Insertable prosthesis and prosthesis board for anastomosis

Abstract

Prosthetic devices are provided used for anastomosis of extremity with lateral, extremity with extremity and lateral with lateral without clamping and sutureless or with quick clamping sutureless, in which the graft is inserted in at least one of the intraluminal parts of the tubular member of the insertable prosthesis, the flanges including lateral inserts allowing the configuration of different prosthesis sets. Also described is a board of prostheses including one flange with multiple holes through which intraluminal parts or occluders will be inserted, according to the need of the anastomosis to be carried out. Also provided are prostheses in which the grafts cover only externally their extraluminal parts.

What is claimed is: 
     
         1 . A prosthesis comprising a fixed flange and a tubular member having a conical internal form, and at least one pleated external head having a rigid extremity, wherein the at least one head has a low-profile configuration and is alignable, mobile and provides a variable internal diameter. 
     
     
         2 . The prosthesis according to  claim 1 , wherein the prosthesis is a rigid, single-piece prosthesis composed of a calibered intraluminal part whose lumen has a conical shape and is continuous with an outer part, comprising heads, separated from the intraluminal part by a low profile rigid flange, which contains at least two diametrically opposed orifices, wherein the caliber at an origin point of the intraluminal part is equal to the sum of internal calibers of the heads. 
     
     
         3 . The prosthesis according to  claim 1  wherein the flange further comprises lateral reinforcement through holes arranged about a periphery thereof. 
     
     
         4 . The prosthesis according to  claim 3 , wherein the through holes are D-shaped and are arranged in pairs, one hole immediately adjacent the other thereby forming a double hole. 
     
     
         5 . The prosthesis according to  claim 1 , further comprising an anastomotic trunk, which may be made with autologous, homologous, heterologous or synthetic biological grafts. 
     
     
         6 . A prosthesis comprising a flange and a tubular member, the flange comprising a threaded lumen and the tubular member comprising a mating thread on an exterior portion thereof, the threaded tubular member having an internal end and an external end opposite thereto, wherein the external end has a diameter equal to or less than the internal end. 
     
     
         7 . The prosthesis according to  claim 6 , wherein the diameter of the threaded tubular member's external end is less than the internal end. 
     
     
         8 . The prosthesis according to  claim 6 , wherein the tubular member has a form selected from the group consisting of: circular, beveled, notched, conic, funneled, and pleated. 
     
     
         9 . The prosthesis according to  claim 6 , further comprising an anastomotic trunk, made with autologous, homologous, heterologous or synthetic biological grafts. 
     
     
         10 . The prosthesis of  claim 9 , wherein the internal and external ends have the same diameter and wherein the tubular member is configured to receive the anastomotic trunk therethrough. 
     
     
         11 . The prosthesis of  claim 10 , wherein the anastomotic trunk is everted, thereby covering the tubular member and is circumferentially fixed to it. 
     
     
         12 . An insertable anastomosis prosthesis, comprising: a fixed flange and a tubular member wherein the tubular member has a single lumen throughout an extension thereof, the lumen having a shape derived from an intersection of multiple tubular members, which are beveled. 
     
     
         13 . The prosthesis, according to  claim 12 , wherein the flange comprises a plurality of holes, arranged about a periphery thereof, the holes being D-shaped and arranged in pairs, one hole immediately adjacent the other forming a double hole. 
     
     
         14 . The prosthesis of  claim 13 , wherein the double holes comprise a thread previously tied to them.