Patent US20040073301A1 successfully refreshed from Google Patents.
US20040073301A1
Expired / Lapsed
US
⏱️ 0.0 years remaining
Less-invasive devices and methods for cardiac valve surgery
Assignee: Individual
•
Filing: 2003-09-15
•
Granted: —
•
Expires: 2023-09-15
Abstract
Abstract Systems and methods are disclosed for performing less-invasive surgical procedures within the heart. A method for less-invasive repair or replacement of a cardiac valve comprises placing an instrument through an intercostal access port and through a penetration in a wall of a vessel in communication with the heart, advancing the instrument into the heart, and using the instrument to perform a surgical intervention on a cardiac valve in the heart under visualization through an intercostal access port The surgeons hands are kept outside of the chest during each step. The surgical intervention may comprise replacing the cardiac valve with a prosthetic valve, wherein the native valve is removed using a tissue removal instrument, the native valve annulus is sized with a specialized sizing device, a prosthetic valve is introduced through an intercostal access port and through the penetration in the vessel, and the prosthetic valve is secured at the native valve position, all using instruments positioned through intercostal access ports without placing the hands inside the chest. Systems and devices for performing these procedures are also disclosed.
Inventors
- 👤 Brian Donlon
- 👤 William Peters
- 👤 Michi Garrison
- 👤 Daniel Rosenman
- 👤 John Stevens
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 23:04
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/00234; A61B17/0057; A61B17/02; A61B17/0218; A61B17/0293; A61B17/04; A61B17/0469; A61B17/06; A61B17/06061; A61B17/12; A61B17/122; A61B17/28; A61B17/29; A61B17/34; A61B17/3417; A61B17/3421; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1492; A61B90/00; A61B90/36; A61B90/50; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2427; A61F7/00; A61F7/10; A61M; A61M39/00; A61M39/02; A61M39/0247; A61B17/0467; A61B17/2909; A61B2017/00017; A61B2017/00022; A61B2017/00039; A61B2017/00044; A61B2017/00048; A61B2017/00053; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00278; A61B2017/00575; A61B2017/00831; A61B2017/00867; A61B2017/00902; A61B2017/00907; A61B2017/00946; A61B2017/0237; A61B2017/0243; A61B2017/047; A61B2017/0472; A61B2017/0474; A61B2017/0475; A61B2017/0496; A61B2017/2912; A61B2017/2926; A61B2017/2927; A61B2017/2932; A61B2017/2943; A61B17/30; A61B2017/306; A61B2017/308; A61B17/3403; A61B2017/3405; A61B2017/348; A61B2017/3492; A61B2018/00053; A61B2018/00214; A61B2018/0022; A61B2018/00232; A61B2018/0025; A61B2018/00261; A61B2018/00273; A61B2018/00291; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00363; A61B2018/00392; A61B2018/00571; A61B2018/00577; A61B2018/00982; A61B90/06; A61B2090/061; A61B90/30; A61B2090/306; A61F2/2496; A61F2007/0001; A61F2007/0054; A61F2007/101; A61M1/00; A61M1/36; A61M1/3621; A61M1/3623; A61M25/00; A61M25/01; A61M25/02; A61M2025/028; A61M2039/027; A61M2039/0279; A61M2202/00; A61M2202/04; A61M2202/0468; A61M2202/047; A61M2205/00; A61M2205/33; A61M2205/3331; A61M2205/3344; A61M2205/3355; A61M2205/36; A61M2205/366; A61M25/10; A61M25/1011; Y; Y10; Y10S; Y10S623/00; Y10S623/902
Claims Analysis
Total Claims: 26
Claim 1
Independent Claim
125 words
1 . A method of accessing an internal chamber of the heart through a vessel having a lumen in fluid communication with the chamber, the heart and the vessel being within a patient's chest defined by a plurality of ribs connected to a sternum, the method comprising: positioning an instrument into an inner lumen of the vessel through a penetration in a wall thereof, a proximal end of the instrument extending out of the patient's chest through a percutaneous access port between two adjacent ribs; and manipulating the proximal end of the instrument to advance a distal end of the instrument through the vessel and into the internal chamber of the heart; wherein all manipulations of the instrument are performed outside of the patient's chest.
Claim 2
Dependent Claim
125 words
1 . A method of accessing an internal chamber of the heart through a vessel having a lumen in fluid communication with the chamber, the heart and the vessel being within a patient's chest defined by a plurality of ribs connected to a sternum, the method comprising: positioning an instrument into an inner lumen of the vessel through a penetration in a wall thereof, a proximal end of the instrument extending out of the patient's chest through a percutaneous access port between two adjacent ribs; and manipulating the proximal end of the instrument to advance a distal end of the instrument through the vessel and into the internal chamber of the heart; wherein all manipulations of the instrument are performed outside of the patient's chest.
