture, and needle at a delivery end, and an anchor at an opposite end. The hollow element includes an engagement structure in its interior surface that permits movement of the insertion element through the hollow element in a first direction, and prevents movement of the insertion element through the hollow element in a second direction opposite the first direction. The engagement structure may include a braid or mesh that operates on a finger-trap principle. The hollow element may include an elongate element with a cone, suture, and needle at a delivery end, and an anchor at an opposite end. Alternatively, the hollow element may include a button that incorporates the braid or mesh. | 10-02-2014 |
20140309669 | POSITIONING TOOL FOR ANASTOMOSIS - An assembly including a positioning tool that includes a probe affixed to a portion of a grasping tool, wherein a distal tip of the probe protrudes distally from the grasping tool a distance corresponding to a position for placing a magnet with the grasping tool. | 10-16-2014 |
20140309670 | METHOD AND APPARATUS FOR JOINING HOLLOW ORGAN SECTIONS IN ANASTOMOSIS - An apparatus is operable to provide an anastomosis coupling two hollow organs, such as a duodenum and ileum. The apparatus includes a first component that is inserted through an enterotomy in a first hollow organ and a second component that is inserted through an enterotomy in a second hollow organ. The first and second components are brought together to o align the enterotomies and compress apposed layers of tissue adjacent to the enterotomies. The compressed tissue eventually necroses and the apparatus may be removed or simply pass through the hollow organ. Each component may include a set of pivoting links and a resilient member that is configured to both bias the links to an expanded configuration and grip the tissue adjacent to the enterotomy. The components may include magnets that secure the positioning of the components relative to each other and provide a compressive force on the apposed tissue. | 10-16-2014 |
20140336682 | MAGNETICALLY-LOCALIZABLE IMPLANTED HEMODIALYSIS VASCULAR ACCESS DEVICES, AND METHODS FOR IMPROVING THE CANNULATION THEREOF - Disclosed are vascular access devices, implantable dialysis grafts, and systems that include them useful in facilitating easy, accurate and reproducible cannulation or needle entry into an implantable device such as a hemodialysis graft, by localizing a portion of the implanted graft that contains one or more paramagnetic materials that operably define the physical boundaries of the target cannulation site/entry port by passage of an external magnetic detector wand over that portion of the patient's body into which the device has been implanted. | 11-13-2014 |
20140343582 | DEPLOYMENT TOOL FOR SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - A tool is described for deploying a sutureless vascular anastomosis connection, including a body, a sheath configured to house a connector, the connector being configured to couple a graft vessel to a main vessel, the sheath being removably coupled to a distal end of the body, a dial disposed on a proximal end of the body, a spring disposed within the body and coupled to the dial, a shaft extending from the distal end of the body into the sheath, the shaft having a shaft cannula, a plunger having a plunger head configured to be coupled with the spring at one end, the plunger coupled to the shaft at an opposite end, and a retractable needle coupled to the dial using a retraction mechanism, the retractable needle configured to fit within the shaft cannula, the retractable needle having a sharp end. | 11-20-2014 |
20140343583 | METHODS AND APPARATUS FOR MAGNET-INDUCED COMPRESSION ANASTOMOSIS BETWEEN ADJACENT ORGANS - Methods and apparatus for creating an anastomosis or fistula between the gallbladder and an adjacent organ are disclosed. First, a parent magnet, typically a permanent magnet, is deployed in the stomach, small intestine, or another organ adjacent to the gallbladder, and a mating daughter material is deployed in the gallbladder in order to create a magnet-compression anastomosis. The gallbladder may then be ablated or otherwise functionally inactivated through the anastomosis. Another aspect of the invention relates to an all-in-one surgical kit that contains all the necessary specialized tools for a surgeon to perform the procedure. | 11-20-2014 |
20140358167 | ANASTOMOTIC SLEEVE DEVICE - An anastomotic sleeve or “cup” protection device incorporating distal and proximal sleeves or “cups”, also incorporating a staple-line buttress. The proximal colon is inserted into the proximal sleeve or cup and the shaft of the stapler anvil is passed through a hole in the closed end of the sleeve or cup. The distal sleeve or cup is placed over the head of the staple shaft, and inserted into the rectum for anastomosis. Closure and firing of the stapler creates a staple buttress line at the anastomosis, the proximal sleeve prevents leakage from the proximal colon and the distal sleeve protects the distal colon or rectum from anastomotic leak. | 12-04-2014 |
