Ventricular access device and method

• US 4,769,031 A
• Filed: 06/25/1986
• Issued: 09/06/1988
• Est. Priority Date: 06/25/1986
• Status: Expired due to Fees

• Current Assignee: Edwin C. Mcgough, Mark M. Boucek
• Original Assignee: Edwin C. Mcgough, Mark M. Boucek
• Inventors: Boucek, Mark M., McGough, Edwin C.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Prizant, James
• Application Number:
  US06/878,185
• Time in Patent Office: 804 Days
• Field of Search: 623/1, 604/44, 604/51, 604/52, 604/264, 604/273, 604/175
• US Class Current: 623/1.37
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61B 2017/3425 for internal organs, e.g. heart ports
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61F 2/06 Blood vessels
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation

Abstract

A ventricular access device and method. In accordance with the method a grommet is introduced into a ventricle and the grommet conduit is caused to penetrate the ventricle'"'"'s myocardium in an inside to outside manner. The portion of the grommet conduit external to the ventricle is connected to a primary external conduit. The inventive device is a grommet in the form of a conduit and an extension (e.g. flange) extending outwardly from the conduit. The grommet conduit provides an outlet for the egress of blood from the ventricle. The extension provides contact against the inner wall of the ventricle to hold the grommet in place notwithstanding the outward flow of blood from the ventricle.

Claims

1. A ventricular access device for establishing and allowing egress of blood from a heart ventricle comprising:

(a) an introducer comprising an elongated rod,

(b) a grommet comprising a conduit and an extension extending outwardly from said conduit;

wherein said grommet is sized and shaped to be mounted on said introducer;

wherein said introducer is adapted to introduce said grommet, when mounted on said introducer, into said ventricle and to cause said grommet conduit to penetrate the myocardium of said ventricle in an inside to outside manner such that a portion of said grommet conduit is external to said ventricle;

wherein said grommet conduit is adapted to provide an outlet for the flow of blood from said ventricle; and

wherein said extension is adapted to provide contact against the inner wall of said myocardium to retain said grommet in said myocardium notwithstanding the outward flow of blood from said ventricle.

2. A device in accordance with claim 1 wherein the leading end of said introducer is a cone-shaped tip to facilitate the penetration of said myocardium and wherein the leading end of said grommet conduit is behind said cone-shaped tip.

3. A device in accordance with claim 2 wherein the leading end of said grommet conduit is beveled to extend said cone-shaped tip.

4. A device in accordance with claim 1 wherein said introducer further comprises a seat extending from said introducer at a location behind the position occupied by said grommet when mounted on said introducer;

and wherein said seat functions to prevent said grommet from being pushed back along said introducer during introduction into said ventricle and penetration of said ventricle'"'"'s myocardium.

5. A device in accordance with claim 1 further comprising (c) an external connector;

wherein said external connector is comprised of a conduit having an end adapted to connect to the external portion of said grommet conduit.

6. A surgical method for establishing an outlet for the flow of blood from a heart ventricle comprising:

(a) introducing a grommet into said ventricle;

wherein said grommet comprises a conduit,

(b) causing said grommet conduit to penetrate through the myocardium of said ventricle in an inside to outside manner such that a portion of said grommet conduit is external to said ventricle, and

(c) connecting said grommet conduit to a primary external conduit which is external to said ventricle;

wherein said grommet conduit is and remains positioned in said myocardium to provide an outlet through which blood from said ventricle can flow outwardly to said primary external conduit.

7. A surgical method in accordance with claim 6, further comprising:

(d) connecting said primary external conduit to a member selected from the group consisting of descending aorta, pulmonary artery and artificial heart assist device;

wherein the order in which step (d) is performed is independent of the order in which steps (a), (b) and (c) are performed.

8. A surgical method in accordance with claim 6 wherein said grommet is mounted on an introducer;

wherein said introducer is comprised of an elongated rod;

wherein said introducer is used to introduce said grommet into said ventricle and to cause said grommet conduit to penetrate said myocardium; and

wherein said introducer is withdrawn from said ventricle after said grommet conduit is positioned in said myocardium.

9. A surgical method in accordance with claim 8 wherein the leading end of said introducer is a cone-shaped tip to facilitate the penetration of said myocardium.

10. A surgical method in accordance with claim 8 wherein said introducer further comprises a seat extending outwardly from said introducer at a location behind the position occupied by the mounted grommet;

and wherein said seat functions to prevent said grommet from being pushed back along said introducer during steps (a) and (b).

11. A surgical method in accordance with claim 6 wherein said grommet includes an extension extending from said grommet conduit which extension is brought into contact against the inner wall of said myocardium when the grommet conduit penetrates said myocardium;

and wherein said extension functions to retain said grommet in said myocardium notwithstanding the outward flow of blood from said ventricle.

12. A surgical method in accordance with claim 11 wherein said extension is a flange.

13. A surgical method in accordance with claim 6 wherein said grommet conduit is connected to said primary external conduit by an external connector;

wherein said external connector is comprised of a conduit; and

wherein said external connector engages the portion of said grommet conduit external to said ventricle.

14. A surgical method in accordance with claim 13 wherein said external connector is a female connector and said grommet conduit is a male connector;

and wherein said female connector is placed over said external grommet conduit portion to establish a friction fit between said external connector and said grommet conduit.

15. A surgical method in accordance with claim 13 wherein said external connector is angled.

16. A surgical method in accordance with claim 6 wherein said grommet is introduced through an atrium and an atrioventricular valve into said ventricle.

17. A surgical method in accordance with claim 6 wherein said grommet under step (a) is introduced through the ventricle wall into said ventricle.