Endovascular system for arresting the heart

Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...

Reexamination Certificate

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Details

C604S096010, C604S100010, C604S108000, C604S109000, C606S194000

Reexamination Certificate

active

06913600

ABSTRACT:
Devices and methods are provided for temporarily inducing cardioplegic arrest in the heart of a patient and for establishing cardiopulmonary bypass in order to facilitate surgical procedures on the heart and its related blood vessels. Specifically, a catheter based system is provided for isolating the heart and coronary blood vessels of a patient from the remainder of the arterial system and for infusing a cardioplegic agent into the patient's coronary arteries to induce cardioplegic arrest in the heart. The system includes an endoaortic partitioning catheter having an expandable balloon at its distal end which is expanded within the ascending aorta to occlude the aortic lumen between the coronary ostia and the brachiocephalic artery. Means for centering the catheter tip within the ascending aorta include specially curved shaft configurations, eccentric or shaped occlusion balloons and a steerable catheter tip, which may be used separately or in combination. The shaft of the catheter may have a coaxial or multilumen construction. The catheter may further include piezoelectric pressure transducers at the distal tip of the catheter and within the occlusion balloon. Means to facilitate nonfluoroscopic placement of the catheter include fiberoptic transillumination of the aorta and a secondary balloon at the distal tip of the catheter for atraumatically contacting the aortic valve. The system further includes a dual purpose arterial bypass cannula and introducer sheath for introducing the catheter into a peripheral artery of the patient.