20140364881 | COMPRESSION ANASTOMOSIS RING AND SENSOR SYSTEM - An anastomosis system for performing anastomosis of a distal lumen with a proximal lumen is described. In one alternative the system includes an anastomosis element having a sensor assembly incorporated therein, the sensor assembly configured to sense the site of anastomosis. In another alternative the system includes an anastomosis component for performing anastomosis of a distal lumen with a proximal lumen; an applicator for applying the anastomosis component; and a sensor assembly connected to the applicator. | 12-11-2014 |
20140364882 | BLOOD VESSEL CONNECTORS AND METHODS FOR BLOOD VESSEL CONNECTION - Various embodiments of the present disclosure include an apparatus comprising a clip which includes a first side including a first ring configured to pass over an end of a first vessel, the first ring configured to engage the first side with the first vessel, and a second side coupled to the first side, the second side including a second ring configured to pass over an end of a second vessel, the second ring being configured to engage the second side with the second vessel. The first and second sides, when in a closed position, are configured to maintain the first and second vessels in substantially end-to-end contact. | 12-11-2014 |
20140379010 | Graft Apparatus - Stents and methods of using stents are provided. Stents of the invention provide external support structure for a blood vessel segment disposed within, wherein the stents are capable of resilient radial expansion in a manner mimicking the compliance properties of an artery. The stent may be formed of a knitted or braided mesh formed so as to provide the needed compliance properties. A venous graft with the stent and a vein segment disposed within is provided, wherein graft is capable of mimicking the compliance properties of an artery. Methods of selecting stents for downsizing and methods of using the stents of the invention in downsizing and smoothening are provided. Methods of replacing a section of an artery with a venous graft including a stent of the invention are provided. Methods of reducing intimal hyperplasia in implanted vein segment in a venous graft using stents of the invention are provided. | 12-25-2014 |
20140379011 | MAGNETIC COMPRESSION ANASTOMOSIS DEVICE - An apparatus for joining organ wall portions of first and second hollow organs, including first and second connectors, wherein the first and second connectors are magnetically attracted to one another. A device for delivering and deploying the first and second connectors to portions of the first and second hollow organs can be provided, wherein the device is configured and dimensioned to axially align the first and second connectors for performing circular anastomosis of the first and second hollow organs. | 12-25-2014 |
20150025554 | METHOD FOR PERFORMING A VASCULAR ANASTOMOSIS - A method for performing a coronary artery bypass graft procedure on a patient to connect a bypass vessel to a target vessel includes the steps of creating an opening in the patient that communicates with the thoracic cavity of the patient; providing a bypass vessel having a lumen and at least one free end; passing the free end of the bypass vessel from the thoracic cavity through the opening to a position outside the body of the patient; attaching a connector to the free end of bypass vessel while the free end of the bypass vessel is outside the body of the patient; passing the free end of the bypass vessel from the position outside the body of the patient through the opening and into the thoracic cavity; and connecting the free end of the bypass vessel to a target vessel with the connector. | 01-22-2015 |
20150038999 | METHOD AND APPARATUS FOR COUPLING LEFT VENTRICLE OF THE HEART TO THE ANTERIOR INTERVENTRICULAR VEIN TO STIMULATE COLLATERAL DEVELOPMENT IN ISCHEMIC REGIONS - A method for stimulation of collateral development in ischemic cardiac regions comprises the fluid coupling of the left ventricle of the heart to the anterior interventricular vein to stimulate collateral development in ischemic regions. The fluid coupling of the left ventricle of the heart to the anterior interventricular vein includes a control of the diastolic/systolic pressure in the venous system to be within about | 02-05-2015 |
20150057686 | DEVICE FOR CONNECTING HOLLOW ORGANS, ESPECIALLY BLOOD VESSELS, BY SURGERY - A sleeve for enforcing the end of a hollow organ so that it can be connected with a further end of a hollow organ, the sleeve comprising a cylindrical shape and being configured to be pushed over the end of the hollow organ and for turning-over the end of the hollow organ projecting from the sleeve around an end of the sleeve, wherein the sleeve has an adjustable diameter. | 02-26-2015 |
