Claims
- 1. An anastomosis system comprising:
an externally positioned anvil apparatus including anvil means for engaging the interior surface of a first vessel at an anastomosis site, and anvil pull means for holding the engaging end of the anvil means against the interior of the first vessel, the anvil pull means extending from the engaging end of the anvil means; and an external anastomosis operator including
engaging means for engaging the anvil pull means once the anvil means has been inserted though a wall of the first vessel at an insertion opening that has been selected as an anastomosis site and positioned in a lumen of the first vessel with the anvil pull means extending through the insertion opening of the first vessel to enable the engaging means to hold the anvil pull means; cutting means for forming a first vessel opening in the wall of the first vessel at the anastomosis site through engagement with the anvil means of the anvil apparatus as the engaging means holds the anvil pull means after receiving the anvil pull means through the cutting means, the cutting means having a cutting perimeter that defines the shape of the first vessel opening;
wherein the engaging end of the anvil means has a greater cross18 sectional area than a cross-sectional area defined by the cutting perimeter of the cutting means such that portions of the engaging end of the anvil means extend beyond the cutting perimeter when the cutting means engages the anvil means and forms the first vessel opening.
- 2. An anastomosis system as claimed in claim 1, wherein the engaging end of the anvil means is a spherical engaging end, and wherein the cutting means includes a cutting tube that terminates at cutting knife with a circular cutting edge such that the first vessel opening is formed as the circular cutting edge presses against the spherical engaging end.
- 3. An anastomosis system as claimed in claim 1, wherein the cutting means includes a cutting tube that terminates at cutting knife with a noncircular cutting edge and wherein the engaging end of the anvil means has a shape corresponding to that of the cutting edge such that the first vessel opening is formed as the noncircular cutting edge presses against the engaging end.
- 4. An anastomosis system as claimed in claim 1, wherein the anvil means is an expandable anvil such that the anvil means has an initial collapsed position for insertion into the insertion opening and an expanded position, wherein the engaging end has a greater cross-sectional area than the cross-sectional area defined by cutting perimeter of the cutting means when in the expanded position.
- 5. An anastomosis system as claimed in claim 4, wherein the expandable anvil is mechanically deployable.
- 6. An anastomosis system as claimed in claim 4, wherein the expandable anvil is chemically deployable.
- 7. An anastomosis system as claimed in claim 1, wherein the anvil is rigid.
- 8. An anastomosis system as claimed in claim 1, wherein the anvil is solid.
- 9. An anastomosis system as claimed in claim 1, further comprising means for joining a portion of the first vessel that defines the first vessel opening to a portion of a second vessel that defines a second vessel opening.
- 10. An anastomosis system as claimed in claim 1, further comprising attachment actuation means for actuating means for joining a portion of the first vessel that defines the first vessel opening to a portion of a second vessel that defines a second vessel opening.
- 11. An anastomosis system as claimed in claim 1, further comprising spring biasing means for providing tension against the cutting means as the cutting means engages the anvil means of the intraluminally directed anvil apparatus.
- 12. An anastomosis system as claimed in claim 1, further comprising a compression plate apparatus including a first compression plate having a first compression plate opening configured for alignment with the first vessel opening and a second compression plate having a second compression plate opening configured for alignment with the second vessel opening, the openings being sized to permit the anvil means to pass through the openings and out of the compression plate apparatus after the compression plates have been brought together to enable a portion of the first vessel defining the first vessel opening and a portion of the second vessel defining the second vessel opening to be joined such that the first vessel and the second vessel are anastomosed together.
- 13. An anastomosis system as claimed in claim 12, further comprising attachment actuation means for actuating the compression plate apparatus.
- 14. An anastomosis system as claimed in claim 13, wherein the attachment actuation means is adapted to hold the first compression plate and the second compression plate stationary as the engaging means urges the anvil means against the cutting means by advancing the anvil pull means relative to the cutting means.
- 15. An anastomosis system as claimed in claim 14, further comprising spring biasing means for providing tension against the cutting means as the cutting means engages the anvil means of the externally positioned anvil apparatus.
- 16. An anastomosis system as claimed in claim 15, wherein the spring biasing means provides an amount of tension that enables the cutting means to form the first vessel opening after the wall of the first vessel has been distended by the action of the anvil means being pulled into the openings of the compression plate apparatus such that forming the first vessel opening results in at least partial eversion of the portion of the first vessel defining the first vessel opening.
