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US5934286A Expired / Lapsed US ⏱️ 0.0 years remaining

Bypass grafting method which uses a number of balloon catheters to inhibit blood flow to an anastomosis site

Assignee: Cardiothoracic Systems LLC
•
Filing: 1998-06-04
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Granted: 1999-08-10
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Expires: 2018-06-04
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Abstract

Abstract A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure includes the step of inhibiting blood flow to a region of the circulatory system by inflating a number of balloons within the circulatory system, wherein a segment of the blood vessel is located in the blood flow inhibited region. The method further includes the step of creating an arteriotomy in a sidewall of the segment of the blood vessel while the number of balloons are inflated within the circulatory system. Additionally, the method includes the step of anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step.

Inventors

  • 👤 Thomas J. Maginot

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 17:16
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/04; A61F2/06; A61B; A61B17/00; A61B17/11; A61F2/064; A61F2/07; A61F2/82; A61F2/856; A61F2/86; A61F2/88; A61F2/95; A61F2/954; A61F2/958; A61B2017/1107; A61F2/90; A61F2002/065; A61F2002/075; A61F2002/821; A61F2220/00; A61F2220/0025; A61F2220/0075; Y; Y10; Y10S; Y10S623/00; Y10S623/902; Y10S623/903

Claims Analysis

Total Claims: 47
Claim 1
Independent Claim 115 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 2
Independent Claim 115 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 3
Dependent Claim 37 words
The method of claim 1, wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 4
Independent Claim 212 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step, wherein the blood vessel is an aorta, wherein the blood flow inhibiting step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the blood flow inhibiting step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 5
Independent Claim 212 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step, wherein the blood vessel is an aorta, wherein the blood flow inhibiting step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the blood flow inhibiting step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 6
Independent Claim 211 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step, wherein the blood flow inhibiting step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the blood flow inhibiting step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 7
Independent Claim 211 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step, wherein the blood flow inhibiting step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the blood flow inhibiting step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 8
Independent Claim 163 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the blood flow inhibiting step.
Claim 9
Independent Claim 163 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inhibiting blood flow to a region of the circulatory system by inflating a plurality of balloons within the circulatory system, wherein a segment of the blood vessel is located in the region; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow inhibiting step, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the blood flow inhibiting step.
Claim 10
Independent Claim 116 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 11
Independent Claim 116 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 12
Dependent Claim 37 words
The method of claim 6, wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 13
Independent Claim 210 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; and anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system wherein the blood vessel is an aorta, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 14
Independent Claim 210 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; and anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system wherein the blood vessel is an aorta, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 15
Independent Claim 208 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; and anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 16
Independent Claim 208 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; and anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 17
Independent Claim 162 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; and anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the inflating step.
Claim 18
Independent Claim 162 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: inflating a plurality of balloons within the circulatory system to prevent blood flow through a region of the circulatory system which includes a segment of the blood vessel; and anastomosing the end portion of the graft to the segment of the blood vessel while the plurality of balloons are inflated within the circulatory system, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the inflating step.
Claim 19
Independent Claim 147 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 20
Independent Claim 147 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 21
Dependent Claim 37 words
The method of claim 11, wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 22
Independent Claim 240 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step, wherein the blood vessel is an aorta, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 23
Independent Claim 240 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step, wherein the blood vessel is an aorta, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 24
Independent Claim 238 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 25
Independent Claim 238 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step, wherein the inflating step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the inflating step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 26
Independent Claim 192 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the isolating step.
Claim 27
Independent Claim 192 words
A method of implanting an end portion of a graft within a patient's body during a bypass grafting procedure, with the body including a circulatory system, comprising the steps of: isolating a region of the area within the circulatory system from fluid communication with the rest of the area within the circulatory system to inhibit blood flow through a segment of a blood vessel located within the region, wherein the isolating step includes the step of inflating a plurality of balloons within the circulatory system to occlude blood flow within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the isolating step, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the isolating step.
Claim 28
Independent Claim 111 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 29
Independent Claim 111 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step; and creating an arteriotomy in a sidewall of the segment of the blood vessel while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 30
Dependent Claim 37 words
The method of claim 16, wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 31
Independent Claim 210 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step, wherein the blood vessel is an aorta, and wherein the blood flow preventing step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the blood flow preventing step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 32
Independent Claim 210 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step, wherein the blood vessel is an aorta, and wherein the blood flow preventing step includes the step of inflating a first balloon of the plurality of balloons within the aorta to occlude blood flow at a first location in the aorta, wherein the blood flow preventing step further includes the step of inflating a second balloon of the plurality of balloons within the aorta to occlude blood flow at a second location in the aorta, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the aorta between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 33
Independent Claim 207 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step, wherein the blood flow preventing step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the blood flow preventing step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 34
Independent Claim 207 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step, wherein the blood flow preventing step includes the step of inflating a first balloon of the plurality of balloons within the blood vessel to occlude blood flow at a first location in the blood vessel, wherein the blood flow preventing step further includes the step of inflating a second balloon of the plurality of balloons within the blood vessel to occlude blood flow at a second location in the blood vessel, wherein the first location is spaced apart from the second location, and further comprising the step of creating an arteriotomy in a sidewall of the segment of the blood vessel between the first location and the second location while (i) all of the plurality of balloons are inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 35
