Surgery – Means for introducing or removing material from body for... – Material introduced into and removed from body through...
Patent
1998-02-11
1999-06-22
Yasko, John D.
Surgery
Means for introducing or removing material from body for...
Material introduced into and removed from body through...
604 49, 604 96, 606194, A61M 2900
Patent
active
059138424
ABSTRACT:
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: 2531730 (1950-11-01), Henderson
patent: 3674014 (1972-07-01), Tillander
patent: 3692018 (1972-09-01), Goetz et al.
patent: 3788328 (1974-01-01), Alley et al.
patent: 3903895 (1975-09-01), Alley et al.
patent: 3915171 (1975-10-01), Shermeta
patent: 3963028 (1976-06-01), Cooley et al.
patent: 3983879 (1976-10-01), Todd
patent: 4029104 (1977-06-01), Kerber
patent: 4204328 (1980-05-01), Kutner
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: 4323071 (1982-04-01), Simpson et al.
patent: 4327709 (1982-05-01), Hanson et al.
patent: 4328056 (1982-05-01), Snooks
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: 4464175 (1984-08-01), Altman et al.
patent: 4496345 (1985-01-01), Hasson
patent: 4531936 (1985-07-01), Gordon
patent: 4535757 (1985-08-01), Webster , Jr.
patent: 4540399 (1985-09-01), Litzie et al.
patent: 4573966 (1986-03-01), Weikl et al.
patent: 4601706 (1986-07-01), Aillon
patent: 4648384 (1987-03-01), Schmukler
patent: 4689041 (1987-08-01), Corday et al.
patent: 4714460 (1987-12-01), Calderon
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: 4804365 (1989-02-01), Litzie et al.
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: 4917667 (1990-04-01), Jackson
patent: 4923450 (1990-05-01), Maeda et al.
patent: 4927412 (1990-05-01), Menasche
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), Korday et al.
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: 5597377 (1997-01-01), Aldea
Kar and Nordlander, "Coronary Veins: An Alternate Route to Ischemic Myocardium, " Heart and Lung, Mar. 1992, vol. 21, No. 2, pp. 148-155.
Ropchan et al., "Salvage of Ischemic Myocardium by Nonsynchronized Retroperfusion in the Pig," The Journal of Thoracic and Cardiovascular Surgery, Sep. 1992, vol. 104, No. 3 pp. 619-625.
Farcot et al., "Synchronized Retroperfusion of Coronary Veins for Circulatory Support of Jeopardized Ischemic Myocardium," The American Journal of CARDIOLOGY, 1978;41:1191-1201.
Gundry, "Modification of Myocardial Ischemia in Normal and Hypertrophied Hearts Utilizing Diastolic Retroperfusion of the Coronary Veins," J Thorac Cardiovasc Surg, 1982;83:659-699.
Haendchen et al., "Prevention of ischemic Injury and Early Reperfusion Derangements by Hypothermic Retroperfusion," J Am Coll Cardiol, 1983;1(4):1067-1080.
Markov et al., "Reversal of Acute Myocardial Ischemia in Closed Chest Animals by Retrograde Perfusion of the Corornary Sinus with Arterial Blood," Acta Cardioplegica, XXI, 1976;3:185-199.
Meerbaum et al., "Hypothermic Coronary Venous Phased Retroperfusion: A Closed-chest Treatment of Acute Regional Myocardial Ischemia," Circulation, 1982;65(7):1435-1445.
Menasche, et al., "Cardioplegia by Way of the Coronary Sinus for Valvular and Coronary Surgery," JAAC 18(2):628-636 (1991).
Elecath, "Bain Coronary Sinus Flow Catheter for Jugular Entry," Catalog No. 75-2337, 1994.
Research Medical, Inc. Product Catalog 1995, Cardioplegia Products.
Kalmbach, et al., "Cardioplegia Delivery by Combined Aortic Root and Coronary Sinus Perfusion," Ann Thorac Surg 47:316-317 (1989).
Menasche, et al., "Cardiuoplegia by Way of the Coronary Sinus for Valvular and Coronary Suegery," JAAC 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).
Hammond, et al., "Retrograde Coronary Sinus Perfusion: A Method of Myocardial Protection in the Dog During Left Coronary Artery Occlusion," Ann Surg 166(1):139-147 (1967).
Douville, et al., "Retrograde Versus Antegrade Cardioplegia: Impact on Right Venticular Function," Ann Thorac Surg 54:56-61 (1992).
Menasche, et al., "Retrograde Cardioplegia Through the Coronary Sinus," Ann Thorac Surg 44:214-216 (1987).
Menasche, et al., "Retrograde Warm Blood Cardioplegia Preserves Hypertrophied Myocardium: A clinical Study," Ann Thorac Surg 57:1429-1435 (1994).
Worldwide Medical Innovations, Instrument Listings, pp. 5-9.
Adams Craig L.
Boyd Stephen W.
Evard Philip C.
Stevens John H.
Grainger Jeffry J.
Heartport Inc.
Hoekendijk Jens E.
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-1705090