- 17. An anastomosis system comprising:
an externally positioned anvil apparatus including an anvil pull extending from an engaging end of an anvil; and an external anastomosis operator including
an anvil pull engager adapted to hold the anvil pull extending from the anvil of the externally positioned anvil apparatus once the anvil has been inserted though a wall of the first vessel at an insertion opening that has been selected as an anastomosis site and positioned in a lumen of the first vessel with the anvil pull extending through the insertion opening of the first vessel; and a cutting device that is adapted to engage the anvil of the externally positioned anvil apparatus once the engager has received the anvil pull through the cutting device in order to form an opening in the wall of the first vessel at the anastomosis site, wherein the engager and the cutting device are adapted to enable the anvil pull to be moved through the cutting device, the cutting device including a cutting tube that terminates at cutting knife with a cutting edge that defines the shape of the first vessel opening such that the first vessel opening has a perimeter that corresponds with the perimeter of the cutting edge, wherein the cross-sectional area defined by the perimeter of the cutting edge of the cutting knife is smaller than a cross-sectional area of the engaging end such that portions of the engaging end of the anvil extend beyond the cutting edge when the cutting device engages the anvil and forms the first vessel opening.
- 18. An anastomosis system as claimed in claim 17, wherein the engaging end of the anvil is a spherical engaging end, and wherein the cutting edge is circular such that the first vessel opening is formed as the circular cutting edge presses against the spherical engaging end.
- 19. An anastomosis system as claimed in claim 17, wherein the cutting edge is noncircular and wherein the engaging end of the anvil has a shape corresponding to that of the cutting edge such that the first vessel opening is formed as the noncircular cutting edge presses against the engaging end.
- 20. An anastomosis system as claimed in claim 17, wherein the anvil is an expandable anvil such that the anvil has an initial collapsed position for insertion into the insertion opening and an expanded position, wherein the engaging end has a greater cross-sectional area than the cross-sectional area defined by cutting perimeter of the cutting device when in the expanded position.
- 21. An anastomosis system as claimed in claim 17, wherein the expandable anvil is mechanically deployable.
- 22. An anastomosis system as claimed in claim 17, wherein the expandable anvil is chemically deployable.
- 23. An anastomosis system as claimed in claim 17, wherein the anvil is rigid.
- 24. An anastomosis system as claimed in claim 17, wherein the anvil is solid.
- 25. An anastomosis system as claimed in claim 17, further comprising means for joining a portion of the first vessel that defines the first vessel opening to a portion of a second vessel that defines a second vessel opening.
- 26. An anastomosis system as claimed in claim 17, further comprising an attachment actuation device adapted to actuate means for joining a portion of the first vessel that defines the first vessel opening to a portion of a second vessel that defines a second vessel opening.
- 27. An anastomosis system as claimed in claim 17, further comprising a spring biasing device adapted to engage the cutting device to provide tension against the cutting device as the cutting device engages the anvil of the externally positioned anvil apparatus.
- 28. An anastomosis system as claimed in claim 17, further comprising a compression plate apparatus including a first compression plate having a first compression plate opening configured for alignment with the first vessel opening and a second compression plate having a second compression plate opening configured for alignment with the second vessel opening, the openings being sized to permit the anvil to pass through the openings and out of the compression plate apparatus after the compression plates have been brought together to enable a portion of the first vessel defining the first vessel opening and a portion of the second vessel defining the second vessel opening to be joined such that the first vessel and the second vessel are anastomosed together.
- 29. An anastomosis system as claimed in claim 28, further comprising an attachment actuation device adapted to hold the first compression plate and the second compression plate stationary as the engager urges the anvil against the cutting device by advancing the anvil pull relative to the cutting device, the attachment actuation device also being adapted to bring the first compression plates together.
- 30. An anastomosis system as claimed in claim 29, further comprising a spring biasing device adapted to engage the cutting device and provide tension against the cutting device as the cutting device engages the anvil of the externally positioned anvil apparatus.
- 31. An anastomosis system as claimed in claim 30, wherein the spring biasing device provides an amount of tension that enables the cutting device to form the first vessel opening after the wall of the first vessel has been distended by the action of the anvil being pulled into the openings of the compression plate apparatus such that forming the first vessel opening results in at least partial eversion of the portion of the first vessel defining the first vessel opening.
- 32. A cutting apparatus comprising:
anvil means for engaging the interior surface of a first vessel at an anastomosis site, and anvil pull means for holding the engaging end of the anvil means against the interior of the first vessel, the anvil pull means extending from an engaging end of the anvil means; and cutting means for forming a first vessel opening in the wall of the first vessel at the anastomosis site through engagement with the anvil means;
wherein the cutting means includes a cutting tube that terminates at cutting knife with a cutting edge that defines the shape of the first vessel opening such that the first vessel opening has a perimeter that corresponds with the perimeter of the cutting edge, wherein the anvil pull means extends coaxially within the cutting tube to enable the anvil pull means and the cutting means to be move relative to each other, wherein the cross-sectional area defined by the perimeter of the cutting edge of the cutting knife is smaller than a cross-sectional area of the engaging end such that portions of the engaging end of the anvil means extend beyond the cutting edge when the cutting means engages the anvil means and forms the first vessel opening.
