DISSECTING CANNULA AND METHODS OF USE THEREOF
First Claim
Patent Images
1. A multi-mode tissue dissecting device for delivering one or more medical devices to a target site, the device comprising:
- a cannula having a working channel extending therethrough and exiting at a distal opening, where the distal opening permits movement of the medical device in a direction parallel to an axis of the working channel;
a dilation wedge, smaller than an outer diameter of the cannula and located at a distal end of the cannula and configured to permit mechanical dilation of a small opening in tissue into a larger opening as a first dissection mode;
a dissecting surface located on a portion of the dilation wedge, the dissecting surface having a frictional coefficient greater than that of a frictional coefficient of the cannula such that the dissecting surface grips the tissue as the dissecting surface moves against the tissue to dissection of tissue as a second dissection mode; and
an expandable dilation member located about an exterior surface of the cannula to separate tissue when expanded as a third dissection mode.
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Abstract
Methods and devices described herein facilitate improved access of locations within the body by providing a variety of dissection modes on a single access device.
158 Citations
56 Claims
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1. A multi-mode tissue dissecting device for delivering one or more medical devices to a target site, the device comprising:
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a cannula having a working channel extending therethrough and exiting at a distal opening, where the distal opening permits movement of the medical device in a direction parallel to an axis of the working channel; a dilation wedge, smaller than an outer diameter of the cannula and located at a distal end of the cannula and configured to permit mechanical dilation of a small opening in tissue into a larger opening as a first dissection mode; a dissecting surface located on a portion of the dilation wedge, the dissecting surface having a frictional coefficient greater than that of a frictional coefficient of the cannula such that the dissecting surface grips the tissue as the dissecting surface moves against the tissue to dissection of tissue as a second dissection mode; and an expandable dilation member located about an exterior surface of the cannula to separate tissue when expanded as a third dissection mode. - 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)
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24. A dissecting access device for delivering one or more medical devices to a target site in a body of a patient, the dissecting access device comprising:
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a cannula having a working channel extending therethrough and exiting at a distal opening, where the distal opening allows movement of the medical device through the distal opening and parallel to an axis of the working channel; a dilation wedge located at a distal end of the cannula and configured to permit dilation of a small opening in tissue into a larger opening; a dissecting surface located on a portion of the dilation wedge, the dissecting surface having a frictional coefficient greater than that of a frictional coefficient of the cannula such that the dissecting surface grips the tissue as the dissecting surface moves against the tissue to permit dissection of tissue; at least one fluid port located within the working channel configured to apply suction or deliver a fluid within the working channel, the fluid port in fluid communication with a fluid lumen within the cannula; and a gripping portion having an open proximal end allowing for advancement of the medical device therethrough and a first fluid connector for coupling the fluid lumen to a fluid source. - View Dependent Claims (25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44)
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45. A method of creating atrial lesion patterns on a first and second atrial surfaces of a heart of a patient, the method comprising:
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accessing a diaphragm through a first incision in an abdomen of the patient; advancing at least a first and second access devices through the diaphragm into a thoracic cavity of the patient and into a pericardial space adjacent to the first atrial surface; positioning a coagulation device adjacent to the first atrial surface through one of the access devices; creating a first coagulation region on the first atrial surface with the coagulation device; dissecting a pericardial reflection with a dissecting surface of the first access device so that a second atrial surface is accessible from the first atrial surface; and creating a second coagulation region on the second atrial surface with the coagulation device. - View Dependent Claims (46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56)
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Specification