US5769812A
Expired / Lapsed
US
⏱️ 0.0 years remaining
System for cardiac procedures
Assignee: Edwards Lifesciences LLC
•
Filing: 1996-10-16
•
Granted: 1998-06-23
•
Expires: 2016-10-16
Abstract
Abstract A system for accessing a patient's cardiac anatomy which includes an endovascular aortic partitioning device that separates the coronary arteries and the heart from the rest of the patient's arterial system. The endovascular device for partitioning a patient's ascending aorta comprises a flexible shaft having a distal end, a proximal end, and a first inner lumen therebetween with an opening at the distal end. The shaft may have a preshaped distal portion with a curvature generally corresponding to the curvature of the patient's aortic arch. An expandable means, e.g. a balloon, is disposed near the distal end of the shaft proximal to the opening in the first inner lumen for occluding the ascending aorta so as to block substantially all blood flow therethrough for a plurality of cardiac cycles, while the patient is supported by cardiopulmonary bypass. The endovascular aortic partitioning device may be coupled to an arterial bypass cannula for delivering oxygenated blood to the patient's arterial system. The heart muscle or myocardium is paralyzed by the retrograde delivery of a cardioplegic fluid to the myocardium through patient's coronary sinus and coronary veins, or by antegrade delivery of cardioplegic fluid through a lumen in the endovascular aortic partitioning device to infuse cardioplegic fluid into the coronary arteries. The pulmonary trunk may be vented by withdrawing liquid from the trunk through an inner lumen of an elongated catheter. The cardiac accessing system is particularly suitable for removing the aortic valve and replacing the removed valve with a prosthetic valve.
Inventors
- 👤 John H. Stevens
- 👤 Wesley D. Sterman
- 👤 Hanson S. Gifford, III
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 03:20
CPC Classifications
A; A61; A61M; A61M25/00; A61M25/01; A61M25/0105; A61M25/0133; A61M25/0147; A61B; A61B17/00; A61B17/28; A61B17/29; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2427; A61F2/243; A61F2/2433; A61M1/00; A61M1/36; A61M1/3621; A61M1/3653; A61M1/3659; A61M25/0021; A61M25/0041; A61M25/0152; A61M25/06; A61M25/0662; A61M25/10; A61B17/32; A61B17/320016; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B18/00; A61B2018/00053; A61B2018/00214; A61B2018/0022; A61B2018/00232; A61B2018/0025; A61B2018/00261; A61F2/2436; A61M1/3613; A61M25/0023; A61M25/0026; A61M25/003; A61M2025/0031; A61M25/0067; A61M25/0074; A61M25/0075; A61M2025/0076; A61M2025/0078; A61M2025/015; A61M2025/0161; A61M25/02; A61M2025/028; A61M2025/1043; A61M2025/1047; A61M2025/1052; A61M2025/1077; A61M2025/1095; A61M2202/00; A61M2202/04; A61M2202/0468; A61M2202/047; A61M2205/00; A61M2205/11; A61M2205/36; A61M2205/366; A61M2210/00; A61M2210/12; A61M2210/125; A61M2210/127; A61M25/0032; A61M25/0125; A61M25/1002
Claims Analysis
Total Claims: 8
Claim 1
Independent Claim
203 words
A method of delivering cardioplegia to a patient's heart and placing the patient on cardiopulmonary bypass, comprising the steps of: providing an aortic occlusion catheter having an occluding member, a lumen, and an outlet coupled to the lumen, the outlet being positioned distal to the occluding member, the occluding member being sized to occlude a patient's ascending aorta; passing the aortic occlusion catheter through a peripheral artery of a patient so that the occluding member is positioned in the ascending aorta; coupling the lumen to a source of cardioplegic fluid; passing cardioplegic fluid from the source of cardioplegic fluid through the lumen and out the outlet thereby stopping heart contractions; providing a coronary sinus catheter having an occluding member, a distal end, a lumen and an outlet coupled to the lumen, the occluding member being configured to occlude the patient's coronary sinus; passing the coronary sinus catheter through a peripharal vein and into the patient's right atrium; inserting the distal end of the coronary sinus catheter into the patient's coronary sinus; occluding the patient's coronary sinus with the occluding member of the coronary sinus catheter; and delivering a fluid through the coronary sinus catheter and into the patient's coronary sinus through the lumen.
Claim 2
Independent Claim
203 words
A method of delivering cardioplegia to a patient's heart and placing the patient on cardiopulmonary bypass, comprising the steps of: providing an aortic occlusion catheter having an occluding member, a lumen, and an outlet coupled to the lumen, the outlet being positioned distal to the occluding member, the occluding member being sized to occlude a patient's ascending aorta; passing the aortic occlusion catheter through a peripheral artery of a patient so that the occluding member is positioned in the ascending aorta; coupling the lumen to a source of cardioplegic fluid; passing cardioplegic fluid from the source of cardioplegic fluid through the lumen and out the outlet thereby stopping heart contractions; providing a coronary sinus catheter having an occluding member, a distal end, a lumen and an outlet coupled to the lumen, the occluding member being configured to occlude the patient's coronary sinus; passing the coronary sinus catheter through a peripharal vein and into the patient's right atrium; inserting the distal end of the coronary sinus catheter into the patient's coronary sinus; occluding the patient's coronary sinus with the occluding member of the coronary sinus catheter; and delivering a fluid through the coronary sinus catheter and into the patient's coronary sinus through the lumen.
