Surgery – Internal organ support or sling
Reexamination Certificate
2005-05-31
2005-05-31
Lacyk, John P. (Department: 3736)
Surgery
Internal organ support or sling
C600S201000, C600S228000, C600S231000
Reexamination Certificate
active
06899670
ABSTRACT:
An organ manipulator including at least one suction member or adhesive disc mounted to a compliant joint, a flexible locking arm for mounting such suction member or compliant joint, and a method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps. In preferred embodiments, a suction member exerts suction to retract a beating heart and suspend it in a retracted position during surgery. As the retracted heart beats, the compliant joint allows it to expand and contract freely (and otherwise move naturally) at least in the vertical direction so that hemodynamic function is not compromised. The suction member conforms or can be conformed to the organ anatomy, and its inner surface is preferably smooth and lined with absorbent material to improve traction without causing trauma to the organ. The compliant joint can connect the member to an arm which is adjustably mounted to a sternal retractor or operating table. The compliant joint can be a sliding ball joint, a hinged joint, a pin sliding in a slot, a universal joint, a spring assembly, or another compliant element. In preferred embodiments, the method includes the steps of affixing a suction member to a beating heart at a position concentric with the heart's apex, and applying suction to the heart while moving the member to retract the heart such that the heart has freedom to undergo normal beating motion at least in the vertical direction during retraction.
REFERENCES:
patent: 2082782 (1937-06-01), Allen
patent: 3584822 (1971-06-01), Oram
patent: 3983863 (1976-10-01), Janke et al.
patent: 4217890 (1980-08-01), Owens
patent: 4457300 (1984-07-01), Budde
patent: 4637377 (1987-01-01), Loop
patent: D293470 (1987-12-01), Adler
patent: 4827926 (1989-05-01), Carol
patent: 4852552 (1989-08-01), Chaux
patent: 4949927 (1990-08-01), Madocks et al.
patent: 4957477 (1990-09-01), Lundback
patent: 5019086 (1991-05-01), Neward
patent: 5098369 (1992-03-01), Heilman et al.
patent: 5131905 (1992-07-01), Grooters
patent: 5139517 (1992-08-01), Corral
patent: 5150706 (1992-09-01), Cox et al.
patent: 5256132 (1993-10-01), Snyders
patent: 5348259 (1994-09-01), Blanco et al.
patent: 5425705 (1995-06-01), Evard et al.
patent: 5452733 (1995-09-01), Sterman et al.
patent: 5453078 (1995-09-01), Valentine et al.
patent: 5480425 (1996-01-01), Ogilive
patent: 5484391 (1996-01-01), Buckman, Jr. et al.
patent: 5509890 (1996-04-01), Kazana
patent: 5569274 (1996-10-01), Rapacki et al.
patent: 5571215 (1996-11-01), Sterman et al.
patent: 5613937 (1997-03-01), Garrison et al.
patent: 5632746 (1997-05-01), Middleman et al.
patent: 5662300 (1997-09-01), Michelson
patent: 5713951 (1998-02-01), Garrison et al.
patent: 5727569 (1998-03-01), Benetti et al.
patent: 5728151 (1998-03-01), Garrison et al.
patent: 5730757 (1998-03-01), Benetti et al.
patent: 5735290 (1998-04-01), Sterman et al.
patent: 5766151 (1998-06-01), Valley et al.
patent: 5782746 (1998-07-01), Wright
patent: 5797960 (1998-08-01), Stevens et al.
patent: 5799661 (1998-09-01), Boyd et al.
patent: 5807243 (1998-09-01), Vierra et al.
patent: 5836311 (1998-11-01), Borst et al.
patent: 5865730 (1999-02-01), Fox et al.
patent: 5885271 (1999-03-01), Hamilton et al.
patent: 5891017 (1999-04-01), Swindle et al.
patent: 5894843 (1999-04-01), Benetti et al.
patent: 5899425 (1999-05-01), Corey et al.
patent: 5906607 (1999-05-01), Taylor et al.
patent: 5908378 (1999-06-01), Kovacs et al.
patent: 5921979 (1999-07-01), Kovacs et al.
patent: 5927284 (1999-07-01), Borst et al.
patent: 5976069 (1999-11-01), Navia et al.
patent: 5984864 (1999-11-01), Fox et al.
patent: 6007486 (1999-12-01), Hunt et al.
patent: 6010531 (2000-01-01), Donion et al.
patent: 6013027 (2000-01-01), Khan et al.
patent: 6015378 (2000-01-01), Borst et al.
patent: 6015427 (2000-01-01), Mueller et al.
patent: 6019722 (2000-02-01), Spence et al.
patent: 6027476 (2000-02-01), Sterman et al.
patent: 6029671 (2000-02-01), Stevens et al.
patent: 6036641 (2000-03-01), Taylor et al.
patent: 6042539 (2000-03-01), Harper
patent: 6050266 (2000-04-01), Benetti et al.
patent: 6110187 (2000-08-01), Donlon
patent: 6139492 (2000-10-01), Vierra et al.