Independent Claim 159 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the blood flow preventing step.
Claim 36
Independent Claim 159 words
A method of securing an end portion of a graft to a blood vessel of a patient's circulatory system during a bypass grafting procedure, comprising the steps of: preventing blood flow through a region of the circulatory system which includes a segment of the blood vessel by inflating a plurality of balloons within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel during the blood flow preventing step, wherein (i) a first balloon of the plurality of balloons is included on a first distal portion of a first catheter, and (ii) a second balloon of the plurality of balloons is included on a second distal portion of a second catheter, and further comprising the step of: advancing the first catheter and the second catheter within the circulatory system so as to position the first balloon and the second balloon within the circulatory system prior to the blood flow preventing step.
Claim 37
Independent Claim 129 words
A method of securing an end portion of a graft to a blood vessel, comprising the steps of: inflating a balloon within the blood vessel so that the balloon partitions the blood vessel into a first vessel segment of the blood vessel and a second vessel segment of the blood vessel, wherein a flow of blood within the first vessel segment is prevented from advancing to the second vessel segment while the balloon is inflated within the blood vessel; anastomosing the end portion of the graft to the second vessel segment while the balloon is inflated within the blood vessel; and creating an arteriotomy in a sidewall of the second vessel segment while (i) the balloon is inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 38
Independent Claim 129 words
A method of securing an end portion of a graft to a blood vessel, comprising the steps of: inflating a balloon within the blood vessel so that the balloon partitions the blood vessel into a first vessel segment of the blood vessel and a second vessel segment of the blood vessel, wherein a flow of blood within the first vessel segment is prevented from advancing to the second vessel segment while the balloon is inflated within the blood vessel; anastomosing the end portion of the graft to the second vessel segment while the balloon is inflated within the blood vessel; and creating an arteriotomy in a sidewall of the second vessel segment while (i) the balloon is inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 39
Dependent Claim 35 words
The method of claim 21, wherein the anastomosing step and the arteriotomy creating step are each performed while the second vessel segment is covered by a substantially intact portion of the epidermis of the body.
Claim 40
Independent Claim 137 words
A method of securing an end portion of a graft to a blood vessel of a circulatory system, comprising the steps of: inflating a balloon within the circulatory system so that the balloon partitions the circulatory system into a first circulatory region and a second circulatory region, wherein a flow of blood within the first circulatory region is prevented from advancing to the second circulatory region while the balloon is inflated within the circulatory system; anastomosing the end portion of the graft to the blood vessel while the balloon is inflated within the circulatory system, wherein the blood vessel is located within the second circulatory region; and creating an arteriotomy in a sidewall of a segment of the blood vessel while (i) the balloon is inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 41
Independent Claim 137 words
A method of securing an end portion of a graft to a blood vessel of a circulatory system, comprising the steps of: inflating a balloon within the circulatory system so that the balloon partitions the circulatory system into a first circulatory region and a second circulatory region, wherein a flow of blood within the first circulatory region is prevented from advancing to the second circulatory region while the balloon is inflated within the circulatory system; anastomosing the end portion of the graft to the blood vessel while the balloon is inflated within the circulatory system, wherein the blood vessel is located within the second circulatory region; and creating an arteriotomy in a sidewall of a segment of the blood vessel while (i) the balloon is inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 42
Dependent Claim 37 words
The method of claim 23, wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 43
Independent Claim 155 words
A method of securing an end portion of a graft to a circulatory system, comprising the steps of: inflating a balloon within the circulatory system so that the balloon partitions the circulatory system into a first circulatory region and a second circulatory region, wherein a flow of blood within the first circulatory region is prevented from advancing to the second circulatory region while the balloon is inflated within the circulatory system; creating an arteriotomy in a sidewall of a segment of a blood vessel located within the second circulatory region while the balloon is inflated within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel while the balloon is inflated within the circulatory system. wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 44
Independent Claim 155 words
A method of securing an end portion of a graft to a circulatory system, comprising the steps of: inflating a balloon within the circulatory system so that the balloon partitions the circulatory system into a first circulatory region and a second circulatory region, wherein a flow of blood within the first circulatory region is prevented from advancing to the second circulatory region while the balloon is inflated within the circulatory system; creating an arteriotomy in a sidewall of a segment of a blood vessel located within the second circulatory region while the balloon is inflated within the circulatory system; and anastomosing the end portion of the graft to the segment of the blood vessel while the balloon is inflated within the circulatory system. wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.
Claim 45
Independent Claim 136 words
A method of securing an end portion of a graft to a blood vessel of a circulatory system, comprising the steps of: inflating a balloon within the circulatory system so that the balloon creates a partition between a first circulatory region and a second circulatory region, wherein a flow of blood within the first circulatory region is inhibited from advancing to the second circulatory region while the balloon is inflated within the circulatory system; anastomosing the end portion of the graft to the blood vessel while the balloon is inflated within the circulatory system, wherein the blood vessel is located within the second circulatory region; and creating an arteriotomy in a sidewall of a segment of the blood vessel while (i) the balloon is inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 46
Independent Claim 136 words
A method of securing an end portion of a graft to a blood vessel of a circulatory system, comprising the steps of: inflating a balloon within the circulatory system so that the balloon creates a partition between a first circulatory region and a second circulatory region, wherein a flow of blood within the first circulatory region is inhibited from advancing to the second circulatory region while the balloon is inflated within the circulatory system; anastomosing the end portion of the graft to the blood vessel while the balloon is inflated within the circulatory system, wherein the blood vessel is located within the second circulatory region; and creating an arteriotomy in a sidewall of a segment of the blood vessel while (i) the balloon is inflated within the circulatory system, and (ii) prior to the anastomosing step.
Claim 47
Dependent Claim 37 words
The method of claim 26, wherein the anastomosing step and the arteriotomy creating step are each performed while the segment of the blood vessel is covered by a substantially intact portion of the epidermis of the body.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-08-09 2003-02-08 2003-08-10 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-08-09 2007-02-08 2007-08-10 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-08-09 2011-02-08 2011-08-10 $7700.00 Window Closed / Lapsed

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