CA2360568A1 - Procedes et dispositifs pour ponter un vaisseau obstrue voulu par la mise en communication du vaisseau avec une cavite cardiaque contenant du sang - Google Patents
Procedes et dispositifs pour ponter un vaisseau obstrue voulu par la mise en communication du vaisseau avec une cavite cardiaque contenant du sang Download PDFInfo
- Publication number
- CA2360568A1 CA2360568A1 CA002360568A CA2360568A CA2360568A1 CA 2360568 A1 CA2360568 A1 CA 2360568A1 CA 002360568 A CA002360568 A CA 002360568A CA 2360568 A CA2360568 A CA 2360568A CA 2360568 A1 CA2360568 A1 CA 2360568A1
- Authority
- CA
- Canada
- Prior art keywords
- vessel
- graft
- coupling
- anastomosis
- lumen
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000000034 method Methods 0.000 title claims abstract description 84
- 238000004891 communication Methods 0.000 title claims description 59
- 210000005242 cardiac chamber Anatomy 0.000 title claims description 57
- 239000008280 blood Substances 0.000 title claims description 53
- 210000004369 blood Anatomy 0.000 title claims description 53
- 230000008878 coupling Effects 0.000 claims abstract description 131
- 238000010168 coupling process Methods 0.000 claims abstract description 131
- 238000005859 coupling reaction Methods 0.000 claims abstract description 131
- 230000003872 anastomosis Effects 0.000 claims abstract description 129
- 210000004351 coronary vessel Anatomy 0.000 claims description 62
- 239000012530 fluid Substances 0.000 claims description 54
- 230000017531 blood circulation Effects 0.000 claims description 34
- 210000004165 myocardium Anatomy 0.000 claims description 24
- 230000007246 mechanism Effects 0.000 claims description 23
- 210000000709 aorta Anatomy 0.000 claims description 14
- 239000000463 material Substances 0.000 claims description 13
- 210000005240 left ventricle Anatomy 0.000 claims description 10
- 210000003752 saphenous vein Anatomy 0.000 claims description 5
- 229920000295 expanded polytetrafluoroethylene Polymers 0.000 claims description 4
- 229920002994 synthetic fiber Polymers 0.000 claims description 4
- 230000000903 blocking effect Effects 0.000 claims description 3
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims description 3
- 230000000717 retained effect Effects 0.000 claims description 2
- 238000003780 insertion Methods 0.000 claims 1
- 230000037431 insertion Effects 0.000 claims 1
- 210000002216 heart Anatomy 0.000 description 50
- 210000001367 artery Anatomy 0.000 description 10
- 238000010276 construction Methods 0.000 description 6
- 208000029078 coronary artery disease Diseases 0.000 description 5
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 4
- 238000010009 beating Methods 0.000 description 4
- 238000007789 sealing Methods 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 229910001220 stainless steel Inorganic materials 0.000 description 4
- 229910052719 titanium Inorganic materials 0.000 description 4
- 239000010936 titanium Substances 0.000 description 4
- 229920003266 Leaf® Polymers 0.000 description 3
- 230000000916 dilatatory effect Effects 0.000 description 3
- 238000005304 joining Methods 0.000 description 3
- 230000002107 myocardial effect Effects 0.000 description 3
- 229910001000 nickel titanium Inorganic materials 0.000 description 3
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 3
- 230000007704 transition Effects 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 230000002792 vascular Effects 0.000 description 3
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000002612 cardiopulmonary effect Effects 0.000 description 2
- 238000013131 cardiovascular procedure Methods 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- -1 e.g. Substances 0.000 description 2
- 230000002526 effect on cardiovascular system Effects 0.000 description 2
