Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: Ports for accessing a vessels within a patient include passageways that can guide needles or other access devices directly into the vessels. The ports can be implanted subcutaneously within a patient. Some ports may be used in the creation and use of vascular access buttonholes.

Abstract: Ports for accessing a vessels within a patient include passageways that can guide needles or other access devices directly into the vessels. The ports can be implanted subcutaneously within a patient. Some ports may be used in the creation and use of vascular access buttonholes.

Abstract: Tissue management methods can include inserting a clamping device into a vessel and clamping a vessel wall via the clamping device. Tissue can be dilated about the clamping device and an anastomotic device provided to the vessel.

Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates are guided to each other in a parallel orientation by guides. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an externally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The apparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: The present invention relates to new and useful apparatus, systems and methods for providing an effective tool for intraluminally directed vascular anastomosis of a graft vessel to a receiving blood vessel that is performed according to a minimally invasive procedure. The intraluminally directed vascular anastomosis does not require the interruption of blood flow in the receiving blood vessel and it is versatile enough to suitably combine a variety of cutting, welding, soldering, sealing, and joining techniques. The intraluminally directed anvil apparatus comprises an anvil and a wire used for signaling the optimal anastomosis site; this signaling can be performed when the initial exploration is performed. An anastomosis device is used in conjunction with the intraluminally directed anvil apparatus for opening the anastomosis fenestra and joining the anastomosed structures.

Abstract: Compression plate apparatus enables vessels to be joined together in various anastomosis configurations. The compression plates have locking components such as snap-fit components to maintain the plates together. The compression plate apparatus may be utilized with an intraluminally directed anvil apparatus or an eternally positioned anvil apparatus. One of the compression plates assists in the eversion of the anastomosis fenestra contour. One of the compression plates enables a graft vessel to be pre-everted so that the anastomosis fenestra contours are everted. The appparatus provides a structure that enables the vessels to be joined without being penetrated.

Abstract: The invention provides vascular access methods, systems and devices facilitating long-term, repeated, percutaneous access to a patient's blood stream. This is provided by an access tube apparatus adapted for anastomosis to the sidewall of a target anatomical vessel. The access tube has a replaceable occluder that fits within the conduit of the access tube in between blood treatments or when vascular access is otherwise not needed. When such access is desired, the percutaneously accessible occluder is simply removed from the access tube.

Abstract: The invention provides a vascular access system and methods for facilitating long-term, repeated access to any of a patient's vascular systems. This is provided by an access tube apparatus adapted for anastomosis to an anatomical vessel. The access tube is occluded with an fluid occluder that fits within the conduit of the access tube in between treatments or when vascular access is otherwise not needed. When such access is desired, the fluid occluder is withdrawn from the access tube and the body fluid is accessed through the access tube.

Abstract: The invention provides vascular access methods, systems and devices facilitating long-term, repeated access to any of a patient's anatomical vessels and the body fluid therein, such as a patient's bloodstream. This is provided by an access tube apparatus adapted for anastomosis to a target anatomical vessel. The access tube has an occluder that fits within the conduit of the access tube when vascular access is not needed. The occluder can be selectively moved or removed to allow for access to the body fluid in the anatomical vessel by way of the access tube.

Abstract: A paired, expandable anastomosis device joins two vessels together and can expand and contract with changes in the size of the two vessels. The anastomosis device has two expandable rings with a plurality of holding tabs. The holding tabs of one ring are shaped to enable a graft vessel tissue to be everted through one of the rings and to be held on one of the rings. Similarly, the holding tabs of the other ring are shaped to enable a target vessel to be everted through the other ring and to be retained by the holding tabs. Once the graft and target vessels are loaded, the rings are adapted to be brought together to a position in which the graft and target vessels are anastomosed together.

Abstract: The invention provides vascular access methods, systems and devices facilitating long-term, repeated, percutaneous access to a patient's blood stream. This is provided by an access tube apparatus adapted for anastomosis to the sidewall of a target anatomical vessel. The access tube has a replaceable occluder that fits within the conduit of the access tube in between blood treatments or when vascular access is otherwise not needed. When such access is desired, the percutaneously accessible occluder is simply removed from the access tube.

Abstract: The invention provides a vascular access system and methods for facilitating long-term, repeated access to any of a patient's vascular systems. This is provided by an access tube apparatus adapted for anastomosis to an anatomical vessel. The access tube is occluded with an fluid occluder that fits within the conduit of the access tube in between treatments or when vascular access is otherwise not needed. When such access is desired, the fluid occluder is withdrawn from the access tube and the body fluid is accessed through the access tube.

Abstract: The present invention is directed to a cutting apparatus for cutting an opening in a vessel for subsequent anastomosis. The cutting apparatus includes an anvil, an anvil pull and a cutter. The anvil is inserted through a small incision at the anastomosis site and brought into contact with the interior wall of a vessel so that the anvil distends the wall of the vessel. The cutter is then urged against the portion of the vessel wall that is distended by the anvil to form an opening in the vessel wall. The anvil has a surface that is softer than the cutter so that the cutter can cut completely through the vessel and depress into the anvil.

Abstract: The present invention relates to new and useful apparatus, systems and methods for providing an effective tool for intraluminally directed vascular anastomosis of a graft vessel to a receiving blood vessel that is performed according to a minimally invasive procedure. The intraluminally directed vascular anastomosis does not require the interruption of blood flow in the receiving blood vessel and it is versatile enough to suitably combine a variety of cutting, welding, soldering, sealing, and joining techniques. The intraluminally directed anvil apparatus comprises an anvil and a wire used for signaling the optimal anastomosis site; this signaling can be performed when the initial exploration is performed. An anastomosis device is used in conjunction with the intraluminally directed anvil apparatus for opening the anastomosis fenestra and joining the anastomosed structures.

Abstract: A paired, expandable anastomosis device joins two vessels together and can expand and contract with changes in the size of the two vessels. The anastomosis device has two expandable rings with a plurality of holding tabs. The holding tabs of one ring are shaped to enable a graft vessel tissue to be everted through one of the rings and to be held on one of the rings. Similarly, the holding tabs of the other ring are shaped to enable a target vessel to be everted through the other ring and to be retained by the holding tabs. Once the graft and target vessels are loaded, the rings are adapted to be brought together to a position in which the graft and target vessels are anastomosed together.

Abstract: Anastomosis procedures are achieved through the use of an intraluminally directed anvil apparatus. The apparatus is inserted at a catheter site and is then positioned through the lumen of the blood vessel to a remote anastomosis site. The intraluminally directed anvil apparatus has an anvil pull extending from an anvil. At the anastomosis site, the anvil is extended through the wall of the vessel at an initial piercing. The anvil is too large to pass through the initial piercing so the anvil pull can be used to pull the anvil against the wall of the vessel and distend the vessel wall in preparation for being cut to form an opening. The apparatus is used with a cutter to form openings in a wall of a blood vessel. After the opening is formed then the vessel is joined with another vessel.

Abstract: The invention provides vascular access methods, systems and devices facilitating long-term, repeated access to any of a patient's anatomical vessels and the body fluid therein, such as a patient's bloodstream. This is provided by an access tube apparatus adapted for anastomosis to a target anatomical vessel. The access tube has an occluder that fits within the conduit of the access tube when vascular access is not needed. The occluder can be selectively moved or removed to allow for access to the body fluid in the anatomical vessel by way of the access tube.