The Elana R&D department has a focus to further develop a sutureless anastomosis technique that, as principle, can be clinically used for any indication where bypasses need to be constructed. The current design can be used for the so called “end to side”, “side to side” and “end to end” anastomoses. The huge advantage of such sutureless technique is that total operation time can be reduced and, because of avoiding suturing, a more aggressive strategy towards minimal invasive treatment options can be followed.