Intrapericardial assist device and associated method

• US 5,971,911 A
• Filed: 06/26/1998
• Issued: 10/26/1999
• Est. Priority Date: 06/17/1993
• Status: Expired due to Term

• Current Assignee: Peter J. Wilk
• Original Assignee: Peter J. Wilk
• Inventors: Wilk, Peter J.
• Primary Examiner(s): Getzow, Scott M.
• Application Number:
  US09/105,709
• Time in Patent Office: 487 Days
• Field of Search: 600/16, 600/17, 600/18, 601/151, 601/152, 601/153, 607/5, 607/129, 607/130, 607/116, 607/119, 604/96, 604/97, 604/98, 604/99
• US Class Current: 600/18
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00154 pulsed
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2090/0815 Implantable devices for insertion in between organs or other soft tissues
• CPC Class Codes: A61M 2205/33 Controlling, regulating or measuring
• CPC Class Codes: A61M 2205/3303 Using a biosensor
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 60/191 mechanically acting upon the outside of the patient's native heart, e.g. compressive structures placed around the heart
• CPC Class Codes: A61M 60/289 Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
• CPC Class Codes: A61M 60/43 using vacuum at the blood pump, e.g. to accelerate filling
• CPC Class Codes: A61M 60/435 with diastole or systole switching by valve means located between the blood pump and the hydraulic or pneumatic energy source
• CPC Class Codes: A61M 60/468 the force acting on the actuation means being hydraulic or pneumatic
• CPC Class Codes: A61M 60/515 Regulation using real-time patient data
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/585 User interfaces
• CPC Class Codes: A61M 60/839 of devices for mechanical circulatory actuation
• CPC Class Codes: A61M 60/857 Implantable blood tubes
• CPC Class Codes: A61M 60/865 Devices for guiding or inserting pumps or pumping devices into the patient's body
• CPC Class Codes: A61M 60/878 Electrical connections within the patient's body
• CPC Class Codes: A61M 60/892 Active valves, i.e. actuated by an external force

Abstract

A surgical method for assisting cardiac function utilizes a pair of inflatable balloons initially in collapsed configurations. The balloons are inserted into an intrapericardial space about a patient'"'"'s heart. One of the balloons is disposed about one portion of the patient'"'"'s heart and the other of the balloons about another portion of the patient'"'"'s heart. The method further includes differentially inflating the balloons in the intrapericardial space to differentially compress the one portion and the another portion of the patient'"'"'s heart.

Claims

1. A surgical method for assisting cardiac function, comprising:

providing a pair of inflatable balloons in collapsed configurations;

inserting said balloons into an intrapericardial space about a patient'"'"'s heart, said step of inserting including (a) inserting a hypodermic type needle through a skin surface and into said intrapericardial space, and (b) injecting said balloons in said collapsed configurations into said intrapericardial space;

disposing one of said balloons about one portion of the patient'"'"'s heart and the other of said balloons about another portion of the patient'"'"'s heart; and

differentially inflating said balloons in said intrapericardial space to differentially compress said one portion and said another portion of the patient'"'"'s heart.

2. The method defined in claim 1 wherein said one portion and said another portion are left and right sides of the patient'"'"'s heart.

3. The method defined in claim 1 wherein the differential inflating of said balloons includes inflating said balloons to different pressures.

4. The method defined in claim 1 wherein said balloons are attached to one another, the inserting of said balloons into the intrapericardial space being performed substantially simultaneously.

5. The method defined in claim 1, further comprising the step of deflating said balloons upon completion of the inflating thereof, also comprising again inflating said balloons upon deflation thereof.

6. The method defined in claim 1, further comprising periodically inflating said balloons upon completion of said step of inserting.

7. The method defined in claim 6 wherein said balloons are connected at a proximal end to respective pressurization devices, the periodic inflating of said balloons including operating said pressurization devices.

8. The method defined in claim 1 wherein said balloons each have an arcuate cuff configuration in an inflated configuration, the inflating of said balloons including shaping said balloons into said arcuate configurations.

9. An intrapericardial assist device comprising;

a pair of balloons connected to one another, said balloons having predetermined sizes and shapes in an expanded configuration so that said balloons are capable of being disposed in a patient'"'"'s intrapericardial space about the patient'"'"'s heart;

a spring element connected to said balloons for automatically unfurling said balloons from a folded collapsed configuration to an unfolded collapsed configuration;

a first pressure source operatively connected to one of said balloons for controllably pressurizing said one of said balloons; and

a second pressure source operatively connected to the other of said balloons for controllably pressurizing said other of said balloons.

10. The device defined in claim 9 wherein said balloons together have a configuration of a cuff in an expanded configuration.

11. The device defined in claim 9 wherein said spring element is an elongate rib.

12. The device defined in claim 9 wherein each of said first pressure source and said second pressure source includes means for automatically and periodically inflating and alternately deflating the respective one of said balloons upon a disposition thereof into said intrapericardial space.

13. A surgical method for assisting cardiac function, comprising:

providing a pair of inflatable balloons in collapsed configurations, said balloons each having an arcuate cuff configuration in an inflated configuration;

inserting said balloons into an intrapericardial space about a patient'"'"'s heart;

disposing one of said balloons about one portion of the patient'"'"'s heart and the other of said balloons about another portion of the patient'"'"'s heart; and

differentially inflating said balloons in said intrapericardial space to differentially compress said one portion and said another portion of the patient'"'"'s heart, the inflating of said balloons including shaping said balloons into said arcuate configuration.

14. An intrapericardial assist device comprising;

a pair of balloons connected to one another, said balloons having predetermined sizes and shapes in an expanded configuration so that said balloons are capable of being disposed in a patient'"'"'s intrapericardial space about the patient'"'"'s heart, said balloons together having a configuration of a cuff in an expanded configuration;

a first pressure source operatively connected to one of said balloons for controllably pressurizing said one of said balloons; and

a second pressure source operatively connected to the other of said balloons for controllably pressurizing said other of said balloons.