US7008436B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Method and coupling apparatus for facilitating an vascular anastomoses
Assignee: Individual
•
Filing: 2000-12-08
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Granted: 2006-03-07
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Expires: 2020-12-08
Abstract
Abstract The present invention, which addresses the needs described above, resides in an apparatus and method for coupling vascular apertures to a blood supply vessel in a manner that minimizes the time and operator dependent inconsistency in performing vascular anastomoses. In the coronary setting, this concept is fast and can be applied to both conventional and minimally invasive operative techniques. In the preferred embodiment, the present invention relates to an apparatus and method for facilitating end-to-side vascular anastomoses procedure, whereby the present invention acts as a coupling apparatus between a first, blood supplying hollow organ, e.g. the LIMA, radial artery, or a saphenous vein and the side wall of second hollow organ, typically one of the major coronary arteries, such as the left coronary artery (LCA), right coronary artery (RCA) or the circumflex (CX).
Inventors
- 👤 Peter Barath
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 10:35
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/11; A61B17/00491; A61B17/04; A61B17/0469; A61B17/115; A61B2017/1107; A61B2017/1135
Claims Analysis
Total Claims: 89
Claim 1
Independent Claim
147 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ site; (c) positioning said output end of said anastomosis coupling apparatus in close proximity with the severed end of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ.
Claim 2
Independent Claim
147 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ site; (c) positioning said output end of said anastomosis coupling apparatus in close proximity with the severed end of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ.
Claim 3
Independent Claim
154 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said output end to a severed section of the side-wall of said second hollow organ; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site.
Claim 4
Independent Claim
154 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said output end to a severed section of the side-wall of said second hollow organ; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site.
Claim 5
Dependent Claim
84 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a gap on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall.
Claim 6
Dependent Claim
84 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a gap on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall.
Claim 7
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a biodegradable material.
Claim 8
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a biodegradable material.
Claim 9
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a biocompatible material.
Claim 10
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a biocompatible material.
Claim 11
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a polymeric material.
Claim 12
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a polymeric material.
Claim 13
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a metallic material.
Claim 14
Dependent Claim
94 words
An anastomosis coupling apparatus having an input end, an output end, and comprising two pieces joined on one side by a hinge mechanism and having a slot on another side, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said anastomosis coupling is fabricated from a metallic material.
Claim 15
Dependent Claim
95 words
An anastomosis coupling apparatus having an input end and output end, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said specifically configured anastomosis coupling apparatus has an acute angle between a longitudinal axis of said input end and an longitudinal axis of said output end of said apparatus.
Claim 16
Dependent Claim
95 words
An anastomosis coupling apparatus having an input end and output end, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said specifically configured anastomosis coupling apparatus has an acute angle between a longitudinal axis of said input end and an longitudinal axis of said output end of said apparatus.
Claim 17
Dependent Claim
15 words
The apparatus of claim 8 , wherein said acute angle is larger than 5 degrees.
Claim 18
Dependent Claim
105 words
An anastomosis coupling apparatus having an input end and output end, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said specifically configured anastomosis coupling apparatus has a right deflection angle between a right angle formed between the longitudinal axis of said input end and an axis parallel to the lip of a distal end of said input end.
Claim 19
Dependent Claim
105 words
An anastomosis coupling apparatus having an input end and output end, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said specifically configured anastomosis coupling apparatus has a right deflection angle between a right angle formed between the longitudinal axis of said input end and an axis parallel to the lip of a distal end of said input end.
Claim 20
Dependent Claim
103 words
An anastomosis coupling apparatus having an input end and output end, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said specifically configured anastomosis coupling apparatus has a lip deflection angle between a right angle formed between the longitudinal axis said input end and an axis parallel the lip of a distal end of said input end.
Claim 21
Dependent Claim
103 words
An anastomosis coupling apparatus having an input end and output end, said apparatus comprised to substantially engage said severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end, said coupling apparatus positioning a tissue interface of said first hollow organ in close proximity with a tissue interface of said side-wall, wherein said specifically configured anastomosis coupling apparatus has a lip deflection angle between a right angle formed between the longitudinal axis said input end and an axis parallel the lip of a distal end of said input end.
Claim 22
Dependent Claim
16 words
The apparatus of claim 11 , wherein said lip deflection angle is larger than 5 degrees.
Claim 23
Independent Claim
169 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end further comprising a means for remotely manipulating said anastomosis coupling apparatus for positioning and engaging said coupling apparatus to one of said hollow organs; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ.
Claim 24
Independent Claim
169 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end further comprising a means for remotely manipulating said anastomosis coupling apparatus for positioning and engaging said coupling apparatus to one of said hollow organs; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ.
Claim 25
Independent Claim
163 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to a severed section of the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed section by sutures.
