Percutaneus cardiomyoplasty method

Claim 1

A method of performing a surgical procedure for the reinforcement of a defective organ in a subject which comprises: i) partitioning the subject's omentum without severing omentum blood supply; ii) transferring the partitioned omentum to the vicinity of the defective organ while preserving its blood supply; iii) utilizing the partitioned omentum as a blood supply for a muscle segment; and iv) utilizing the muscle segment as a patch to reinforce the defective organ.

Claim 2

A method of performing a surgical procedure for the reinforcement of a defective organ in a subject which comprises: i) partitioning the subject's omentum without severing omentum blood supply; ii) transferring the partitioned omentum to the vicinity of the defective organ while preserving its blood supply; iii) utilizing the partitioned omentum as a blood supply for a muscle segment; and iv) utilizing the muscle segment as a patch to reinforce the defective organ.

Claim 8

A method of performing a surgical procedure for the reinforcement of a defective organ in a subject's plural cavity which comprises: i) inserting a laparoscope and dilator into the abdomen, said laparoscope being a thruway tube for the diaphragm; ii) passing the dilator to dilate the diaphragm and provide an opening; iii) activating the dilator to dilate the diaphragm and provide an opening; iv) introducing a thoracoscope and chest grasping device into the plural cavity, said thoracoscope being a thruway tube for the grasping device; v) leading said grasping device through the opening in the diaphragm; vi) dilate diaphragm for passage of the divided greater omentum; vii) connecting the grasping device to the subject's omentum; viii) partitioning said omentum; and ix) retrieving said chest grasping device with attached omentum through the dilated diaphragm to the plural cavity and further up to the subject's defective organ.

Claim 9

A method of performing a surgical procedure for the reinforcement of a defective organ in a subject's plural cavity which comprises: i) inserting a laparoscope and dilator into the abdomen, said laparoscope being a thruway tube for the diaphragm; ii) passing the dilator to dilate the diaphragm and provide an opening; iii) activating the dilator to dilate the diaphragm and provide an opening; iv) introducing a thoracoscope and chest grasping device into the plural cavity, said thoracoscope being a thruway tube for the grasping device; v) leading said grasping device through the opening in the diaphragm; vi) dilate diaphragm for passage of the divided greater omentum; vii) connecting the grasping device to the subject's omentum; viii) partitioning said omentum; and ix) retrieving said chest grasping device with attached omentum through the dilated diaphragm to the plural cavity and further up to the subject's defective organ.

Claim 12

A method of cardiomyoplasty in a subject, which comprises: (a) partitioning the subject's omentum without severing the omentum blood supply; (b) making an opening in the diaphragm by using a dilator comprising: (i) a longitudinal central member having a forward end and aback end, (ii) an opening member having a front and rear end, which is slidably attached to the central member to permit forward or backward movement along the central member, the central member being capable of opening from a closed position to an open position by application of a force to its front or rear end, (iii) stop means fixedly attached to the central member for preventing movement of the opening member along the central member, and (iv) means for opening the opening member; (c) transferring the partitioned omentum to the plural cavity through the opening in the diaphragm, while preserving the omentum's blood supply; (d) obtaining a muscle segment from the subject using an instrument comprising: (i) a needle portion having a passageway through its center and a side opening connected to the passageway, (ii) a joint fixedly mounted to the needle portion proximate to the side opening, (iii) a blade rotatably connected to the joint and capable of at least partially fitting into the side opening when in a closed position, and (iv) control means located in the passageway and capable of moving the blade from a closed position to an open position; (d) placing the muscle segment on the myocardium of the subject; and (e) covering the myocardium with the omentum in such a way that the muscle segment is placed between the omentum and the myocardium.

Claim 13

A method of cardiomyoplasty in a subject, which comprises: (a) partitioning the subject's omentum without severing the omentum blood supply; (b) making an opening in the diaphragm by using a dilator comprising: (i) a longitudinal central member having a forward end and aback end, (ii) an opening member having a front and rear end, which is slidably attached to the central member to permit forward or backward movement along the central member, the central member being capable of opening from a closed position to an open position by application of a force to its front or rear end, (iii) stop means fixedly attached to the central member for preventing movement of the opening member along the central member, and (iv) means for opening the opening member; (c) transferring the partitioned omentum to the plural cavity through the opening in the diaphragm, while preserving the omentum's blood supply; (d) obtaining a muscle segment from the subject using an instrument comprising: (i) a needle portion having a passageway through its center and a side opening connected to the passageway, (ii) a joint fixedly mounted to the needle portion proximate to the side opening, (iii) a blade rotatably connected to the joint and capable of at least partially fitting into the side opening when in a closed position, and (iv) control means located in the passageway and capable of moving the blade from a closed position to an open position; (d) placing the muscle segment on the myocardium of the subject; and (e) covering the myocardium with the omentum in such a way that the muscle segment is placed between the omentum and the myocardium.