Boston Scientific Scimed, Inc.

Xlumena, Inc.

Heartport, Inc.

Keke Lepulu

Kenneth F Binmoeller

Peter S Brown

Ryan R Donovan

Sylvia W Fan

Hoang Phan

Sith Khoune

Adjacent tissue layers can be accessed using a catheter device with a distal tip having a conductive portion including a first cutting feature and one or more projections extending from the first cutting feature towards an outer diameter of the distal tip. Electrical energy can be supplied to the conductive portion of the device to cut tissue. A stent can be delivered to form a fluid communication between the adjacent tissue layers.

Methods and devices for access across adjacent tissue layers

Devices and methods for deploying an anastomotic stent between portions of the gastro-intestinal (GI) tract are disclosed. The anastomotic stents are configured to atraumatically engage the tissue walls and to permit the flow of fluid, partially digested food, and food. The stents can be deployed using endoscopic catheter devices, laparoscopic tools, and combinations of both endoscopic tools and laparoscopic tools. Examples of anastomoses include anastomoses between the stomach and a portion of the intestines such as the jejunum. Anastomoses can also be formed between two closed ends of the intestines, such as two closed ends of the colon formed during a colon resection procedure. Anastomoses can also be formed between a fundal pouch formed during a gastric bypass procedure and the jejunum. Laparoscopic tools are disclosed to deploy a stent by selectively removing a radial restraint on a self expanding stent with the restraint removed through the laparoscopic access points.

Devices and methods for forming an anastomosis

Devices and methods for deploying an anastomotic stent between portions of the gastrointestinal (GI) tract are disclosed. The anastomotic stents are configured to atraumatically engage the tissue walls and to permit the flow of fluid, partially digested food, and food. The stents can be deployed using endoscopic catheter devices, laparoscopic tools, and combinations of both endoscopic tools and laparoscopic tools. Examples of anastomoses include anastomoses between the stomach and a portion of the intestines such as the jejunum. Anastomoses can also be formed between two closed ends of the intestines, such as two closed ends of the colon formed during a colon resection procedure. Anastomoses can also be formed between a fundal pouch formed during a gastric bypass procedure and the jejunum. Laparoscopic tools are disclosed to deploy a stent by selectively removing a radial restraint on a self expanding stent with the restraint removed through the laparoscopic access points.

A cannula having reinforced sections and nonreinforced sections, the nonreinforced sections having openings communicating with the lumen of the cannula. The nonreinforced sections are plain tubing and the reinforced sections are formed by winding a coated elongate member in a helical manner around a mandrel. The coated elongate member preferably has a square cross-sectional shape so that adjacent portions of the coated elongate member engage one another when the coated elongate member is wound around the mandrel. The coated elongate member is then heated so that the coating on adjacent portions of the coated elongate member fuse together to form an integral structure. Another layer of material may be provided on the radially inner or outer wall of the coated elongate member. The resulting tubular body is reinforced by the elongate member which is encased in the fused coating. The tubular body is cut into sections which are fused to the plain tubing sections to form the cannula. The reinforced sections and the plain tubing sections are alternately disposed along all or a portion of the length of the cannula. The openings are formed in the plain tubing sections for withdrawing or delivering fluid into or out of the lumen of the cannula.

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Menlo Park, CA, United States of America

Keke Lepulu