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US6190397B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Means and method for performing an anastomosis

Assignee: Maquet Cardiovascular LLC
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Filing: 1999-06-03
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Granted: 2001-02-20
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Expires: 2019-06-03
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Abstract

Abstract An anastomosis is performed using a mounting structure mounted on the outside of at least one vessels. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.

Inventors

  • 👤 Paul A. Spence
  • 👤 Warren P. Williamson, IV
  • 👤 George Christakis

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 17:50
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/11; A61B17/115; A61B17/1152; A61B2017/1135; A61B2017/1139; Y; Y10; Y10S; Y10S623/00; Y10S623/902; Y10S623/903

Claims Analysis

Total Claims: 20
Claim 1
Independent Claim 139 words
A method of performing an anastomosis comprising: A) defining an incision in a first vessel; B) defining an incision in a second vessel; C) positioning a first mounting structure on the first vessel adjacent to the incision in the first vessel so that an inner edge of the first vessel adjacent to the incision therein is spaced from an inner edge of the first mounting structure; D) fastening the first mounting structure to the first vessel; E) positioning a second mounting structure on the second vessel adjacent to the incision in the second vessel so that an inner edge of the second vessel adjacent to the incision therein is spaced from an inner edge of the second mounting structure; F) fastening the second mounting structure to the second vessel; and G) attaching the first and second mounting structures together.
Claim 2
Independent Claim 139 words
A method of performing an anastomosis comprising: A) defining an incision in a first vessel; B) defining an incision in a second vessel; C) positioning a first mounting structure on the first vessel adjacent to the incision in the first vessel so that an inner edge of the first vessel adjacent to the incision therein is spaced from an inner edge of the first mounting structure; D) fastening the first mounting structure to the first vessel; E) positioning a second mounting structure on the second vessel adjacent to the incision in the second vessel so that an inner edge of the second vessel adjacent to the incision therein is spaced from an inner edge of the second mounting structure; F) fastening the second mounting structure to the second vessel; and G) attaching the first and second mounting structures together.
Claim 3
Dependent Claim 36 words
The method defined in claim 1 wherein the step of attaching the first and second mounting structures together includes positioning the inner edges of the vessels in abutting contact with each other after said attaching steps.
Claim 4
Dependent Claim 22 words
The method defined in claim 1 further comprising a step of positioning the vessels in side-to-side orientation prior to said attaching step.
Claim 5
Dependent Claim 22 words
The method defined in claim 1 further comprising a step of positioning the vessels in end-to-side orientation prior to said attaching step.
Claim 6
Dependent Claim 19 words
The method defined in claim 1 further comprising a step of maintaining blood flow through one of the vessels.
Claim 7
Dependent Claim 15 words
The method defined in claim 1 further comprising a step of drawing the vessels together.
Claim 8
Dependent Claim 15 words
The method defined in claim 5 further comprising a step of stabilizing the first vessel.
Claim 9
Dependent Claim 24 words
The method defined in claim 5 further comprising a step of positioning the inside edges of each vessel in abutting contact with each other.
Claim 10
Dependent Claim 28 words
The method defined in claim 1 further comprising a step of shaping the fastened mounting structures to define a desired flow area between the first and second vessels.
Claim 11
Dependent Claim 38 words
The method defined in claim 1 further comprising a step of shaping the fastened mounting structures to define a flow area which exceeds a cross sectional area defined by one of the vessels prior to said attaching step.
Claim 12
Independent Claim 135 words
A method of performing an anastomosis comprising: A) defining an incision in a first vessel; B) defining an incision in a second vessel; C) positioning a mounting structure on the first vessel adjacent to the incision in the first vessel so that an inner edge of the first vessel adjacent to the incision therein is spaced from an inner edge of the mounting structure; D) fastening the mounting structure to the first vessel; E) positioning the second vessel adjacent to the mounting structure so that an inner edge of the second vessel adjacent to the incision therein is spaced from an inner edge of the mounting structure; F) fastening the mounting structure to the second vessel; and G) shaping the fastened mounting structure to define a desired flow area between the first and second vessels.
Claim 13
Independent Claim 135 words
A method of performing an anastomosis comprising: A) defining an incision in a first vessel; B) defining an incision in a second vessel; C) positioning a mounting structure on the first vessel adjacent to the incision in the first vessel so that an inner edge of the first vessel adjacent to the incision therein is spaced from an inner edge of the mounting structure; D) fastening the mounting structure to the first vessel; E) positioning the second vessel adjacent to the mounting structure so that an inner edge of the second vessel adjacent to the incision therein is spaced from an inner edge of the mounting structure; F) fastening the mounting structure to the second vessel; and G) shaping the fastened mounting structure to define a desired flow area between the first and second vessels.
Claim 14
Dependent Claim 29 words
The method defined in claim 11 further comprising a step of positioning the inner edges of the vessels in abutting contact with each other prior to said shaping step.
Claim 15
Independent Claim 56 words
A method of performing an anastomosis comprising: A) defining an incision in a first vessel; B) defining an incision in a second vessel; C) fastening a mounting structure to each vessel adjacent to each incision; and D) shaping said mounting structure to define a desired flow area and shape for the junction of the two vessels.
Claim 16
Independent Claim 56 words
A method of performing an anastomosis comprising: A) defining an incision in a first vessel; B) defining an incision in a second vessel; C) fastening a mounting structure to each vessel adjacent to each incision; and D) shaping said mounting structure to define a desired flow area and shape for the junction of the two vessels.
Claim 17
Independent Claim 32 words
A method of performing an anastomosis comprising: maintaining blood flow in a vessel; defining an incision in the vessel; fastening a stent on the outside of the vessel; and shaping the stent.
Claim 18
Independent Claim 32 words
A method of performing an anastomosis comprising: maintaining blood flow in a vessel; defining an incision in the vessel; fastening a stent on the outside of the vessel; and shaping the stent.
Claim 19
Dependent Claim 18 words
The method defined in claim 14 further including stabilizing the vessel during the step of fastening the stent.
Claim 20
Dependent Claim 13 words
The method defined in claim 14 further comprising steps of performing multiple grafts.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2004-02-20 2004-08-21 2005-02-20 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2008-02-20 2008-08-21 2009-02-20 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2012-02-20 2012-08-21 2013-02-20 $7700.00 Window Closed / Lapsed

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