Devices, systems, and methods for creation of a peripherally...

A - Human Necessities – 61 – B

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A61B 17/34 (2006.01)

Patent

CA 2612130

Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include a device (10) for the creation, modification and maintenance of a fistula that includes an integral fistula creation assembly (25) 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 (25) preferably includes an anastomotic implant (60) that is placed within the fistula t maintain long term blood flow there through. 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, respirator failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

La présente invention concerne des dispositifs, des systèmes et des procédés de création d~une fistule artérioveineuse dans le membre d~un patient. Les modes de réalisation comprennent un dispositif (10) destiné à créer, modifier et entretenir une fistule comprenant un ensemble de création de fistule intégral (25) à proximité de son extrémité distale, qui passe à travers la peau du patient, à travers un premier vaisseau tel qu~une artère et dans un second vaisseau tel qu~une veine. L'ensemble de création de fistule (25) comprend de préférence un implant anastomotique (60) qui est placé dans la fistule pour maintenir la circulation sanguine à long terme dans celle-ci. Les dispositifs, systèmes et procédés de l~invention peuvent être utilisés pour traiter des patients atteints d~une ou plusieurs maladies, y compris la bronchopneumopathie chronique obstructive, l~insuffisance cardiaque congestive, l~hypertension, l~hypotension, l~insuffisance respiratoire, l~hypertension artérielle pulmonaire, la fibrose pulmonaire et le syndrome de détresse respiratoire de l~adulte.

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