20150057687 | ENDOVASCULAR DELIVERY SYSTEM FOR MAGNETIC COMPRESSION VASCULAR ANASTOMOSIS - An endovascular delivery system for forming a magnetic compression vascular anastomosis includes a first compressing element and a first catheter configured for advancement into a first cardiovascular structure. In one configuration, the first compressing element is removably secured within the first catheter and, in another configuration, the first compressing element is released from the first catheter and positioned within the first cardiovascular structure. The endovascular delivery system also includes a second compressing element and a second catheter configured for advancement into a second cardiovascular structure. In one configuration, the second compressing element is removably secured within the second catheter and, in another configuration, the second compressing element is released from the second catheter and positioned within the second cardiovascular structure. The first and second compressing elements have an anastomosis forming configuration in which the compressing elements compress tissue of the first and second cardiovascular structures using magnetic force. | 02-26-2015 |
20150057688 | SELF-ASSEMBLING MAGNETIC ANASTOMOSIS DEVICE HAVING AN EXOSKELETON - The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed. | 02-26-2015 |
20150066065 | INSERTABLE PROSTHESIS AND PROSTHESIS BOARD FOR ANASTOMOSIS - Prosthetic devices are provided used for anastomosis of extremity with lateral, extremity with extremity and lateral with lateral without clamping and sutureless or with quick clamping sutureless, in which the graft is inserted in at least one of the intraluminal parts of the tubular member of the insertable prosthesis, the flanges including lateral inserts allowing the configuration of different prosthesis sets. Also described is a board of prostheses including one flange with multiple holes through which intraluminal parts or occluders will be inserted, according to the need of the anastomosis to be carried out. Also provided are prostheses in which the grafts cover only externally their extraluminal parts. | 03-05-2015 |
20150080920 | DEVICE FOR PREPARING A HOLE FORMED IN A BODILY WALL AND SYSTEM FOR MAKING AN ANASTOMOSIS BETWEEN A BODILY WALL AND CONDUIT - The disclosure relates to a system for preparing an opening created on an organic wall, comprising: —a supporting body defining a longitudinal axis and having a proximal portion and a distal portion adapted for insertion through the opening; —external clamping elements deployable in an outwardly flaring arrangement relative to the supporting body and able to cover portions of an annular surface of said wall; and—biasing elements arranged to tighten and juxtapose said external clamping elements on said body in order to progressively deform said annular surface so as to shape on said wall a tubular portion extending along the longitudinal axis and form an anchoring clamp consisting of said external clamping elements. | 03-19-2015 |
20150094744 | VASCULAR ANASTOMOSIS STENT - Provided herein are devices, methods, and kits for a stent based anastomosis. | 04-02-2015 |
20150127029 | DEVICE AND METHOD FOR ANASTOMOSIS - A device and method for anastomosis are disclosed which may include a stapler with a base and one or more stapling limbs. A graft having an asymmetrical end portion may be sleeved on the base. The apparatus includes a base having a length from a front end and at least one stapling limb disposed proximate the base, with each stapling limb having stapling functionality at its head. Each stapling limb end is configured for movement from an open position at a distance from the front end of the base to a closed position closer to the front end of the base. The front end of the base is configured to engage at least a portion of a graft for connection to a vessel, wherein the base and graft are insertable at least partially into a portion of the vessel with at least a portion of the graft, vessel and base overlapping each other. Control is configured to cause each stapling limb in the closed position to fire at least one staple into the overlapping portions of the vessel and graft to make a connection there between. | 05-07-2015 |
20150148825 | APPARATUS FOR CONFIGURING AN ARTERIOVENOUS FISTULA - An embodiment of the invention relates to an apparatus for supporting first and second blood vessels connected by an anastomosis at a fistula, the apparatus comprising: a coupler that seats on and couples to the first blood vessel; and a sleeve connected to the coupler that ensheathes a portion of the second blood vessel in the vicinity of the fistula. | 05-28-2015 |
20150289876 | SURGICAL CLIP WITH THREE CLAMPING ARMS - A surgical clip includes three double-armed clip parts that are mounted to be rotatable about an axis of rotation and each comprise one operating arm and one clamping arm, wherein a middle clip part is arranged such that its operating arm is arranged between the operating arms of the two outer clip parts and its clamping arm is arranged between the clamping arms of the two outer clip parts, as well as a spring that pretensions the two outer clip parts into a closed clip position in which the clamping arms of the three clip parts abut one another. | 10-15-2015 |
