Sutureless vascular anastomosis connection
Techniques for sutureless vascular anastomosis are described, including an incision seal including a base configured to partially house an outer surface of a main vessel, the base being formed using a material that is configured to be penetrated by a barb disposed on a connector the main vessel being secured to the base when the base is at least partially pierced by the barb, an upper lumen configured to guide a graft vessel, and a housing opening configured to receive the graft vessel.
1. A method for anastomosis, comprising:
cutting a graft vessel to form a cut end of the graft vessel;
inserting the cut end through an orifice of an incision seal;
inserting the cut end through a support tube;
folding the cut end over the support tube;
creating an incision along a wall of a main vessel;
inserting a second portion of a connector into the incision, the connector comprising a first portion and the second portion, the second portion having a deployable barb;
deploying the deployable barb after inserting the second portion;
coupling the graft vessel to the first portion of the connector;
unfolding the cut end over the first portion; and
sliding the support tube over the first portion;
piercing the wall of the main vessel with the deployable barb; and
securing the deployable barb to the incision seal after piercing the wall of the main vessel, wherein the cut end of the graft vessel is secured substantially between the support tube and the main vessel when the deployable barb is secured to the incision seal.
2. The method of claim 1 , wherein coupling the graft vessel to the first portion of the connector comprises aligning the first portion of the connector and an end of the graft vessel.
3. The method of claim 1 , wherein coupling the graft vessel to the first portion of the connector comprises inserting the first portion of the connector inside an end of the graft vessel.
4. The method of claim 1 , wherein inserting the second portion of the connector comprises:
aligning the second portion with an opening of an introducer; and
inserting the second portion into the opening.
5. The method of claim 1 , wherein inserting the second portion of the connector comprises:
inserting the second portion into an introducer; and
inserting the introducer into the incision.
6. The method of claim 5 , further comprising removing the introducer from the incision.
7. The method of claim 5 , further comprising:
pushing the second portion towards a tip of the introducer after inserting the second portion of the connector; and
retracting the introducer from the incision.
8. The method of claim 1 , wherein inserting the second portion of the connector comprises:
inserting the second portion into an introducer; and
inserting a tip of the introducer into the incision until the introducer abuts the main vessel.
9. The method of claim 1 , wherein deploying the deployable barb comprises removing a restraining force from the deployable barb.
10. The method of claim 1 , wherein securing the deployable barb comprises:
seating the incision seal on the wall of the main vessel; and
applying a clamping force to the incision seal, the connector, and the main vessel.
11. The method of claim 1 , wherein creating the incision comprises:
piercing the wall of the main vessel with a needle to form the incision, the needle housing a guide wire; and
removing the needle from the incision while leaving the guide wire inside the incision, wherein the guide wire is configured to assist in inserting the second portion into the incision.
12. The method of claim 1 , wherein inserting the second portion of the connector comprises:
inserting an introducer into the incision;
coupling a deployment tool to the introducer, the deployment tool housing the connector;
deploying the second portion of the connector from the deployment tool into the main vessel; and
removing the introducer from the incision.
13. The method of claim 1 , wherein coupling the graft vessel to the first portion comprises inserting the first portion inside the cut end.
14. The method of claim 1 , wherein securing the deployable barb to the incision seal comprises piercing the incision seal with the deployable barb.
15. The method of claim 1 , further comprising dilating the cut end.
16. The method of claim 1 , further comprising aligning the cut end with the support tube.
17. The method of claim 1 , wherein coupling the graft vessel to the first portion further comprises aligning the support tube to the first portion of the connector.
18. The method of claim 1 , wherein securing the deployable barb further comprises:
sandwiching the cut end of the graft vessel in between the support tube and the main vessel;
piercing the incision seal with the deployable barb; and
lodging the deployable barb within the incision seal, wherein the cut end of the graft vessel and the main vessel are securely coupled when the deployable barb is lodged within the incision seal.