Claim 3
Dependent Claim
49 words
2 . The method of claim 1 wherein the vessel comprises an aorta and the internal chamber comprises a left ventricle, the step of manipulating comprising passing the distal end of the instrument through an aortic valve disposed in an aortic position between the aorta and the left ventricle.
Claim 4
Dependent Claim
17 words
3 . The method of claim 2 further comprising attaching a valve prosthesis at the aortic position.
Claim 5
Dependent Claim
29 words
4 . The method of claim 3 wherein the instrument comprises a suturing instrument, further comprising applying sutures to an annulus of the aortic valve using the suturing instrument.
Claim 6
Dependent Claim
29 words
5 . The method of claim 3 wherein the step of attaching a valve prosthesis comprises positioning the valve prosthesis through a percutaneous access port between two adjacent ribs.
Claim 7
Dependent Claim
53 words
6 . The method of claim 3 wherein the valve prosthesis is positioned at the aortic position using a delivery handle removably coupled to the valve prosthesis, the delivery handle being manipulated at a proximal end thereof which extends out of the patient's chest through a percutaneous access port between two adjacent ribs.
Claim 8
Dependent Claim
41 words
7 . The method of claim 3 further comprising positioning the valve prosthesis through a percutaneous access port in a first orientation and re-orienting the valve prosthesis within the patient's chest into a second orientation before attachment at the aortic position.
Claim 9
Dependent Claim
32 words
8 . The method of claim 7 wherein the step of re-orienting comprises manipulating from outside of the patient's chest an actuator on a delivery handle releasably coupled to the valve prosthesis.
Claim 10
Dependent Claim
18 words
9 . The method of claim 7 wherein the second orientation is approximately perpendicular to the first orientation.
Claim 11
Dependent Claim
20 words
10 . The method of claim 1 wherein all steps are performed without cutting or removing the ribs or sternum.
Claim 12
Dependent Claim
26 words
11 . The method of claim 1 further comprising visualizing the vessel through a visualization device positioned in a percutaneous access port between two adjacent ribs.
Claim 13
Dependent Claim
26 words
12 . The method of claim I further comprising forming an incision in the vessel using a cutting tool manipulated from outside of the patient's chest.
Claim 14
Dependent Claim
21 words
13 . The method of claim 12 further comprising retracting the incision open before positioning the instrument in the vessel lumen.
Claim 15
Dependent Claim
36 words
14 . The method of claim 2 wherein the percutaneous access port is positioned in an intercostal space selected from the first, second, third, or fourth intercostal space on an anterior side of the patient's chest.
Claim 16
Dependent Claim
45 words
15 . The method of claim 1 wherein the percutaneous access port comprises a cannula having a proximal end outside of the patient's chest, a distal end within th patient's chest exterior to the vessel, and a passage therebetween through which the instrument is positioned.
Claim 17
Dependent Claim
91 words
16 . In a valve replacement procedure, a method of positioning a replacement valve in a patient's heart within a patient's chest, the chest being defined by a plurality of ribs, the method comprising: positioning an access device in the chest between two adjacent ribs, the access device defining an opening into the chest between the ribs and having and an illuminating device mounted adjacent to the opening; illuminating the interior of the chest with the illuminating the device; and introducing the replacement valve into the patient's chest through the opening.
Claim 18
Dependent Claim
91 words
16 . In a valve replacement procedure, a method of positioning a replacement valve in a patient's heart within a patient's chest, the chest being defined by a plurality of ribs, the method comprising: positioning an access device in the chest between two adjacent ribs, the access device defining an opening into the chest between the ribs and having and an illuminating device mounted adjacent to the opening; illuminating the interior of the chest with the illuminating the device; and introducing the replacement valve into the patient's chest through the opening.
Claim 19
Dependent Claim
94 words
17 . In a valve replacement procedure, a method of positioning a replacement valve in a patient's heart within a patient's chest, the chest being defined by a plurality of ribs, the method comprising: positioning the distal end of an illuminating device within the chest through a percutaneous access port between two adjacent ribs; illuminating the interior of the chest with the illuminating the device; and introducing the replacement valve into the patient's chest through a percutaneous access port between two adjacent ribs while illuminating the interior of the chest with the illuminating device.
Claim 20
Dependent Claim
94 words
17 . In a valve replacement procedure, a method of positioning a replacement valve in a patient's heart within a patient's chest, the chest being defined by a plurality of ribs, the method comprising: positioning the distal end of an illuminating device within the chest through a percutaneous access port between two adjacent ribs; illuminating the interior of the chest with the illuminating the device; and introducing the replacement valve into the patient's chest through a percutaneous access port between two adjacent ribs while illuminating the interior of the chest with the illuminating device.