REFERENCES:
patent: 3671979 (1972-06-01), Moulopoulos
patent: 3769960 (1973-11-01), Robinson
patent: 3788328 (1974-01-01), Alley et al.
patent: 3903895 (1975-09-01), Alley et al.
patent: 4000739 (1977-01-01), Stevens
patent: 4033331 (1977-07-01), Zir
patent: 4056854 (1977-11-01), Boretos et al.
patent: 4122858 (1978-10-01), Schiff
patent: 4173981 (1979-11-01), Mortensen et al.
patent: 4276874 (1981-07-01), Wolvek et al.
patent: 4285341 (1981-08-01), Pollack
patent: 4287892 (1981-09-01), Schiff
patent: 4327709 (1982-05-01), Hanson et al.
patent: 4527549 (1985-07-01), Gabbay
patent: 4531936 (1985-07-01), Gordon
patent: 4540399 (1985-09-01), Litzie et al.
patent: 4592340 (1986-06-01), Boyles
patent: 4601713 (1986-07-01), Fuqua
patent: 4664125 (1987-05-01), Pinto
patent: 4697574 (1987-10-01), Karcher et al.
patent: 4705507 (1987-11-01), Boyles
patent: 4733652 (1988-03-01), Kantrowitz et al.
patent: 4741328 (1988-05-01), Gabbay
patent: 4770652 (1988-09-01), Mahurkar
patent: 4771777 (1988-09-01), Horzewski et al.
patent: 4785795 (1988-11-01), Singh
patent: 4790825 (1988-12-01), Bernstein et al.
patent: 4804365 (1989-02-01), Litzie et al.
patent: 4846175 (1989-07-01), Frimberger
patent: 4877035 (1989-10-01), Bogen et al.
patent: 4889137 (1989-12-01), Kolobow
patent: 4902272 (1990-02-01), Milder et al.
patent: 4902273 (1990-02-01), Choy et al.
patent: 4921478 (1990-05-01), Solano et al.
patent: 4943275 (1990-07-01), Stricker
patent: 4943277 (1990-07-01), Bolling
patent: 4944729 (1990-07-01), Buckberg et al.
patent: 5009636 (1991-04-01), Wortley et al.
patent: 5011469 (1991-04-01), Buckberg et al.
patent: 5013296 (1991-05-01), Buckberg et al.
patent: 5024668 (1991-06-01), Peters et al.
patent: 5041098 (1991-08-01), Loiterman et al.
patent: 5069661 (1991-12-01), Trudell
patent: 5071406 (1991-12-01), Jang
patent: 5104377 (1992-04-01), Levine
patent: 5106368 (1992-04-01), Uldall et al.
patent: 5116305 (1992-05-01), Milder et al.
patent: 5120323 (1992-06-01), Shockey et al.
patent: 5163905 (1992-11-01), Don Michael
patent: 5167628 (1992-12-01), Boyles
patent: 5171218 (1992-12-01), Fonger et al.
patent: 5171232 (1992-12-01), Castillo et al.
patent: 5176619 (1993-01-01), Segalowitz
patent: 5186713 (1993-02-01), Raible
patent: 5195942 (1993-03-01), Weil et al.
patent: 5195955 (1993-03-01), Don Michael
patent: 5219326 (1993-06-01), Hattler
patent: 5224923 (1993-07-01), Bromander
patent: 5224933 (1993-07-01), Bromander
patent: 5226427 (1993-07-01), Buckberg et al.
patent: 5250038 (1993-10-01), Melker et al.
patent: 5254097 (1993-10-01), Schock et al.
patent: 5270005 (1993-12-01), Raible
patent: 5304132 (1994-04-01), Jang
patent: 5308320 (1994-05-01), Safar et al.
patent: 5312343 (1994-05-01), Krog et al.
patent: 5312344 (1994-05-01), Grinfeld et al.
patent: 5312355 (1994-05-01), Lee
patent: 5322509 (1994-06-01), Rickerd
patent: 5328468 (1994-07-01), Kaneko et al.
patent: 5330433 (1994-07-01), Fonger et al.
patent: 5330451 (1994-07-01), Gabbay
patent: 5334142 (1994-08-01), Paradis
patent: 5338314 (1994-08-01), Ryan
patent: 5370640 (1994-12-01), Kolff
patent: 5374245 (1994-12-01), Mahurkar
patent: 5395330 (1995-03-01), Marcadis et al.
patent: 5395332 (1995-03-01), Ressemann et al.
patent: 5395352 (1995-03-01), Penny
patent: 5411027 (1995-05-01), Wiklund et al.
patent: 5417657 (1995-05-01), Hauer
patent: 5421825 (1995-06-01), Farcot
patent: 5423763 (1995-06-01), Helland
patent: 5425708 (1995-06-01), Nasu
patent: 5433700 (1995-07-01), Peters
patent: 5451207 (1995-09-01), Yock
patent: 5453076 (1995-09-01), Kiyota et al.
patent: 5458574 (1995-10-01), Machold et al.
patent: 5478309 (1995-12-01), Sweezer et al.
patent: 5487730 (1996-01-01), Marcadis et al.
patent: 5505698 (1996-04-01), Booth et al.
patent: 5525388 (1996-06-01), Wand et al.
patent: 5527292 (1996-06-01), Adams et al.
patent: 5569199 (1996-10-01), Solar
patent: 5571215 (1996-11-01), Sterman et al.
patent: 5584803 (1996-12-01), Stevens et al.
patent: 5619993 (1997-04-01), Lee
patent: 5766151 (1998-06-01), Valley et al.
patent: 5795325 (1998-08-01), Valley et al.
patent: 5820593 (1998-10-01), Safar et al.
patent: 5868702 (1999-02-01), Stevens et al.
patent: 218275 (1987-04-01), None
patent: 0 350 302 (1989-07-01), None
patent: 0 414 350 (1990-06-01), None
patent: WO 91/01689 (1991-02-01), None
patent: WO 91/08791 (1991-06-01), None
patent: WO 91/11208 (1991-08-01), None
patent: 91/17720 (1991-11-01), None
patent: 92/17118 (1992-10-01), None
patent: WO 93 01857 (1993-02-01), None
patent: WO 95/08364 (1995-03-01), None
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 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 Surg2(3):152-154 (1993).
Rossi, F., “Long-term cardiopulmonary bypass by peripheral cannulation in a model of total heart failure”J Thorac Cardio Vasc Surg100:914-921 (1990).
Razi, D.M., “The challenge of calcific aortitis”J Cardiac Thorac Surg, 8:102-107 (1993).
Ogawa, K., “Aortic arch reconstruction without aortic cross-clamping using separate extracorporeal circulation”J Jpn Assn Thorac Surg, pp. 2185-2190 (1993).
Gundry et al. “A comparison of retrograde of cardioplegia versus antegrade cardioplegia in the presence of coronary artery obstruction”Ann Thorac Surg38(2):124-127 (1984).
Lust et al. “Improved protection of chronically inflow-limited myocardium with retrograde coronary sinus cardioplegia”Circulation III, 78(5):217-223 (1988).
Crooke et al. “Biventricular distribution of cold blood cardioplegic solution adminstered by different retrograde techniques”J Cardiac Thorac Surg.102(4):631-636 (1991).
Sabiston, D.C. Textbook of Surgery, 10th Ed. 1972, pp. 2021-2023, 2114-2121.
Ishizaka “Myocardial protection by retrograde cardiac perfusion with cold modified Krebs solution through coronary sinus complete ischemic arrest for 120 min.”J Jpn Assn Thorac Surg, 25(12):1592-1601 (1977).
Takahashi, M. “Retrograde coronary sinus perfusion for myocardial protection in aortic valve surgery”J Jpn Assn Thorac Surg30(3):306-318 (1982).
Uchida et al., “Percutaneous cardiomyotomy and valvulotomy with angioscopic guidance”American Heart Journal121(4, part 1):1221-1224 (19

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