Claim 26
Independent Claim
163 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to a severed section of the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed section by sutures.
Claim 27
Independent Claim
157 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ wherein said anastomosis coupling is affixed to said severed section by staples.
Claim 28
Independent Claim
157 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side-wall of said second hollow organ wherein said anastomosis coupling is affixed to said severed section by staples.
Claim 29
Independent Claim
167 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side wall of said second hollow organ wherein the adhering of the severed section of the second hollow organ is affixed by applying a biocompatible glue or adhesive.
Claim 30
Independent Claim
167 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of the side wall of said second hollow organ wherein the adhering of the severed section of the second hollow organ is affixed by applying a biocompatible glue or adhesive.
Claim 31
Independent Claim
162 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to said severed section of said second hollow organ wherein said anastomosis coupling is affixed to said severed section by an any combination of sutures, staples, glue or adhesive.
Claim 32
Independent Claim
162 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to said severed section of said second hollow organ wherein said anastomosis coupling is affixed to said severed section by an any combination of sutures, staples, glue or adhesive.
Claim 33
Independent Claim
152 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ wherein said anastomosis coupling is affixed to said first hollow organ by sutures; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 34
Independent Claim
152 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ wherein said anastomosis coupling is affixed to said first hollow organ by sutures; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 35
Independent Claim
150 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the first and second hollow organs are both vascular lumens; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 36
Independent Claim
150 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the first and second hollow organs are both vascular lumens; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 37
Independent Claim
150 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the first hollow organ is the left internal mammary artery; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 38
Independent Claim
150 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the first hollow organ is the left internal mammary artery; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 39
Independent Claim
148 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the second hollow organ is a coronary artery; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 40
Independent Claim
148 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the second hollow organ is a coronary artery; (b) affixing said input end to said first hollow organ; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 41
Independent Claim
155 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ, wherein said anastomosis coupling is affixed to said first hollow organ by sutures; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed end of said second hollow organ.
Claim 42
Independent Claim
155 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ, wherein said anastomosis coupling is affixed to said first hollow organ by sutures; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed end of said second hollow organ.
Claim 43
Independent Claim
155 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ, wherein said anastomosis coupling is affixed to said first hollow organ by staples; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 44
Independent Claim
155 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ, wherein said anastomosis coupling is affixed to said first hollow organ by staples; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 45
Independent Claim
163 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ site, wherein said anastomosis coupling organ is is affixed to said first hollow organ by applying a biocompatible glue or adhesive; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 46
Independent Claim
163 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ site, wherein said anastomosis coupling organ is is affixed to said first hollow organ by applying a biocompatible glue or adhesive; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 47
Independent Claim
162 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ, wherein said anastomosis coupling is affixed to said severed end by an any combination of sutures, staples, glue or adhesive; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 48
Independent Claim
162 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing an anastomosis coupling apparatus having an input end and output end, said coupling apparatus comprising two pieces joined together with a hinge mechanism located on a posterior side and having an opening slot located on an anterior side, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said input end to said first hollow organ, wherein said anastomosis coupling is affixed to said severed end by an any combination of sutures, staples, glue or adhesive; (c) positioning said output end of said anastomosis coupling apparatus in close proximity to the side-wall of said second hollow organ; (d) affixing said output end to a severed section of said second hollow organ.
Claim 49
Independent Claim
161 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said output end to the side-wall of said second hollow organ; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site, wherein the first hollow organ is the left internal mammary artery.
Claim 50
Independent Claim
161 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said output end to the side-wall of said second hollow organ; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site, wherein the first hollow organ is the left internal mammary artery.
Claim 51
Independent Claim
159 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said output end to the side-wall of said second hollow organ, wherein the second hollow organ is a coronary artery; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site.
Claim 52
Independent Claim
159 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end; (b) affixing said output end to the side-wall of said second hollow organ, wherein the second hollow organ is a coronary artery; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site.
Claim 53
Independent Claim
161 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the first and second hollow organs are both vascular lumens; (b) affixing said output end to the side-wall of said second hollow organ; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site.
Claim 54
Independent Claim
161 words
A method for establishing an end-to-side anastomosis between a severed end of a first hollow organ and a side-wall of a second hollow organ, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said coupling apparatus comprising two segments joined together on one side with a hinge mechanism and having a gap on another side for allowing said two segments to be spread apart, said apparatus comprised to engage said severed end of a first hollow organ with said input end and engage said side-wall of a second hollow organ with said output end, wherein the first and second hollow organs are both vascular lumens; (b) affixing said output end to the side-wall of said second hollow organ; (c) positioning said input end of said anastomosis coupling apparatus in close proximity with the site for anastomosis of the first hollow organ; (d) affixing said input end to said first hollow organ site.
