Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...
Patent
1997-01-17
1998-04-14
Yasko, John D.
Surgery
Means for introducing or removing material from body for...
Treating material introduced into or removed from body...
604 28, 604 49, 606194, A61M 2900
Patent
active
057386528
ABSTRACT:
A retrograde delivery catheter includes at its distal end a balloon configured to occlude the coronary sinus of a patient's heart, and has a length and flexibility which allow the distal end to be positioned in the coronary sinus with the proximal end extending transluminally to a peripheral vein such as an internal jugular vein and out of the body through a puncture therein. The delivery catheter has a delivery lumen extending between its proximal and distal ends which is configured to allow a cardioplegic fluid to be delivered at a flow rate of at least 200 ml/min with a pump pressure less than 300 mm Hg, thereby allowing cardioplegic arrest to be maintained using a blood cardioplegic fluid without causing excessive hemolysis. In a method of inducing cardioplegic arrest according to the invention, the patient is placed on cardiopulmonary bypass, the coronary arteries are isolated from remainder of the arterial system, and the delivery catheter is positioned transluminally in the coronary sinus from a peripheral vein. A cardioplegic fluid is then delivered to the coronary sinus through the delivery catheter at a flow rate of at least 200 ml/min and a pump pressure less than 300 mm Hg. The heart may be vented by withdrawing blood from the pulmonary artery through a catheter introduced through a peripheral vein, or withdrawing blood from the aortic root through an aortic catheter introduced through a peripheral artery.
REFERENCES:
patent: 150960 (1874-05-01), Isbell
patent: 231601 (1880-08-01), Meigs
patent: 280225 (1883-06-01), Noe
patent: 299622 (1884-06-01), Chase
patent: 303757 (1884-08-01), Sears et al.
patent: 1282881 (1918-10-01), Landis
patent: 2029236 (1936-01-01), Klophaus
patent: 2308484 (1943-01-01), Auzin et al.
patent: 2531730 (1950-11-01), Henderson
patent: 2854982 (1958-10-01), Pagano
patent: 3326648 (1967-06-01), Provisor
patent: 3385300 (1968-05-01), Holter
patent: 3635223 (1972-01-01), Klieman
patent: 3671979 (1972-06-01), Moulopoulos
patent: 3674014 (1972-07-01), Tillander
patent: 3692018 (1972-09-01), Goetz et al.
patent: 3766924 (1973-10-01), Pidgeon
patent: 3788328 (1974-01-01), Alley et al.
patent: 3833003 (1974-09-01), Taricco
patent: 3837347 (1974-09-01), Tower
patent: 3889686 (1975-06-01), Duturbure
patent: 3903895 (1975-09-01), Alley et al.
patent: 3915171 (1975-10-01), Shermeta
patent: 3963028 (1976-06-01), Cooley et al.
patent: 3970090 (1976-07-01), Loiacono
patent: 3983879 (1976-10-01), Todd
patent: 4019515 (1977-04-01), Kornblum et al.
patent: 4029104 (1977-06-01), Kerber
patent: 4056854 (1977-11-01), Boretos et al.
patent: 4154227 (1979-05-01), Krause et al.
patent: 4204328 (1980-05-01), Kutner
patent: 4284073 (1981-08-01), Krause et al.
patent: 4285341 (1981-08-01), Pollack
patent: 4287892 (1981-09-01), Schiff
patent: 4290428 (1981-09-01), Durand et al.
patent: 4301803 (1981-11-01), Handa et al.
patent: 4304239 (1981-12-01), Perlin
patent: 4323071 (1982-04-01), Simpson et al.
patent: 4327709 (1982-05-01), Hanson et al.
patent: 4328056 (1982-05-01), Snooks
patent: 4351341 (1982-09-01), Goldberg et al.
patent: 4405313 (1983-09-01), Sisley et al.
patent: 4411055 (1983-10-01), Simpson et al.
patent: 4413989 (1983-11-01), Schjeldahl et al.
patent: 4417576 (1983-11-01), Baran
patent: 4439186 (1984-03-01), Kuhl
patent: 4441495 (1984-04-01), Hicswa
patent: 4456000 (1984-06-01), Schjeldahl et al.
patent: 4459977 (1984-07-01), Pizon et al.
patent: 4464175 (1984-08-01), Altman et al.
patent: 4493697 (1985-01-01), Krause et al.
patent: 4496345 (1985-01-01), Hasson
patent: 4512762 (1985-04-01), Spears
patent: 4531936 (1985-07-01), Gordon
patent: 4535757 (1985-08-01), Webster, Jr.
patent: 4540399 (1985-09-01), Litzie et al.
patent: 4552558 (1985-11-01), Muto
patent: 4573966 (1986-03-01), Weikl et al.
patent: 4601706 (1986-07-01), Aillon
patent: 4610661 (1986-09-01), Possis et al.
patent: 4648384 (1987-03-01), Schmukler
patent: 4689041 (1987-08-01), Corday et al.
patent: 4714460 (1987-12-01), Calderon
patent: 4721109 (1988-01-01), Healey
patent: 4723936 (1988-02-01), Buchbinder et al.
patent: 4751924 (1988-06-01), Hammerschmidt et al.