Claim 3
Dependent Claim
44 words
The method of claim 1, wherein: the coronary sinus catheter passing step is carried out with the peripheral vein being the patient's internal jugular vein; and the aortic occlusion catheter passing step is carried out with the catheter extending through the patient's fermoral artery.
Claim 4
Dependent Claim
59 words
The method of claim 1, further comprising the steps of: passing an endovascular vent through the patient's tricuspid and pulmonary valves, the vent including a lumen having an outlet positioned in the patient's pulmonary artery when the vent extends through the tricuspid and pulmonary valves; and withdrawing blood from the patient's pulmonary artery through the lumen of the vent.
Claim 5
Independent Claim
156 words
A method of arresting a patient's heart and venting blood from the pulmonary artery, comprising the steps of: providing an aortic occlusion catheter having an occluding member, a lumen, and an outlet coupled to the lumen, the outlet being positioned distal to the occluding member, the occluding member being sized to occlude a patient's ascending aorta; passing the aortic occlusion catheter through a peripheral artery of a patient so that the occluding member is positioned in the patient's ascending aorta; coupling the lumen of the aortic occlusion catheter to a source of cardioplegic fluid; passing cardioplegic fluid from the source of cardioplegic fluid through the lumen and out the outlet thereby stopping heart contractions; passing a vent through a peripheral vein in the patient and through the patient's tricuspid and pulmonary valves, the vent including an opening having an outlet positioned in the pulmonary artery; and withdrawing blood from the patient's pulmonary artery through the vent.
Claim 6
Independent Claim
156 words
A method of arresting a patient's heart and venting blood from the pulmonary artery, comprising the steps of: providing an aortic occlusion catheter having an occluding member, a lumen, and an outlet coupled to the lumen, the outlet being positioned distal to the occluding member, the occluding member being sized to occlude a patient's ascending aorta; passing the aortic occlusion catheter through a peripheral artery of a patient so that the occluding member is positioned in the patient's ascending aorta; coupling the lumen of the aortic occlusion catheter to a source of cardioplegic fluid; passing cardioplegic fluid from the source of cardioplegic fluid through the lumen and out the outlet thereby stopping heart contractions; passing a vent through a peripheral vein in the patient and through the patient's tricuspid and pulmonary valves, the vent including an opening having an outlet positioned in the pulmonary artery; and withdrawing blood from the patient's pulmonary artery through the vent.
Claim 7
Dependent Claim
33 words
The method of claim 4, wherein: the vent passing step is carried out with the vent having means for directing a distal end of the vent through the patient's tricuspid and pulmonary valves.
Claim 8
Dependent Claim
40 words
The method of claim 4, wherein: the vent passing step is carried out with the peripheral vein being the patient's internal jugular vein and the catheter passing step is carried out with the catheter extending through the patient's femoral artery.
References Cited (Backward Citations)
US150960A
Cited
US231601A
Cited
US280225A
Cited
US299622A
Cited
US303757A
Cited
US1282881A
Cited
US2029236A
Cited
US2308484A
Cited
US2531730A
Cited
US2854982A
Cited
US3326648A
Cited
GB1097881A
Cited
GB1097882A
Cited
US3385300A
Cited
US3547119A
Cited
US3671979A
Cited
US3674014A
Cited
US3635223A
Cited
US3692018A
Cited
GB1284701A
Cited
US3766924A
Cited
US3788328A
Cited
US3769960A
Cited
US3837347A
Cited
US3889686A
Cited
US3833003A
Cited
US3903895A
Cited
US3851647A
Cited
GB1467976A
Cited
GB1414344A
Cited
GB1477665A
Cited
US3915171A
Cited
US3983879A
Cited
GB1513918A
Cited
US3970090A
Cited
US3963028A
Cited
US4000739A
Cited
US4019515A
Cited
US4073297A
Cited
US4029104A
Cited
US4056854A
Cited
US4122858A
Cited
US4173981A
Cited
US4154227A
Cited
US4284073A
Cited
US4204328A
Cited
US4327709A
Cited
US4323071A
Cited
US4323071B1
Cited
US4248224A
Cited
US4290428A
Cited
US4301803A
Cited
US4276874A
Cited
US4285341A
Cited
US4493697A
Cited
US4289129A
Cited
US4310017A
Cited
US4287892A
Cited
US4304239A
Cited
US4830849A
Cited
US4686085A
Cited
US4411055A
Cited
US4328056A
Cited
US4351341A
Cited
US4413989A
Cited
US4430081A
Cited
US4531936A
Cited
US4459977A
Cited
US4456000A
Cited
US4439186A
Cited
US4573966A
Cited
US4405313A
Cited
US4417576A
Cited
US4451251A
Cited
US4535757A
Cited
US4497325A
Cited
US4527549A
Cited
US4441495A
Cited
US4464175A
Cited
US4496345A
Cited
US4704102A
Cited
US4512762A
Cited
US4531935A
Cited
US4540399A
Cited
US4681117A
Cited
US4767409A
Cited
US4596552A
Cited
US4552558A
Cited
US4751924A
Cited
US4714460A
Cited
US5033998A
Cited
US4689041A
Cited
EP0335205A1
Cited
US4902273A
Cited
US4969470A
Cited
US4934996A
Cited
EP0161045A1
Cited
US4592340A
Cited
US4705507A
Cited
US4664125A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2001-06-22 | 2001-12-22 | 2002-06-23 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2005-06-22 | 2005-12-22 | 2006-06-23 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2009-06-22 | 2009-12-22 | 2010-06-23 | $7700.00 | Window Closed / Lapsed |