US6558318B1
Expired / Lapsed
US
⏱️ 0.0 years remaining
Endoscopic retraction method
Assignee: Edwards Lifesciences LLC
•
Filing: 1999-11-01
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Granted: 2003-05-06
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Expires: 2019-11-01
Abstract
Abstract A method for manipulating a tissue structure within a thoracic cavity of a patient includes the step of providing a tissue positioning tool having a shaft, a tool support apparatus and a tissue supporting member releasably connectable to the shaft. The tool support apparatus includes a clamp assembly configured to secure the shaft to the tool support apparatus. The tool support apparatus is positioned on an outer surface of a patient's chest and at least a portion of the shaft and the tissue supporting member are introduced into the patient's thoracic cavity. The tissue supporting member is attached to the portion of the shaft that is disposed within the patient so as to contact a tissue structure. A force is applied to the shaft to displace the tissue structure and the shaft is locked to the tool support apparatus with the clamp assembly.
Inventors
- 👤 S. Christopher Daniel
- 👤 Robert K. Deckman
- 👤 Michi E. Garrison
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 01:23
CPC Classifications
A; A61; A61M; A61M39/00; A61M39/02; A61M39/0247; A61B; A61B17/00; A61B17/00234; A61B17/02; A61B17/0218; A61B17/04; A61B17/0469; A61B17/06; A61B17/06061; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1492; A61B90/00; A61B90/50; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2427; A61B17/0467; A61B17/28; A61B17/29; A61B17/2909; A61B17/34; A61B17/3417; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00349; A61B2017/0237; A61B2017/0243; A61B2017/047; A61B2017/0472; A61B2017/0474; A61B2017/0475; A61B2017/2926; A61B2017/2932; A61B2017/2943; A61B2017/2946; A61B17/30; A61B2017/306; A61B17/3403; A61B2017/3405; A61B17/3421; A61B17/3423; A61B2017/3425; 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; A61M25/00; A61M25/01; A61M25/02; A61M2025/028; A61M2039/027; A61M2039/0279; A61M2205/00; A61M2205/33; A61M2205/3331; A61M2205/3344; A61M2205/3355; A61M2205/36; A61M2205/366; A61M25/10; A61M25/1011
Claims Analysis
Total Claims: 26
Claim 1
Independent Claim
163 words
A method for manipulating a tissue structure within a thoracic cavity of a patient, comprising the steps of: providing a tissue positioning tool having a shaft, a tool support apparatus, and a tissue supporting member releasably connectable to the shaft, the tool support apparatus having a clamp assembly configured to secure the shaft to the tool support apparatus; positioning the tool support apparatus on an outer surface of a patient's chest; introducing at least a portion of the shaft and the tissue supporting member into the patient's thoracic cavity; attaching the tissue supporting member to the portion of the shaft disposed within the patient; contacting a tissue structure in the thoracic cavity with the tissue supporting member; applying a force to the shaft so that the tissue supporting member moves the tissue structure to a displaced position; and locking the shaft to the tool support apparatus with the clamp assembly after the applying step so that the tissue structure maintains the displaced position.
Claim 2
Independent Claim
163 words
A method for manipulating a tissue structure within a thoracic cavity of a patient, comprising the steps of: providing a tissue positioning tool having a shaft, a tool support apparatus, and a tissue supporting member releasably connectable to the shaft, the tool support apparatus having a clamp assembly configured to secure the shaft to the tool support apparatus; positioning the tool support apparatus on an outer surface of a patient's chest; introducing at least a portion of the shaft and the tissue supporting member into the patient's thoracic cavity; attaching the tissue supporting member to the portion of the shaft disposed within the patient; contacting a tissue structure in the thoracic cavity with the tissue supporting member; applying a force to the shaft so that the tissue supporting member moves the tissue structure to a displaced position; and locking the shaft to the tool support apparatus with the clamp assembly after the applying step so that the tissue structure maintains the displaced position.
Claim 3
Dependent Claim
46 words
The method of claim 1 , wherein: the introducing step is carried out with the tissue supporting member passing through a first opening in the patient's chest; and the applying step being carried out with the shaft passing through a second opening in the patient's chest.
Claim 4
Dependent Claim
23 words
The method of claim 1 , wherein the providing step is carried out with the tissue positioning tool including a tool support apparatus.
Claim 5
Dependent Claim
46 words
The method of claim 3 , further comprising the steps of positioning the tool support apparatus on an outer surface of a patient's chest; and locking the shaft to the tool support apparatus after the applying step to retain the tissue structure in the displaced position.
Claim 6
Dependent Claim
42 words
The method of claim 1 , wherein the shaft has a distal end that is introduced into the patient through the at least one penetration in the patient and the tissue supporting member is attached to the distal end of the shaft.
Claim 7
Dependent Claim
45 words
The method of claim 1 , wherein the introducing step is carried out by passing the tissue supporting member through a first opening in the patient's chest and passing the at least a portion of the shaft through a second opening in the patient's chest.