- 230000013011 mating Effects 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 229920000098 polyolefin Polymers 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 229910052715 tantalum Inorganic materials 0.000 description 2
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 2
- 230000002861 ventricular Effects 0.000 description 2
- 239000004677 Nylon Substances 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 230000002491 angiogenic effect Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 238000013130 cardiovascular surgery Methods 0.000 description 1
- 238000007887 coronary angioplasty Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 238000013152 interventional procedure Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 210000003492 pulmonary vein Anatomy 0.000 description 1
- 239000012858 resilient material Substances 0.000 description 1
- 230000000250 revascularization Effects 0.000 description 1
- 210000005245 right atrium Anatomy 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 238000011144 upstream manufacturing Methods 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/064—Blood vessels with special features to facilitate anastomotic coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
- A61B2017/00252—Making holes in the wall of the heart, e.g. laser Myocardial revascularization for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
L'invention concerne des procédés et des dispositifs (10) pour former une anastomose au cours d'une procédure de pontage, qui utilisent un vaisseau de greffe (18) fixée à un raccord de vaisseau (130) conçu pour être fixé à un vaisseau voulu sans suture. Le raccord de vaisseau (130) peut être une endoprothèse (132) à laquelle est fixé le vaisseau de greffe (18) pour former un ensemble endoprothèse/greffe (22). Le raccord de vaisseau (130) peut être infléchi, puis étendu.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US23206299A | 1999-01-15 | 1999-01-15 | |
| US09/232,062 | 1999-01-15 | ||
| PCT/US2000/001073 WO2000041632A1 (fr) | 1999-01-15 | 2000-01-14 | Procedes et dispositifs pour ponter un vaisseau obstrue voulu par la mise en communication du vaisseau avec une cavite cardiaque contenant du sang |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2360568A1 true CA2360568A1 (fr) | 2000-07-20 |
Family
ID=22871728
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002360568A Abandoned CA2360568A1 (fr) | 1999-01-15 | 2000-01-14 | Procedes et dispositifs pour ponter un vaisseau obstrue voulu par la mise en communication du vaisseau avec une cavite cardiaque contenant du sang |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1150611A1 (fr) |
| JP (1) | JP2002534207A (fr) |
| AU (1) | AU2966900A (fr) |
| CA (1) | CA2360568A1 (fr) |
| WO (1) | WO2000041632A1 (fr) |
Families Citing this family (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1112043B1 (fr) | 1998-09-10 | 2006-04-05 | Percardia, Inc. | Shunt de revascularisation transmyocardique |
| US6641610B2 (en) | 1998-09-10 | 2003-11-04 | Percardia, Inc. | Valve designs for left ventricular conduits |
| US6254564B1 (en) | 1998-09-10 | 2001-07-03 | Percardia, Inc. | Left ventricular conduit with blood vessel graft |
| US6290728B1 (en) | 1998-09-10 | 2001-09-18 | Percardia, Inc. | Designs for left ventricular conduit |
| US6409697B2 (en) | 1999-05-04 | 2002-06-25 | Heartstent Corporation | Transmyocardial implant with forward flow bias |
| US7033372B1 (en) | 1999-08-04 | 2006-04-25 | Percardia, Inc. | Corkscrew reinforced left ventricle to coronary artery channel |
| US6302892B1 (en) | 1999-08-04 | 2001-10-16 | Percardia, Inc. | Blood flow conduit delivery system and method of use |
| US6638237B1 (en) | 1999-08-04 | 2003-10-28 | Percardia, Inc. | Left ventricular conduits and methods for delivery |
| US6854467B2 (en) | 2000-05-04 | 2005-02-15 | Percardia, Inc. | Methods and devices for delivering a ventricular stent |