20150297336 | UROLOGICAL REPAIR APPARATUS AND METHOD - A urological repair device includes a stent having a diameter that fits within a portion of a urological structure. The stent also has a length to bridge a distance between a first end of the urological structure and a second end of the urological structure. The stent includes at least one tapered end. The tapered end enables placement of the stent within the urological structure. A method of repairing a urological structure includes placing a first end of a substantially tubular urological structure over a first end of a tubular stent, and placing a second end of a substantially tubular urological structure over a second end of a stent, and attaching the first end of the substantially tubular urological structure, the second end of a substantially tubular urological structure, and the tubular stent to form a fluid passageway. | 10-22-2015 |
20150305746 | MAGNETICALLY ACTIVATED ARTERIOVENOUS ACCESS VALVE SYSTEM AND RELATED METHODS - In one aspect, an arteriovenous access valve system may generally include a first valve configured to be positioned at or adjacent to an end of an arteriovenous graft and a second valve configured to be positioned at or adjacent to an opposite end of the arteriovenous graft. In addition, the system may include an actuator assembly in fluid communication with the first and second valves. The actuator assembly may include a housing, a driver assembly positioned within the housing and a drive magnet positioned within the housing. The drive magnet may be rotatably coupled to the driver assembly such that, when the drive magnet is rotated, the driver assembly is configured to be rotatably driven so as to supply fluid to the first and second valves or to draw fluid out of the first and second valves depending on a rotational direction of the driver assembly. | 10-29-2015 |
20150313595 | Anastomosis Devices - Implantable medical devices for connecting tissue layers, such as for connecting a gallbladder and a portion of a gastrointestinal tract to create an anastomosis, include a tubular structure having a plurality of apposition portions, a central region, and a covering material. The methods of using the devices include endoscopic deployment, and the devices may include self-expanding frameworks that facilitate a secure connection between the tissue structures. | 11-05-2015 |
20150313596 | Anastomosis Devices - Implantable medical devices for connecting tissue layers or occluding body conduits and tissue structures include apposition portions, a central region, and a covering material. The methods of using the devices include endoscopic deployment, and the devices may include self-expanding frameworks that facilitate a secure connection between the tissue structures. In some embodiments, one or more tethers are used to longitudinally contract the device in situ. | 11-05-2015 |
20150313597 | Anastomosis Devices - Implantable medical devices for connecting tissue layers, such as for connecting a gallbladder and a portion of a gastrointestinal tract to create an anastomosis, include a tubular structure having a plurality of apposition portions, a central region, and a covering material. The devices are endoscopically deployable and may include flange members having hinge members or variable properties such as length, angle, shape, material stiffness, and wire diameter. | 11-05-2015 |
20150313598 | Anastomosis Devices - Implantable medical devices for connecting tissue layers, such as for connecting a gallbladder and a portion of a gastrointestinal tract to create an anastomosis, include a tubular structure having a plurality of apposition portions, a central region, and a covering material. The devices are endoscopically deployable and may include open cells or undulating edges that facilitate a secure connection between the tissue structures. | 11-05-2015 |
20150320424 | Self-Expanding Anastomosis Device - A size-variable Implantable device having a body including at least one attaching portion configured for securing the device to a surgical site of a patient; a size-controlling member configured for controlling at least one dimension of the device; and an actuator arranged to actuate the size-controlling member. The device may include a mounting portion for mounting one or more expandable conduits. The at least one attaching portion may be made from a deformable, e.g. an expandable and/or contractible, material, which may allow expansion and/or contraction of the size-variable implantable device. The device may include one or more sensors for detecting, measuring, collecting, storing, and/or communicating data in the region of deployment of the device, which may cause the actuator to actuate the size-controlling device when one or more of the detected parameters reach a predetermined value. | 11-12-2015 |
