Surgery – Miscellaneous – Methods
Patent
1995-06-05
1997-11-04
Polutte, Mark O.
Surgery
Miscellaneous
Methods
664 49, 623 66, 623 2, A61B 1900, A61F 224
Patent
active
056829060
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: 4585453 (1986-04-01), Martin
patent: 4655218 (1987-04-01), Kulik et al.
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: 5176677 (1993-01-01), Wuchinich
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
patent: 5391156 (1995-02-01), Hildwein et al.
patent: 5428699 (1995-06-01), Pon
patent: 5433700 (1995-07-01), Peters
patent: 5452733 (1995-09-01), Sterman et al.
patent: 5501698 (1996-03-01), Roth et al.
patent: 5531785 (1996-07-01), Love et al.
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 53:776-779 (1992).
Jamieson, W.R.E. "Modern cardiac valve devices-bioprostheses and mechanical prostheses" J Card Surg 8:89-98 (1993).
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 thorascopy" J. Thorac and Cardiovasc Surg 102:721-3 (1991).
Cohn et al. "Right thoractomy, 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 median 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 Threkel "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).
Garrison Michi E.
Gifford, III Hanson S.
Sterman Wesley D.
Stevens John H.
Heartport Inc.
Polutte Mark O.
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