Claim 8
Dependent Claim
25 words
The method of claim 1 , comprising the step of viewing the patient's heart through a scope extending through a second penetration in the patient.
Claim 9
Dependent Claim
21 words
The method of claim 1 , comprising the step of forming an opening in a chamber wall of the patient's heart.
Claim 10
Dependent Claim
34 words
The method of claim 8 , comprising the step of introducing an instrument through the at least one penetration and through the opening and performing a procedure on the patient's heart with the instrument.
Claim 11
Dependent Claim
13 words
The method of claim 9 , wherein the procedure is a valve replacement.
Claim 12
Dependent Claim
14 words
The method of claim 10 , wherein the procedure is a mitral valve replacement.
Claim 13
Independent Claim
96 words
A method of retracting a tissue structure, comprising the steps of: providing a tissue positioning tool having a shaft and a tissue supporting member; introducing the tissue supporting member and at least a portion of the shaft into a patient through at least one penetration in the patient; attaching the tissue supporting member to the portion of the shaft disposed within the patient; contacting a tissue structure in the patient with the tissue supporting member; and applying a force to the shaft so that the tissue supporting member moves the tissue structure to a displaced position.
Claim 14
Independent Claim
96 words
A method of retracting a tissue structure, comprising the steps of: providing a tissue positioning tool having a shaft and a tissue supporting member; introducing the tissue supporting member and at least a portion of the shaft into a patient through at least one penetration in the patient; attaching the tissue supporting member to the portion of the shaft disposed within the patient; contacting a tissue structure in the patient with the tissue supporting member; and applying a force to the shaft so that the tissue supporting member moves the tissue structure to a displaced position.
Claim 15
Dependent Claim
46 words
The method of claim 12 , wherein: the introducing step being carried out with the tissue supporting member passing through a first opening in the patient's chest; and the applying step being carried out with the shaft passing through a second opening in the patient's chest.
Claim 16
Dependent Claim
23 words
The method of claim 12 , wherein the providing step is carried out with the tissue positioning tool including a tool support apparatus.
Claim 17
Dependent Claim
46 words
The method of claim 12 , further comprising the steps of positioning the tool support apparatus on an outer surface of a patient's chest; and locking the shaft to the tool support apparatus after the applying step to retain the tissue structure in the displaced position.
Claim 18
Dependent Claim
21 words
The method of claim 12 , wherein the tissue supporting member and the shaft are introduced into the patient's thoracic cavity.
Claim 19
Dependent Claim
21 words
The method of claim 12 , wherein the tissue supporting member is attached to the shaft within the patient's thoracic cavity.
Claim 20
Dependent Claim
42 words
The method of claim 12 , wherein the shaft has a distal end that is introduced into the patient through the at least one penetration in the patient and the tissue supporting member is attached to the distal end of the shaft.
Claim 21
Dependent Claim
45 words
The method of claim 12 , wherein the introducing step is carried out by passing the tissue supporting member through a first opening in the patient's chest and passing the at least a portion of the shaft through a second opening in the patient's chest.
Claim 22
Dependent Claim
25 words
The method of claim 12 , comprising the step of viewing the patient's heart through a scope extending through a second penetration in the patient.
Claim 23
Dependent Claim
21 words
The method of claim 12 , comprising the step of forming an opening in a chamber wall of the patient's heart.
Claim 24
Dependent Claim
34 words
The method of claim 21 , comprising the step of introducing an instrument through the at least one penetration and through the opening and performing a procedure on the patient's heart with the instrument.
Claim 25
Dependent Claim
13 words
The method of claim 22 , wherein the procedure is a valve replacement.
Claim 26
Dependent Claim
14 words
The method of claim 23 , wherein the procedure is a mitral valve replacement.
References Cited (Backward Citations)
US3409013A
Cited
US3857386A
Cited
US4122844A
Cited
US4173981A
Cited
US4254763A
Cited
EP0218275A1
Cited
US4655218A
Cited
US4808163A
Cited
US5032128A
Cited
US5011469A
Cited
US5041130A
Cited
US5104393A
Cited
US5167223A
Cited
US5109859A
Cited
US5197979A
Cited
US5174278A
Cited
US5308320A
Cited
US5312344A
Cited
US5188619A
Cited
US5127393A
Cited
US5231974A
Cited
US5441042A
Cited
WO1993009709A1
Cited
WO1993009720A1
Cited
US5304183A
Cited
US5392156A
Cited
WO1993020742A1
Cited
US5332402A
Cited
US5540648A
Cited
US5339800A
Cited
US5203776A
Cited
US5250038A
Cited
US5433700A
Cited
US5452733A
Cited
US5613937A
Cited
US5980455A
Cited
WO1995015715A1
Cited
US5441059A
Cited
US5807243A
Cited
US5728047A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2006-05-05 | 2006-11-04 | 2007-05-06 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2010-05-05 | 2010-11-04 | 2011-05-06 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2014-05-05 | 2014-11-04 | 2015-05-06 | $7700.00 | Window Closed / Lapsed |