EP0858779A1
Expired / Lapsed
EP
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Transmyocardial revascularisation device
Assignee: Artivion Inc
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Filing: 1998-02-02
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Granted: —
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Expires: 2018-02-02
Abstract
Abstract A method provides a closed-chest formation of a channel in a wall of a heart. A transmyocardial revascularisation energy delivery device is introduced through a first minimally invasive penetration of a patient's chest. Sufficient energy if delivered from the wave guide e.g. by a laser to the wall of the heart to form a channel through at least a portion of the wall. The device comprises a visualization member like a CCD-camera.
Inventors
- 👤 Steven A. Daniel
- 👤 Robert Dowling
- 👤 Richard L. Mueller
Bibliographic Details
Application Number
—
Jurisdiction
EP
Data Source
google_patents
Last Synchronized
2026-10-23 07:56
CPC Classifications
A; A61; A61B; A61B1/00; A61B1/00147; A61B1/00154; A61B1/00064; A61B1/00071; A61B1/0008; A61B1/00098; A61B1/012; A61B1/018; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B1/267; A61B1/313; A61B1/3132; A61B17/00; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B17/30; A61B2017/306; A61B2018/00053; A61B2018/00273; A61B2018/00291; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B90/00; A61B90/36; A61B90/37; A61B90/39
Claims Analysis
Total Claims: 21
Claim 1
Independent Claim
50 words
A TMR energy delivery system, comprising: a reusable visualization member; and a TMR energy delivery device removably mounted to the
reusable visualization member and configured to deliver a
sufficient level of energy to create a channel in a heart
wall, wherein the TMR energy delivery device includes a
distal section.
Claim 2
Dependent Claim
13 words
The system of claim 1, wherein the visualization
member is a fiber optic.
Claim 3
Independent Claim
15 words
The system of claim l, wherein the visualization
member is a CCD based camera system.
Claim 4
Dependent Claim
10 words
The system of claim 3, wherein the camera is
disposable.
Claim 5
Dependent Claim
10 words
The system of claim 3, wherein the camera is
reusable.
Claim 6
Dependent Claim
16 words
The system of claim 3, wherein the camera is usable
for a selected number of uses.
Claim 7
Independent Claim
64 words
The system of any one of the preceding claims,
wherein the TMR energy delivery device includes a handle
with at least one of an axially or rotationally moving
member configured to facilitate movement of an optical
fiber, wherein the optical fiber delivers laser energy to
a selected site and a cable coupling the distal portion
of the TMR energy delivery device to the handle.
Claim 8
Independent Claim
44 words
The system of any one of claims 1 to 6, wherein the
TMR energy delivery device includes a handle with an
optical fiber advancement member and a hand actuated
motion device configured to provide an articulation of a
distal portion of the optical fiber.
Claim 9
Dependent Claim
31 words
The system of claim 8, wherein the articulation
motion is provided by any of: a cable member; a linkage
member; a pressure member; a mechanical force member; or
an electronic member.
Claim 10
Dependent Claim
17 words
The system of claim 7, further comprising:
a stiffener member providing an increased rigidity of the
cable.
Claim 11
Dependent Claim
34 words
The system of claim 10, further comprising:
a stand-off member coupled to a flexible portion of the
distal portion of the TMR energy delivery device, wherein
the stand-off member is configured to improve
visualization.
Claim 12
Dependent Claim
25 words
The system of claim 11, wherein the stand-off member
is configured to provide an anchoring of a distal end of
the TMR energy delivery device.
Claim 13
Dependent Claim
15 words
The system of claim 11 or 12, wherein the stand-off
member includes a suction cup.
Claim 14
Dependent Claim
16 words
The system of claim 11 or 12, wherein the stand-off
device includes a lubricious exterior surface.
Claim 15
Independent Claim
23 words
The system of any one of claims 11 to 14, wherein
the stand-off device and the handle are incorporated as a
single unit.
Claim 16
Independent Claim
20 words
The system of any one of claims 11 to 14, wherein
the stand-off device and the handle are separate units.
Claim 17
Independent Claim
23 words
The system of any one of claims 11 to 16, wherein
the stand-off device is coupled to the visualization
device with an elastomer.
Claim 18
Independent Claim
28 words
The system of any one of claims 11 to 16, wherein
the stand-off device is coupled to the visualization
device with a mechanically adjustable collar that
provides compression.
Claim 19
Dependent Claim
97 words
A TMR delivery system, comprising: A TMR energy delivery device including an elongated body; a camera configured to provide a minimally invasive
surgical site view, the camera including a shaft with at
least a portion of the shaft being flexible; and an articulation device coupled to one of the TMR energy
delivery device or the camera and providing a
simultaneous straightening and articulation of at least a
portion of the camera and at least a portion of the TMR
energy delivery device following introducing of the TMR
energy delivery device and the camera through a trocar
port.
Claim 20
Dependent Claim
13 words
The system of claim 19, wherein the articulation
device includes a pull cable.
Claim 21
Dependent Claim
25 words
The system of claim 19, wherein the articulation
device includes a straightening device configured to be
coupled to a pre-bent shaft of the elongated body.
References Cited (Backward Citations)
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