Methods of using pericardial inserts
First Claim
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1. A method of managing a heart failure patient, the patient anatomically having skin, a costal cartilage, a xiphoid and a heart, the heart comprising a left ventricle, a right ventricle, a left atrium, a right atrium, an epicardium, a pericardium and a pericardial space between the epicardium and the pericardium, the method comprising:
- placing a support structure between the epicardium and the pericardium such that a force is transmitted from the pericardium through the support structure to a selected region of the epicardium; and
leaving the support structure in place between the epicardium and the pericardium postoperatively.
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Abstract
Devices, systems and methods are provided which are capable of applying pressure and constraint to the heart and use the pericardium to assist in the application of the pressure and force to the heart.
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Citations
45 Claims
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1. A method of managing a heart failure patient, the patient anatomically having skin, a costal cartilage, a xiphoid and a heart, the heart comprising a left ventricle, a right ventricle, a left atrium, a right atrium, an epicardium, a pericardium and a pericardial space between the epicardium and the pericardium, the method comprising:
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placing a support structure between the epicardium and the pericardium such that a force is transmitted from the pericardium through the support structure to a selected region of the epicardium; and
leaving the support structure in place between the epicardium and the pericardium postoperatively. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. A method of cardiac treatment comprising:
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providing an implantable insert having an inflated state and a deflated state;
placing the insert into a patient'"'"'s body in the deflated state and positioning the insert over a selected region of the patient'"'"'s heart;
inflating the insert to put pressure on the selected region without applying substantial pressure to other regions of the heart; and
maintaining pressure in the insert for an extended period of time to create a desired therapeutic effect on the region. - View Dependent Claims (26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45)
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Specification