Abstract: The invention relates to a laser catheter for bypass surgery. The laser catheter comprises: a tubular arrangement comprising a tubular bundle of optical fibres having distal ends defining an emitting surface for emitting laser radiation in the distal direction of the catheter; at the distal end of the catheter, a channel extending in axial direction of the catheter and defined by the inside of the tubular arrangement, which channel is connectable to a suction source; and a grid element arranged inside the channel at a distance proximally from the emitting surface, which grid extends in transverse direction of the catheter across the channel. The laser catheter further comprises a narrowing arranged inside the channel and, viewed in axial direction of the catheter, between the emitting surface and the grid.

Abstract: Devices and methods for attaching an end of a body vessel to another body vessel are disclosed. An adhesive may be used along with a rigid member having one or more protrusions. The invention is useful in surgery, especially vascular surgery and the creation of anastomoses.

Abstract: The invention is directed to a laser catheter (1) for bypass surgery, wherein the distal part (2) of the catheter (1) is provided with: a tubular arrangement (3) of optical fibers (4) having distal ends (5) defining a ring-shaped light emergence surface (6) for emitting a tubular bundle of light beams in the distal direction (D) of the catheter (1); and a stop surface (7) extending around the tubular arrangement (3) of optical fibers (4) and facing in the distal direction (D), the stop surface (7) being arranged at a distance (A) proximally from the light emergence surface (6). The light emergence surface (6) slants at a slanting angle (?) in the range of [20°, 60°] with respect to the longitudinal axis (8) of the catheter (1). The invention further relates to an assembly comprising such a catheter.

Abstract: The invention relates to a device for producing an ETS anastomosis connection and/or a STS anastomosis connection, comprising a ring (10) with two pins (11). Each pin has a free end (12) and a fixed end (13) which is secured to the ring; the pins extending, viewed from the fixed end toward the free end, next to and set apart from each other in the same direction. The pins each have a clamping section where the pin extends, in a first position, parallel to and along said ring from a first side of the ring to a second side of the ring that is situated diametrically opposite said first side in order to be able to clamp tissue of the wall of the receiving vessel between the ring and the clamping sections. The clamping sections of the pins are, in a second position, at an angle with respect to the plane defined by the ring in order to form, together with the ring, a jaw which widens, viewed in the direction from the fixed ends toward the free ends.

Abstract: A catheter system is provided comprising a laser catheter with a fibre bundle of optical fibres emitting a light beam in the distal direction of the catheter and a laser apparatus, comprising one or more lasers for supplying light to the optical fibres. The catheter system is preset or adjusted for emitting a pulsating light beam with an ablation power of at least 40 mJ/mm2 per pulse at the location of a light emitting surface. A method for preparing such a catheter system is provided comprising the step of a) measuring said ablation power at the location of the light emitting surface; b) comparing the measured ablation power with a predefmed power value requirement; c) in case the measured ablation power is different from the predefmed power value requirement, adjusting the ablation power of the pulsating light beam to meet the predefined power value requirement.

Abstract: The catheter (1) has a fastener (10) for firmly holding the wall (19) of vessel (18) when it is cut by optical fibers (3). The fastener (10) has an engaging element which can be a pin (20), roughened surface (23), spiral grooves (27), dendritic grooves (31), adhesive surface (34) or pointed pins (38).

Abstract: The catheter (1) has a fastener (10) for firmly holding the wall (19) of vessel (18) when it is cut by optical fibers (3). The fastener (10) has an engaging element which can be a pin (20), roughened surface (23), spiral grooves (27), dendritic grooves (31), adhesive surface (34) or pointed pins (38).

Abstract: Devices and methods for attaching an end of a body vessel to another body vessel are disclosed. An adhesive may be used along with a rigid member having one or more protrusions. The invention is useful in surgery, especially vascular surgery and the creation of anastomoses.