Medical device and corresponding method of use for arteriovenous fistula creation

Patent metadata

Field	Value
Publication number	US-10314591-B2
Application number	US-201615228895-A
Country	US
Kind code	B2
Filing date	Aug 4, 2016
Priority date	Aug 4, 2015
Publication date	Jun 11, 2019
Grant date	Jun 11, 2019

Abstract

A multi-part medical implant device assembly for use in the surgical creation of an arteriovenous fistula is described herein, the implant device having an arterial section with an arterial lumen provided therein, a venous section with a venous lumen provided therein, and a connector section with a connecting lumen provided, the connector section serving to provide a fluid pathway from the arterial section to the venous section. The device may be formed of a top and a bottom portion, where the two-part assembly may facilitate surgical implantation.

First claim

What is claimed is:

1. A medical implant device for use in human body including an artery and a vein, comprising:
an arterial section that is configured to secure the artery, the arterial section having an arterial lumen provided therein, the arterial section having an arterial axis extending from a proximal end to a distal end of the arterial section, the arterial axis being coaxial with the artery;
a venous section that is configured to secure the vein, the venous section having a venous lumen provided therein, the venous section having a venous axis extending from a proximal end to a distal end of the venous section, the venous axis being coaxial with the vein; and
a connector section, having a connecting lumen provided therein, that is configured to provide a fluid conduit between the arterial section and the venous section, extending between the arterial section and the venous section from an arterial connection region to a venous connection region, the connector section having an arterial connection axis in the arterial connection region and a venous connection axis in the venous connection region,
wherein the venous section has an open configuration and a closed configuration, and the venous section forms a sealed inner cavity in the closed configuration.

2. The medical implant device of claim 1 , wherein the arterial axis and the venous axis are parallel to one another.

3. The medical implant device of claim 1 , wherein the arterial connection axis is perpendicular to the arterial axis, and wherein the venous connection axis is coaxial with the venous axis.

4. The medical implant device of claim 1 , wherein the arterial section, the venous section and the connector section are generally tubular.

5. The medical implant device of claim 4 , wherein the arterial section has an inner diameter between 5 mm and 10 mm, the venous section has an inner diameter between 3 mm and 5 mm, and the connector section has an inner diameter between 4 mm and 9 mm.

6. The medical implant device of claim 4 , wherein the arterial section, the venous section and the connector section have the same inner diameter.

7. The medical implant device of claim 1 , wherein the arterial section has an overall length between 10 mm and 25 mm, the venous section has an overall length between 5 mm and 10 mm, and wherein the connector section extends between 3 mm and 5 mm laterally and between 3 mm and 5 mm along its length.

8. The medical implant device of claim 1 , wherein the proximal end of the venous section is configured to be placed inside the vein and secured to one or more ribs of the venous section, with the one or more ribs being configured to secure the venous section to the internal surface of the vein.

9. The medical implant device of claim 1 , further comprising one or more fixation features radially spaced about the proximal end of the arterial and venous section and the distal end of the arterial section.

10. The medical implant device of claim 9 , where the one or more fixation features comprise holes, barbs, meshes or cuffs.

11. The medical implant device of claim 9 , where the one or more features are holes provided through the arterial and venous sections for use with sutures to secure the implant device to the artery and vein.

12. The medical implant device of claim 9 , where the one or more features are cuffs attached to the implant device and configured to be secured to the artery and vein.

13. A medical implant device for use in human body including an artery and a vein, comprising:
an arterial section that is configured to secure the artery, the arterial section having an arterial lumen provided therein, the arterial section having an arterial axis extending from a proximal end to a distal end of the arterial section, the arterial axis being coaxial with the artery;
a venous section that is configured to secure the vein, the venous section having a venous lumen provided therein, the venous section having a venous axis extending from a proximal end to a distal end of the venous section, the venous axis being coaxial with the vein;
a connector section, having a connecting lumen provided therein, that is configured to provide a fluid conduit between the arterial section and the venous section, extending between the arterial section and the venous section from an arterial connection region to a venous connection region, the connector section having an arterial connection axis in the arterial connection region and a venous connection axis in the venous connection region; and
wherein the venous section is configured to externally secure the vein, and wherein the venous section has an open configuration and a closed configuration, and the venous section forms a sealed inner cavity in the closed configuration.

14. A medical implant device for use in human body including an artery and a vein, comprising:
a top portion and a bottom portion that are complimentary to one another and are configured to join together to form:
an arterial section that is configured to secure the artery, the arterial section having an arterial lumen provided therein, the arterial section having an arterial axis extending from a proximal end to a distal end of the arterial section;
a venous section that is configured to secure the vein, the venous section having a venous lumen provided therein, the venous section having a venous axis extending from a proximal end to a distal end of the venous section; and
a connector section, having a connecting lumen provided therein, that is configured to provide a fluid conduit between the arterial section and the venous section, extending between the arterial section and the venous section from an arterial connection region to a venous connection region, the connector section having an arterial connection axis in the arterial connection region and a venous connection axis in the venous connection region; and
provide a fluid pathway from the arterial section, through the connector section and into the venous section,
wherein the venous section has an open configuration and a closed configuration, and the top portion forms a sealed relationship in the venous section when the venous section is in the closed configuration.

15. The medical implant device of claim 14 , wherein the bottom portion further comprises:
an arterial opening in the bottom portion of the arterial section and two atraumatic exposed edges along the arterial opening for minimizing trauma to the external wall of the artery, wherein the two atraumatic exposed edges form a radial opening angle of between 50 degrees and 80 degrees.

16. The medical implant device of claim 14 , wherein the bottom portion further comprises:
a first venous opening in the bottom portion of the venous section and two atraumatic exposed edges along the first venous opening for minimizing trauma to the external wall of the vein, wherein the two atraumatic exposed edges form a radial opening angle of between 50 degrees and 80 degrees, and
a second venous opening in the bottom portion of the connector section with the two atraumatic exposed edges along the second venous opening.

17. The medical implant device of claim 14 , wherein the top portion is configured to form a sealed relationship in the connector section and a generally closed relationship in the arterial section.

18. The medical implant device of claim 16 , wherein the top portion of the venous section and connector section comprises a protruded region configured to match the first and second venous opening in the bottom portion and has a surrounding taper

Assignees

• Cook Medical Technologies Llc

Inventors

• Shields Adam
• Milner Keith R

Classifications

• A61B2017/1139

  Side-to-side connections, e.g. shunt or X-connections · CPC title

• A61B2017/1107

  for blood vessels · CPC title

• A61M1/3655 Primary

  Arterio-venous shunts or fistulae · CPC title

• A61B17/11 Primary

  for performing anastomosis; Buttons for anastomosis · CPC title