Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Heart valve – Having rigid or semirigid pivoting occluder
Patent
1996-05-14
1998-09-29
Isabella, David
Prosthesis (i.e., artificial body members), parts thereof, or ai
Heart valve
Having rigid or semirigid pivoting occluder
A61F 224
Patent
active
058140972
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: 3587115 (1971-06-01), Shiley
patent: 3828787 (1974-08-01), Anderson et al.
patent: 4056854 (1977-11-01), Boretos et al.
patent: 4065816 (1978-01-01), Sawyer
patent: 4173981 (1979-11-01), Mortensen
patent: 4585453 (1986-04-01), Martin et al.
patent: 4602911 (1986-07-01), Ahmadi et al.
patent: 4655218 (1987-04-01), Kulik et al.
patent: 4679556 (1987-07-01), Lubock et al.
patent: 4683883 (1987-08-01), Martin
patent: 4808163 (1989-02-01), Laub
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: 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 et al.
patent: 5391156 (1995-02-01), Hildwein et al.
patent: 5397351 (1995-03-01), Pavcnik et al.
patent: 5433700 (1995-07-01), Peters
patent: 5531785 (1996-07-01), Love et al.
patent: 5560487 (1996-10-01), Starr
Wakabayashi, Akio. "Expanded Applications of Diagnostic and Therapeutic Thoracoscopy" J. Thorac and Cardiovasc Surg 1991; 102:721-3.
Cohn, L.H. et al. "Right Thoracotomy, Femorofemoral Bypass, and Deep Hypothermia for Re-Placement of the Mitral Valve," Ann Thorac Surg 1989; 48:69-71.
Fundaro, P. et al. "Towards an Easier and Safer Reoperation of the Atrioventricular Valves" J Cardiovasc Surg 30, 1989, 779-781.
Tribble, C.G. et al. "Anterolateral Thoracotomy as an Alternative to Repeat Median Sternotomy for Replacement of the Mitral Valve," Ann Thorac Surg 43:380-382, Apr. 1987.
Berreklouw, E. Et al. "Revival of Right Thoracotomy to Approach Atrioventricular Valves in Reoperations," Thorac Cardiovasc Surgeon 32, 1984; 331-333.
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 Ishemic and Reperfusion Damage" J Thorac Cardio Vasc Surg , 1987, 93 ;127-129.
Yamaguchi, A., "A Case of a Reoperation Using a Balloon Catheter with Blocked Pars Ascendes Aortae" Kyobu Geka, Oct. 1991, 42:11 961-964.
Peters, W.S., "The Promise of Cardioscopic Surgery" AustralAs J Casrdiac Thorac Surg, 1993, 2:3:152-154.
Coltharp, William H., et al. "Videothorascopy . . ." Ann Thiorac Surg 1992;53:776-9.
Jamieson, W.R. Eric. "Modern Cardiac Valve Devices-Bioprotheses and Mechanical Protheses" J Card Surg 1993;8:89-98.
Landreneau, Rodney J., et al. "Video-Assisted Thoracic Surgery . . ." Ann Thorac Surg 1992;65:800-7.
Mack, Michael J., et al. "Present Role of Thoracoscopy in the Diagnosis and Treatment of Diseases of the Chest" Ann Thorac Surg 1992; 54:403-9.
Magovern, George J. "Sutureless Aortic and Mitral Prosthetic Valves" J Thoracic and Cardiovasc Surg 1964;48(3):346-361.
Ozuner, Gokhan, et al. "Creation of a Pericardial Window Using Thoracoscopic Techniques" Surg Gynecology & Obstetics 1992; 175:69-71.
Cosgrove, D.M. "Management of the Calcified Aorta: An Alternative Method of Occlusion" Ann Thorac Surg. 36:718-719 (1983).
J.H. Foster and J.B. Threlkel "Proximal Control of Aorta with a Balloon Catheter" Surg, Gynecology & Obstetrics pp. 693-694 (1971).
H.G. Erath, Jr. and William S. Stoney, Jr. "Balloon Catheter Occlusion of the Ascending Aorta" Ann Thoirac Surg. 35:560-561 (1983).
Sakaguchi, H. et al., "Aorta Valve Replacement and Coronary Artery Bypass" J. Japanese Assoc. for Thoracic Surgery 41(6):1063-1068 (1993).
Garrison Michi E.
Gifford, III Hanson S.
Sterman Wesley D.
Stevens John H.
Grainger Jeffrey J.
Heartport Inc.
Hoekendijk Jens E.
Isabella David
LandOfFree
Devices and methods for intracardiac procedures does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Devices and methods for intracardiac procedures, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Devices and methods for intracardiac procedures will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-682668