Claim 21
Dependent Claim
95 words
18 . An access device for providing a percutaneous passage into a chest cavity through which a replacement cardiac valve may be positioned, the access device comprising: a device body having proximal and distal ends, the distal end being positionable between two adjacent ribs into the chest, the device body being configured to displace tissue between the ribs so as to define an opening into the chest through which the replacement valve may be positioned without interference; and an illumination device mounted to the device body so as to illuminate the interior of the chest.
Claim 22
Dependent Claim
95 words
18 . An access device for providing a percutaneous passage into a chest cavity through which a replacement cardiac valve may be positioned, the access device comprising: a device body having proximal and distal ends, the distal end being positionable between two adjacent ribs into the chest, the device body being configured to displace tissue between the ribs so as to define an opening into the chest through which the replacement valve may be positioned without interference; and an illumination device mounted to the device body so as to illuminate the interior of the chest.
Claim 23
Dependent Claim
98 words
19 . An access cannula for providing a percutaneous passage into a chest cavity through which a replacement cardiac valve may be positioned the access cannula comprising: a cannula body having proximal and distal ends, the distal end being positionable between two adjacent ribs into the chest, and having a lumen between the proximal and distal ends through which the replacement valve may be positioned into the chest; and a light-conducting element mounted to the cannula body and extending from outside the chest to the distal end of the cannula body for illuminating the interior of the chest.
Claim 24
Dependent Claim
98 words
19 . An access cannula for providing a percutaneous passage into a chest cavity through which a replacement cardiac valve may be positioned the access cannula comprising: a cannula body having proximal and distal ends, the distal end being positionable between two adjacent ribs into the chest, and having a lumen between the proximal and distal ends through which the replacement valve may be positioned into the chest; and a light-conducting element mounted to the cannula body and extending from outside the chest to the distal end of the cannula body for illuminating the interior of the chest.
Claim 25
Dependent Claim
118 words
20 . In a valve replacement procedure, a method of positioning a replacement valve in an aortic position of a patient's heart within a patient's chest, the aortic position being disposed between a left ventricle of the heart and an aorta leading away from the heart, the chest being defined by a plurality of ribs connected to a sternum, the method comprising: introducing the replacement valve into the patient's chest through a percutaneous access port between two adjacent ribs; and positioning the replacement valve through a penetration in the aorta and into the aortic position by manipulating a valve-positioning instrument which engages the replacement valve, wherein all manipulation of the valve-engaging instrument is performed outside of the chest.
Claim 26
Dependent Claim
118 words
20 . In a valve replacement procedure, a method of positioning a replacement valve in an aortic position of a patient's heart within a patient's chest, the aortic position being disposed between a left ventricle of the heart and an aorta leading away from the heart, the chest being defined by a plurality of ribs connected to a sternum, the method comprising: introducing the replacement valve into the patient's chest through a percutaneous access port between two adjacent ribs; and positioning the replacement valve through a penetration in the aorta and into the aortic position by manipulating a valve-positioning instrument which engages the replacement valve, wherein all manipulation of the valve-engaging instrument is performed outside of the chest.
References Cited (Backward Citations)
US1127325A
Cited
US3409013A
Cited
US3587115A
Cited
US3890969A
Cited
US4065816A
Cited
US4056854A
Cited
US4173981A
Cited
US4185636A
Cited
US4529397A
Cited
US4602911A
Cited
US4585453A
Cited
US4702250A
Cited
US4562832A
Cited
US4656218A
Cited
US4679556A
Cited
US4808163A
Cited
US5032128A
Cited
US4877016A
Cited
US4972827A
Cited
US5104407B1
Cited
US5104407A
Cited
US5011481A
Cited
US5041130A
Cited
US5109859A
Cited
US5122122A
Cited
US5197979A
Cited
US5147316A
Cited
US5209747A
Cited
US5308320A
Cited
US5423887A
Cited
US5443446A
Cited
US5188619A
Cited
US5213093A
Cited
US5545214A
Cited
US5702368A
Cited
US5556412A
Cited
US5383888A
Cited
US5332402A
Cited
US5236450A
Cited
US5391156A
Cited
US5250038A
Cited
US5203776A
Cited
USRE35352E
Cited
US5433700A
Cited
US5536251A
Cited
US5613937A
Cited
US5682906A
Cited
US5452733A
Cited
US5306234A
Cited
US5458574A
Cited
US5478309A
Cited
US5560487A
Cited
US5626607A
Cited
US5578076A
Cited
USPTO Annuity & Maintenance Windows
Maintenance schedule is calculated for granted US utility patents.