System for performing extraluminal coronary bypass and method of operation thereof

An apparatus for performing a bypass procedure, the apparatus comprising:

• a flexible body defining a plurality of channels configured to receive one or more instruments slidably deployable through corresponding channels of the plurality of channels, one of the instruments comprising an ultrasound transducer array;
• and
• at least one controller configured to:
• drive at least one transducer of the transducer array extending from one of the plurality of channels into a first artery to transluminally detach at least a portion of a first artery from connective tissue of a chest wall;
• and
• enable steering the flexible body of the apparatus that is located outside of the first artery to move at least a portion of the detached portion of the first artery from a current location to a bypass location at a target artery;
• and
• enable coupling of the first artery to a target artery at the bypass location to establish flow communication between the first artery and the target artery.

A computer program stored on a non-transitory computer readable memory medium, the computer program configured to control an apparatus comprising a steerable body portion, defining a plurality of channels (126) configured to receive one or more instruments slidably extendable from and retractable into corresponding channels of the plurality of channels, one of the instruments comprising an ultrasound transducer array having at least one transducer controlled by at least one controller to perform a bypass procedure, the computer program comprising:

• a program portion configured to control the apparatus to enable:
• transluminally detaching at least a portion of a first artery from connective tissue of a chest wall that is attached to the first artery by applying ultrasound signals of a first type emitted by the at least one transducer extended from one of the plurality of channels and situated within the first artery;
• and
• steering the detached portion of the first artery from a current location to a bypass location by applying a force from the steerable body portion, which is located outside of the first artery, to at least a portion of the detached portion of the first artery;
• and
• coupling the first artery to a target artery at the bypass location to establish flow communication between the first artery and the target artery.