patent: 6149583 (2000-11-01), Vierra et al.
patent: 6183486 (2001-02-01), Snow et al.
patent: 6193652 (2001-02-01), Berky et al.
patent: 6210323 (2001-04-01), Gilhuly et al.
patent: 6213940 (2001-04-01), Sherts et al.
patent: 6213941 (2001-04-01), Benetii et al.
patent: 6231585 (2001-05-01), Takahashi et al.
patent: 6251065 (2001-06-01), Kochamba
patent: 6264605 (2001-07-01), Scirica et al.
patent: 6315717 (2001-11-01), Benetti et al.
patent: 6346077 (2002-02-01), Taylor et al.
patent: 6350229 (2002-02-01), Borst et al.
patent: 6371910 (2002-04-01), Zwart et al.
patent: 6375611 (2002-04-01), Voss et al.
patent: 6394951 (2002-05-01), Taylor et al.
patent: 6398726 (2002-06-01), Romans et al.
patent: 6406424 (2002-06-01), Williamson et al.
patent: 6447443 (2002-09-01), Keogh et al.
patent: 6458079 (2002-10-01), Cohn et al.
patent: 6464629 (2002-10-01), Boone et al.
patent: 6464630 (2002-10-01), Borst et al.
patent: 6468265 (2002-10-01), Evans et al.
patent: 6478029 (2002-11-01), Boyd et al.
patent: 6478729 (2002-11-01), Rogers et al.
patent: 6482151 (2002-11-01), Vierra et al.
patent: 6494211 (2002-12-01), Boyd et al.
patent: 6503245 (2003-01-01), Palmer et al.
patent: 6506149 (2003-01-01), Peng et al.
patent: 3138589 (1983-04-01), None
patent: 4139695 (1993-06-01), None
patent: 0 820 721 (1997-07-01), None
patent: 0 791 329 (1997-08-01), None
patent: 0 791 330 (1997-08-01), None
patent: 0 808 606 (1997-11-01), None
patent: 08020721 (1998-01-01), None
patent: 0 919 193 (1999-06-01), None
patent: 938967 (1982-07-01), None
patent: WO 96/40354 (1996-12-01), None
patent: WO 97/10753 (1997-03-01), None
patent: WO 97/26828 (1997-07-01), None
patent: WO 97/40738 (1997-11-01), None
patent: WO 98/37814 (1998-09-01), None
patent: WO 98/49944 (1998-11-01), None
patent: WO 99/60929 (1999-12-01), None
patent: WO 99/60930 (1999-12-01), None
patent: WO 00/10466 (2000-03-01), None
Grundeman et al., “Vertical Displacement of the Beating Heart by the Octopus Tissue Stabilizer: Influence on Coronary Flow”, Ann Thorac Surg 1998;65:138-52.
Grundeman et al., “Hemodynamic Changes During Displacement of the Beating Heart by the Utrecht Octopus Method,” Ann Thorac Surg 1997;63:S88-92.
Jansen et al., “Off-Pump Coronary Bypass Grafting: How to Use the Octopus Tissue Stabilizer,” Ann Thorac Surg 1998;66:576-9.
Jansen et al., “Experimental Off-Pump Grafting of a Circumflex Branch via Sternotomy Using a Suction Device,” Ann Thorac Surg 1997;63:S93-6.
Angelini, G.D., “A Simple, Inexpensive Method of Heart Retraction During Coronary Artery Bypass Surgery,” Ann Thorac Surg 1998;46:246-247.
Calvin, I. F. & Newman, D.C., “Circumflex Exposure Using a Cardiac Sling,” Ann Thorac Surg 1990;49:833-4.
Splittgerber et al., “Exposing the Circumflex Coronary Artery: The Heartflip Technique,” Ann Ann Thorac Surg 1996;61:1119-20.
Rousou et al., “Cardiac Retractor for Coronary Bypass Operations,” Ann Thorac Surg 1991;52:877-8.
Matsuura et al., “A New Device for Exposing the Circumflex Coronary Artery,” Ann Thorac Surg 1995;59:1249-50.
Janke, Walter H., “Heart support for Coronary Bypass Surgery Involving the Circumflex Artery System,” The Journal of Thoracic and Cardiovascular Surgery, pp. 883-884.
Kazama, Shigeru & Ishihara, Akira, “Fabric Heart Retractor for Coronary Artery Bypass Operations,” Ann Thorac Surg 1993;55:1852-3.
Takahashi et al., “A New Instrument for Immobilization and Hemostasis During Minimally Invasive Direct Coronary Artery Bypass (‘MIDCAB doughnut’): Experimental Study,” J Card Surg 1997;12:185-189.
Borst et al., “Coronary Artery Bypass Grafting Without Cardi
Carlson Grace A.
Chin Albert K.
Davis John
Hancock David E.
Peng Steven
Lacyk John P.
Law Office of Alan W. Cannon
Origin Medsystems Inc.
LandOfFree
Organ manipulator having suction member supported with... does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Organ manipulator having suction member supported with..., we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Organ manipulator having suction member supported with... will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-3395011