Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Heart valve – Having rigid or semirigid pivoting occluder
Patent
1995-06-05
1998-03-17
Isabella, David
Prosthesis (i.e., artificial body members), parts thereof, or ai
Heart valve
Having rigid or semirigid pivoting occluder
128898, A61F 224
Patent
active
057281513
ABSTRACT:
The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration. The interventional tool is inserted through the internal penetration in the heart or great vessel to perform a surgical procedure within the internal cavity under visualization by means of the scope. In a preferred embodiment, a cutting tool is introduced into the patient's left atrium from a right portion of the patient's chest to remove the patient's mitral valve. A replacement valve is then introduced through an intercostal space in the right portion of the chest and through the internal penetration in the heart, and the replacement valve is attached in the mitral valve position.
REFERENCES:
patent: 3409013 (1968-11-01), Berry
patent: 3587156 (1971-06-01), Shiley
patent: 4065816 (1978-01-01), Sawyer
patent: 4173981 (1979-11-01), Mortensen
patent: 4185636 (1980-01-01), Gabbay et al.
patent: 4553543 (1985-11-01), Amarasinghe
patent: 4585453 (1986-04-01), Martin
patent: 4655218 (1987-04-01), Kulik et al.
patent: 4702250 (1987-10-01), Ovil et al.
patent: 4808163 (1989-02-01), Laub
patent: 4877016 (1989-10-01), Kantor et al.
patent: 4898155 (1990-02-01), Ovil et al.
patent: 5011469 (1991-04-01), Buckberg et al.
patent: 5032128 (1991-07-01), Alonso
patent: 5041130 (1991-08-01), Cosgrove et al.
patent: 5104393 (1992-04-01), Isner et al.
patent: 5109859 (1992-05-01), Jenkins
patent: 5188619 (1993-02-01), Myers
patent: 5197979 (1993-03-01), Quintero et al.
patent: 5203776 (1993-04-01), Durfee
patent: 5209747 (1993-05-01), Knoepfler
patent: 5213093 (1993-05-01), Swindle
patent: 5234443 (1993-08-01), Phan et al.
patent: 5236450 (1993-08-01), Scott
patent: 5250038 (1993-10-01), Melker et al.
patent: 5308320 (1994-05-01), Safar et al.
patent: 5383888 (1995-01-01), Zvenyatsky
patent: 5391156 (1995-02-01), Hildwein et al.
patent: 5433700 (1995-07-01), Peters
patent: 5531785 (1996-07-01), Love et al.
patent: 5560487 (1996-10-01), Starr
Landreneau et al. "Video-assisted thoracic surgery . . . " Ann Thorac Surg 54:800-7 (1992).
Mack et al. "Present role of thoracoscopy in the diagnosis and treatment of diseases of the chest" Ann Thorac Surg, 54:403-9 (1992).
Magovern, G.J. "Sutureless aortic and mitral prosthetic valves" J. Thoracic and Cardiovasc Surg., 48(3):346-361 (1964).
Ozuner et al. "Creation of a pericardial window using thoracoscopic techniques" Surg. Gynecology & Obstetrics, 175:69-71 (1992).
Wakabayashi, A. "Expanded applications of diagnostic and therapeutic thoracoscopy" J Thorac and Cardiovasc Surg 102:721-3 (1991).
Cohn et al. "Right thoracotomy, femorofemoral bypass, and deep hypothermia for re-replacement of the mitral valve," Ann Thorac Surg, 48:69-71 (1989).
Fundaro et al. "Towards an easier and safer reoperation of the atrioventricular valves" J Cardiovasc Surg 30:779-781 (1989).
Tribble et al. "Anterolateral thoracotomy as an alternative to repeat medium sternotomy for replacement of the mitral valve," Ann Thorac Surg, 43:380-382 (1987).
Berreklouw et al. "Revival of right thoracotomy to approach atrioventricular valves in reoperations," Thorac Cardiovasc Surgeon 32:331-333 (1984).
Cosgrove, D.M. "Management of the calcified aorta: An alternative method of occlusion" Ann Thorac Surg 36:718-719 (1983).
Foster and Threlkel "Proximal control of aorta with a balloon catheter" Surg. Gynecology & Obstetrics, pp. 693-694 (1971).
Erath, Jr. and Stoney, Jr. "Balloon catheter occlusion of the ascending aorta" Ann Thorac Surg. 35:560-561 (1983).
Sakaguchi et al. "Aortic valve replacement and coronary artery bypass" J. Japanese Assoc for Thoracic Surgery 41(6):1063-1068 (1993).
Meditech.RTM., Instructions for Use, Occlusion Balloon Catheters Rev. Mar. 1991, pp. 1-7.
Buckberg, G.D. "Strategies and logic of cardioplegic delivery to prevent, avoid, and reverse ischemic and reperfusion damage" J. Thorac Cardio Vasc Surg, 93:127-129 (1987).
Yamaguchi, A., "A case of a reoperation using a balloon catheter with blocked pars ascendes aortae" Kyobu Geka, 42(11):961-964 (1991).
Peters, W.S. "The promise of cardioscopic surgery" AustralAs J Cardiac Thorac Surg. 2(3):152-154 (1993).
Coltharp et al. "Videothorascopy . . . " Ann Thorac Surg 53:776-9 (1992).
Jamieson, W.R.E. "Modern cardiac valve devices-bioprostheses and mechanical prostheses" J Card Surg 8:89-98 (1993).
Garrison Michi E.
Stevens John H.
Heartport Inc.
Isabella David
LandOfFree
Intercostal access devices for less-invasive cardiovascular surg does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Intercostal access devices for less-invasive cardiovascular surg, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Intercostal access devices for less-invasive cardiovascular surg will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-953726