Claim 55
Independent Claim
102 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 56
Independent Claim
102 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 57
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a biodegradable material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 58
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a biodegradable material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 59
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a biocompatible material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 60
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a biocompatible material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 61
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a polymeric material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 62
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a polymeric material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 63
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a metallic material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 64
Independent Claim
114 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end an output end, and a hinge mechanism on one side and a opening slot on another side, wherein said specifically configured anastomosis coupling is fabricated from a metallic material, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 65
Independent Claim
116 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by sutures.
Claim 66
Independent Claim
116 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by sutures.
Claim 67
Independent Claim
116 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by staples.
Claim 68
Independent Claim
116 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by staples.
Claim 69
Independent Claim
123 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ, wherein the adhering of a severed end of the first hollow organ is effectuated by applying a biocompatible glue or adhesive; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 70
Independent Claim
123 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ, wherein the adhering of a severed end of the first hollow organ is effectuated by applying a biocompatible glue or adhesive; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 71
Independent Claim
124 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by an any combination of sutures, staples, glue or adhesive.
Claim 72
Independent Claim
124 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by an any combination of sutures, staples, glue or adhesive.
Claim 73
Independent Claim
116 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by sutures.
Claim 74
Independent Claim
116 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ wherein said specifically configured anastomosis coupling is affixed to said severed end by sutures.
Claim 75
Independent Claim
113 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein the first hollow organ is the left internal mammary artery; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 76
Independent Claim
113 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end, an output end, and a hinge mechanism on one side and a opening slot on another side, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein the first hollow organ is the left internal mammary artery; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 77
Independent Claim
119 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus having an input end and output end, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein said specifically configured anastomosis coupling apparatus has an acute angle between a longitudinal axis of said input end and an longitudinal axis of said output end of said apparatus; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; and (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 78
Independent Claim
119 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus having an input end and output end, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein said specifically configured anastomosis coupling apparatus has an acute angle between a longitudinal axis of said input end and an longitudinal axis of said output end of said apparatus; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; and (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 79
Dependent Claim
15 words
The method of claim 40 , wherein said acute angle is larger than 5 degrees.
Claim 80
Independent Claim
129 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein said specifically configured anastomosis coupling apparatus has a right deflection angle between a right angle formed between the longitudinal axis of said input end and an axis parallel to the lip of a distal end of said input end; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; and (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 81
Independent Claim
129 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein said specifically configured anastomosis coupling apparatus has a right deflection angle between a right angle formed between the longitudinal axis of said input end and an axis parallel to the lip of a distal end of said input end; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; and (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 82
Dependent Claim
16 words
The method of claim 42 , wherein said right deflection angle is larger than 5 degrees.
Claim 83
Independent Claim
128 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein said specifically configured anastomosis coupling apparatus has an lip deflection angle between a right angle formed between the longitudinal axis of said input end and an axis parallel the lip of a distal end of said input end; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; and (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 84
Independent Claim
128 words
A method for performing a coronary bypass by establishing an end-to-side anastomosis between an arterial source of oxygenated blood and a coronary artery having a stenosis, the method comprising: (a) introducing a specifically configured anastomosis coupling apparatus, having an input end and output end, said apparatus comprised to secure a first hollow organ to a second hollow organ, wherein said specifically configured anastomosis coupling apparatus has an lip deflection angle between a right angle formed between the longitudinal axis of said input end and an axis parallel the lip of a distal end of said input end; (b) affixing a first end of said anastomosis coupling apparatus to a first hollow organ; and (c) affixing a second end of said anastomosis coupling apparatus to a second hollow organ.
Claim 85
Dependent Claim
16 words
The method of claim 44 , wherein said lip deflection angle is larger than 5 degrees.
Claim 86
Dependent Claim
58 words
An anastomosis coupling apparatus, said coupling apparatus having an input end, and output end, a hinge mechanism on one side and a gap on another side, said apparatus comprised to substantially engage a severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end.
Claim 87
Dependent Claim
58 words
An anastomosis coupling apparatus, said coupling apparatus having an input end, and output end, a hinge mechanism on one side and a gap on another side, said apparatus comprised to substantially engage a severed end of a first hollow organ with said input end and substantially engage a side-wall of a second hollow organ with said output end.
Claim 88
Dependent Claim
39 words
The apparatus of claim 46 , wherein said hinge mechanism allows said coupling apparatus to open said gap to attain an open configuration for positioning and securing said severed end of said first hollow organ within said input end.
Claim 89
Dependent Claim
38 words
The apparatus of claim 46 , where said hinge mechanism allows said coupling apparatus to close said gap and attain a closed configuration that substantially engages said severed end of said first hollow organ within said input end.
References Cited (Backward Citations)
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