- 33. A cutting apparatus as claimed in claim 32, wherein the engaging end of the anvil means is a spherical engaging end, and wherein the cutting means includes a cutting tube that terminates at cutting knife with a circular cutting edge such that the first vessel opening is formed as the circular cutting edge presses against the spherical engaging end.
- 34. A cutting apparatus as claimed in claim 32, wherein the cutting means includes a cutting tube that terminates at cutting knife with a noncircular cutting edge and wherein the engaging end of the anvil means has a shape corresponding to that of the cutting edge such that the first vessel opening is formed as the noncircular cutting edge presses against the engaging end.
- 35. A cutting apparatus as claimed in claim 32, wherein the anvil means is an expandable anvil such that the anvil means has an initial collapsed position for insertion into the insertion opening and an expanded position, wherein the engaging end has a greater cross-sectional area when in the expanded position than the cross-sectional area defined by cutting perimeter of the cutting means.
- 36. A cutting apparatus as claimed in claim 35, wherein the expandable anvil is mechanically deployable.
- 37. A cutting apparatus as claimed in claim 35, wherein the expandable anvil is chemically deployable.
- 38. A cutting apparatus as claimed in claim 32, wherein the anvil is rigid.
- 39. A cutting apparatus as claimed in claim 32, wherein the anvil is solid.
- 40. A cutting apparatus comprising:
an anvil adapted to engage the interior surface of a first vessel at an anastomosis site, and an anvil pull extending from an engaging end of the anvil that is adapted to hold the engaging end of the anvil against the interior of the first vessel; a cutting device that is adapted to engage the anvil and form a first vessel opening in the wall of the first vessel at the anastomosis site, the cutting device including a cutting tube that terminates at cutting knife with a cutting edge that defines the shape of the first vessel opening such that the first vessel opening has a perimeter that corresponds with the perimeter of the cutting edge,
wherein the anvil pull extends coaxially within the cutting tube to enable the anvil pull and the cutting device to be moved relative to each other, wherein the cross-sectional area defined by the perimeter of the cutting edge of the cutting knife is smaller than a cross-sectional area of the engaging end such that portions of the engaging end of the anvil extend beyond the cutting edge when the cutting device engages the anvil and forms the first vessel opening.
- 41. A cutting apparatus as claimed in claim 40, wherein the engaging end of the anvil is a spherical engaging end, and wherein the cutting edge is circular such that the first vessel opening is formed as the circular cutting edge presses against the spherical engaging end.
- 42. A cutting apparatus as claimed in claim 40, wherein the cutting edge is noncircular and wherein the engaging end of the anvil has a shape corresponding to that of the cutting edge such that the first vessel opening is formed as the noncircular cutting edge presses against the engaging end.
- 43. A cutting apparatus as claimed in claim 40, wherein the anvil is an expandable anvil such that the anvil has an initial collapsed position for insertion into the insertion opening and an expanded position, wherein the engaging end has a greater cross-sectional area when in the expanded position than the cross-sectional area defined by cutting edge.
- 44. A cutting apparatus as claimed in claim 43, wherein the expandable anvil is mechanically deployable.
- 45. A cutting apparatus as claimed in claim 43, wherein the expandable anvil is chemically deployable.
- 46. A cutting apparatus as claimed in claim 40, wherein the anvil is rigid.
- 47. A cutting apparatus as claimed in claim 40, wherein the anvil is solid.
RELATED APPLICATIONS
[0001] The present application is a continuation-in-part patent application of U.S. patent application Ser. No. 09/293,366 entitled Methods, Systems and Apparatus For Intraluminally Directed Vascular Anastomosis which was filed on Apr. 16, 1999 on behalf of Duane D. Blatter. Ser. No. 09/293,366 is incorporated herein by specific reference. This application is also a continuation-in-part patent application of U.S. patent application Ser. No. 09/460,740 entitled Compression Plate Anastomsosis Apparatus which was filed on Dec. 14, 1999 on behalf of Duane D. Blatter, Kenneth C. Goodrich, Mike Barrus, and Bruce M. Burnett. Ser. No. 09/460,740 is incorporated herein by specific reference.
Continuation in Parts (2)
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Number |
Date |
Country |
Parent |
09293366 |
Apr 1999 |
US |
Child |
09736781 |
Dec 2000 |
US |
Parent |
09460740 |
Dec 1999 |
US |
Child |
09736781 |
Dec 2000 |
US |