Paul A. Spence - Louisville KY Warren P. Williamson IV - Loveland OH George Christakis - Toronto, CA Mark Ortiz - Milford OH Craig B. Berky - Milford OH Douglas P. Allen - Lyons CO Matthew J. Huddleston - Blacklick OH Delbert Ted Leimbach - Goose Creek SC Cecil R. Robinson - Hilliard OH E. Dale VanHoose - Columbus OH Thomas J. Ward - Grandview Heights OH Marty J. Warnecke - Grandview Heights OH
Assignee:
Origin Medsystems, Inc. - Menlo Park CA
International Classification:
A61B 1708
US Classification:
606153
Abstract:
An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner.
Apparatus And Method For Performing An Anastomosis
Paul A. Spence - Louisville KY, US George Christakis - Toronto, CA Mark Ortiz - Milford OH, US Craig B. Berky - Milford OH, US Douglas P. Allen - Lyons CO, US Matthew J. Huddleston - Blacklick OH, US Delbert Ted Leimbach - Goose Creek SC, US Cecil R. Robinson - Hilliard OH, US E. Dale VanHoose - Columbus OH, US Thomas J. Ward - Grandview Heights OH, US Marty J. Warnecke - Grandview Heights OH, US
Assignee:
Origin Medsystems, Inc. - Santa Clara CA
International Classification:
A61B017/08
US Classification:
606153, 606213, 128898
Abstract:
An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner.
Extremely Long Wire Fasteners For Use In Minimally Invasive Surgery And Means And Methods For Handling Those Fasteners
Paul A. Spence - Louisville KY, US George A. Keller - Grandview Heights OH, US Cecil R. Robinson - Hilliard OH, US Thomas J. Ward - Columbus OH, US
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61B 17/08 A61B 17/10
US Classification:
606219, 606142
Abstract:
Wire fasteners having legs with lengths that can be one hundred times the width of the fastener are used to secure items, such as prosthesis valves to a patient during minimally invasive surgery. The fasteners are manipulated into position and then are immobilized by means of the legs thereof for tensioning, cutting and forming in situ. The fasteners are manipulated, tensioned and formed from the leg end of the fasteners. Tools for initially placing the fasteners and for immobilizing, tensioning, cutting and bending the fastener legs are disclosed. Once the fasteners are initially placed, the prosthesis is placed on the long legs of the placed fasteners and is guided into position on the legs. Once the prosthesis is in position, the legs of the fasteners are immobilized, tensioned, cut and bent into staple-like shapes to secure the prosthesis to the patient. A method for carrying out the procedure using the long fastener is also disclosed.