| US20020032478A1 (en) * | 2000-08-07 | 2002-03-14 | Percardia, Inc. | Myocardial stents and related methods of providing direct blood flow from a heart chamber to a coronary vessel |
| US6582463B1 (en) | 2000-10-11 | 2003-06-24 | Heartstent Corporation | Autoanastomosis |
| US6976990B2 (en) | 2001-01-25 | 2005-12-20 | Percardia, Inc. | Intravascular ventriculocoronary bypass via a septal passageway |
| FR2822370B1 (fr) | 2001-03-23 | 2004-03-05 | Perouse Lab | Endoprothese tubulaire comportant une bague deformable et necessaire d'intervention pour son implantation |
| US7374571B2 (en) | 2001-03-23 | 2008-05-20 | Edwards Lifesciences Corporation | Rolled minimally-invasive heart valves and methods of manufacture |
| US6733525B2 (en) | 2001-03-23 | 2004-05-11 | Edwards Lifesciences Corporation | Rolled minimally-invasive heart valves and methods of use |
| US6949118B2 (en) | 2002-01-16 | 2005-09-27 | Percardia, Inc. | Encased implant and methods |
| US7008397B2 (en) | 2002-02-13 | 2006-03-07 | Percardia, Inc. | Cardiac implant and methods |
| US7326219B2 (en) | 2002-09-09 | 2008-02-05 | Wilk Patent Development | Device for placing transmyocardial implant |
| IES20030531A2 (en) | 2003-07-17 | 2005-09-21 | Medtronic Vascular Connaught | Methods and devices for placing a fistula device in fluid communication with a target vessel |
| IES20030539A2 (en) | 2003-07-22 | 2005-05-18 | Medtronic Vascular Connaught | Stents and stent delivery system |
| DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
| US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
| WO2011104269A1 (fr) | 2008-02-26 | 2011-09-01 | Jenavalve Technology Inc. | Stent pour le positionnement et l'ancrage d'une prothèse valvulaire dans un site d'implantation dans le cœur d'un patient |
| US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
| US10856978B2 (en) | 2010-05-20 | 2020-12-08 | Jenavalve Technology, Inc. | Catheter system |
| US9744031B2 (en) | 2010-05-25 | 2017-08-29 | Jenavalve Technology, Inc. | Prosthetic heart valve and endoprosthesis comprising a prosthetic heart valve and a stent |
| US9867694B2 (en) | 2013-08-30 | 2018-01-16 | Jenavalve Technology Inc. | Radially collapsible frame for a prosthetic valve and method for manufacturing such a frame |
| EP3730094B1 (fr) | 2015-03-20 | 2024-04-24 | JenaValve Technology, Inc. | Système de pose de prothèse de valvule cardiaque |
| EP4403138A3 (fr) | 2015-05-01 | 2024-10-09 | JenaValve Technology, Inc. | Dispositif et procédé avec fréquence de stimulateur cardiaque réduite lors du remplacement de valvule cardiaque |
| US11065138B2 (en) | 2016-05-13 | 2021-07-20 | Jenavalve Technology, Inc. | Heart valve prosthesis delivery system and method for delivery of heart valve prosthesis with introducer sheath and loading system |
| WO2018138658A1 (fr) | 2017-01-27 | 2018-08-02 | Jenavalve Technology, Inc. | Mimétisme de valve cardiaque |
| BE1025571B1 (fr) * | 2018-02-27 | 2019-04-12 | Bernard Segers | Système de déploiement d'une prothèse vasculaire pour pontage |
| WO2024102411A1 (fr) | 2022-11-09 | 2024-05-16 | Jenavalve Technology, Inc. | Système de cathéter pour le déploiement séquentiel d'un implant expansible |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5755778A (en) * | 1996-10-16 | 1998-05-26 | Nitinol Medical Technologies, Inc. | Anastomosis device |
-
2000
- 2000-01-14 CA CA002360568A patent/CA2360568A1/fr not_active Abandoned
- 2000-01-14 AU AU29669/00A patent/AU2966900A/en not_active Abandoned
- 2000-01-14 EP EP00908290A patent/EP1150611A1/fr not_active Withdrawn
- 2000-01-14 JP JP2000593248A patent/JP2002534207A/ja active Pending
- 2000-01-14 WO PCT/US2000/001073 patent/WO2000041632A1/fr not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP1150611A1 (fr) | 2001-11-07 |
| WO2000041632A1 (fr) | 2000-07-20 |
| WO2000041632A9 (fr) | 2001-08-30 |
| JP2002534207A (ja) | 2002-10-15 |
| AU2966900A (en) | 2000-08-01 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FZDE | Discontinued |