Intraluminally directed anvil apparatus and related methods...

A - Human Necessities – 61 – B

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A61B 17/04 (2006.01) A61B 17/064 (2006.01) A61B 17/115 (2006.01) A61B 17/11 (2006.01) A61B 17/32 (2006.01) A61B 17/34 (2006.01)

Patent

CA 2394198

Anastomosis procedures are achieved through the use of an intraluminally directed anvil apparatus (200). The apparatus (200) is inserted at a catheter site (140') and is then positioned through the lumen of the blood vessel (20) to a remote anastomosis site. The intraluminally directed anvil apparatus (200) has an anvil pull (230') extending from an anvil (210'). At the anastomosis site, the anvil (210') is extended through the wall of the vessel at an initial piercing (15). The anvil (210') is too large to pass through the initial piercing (15) so the anvil pull (230') can be used to pull the anvil (210') against the wall of the vessel and distend the vessel wall in preparation for being cut to form an opening. The apparatus (200) is used with a cutter to form openings in a wall of a blood vessel. After the opening is formed then the vessel is joined with another vessel.

On exécute des procédures d'anastomose par l'intermédiaire d'un dispositif du type enclume (200), dirigé dans une lumière. On insère ce dispositif (200) au niveau du site du cathéter (140') et on le positionne ensuite dans la lumière du vaisseau sanguin (20) pour le diriger vers un site d'anastomose situé à distance. L'enclume (200) dirigée dans la lumière possède une tige d'enclume (230') s'étendant à partir de l'enclume (210'). Au niveau du site de l'anastomose, on déploie l'enclume (210') en la faisant traverser la paroi du vaisseau, au niveau d'un point de percement initial (15). L'enclume (210') étant trop grosse pour pouvoir passer à travers ce percement (15), on utilise la tige (230') pour tirer l'enclume (210') et la placer contre la paroi du vaisseau et détendre celui-ci en préparation à une découpe pratiquée dans ce vaisseau aux fins de formation d'une ouverture. On utilise ce dispositif (200) avec un instrument tranchant, afin de pratiquer des ouvertures dans une paroi d'un vaisseau sanguin. Après formation de l'ouverture, on assemble le vaisseau à un autre vaisseau.

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