Method of using vagal nerve stimulation in surgery

• US 5,651,378 A
• Filed: 02/20/1996
• Issued: 07/29/1997
• Est. Priority Date: 02/20/1996
• Status: Expired due to Term

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: Cardiothoracic Systems, Inc. (Boston Scientific Corporation)
• Inventors: Taylor, Charles S., Matheny, Robert G.
• Primary Examiner(s): Lewis, Aaron J.
• Assistant Examiner(s): O'Hara, Kelly Riskin
• Application Number:
  US08/603,411
• Time in Patent Office: 525 Days
• Field of Search: 128/898, 607/44, 607/14, 607/2, 607/15, 607/16, 607/121, 604/113, 604/53, 604/49
• US Class Current: 128/898
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61N 1/36014 External stimulators, e.g. with patch electrodes external pacemakers A61N1/3625

Abstract

The invention comprises a method for facilitating coronary surgery on the beating heart wherein the vagal nerve is electrically stimulated to temporarily stop or substantially reduce the beating of the heart. Such temporary stoppage or substantial reduction of the beating of the heart facilitates procedures such as suturing of an anastomosis which would otherwise be more difficult because of the motion induced by the beating heart.

Claims

1. A method for performing coronary artery bypass graft surgery on a patient'"'"'s beating heart comprising the steps of:

forming at least one opening in the patient'"'"'s chest;

locating a target artery for an arterial blood supply;

dissecting said target artery in preparation for fluid connection to a portion of a coronary artery distal from a stenosis;

connecting said target artery in fluid communication with said coronary artery; and

electrically stimulating the patient'"'"'s vagal nerve at least once during said connecting step to temporarily stop or substantially reduce the beating of the patient'"'"'s heart.

2. The method of claim 1 wherein the step of connecting the target artery in fluid communication with the coronary artery comprises forming an anastomosis between the target artery and the coronary artery.

3. The method of claim 1 wherein the step of connecting the target artery in fluid communication with the coronary artery comprises supplying a free graft means having first and second ends, forming a first anastomosis between the first end of the graft means and the target artery and forming a second anastomosis between the second end of the graft means and the coronary artery.

4. The method of claim 1 wherein said connecting step comprises a series of suturing steps and in which the vagal nerve is stimulated before at least one suturing step.