patent: 4753637 (1988-06-01), Horneffer
patent: 4770652 (1988-09-01), Mahurkar
patent: 4771777 (1988-09-01), Horzewski
patent: 4790825 (1988-12-01), Bernstein et al.
patent: 4796629 (1989-01-01), Grayzel
patent: 4804358 (1989-02-01), Karcher et al.
patent: 4804365 (1989-02-01), Litzie et al.
patent: 4808165 (1989-02-01), Carr
patent: 4811737 (1989-03-01), Rydell
patent: 4821722 (1989-04-01), Miller et al.
patent: 4848344 (1989-07-01), Sos et al.
patent: 4850969 (1989-07-01), Jackson
patent: 4877031 (1989-10-01), Conway et al.
patent: 4877035 (1989-10-01), Bogen et al.
patent: 4889137 (1989-12-01), Kolobow
patent: 4898168 (1990-02-01), Yule
patent: 4917667 (1990-04-01), Jackson
patent: 4923450 (1990-05-01), Maeda et al.
patent: 4927412 (1990-05-01), Menasche
patent: 4934996 (1990-06-01), Mohl et al.
patent: 4943277 (1990-07-01), Bolling
patent: 4990143 (1991-02-01), Sheridan
patent: 4994032 (1991-02-01), Sugiyama et al.
patent: 4994033 (1991-02-01), Shockey 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: 5021044 (1991-06-01), Sharkawy
patent: 5021045 (1991-06-01), Buckberg et al.
patent: 5024668 (1991-06-01), Peters et al.
patent: 5033998 (1991-07-01), Corday et al.
patent: 5041093 (1991-08-01), Chu
patent: 5041098 (1991-08-01), Loiterman et al.
patent: 5049132 (1991-09-01), Shaffer et al.
patent: 5059167 (1991-10-01), Lundquist et al.
patent: 5106368 (1992-04-01), Uldall et al.
patent: 5112305 (1992-05-01), Barath et al.
patent: 5171232 (1992-12-01), Castillo et al.
patent: 5197952 (1993-03-01), Marcadis et al.
patent: 5219326 (1993-06-01), Hattler
patent: 5226427 (1993-07-01), Buckberg et al.
patent: 5236413 (1993-08-01), Feiring
patent: 5250069 (1993-10-01), Nobuyoshi et al.
patent: 5254089 (1993-10-01), Wang
patent: 5308320 (1994-05-01), Safar et al.
patent: 5324260 (1994-06-01), O'Neill et al.
patent: 5370640 (1994-12-01), Kolff
patent: 5374245 (1994-12-01), Mahurkar
patent: 5380282 (1995-01-01), Burns
patent: 5385548 (1995-01-01), Williams et al.
patent: 5395330 (1995-03-01), Marcadis et al.
patent: 5411027 (1995-05-01), Wiklund et al.
patent: 5423772 (1995-06-01), Lurie et al.
patent: 5451207 (1995-09-01), Yock
patent: 5487730 (1996-01-01), Marcadis et al.
patent: 5488960 (1996-02-01), Toner
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: 5549581 (1996-08-01), Lurie et al.
patent: 5558644 (1996-09-01), Boyd et al.
patent: 5597377 (1997-01-01), Aldea
Menasche et al. "Retrograde Coronary Sinus Cardioplegia for Aortic Valve Operations: A Clinical Report on 500 Patients" Ann Thorac Surg, 49:556-64 (1990).
Farcot et al. "New Catheter-Pump System for diastolic Synchronized Coronary Sinus Retroperfusion (D.S.R.)" Med Prog Technol, 8(1):29-37 (1980).
Markov et al. "Reversal of acute myocardial ischemia in closed chest animals by retrograde perfusion of the coronary sinus with arterial blood," Acta Cardiologica, XXXI(3):185-199 (1976).
Meerbaum et al. "Diastolic Retroperfusion of Acutely Ischemic Myocardium", Am J Cardiol 37:588-598 (1976).
Gundry, S.R. "Modifications of myocardial ischemia in normal and hypertrophied hearts utilizing diastolic retroperfusion of the coronary veins," J Thorac Cardiovasc Surg, 83:659-669 (1982).
Shumway, N.E. "Forward versus retrograde coronary perfusion for direct vision surgery of acquired aortic valvular disease" J Thoracic and Cardiovasc Surg, 75-80 (1959).
Kalmbach et al. "Cardioplegia delivery by combined aortic root and coronary sinus perfusion" Ann Thorac Surg, 47:316-317 (1989).
Menasche et al. "Cardioplegia by way of the coronary sinus for valvular and coronary surgery" JACC 18(2):628-636 (1991).
Drinkwater et al. "The use of combined antegrade-retrograde infusion of blood cardioplegic solution in pediatric patients undergoing heart operations" Thorac and Cardiovascular Surg, 104(5):1349-1355 (1992).
Adams Craig L.
Boyd Stephen W.
Evard Philip C.
Stevens John H.
Grainger Jeffry J.
Heartport Inc.
Hoekendijk Jens E.
Lynch Michael J.
Yasko John D.
LandOfFree
Retrograde delivery catheter and method for inducing cardioplegi does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Retrograde delivery catheter and method for inducing cardioplegi, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Retrograde delivery catheter and method for inducing cardioplegi will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-631295