20150320425 | Sealant Delivery Device for Anastomotic Stapler - The present invention relates to surgical instruments and a method for applying an adhesive or sealant to an anastomosis site immediately prior and/or during anastomotic surgical stapling. The present invention further relates to surgical instruments, devices, and methods for applying sealant to a target tissue of a surgical site being anastomotically joined so as to prevent leakage. | 11-12-2015 |
20150342608 | APPLICATIONS FOR MODULAR MAGNETIC ANASTOMOSIS DEVICE - The present disclosure provides description of applicators to implement modular magnetic anastomosis device. In one embodiment the delivery device is a laparoscopic instrument for MISS surgery, in another embodiment the delivery device is endoscopy or colonoscopy instrument for NOTES surgery. | 12-03-2015 |
20150351768 | CONNECTOR - The present invention provides a device for connecting at least one biological structure, the device including a tubular member, a first opening at one end of the member, a second opening at a second opposing end of the member and a central cavity within the member for accommodating the at least one biological structure. The member includes a plurality of interwoven lengths configured for reversible radial enlargement of the member when the extremities are pushed inwards and reversible radial contraction of the member when the extremities are pulled outwards. The present invention further provides methods of connecting one or more biological structures. | 12-10-2015 |
20160007998 | DEVICE AND METHOD FOR ASSISTING END-TO-SIDE ANASTOMOSIS | 01-14-2016 |
20160051261 | Percutaneous Tendon-Muscle-Ligament Approximation Device - A device for the approximation of tissue including a hollow tube housing an inner core. The inner core may be moved within the hollow tube between first and second positions. The inner core comprises a distal tip. When the inner core is placed into the first position, the distal tip extends away from or outside of the hollow tube such that the distal tip may become securely attached to a selected tissue at a desired location. Once secured to tissue, the distal tip is configured to approximate the torn tissue in a selected direction. Associated systems and methods are also disclosed. | 02-25-2016 |
20160058452 | METHODS, SYSTEMS AND DEVICES FOR TREATING CARDIAC ARRHYTHMIAS - Provided is a method of treating cardiac arrhythmia in a patient. The method comprises selecting a patient suffering from a cardiac arrhythmia and creating a flow pathway between a first vascular location and a second vascular location. The first vascular location comprises a source of arterial blood and the second vascular location comprises a source of venous blood. Systems and devices for creating a flow pathway are also provided. | 03-03-2016 |
20160058453 | METHOD FOR CONFIGURING AN ARTERIOVENOUS FISTULA - An embodiment of the invention relates to a method of configuring blood vessels at an anastomosis, the method comprising: ensheathing a segment of a transected first blood vessel in a lumen of a sleeve so that an open end of the segment protrudes from a sleeve end; suturing edges of an incision made in a second blood vessel to the open end of the first blood vessel to create an anastomosis; and sliding the sleeve along the first blood vessel to position the sleeve at the anastomosis. | 03-03-2016 |
20160067074 | Sleeve Gastrectomy Calibration Tube And Method Of Using Same - One or more medical devices may be provided that may be used, for example, in bariatric surgery including a vertical sleeve gastrectomy. The one or more medical devices may include a laparoscopic sleeve gastrectomy stapling guide in conjunction with a calibration tube in accordance with one or more examples. According to an example, the calibration tube may be a flared, multi-diameter calibration tube. The flared, multi-diameter calibration tube may have a first diameter along a portion of the tube and a second diameter that may larger than the first diameter along at least another portion of the tube. The calibration tube may be used in conjunction with the stapling guide to align stomach such that it may be stapled along the stapling guide (e.g., to perform the vertical sleeve gastrectomy). | 03-10-2016 |
20160074041 | URETHRAL ANASTOMOSIS DEVICE AND METHOD - Provided herein is an anastomosis assembly for connecting a first tissue portion to a second tissue portion. The anastomosis assembly includes a first anastomosis portion having first tissue engaging structures for deployment, by actuation of a deployment mechanism of a deployment device, to attach to the first tissue portion, and a second anastomosis portion having second tissue engaging structures for deployment, by actuation of a deployment mechanism of a deployment device, to attach to the second tissue portion. During delivery of the anastomosis assembly, the first and second tissue engaging structures are contained within an inner diameter of the first and second anastomosis portions. | 03-17-2016 |
