Clampless Anastomotic Device for Bypass Surgery

A new device eliminates the need for an aortic partial-clamp during coronary bypass surgery, which may lessen embolic complications and the occurrence of neurocognitive deterioration.

Called Ipad Proximal Assistant, the device facilitates a clampless proximal anastomosis in bypass surgery by utilizing the graft itself to provide an aortic seal while a compliant, interrupted anastomosis is constructed with the U-Clip anastomotic device. Both devices are the products of Coalescent Surgical (Sunnyvale, CA, USA). With Ipad, proximal anastomoses can be constructed in any order and at virtually any angle without aortic manipulation, unnecessary aortic entry, or sacrificing anastomotic lumen diameter. Also, a single Ipad can be used for multiple proximal anastomoses during any multivessel bypass procedure.

"The Ipad is the first device that allows for construction of a proximal anastomosis with minimal exposed foreign material and zero aortic intimal disturbance. With the Ipad, anastomotic precision and control never leave the surgeon's hands,” said Baron L. Hamman, M.D., a cardiothoracic surgeon at Baylor University Medical Center (Dallas, TX, USA).




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