20160081691 | IMPLANTED MAGNETS RETRIEVAL SYSTEM AND METHOD - A method of retrieving a pair of previously implanted magnets from a patient's body includes maneuvering a guide catheter, which includes a guide magnet affixed to its distal end, toward the implantation site of the implanted magnets. The guide magnet is magnetically coupled to one of the implanted magnets in an orientation in which a through hole of the guide magnet is in register with through holes of the first and second implant magnets. An elongate capture member is slid through the lumen of the guide catheter until one of a proximal segment and a distal segment extends through the through holes of the guide magnet and the implanted magnets. An abutment segment of the elongate capture member, which separates the proximal segment and the distal segment is maneuvered into contact with the magnets. Then, the abutment segment, the guide magnet and the implanted magnets are moved as a group away from the implantation site. | 03-24-2016 |
20160095591 | MAGNETIC AND/OR HOOK AND LOOP T-TAGS - A device and system for treating tissue includes an anchoring element at a distal end thereof for anchoring the device in a target portion of tissue and a coupling element with a magnet. The anchoring element and the coupling element are coupled to one another by a tether so that, when the anchor element is anchored in a target portion of tissue, the tether passes through the portion of tissue and the coupling element remains outside the portion of tissue. The closing device is configured to couple to a second closing device comprising a second anchoring element tethered to a second coupling element with a magnet to hold the target portion of tissue in a desired location relative to one another. | 04-07-2016 |
20160120526 | VASCULAR CLOSURE APPARATUS AND RELATED METHOD - A vascular closure device includes both a mechanical component and a biological component for sealing an arteriotomy. The mechanical component reduces the size or closes the arteriotomy. The biological component covers and fills any spaces or cracks present after the arteriotomy has been mechanically reduced in size. An exemplary embodiment includes a suture or clip to approximate the edges of the arteriotomy, and a smooth rounded plug is advanced along the suture towards the closed arteriotomy. In situ, the plug transforms to a flowable or gel state and fills and covers any cracks and spaces along the closed arteriotomy. | 05-05-2016 |
20160120548 | DISSOLVABLE SLEEVE CONFIGURATIONS TO AID GRAFT DEPLOYMENT - A prosthesis including a self-expanding stent, a graft body, and one or more sleeves is disclosed, in addition to methods of treatment using the prosthesis. The proximal and distal ends of the prosthesis may include one or more sleeves and one or more barbs. The sleeves may be removable or dissolvable, for example, upon exposure to an activating agent. The prosthesis may be used to treat lacerated vessels and transected vessels. | 05-05-2016 |
20160143639 | VASCULAR ANASTOMOSIS DEVICE AND METHOD - A side-to-end vascular anastomosis device comprising a diversion conduit coupled to a lower flange which is inserted into the vessel and an upper flange located on the outside of the vessel designed to clamp together to seal the incision into which the lower flange of the device is inserted. | 05-26-2016 |
20160143640 | SUTURELESS VASCULAR ANASTOMOSIS CONNECTION - A system is described for performing vascular anastomosis without the use of sutures. The system includes a connector comprised of memory material and an incision seal. The connector has one end configured to securely engage a graft vessel and another end with wings and barbs. The wings are configured to securely engage an inner wall of a main vessel and the barbs are configured to lock with the incision seal. Once locked, the incision seal and the connector apply a clamping force that secures the graft vessel with the main vessel. | 05-26-2016 |
20160151066 | IMPLANTABLE FLOW CONNECTOR | 06-02-2016 |
20160174986 | ANASTOMOSIS DEVICES AND METHODS OF USING SAME | 06-23-2016 |
20160174987 | ANASTOMOTIC DEVICE FOR JOINING LUMENS OR VISCERA TO EACH OTHER | 06-23-2016 |
20160199065 | EXTRAVASCULAR DEVICE FOR LIMITING BLOOD FLOW ADJACENT AN ARTERIOVENOUS FISTULA | 07-14-2016 |
20160374682 | SURGICAL PROCEDURE AND DEVICES FOR USE THEREIN - The creation of arteriovenous fistulas in renal dialysis patients is associated with various problems. By placing a valve which can control the blood flow between artery and vein, material improvements in renal dialysis patient care can be achieved. In a preferred embodiment, the valve is mounted on a ring located around an aperture in the side of an asymmetrically expanded stent set in the artery. Novel stents, valve structures and valve ring insertion arrangements are also described. | 12-29-2016 |
20160374683 | INCISIONLESS GASTRIC BYPASS METHOD & DEVICES - A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes. | 12-29-2016 |
20170231634 | MINIMALLY TRAUMATIC ANASTOMOSIS | 08-17-2017 |
20180021043 | Magnetic Anastomosis Device and Delivery System | 01-25-2018 |
20190141988 | PERFUSION DEVICE FOR LIVER GRAFT, AND LIVER REMOVAL METHOD AND LIVER TRANSPLANTATION METHOD USING THE DEVICE | 05-16-2019 |