Method of cannulating an ascending aorta using a blood vessel occlusion device

• US 5,997,505 A
• Filed: 07/18/1997
• Issued: 12/07/1999
• Est. Priority Date: 12/17/1991
• Status: Expired due to Term

• Current Assignee: Edwards Lifesciences LLC (Edwards Lifesciences Corporation)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Hill, John Donald
• Primary Examiner(s): Stright, Ronald
• Assistant Examiner(s): HAYES, MICHAEL J
• Application Number:
  US08/896,626
• Time in Patent Office: 872 Days
• Field of Search: 604/4, 604/96-99, 604/265, 604/500, 606/191-194, 606/170, 606/182, 128/898
• US Class Current: 604/96.01
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/135 inflatable for measuring blood pressure A61B5/022; inflatable pressure pads A61F5/34
• 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 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00831 Material properties
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue
• CPC Class Codes: A61M 2202/0468 non-physiological
• CPC Class Codes: A61M 25/0069 Tip not integral with tube

Abstract

An occluder apparatus for obstructing the flow of blood in a blood vessel has an elongated hollow tubular body having a leading end sized for reception in the blood vessel and includes portion of the body fabricated from a material soluble in blood, and a piercing device for inserting the body through the wall of the blood vessel to extend the leading end into the interior of the blood vessel. An inflatable diaphragm is carried by the body in a collapsed, deflated condition, and the apparatus includes a passage for conducting an inflating fluid from an external source, which is into fluid communication with the interior of the diaphragm, to effect expansion the diaphragm. Elongated openings in the body enable the diaphragm to be released in an inflated state from the body into flexible occluding engagement with the interior wall of the blood vessel about the full circumference of a transverse section thereof

Claims

1. A method of cannulating a patient'"'"'s ascending aorta in preparation for surgery, comprising the steps of:

providing an aortic occlusion device having a tubular body including a first side and a second side, a distal end, a first lumen, a second lumen and an occluding member, the occluding member being movable from a collapsed condition to an expanded condition, the tubular body having an opening therein;

inserting the aortic occlusion device through a penetration in the patient'"'"'s ascending aorta and toward a wall of the ascending aorta opposite the penetration;

moving the occluding member through the opening and into the expanded condition toward and contacting the wall opposite the penetration, thereby occluding the patient'"'"'s ascending aorta;

coupling the first lumen to a source of oxygenated blood;

coupling the second lumen to a source of myocardial protection solution;

delivering myocardial protection solution into the patient'"'"'s ascending aorta through the second lumen; and

infusing oxygenated blood into the patient from the source of oxygenated blood.

2. The method of claim 1, wherein:

the providing step is carried out with the opening in the tubular body being at a distal end of the tubular body.

3. The method of claim 1, wherein:

the inserting step is carried out with the aortic occlusion device having a cutting element for incising the patient'"'"'s ascending aorta.

4. The method of claim 1, wherein:

the providing step is carried out with the aortic occlusion device including a first outlet in the first side of the tubular body and a second outlet in the second side of the tubular body, the first and second outlets being coupled to the first and second lumens, respectively, wherein at least one of the first and second outlets is positioned on the tubular body.

5. A method of cannulating a patient'"'"'s ascending aorta in preparation for surgery, comprising the steps of:

providing an aortic occlusion device having a distal end, a first lumen, a second lumen and an occluding member, the occluding member being movable from a collapsed condition to an expanded condition, the occluding member being positioned proximal of the distal end when in the collapsed condition and extending beyond the distal end when in the expanded condition,

positioning the occluding member in a patient'"'"'s ascending, such that the distal end extends toward a wall of the ascending aorta;

coupling the first lumen to a source of oxygenated blood;

expanding the occluding member to the expanded condition, such that the occluding member extends beyond the distal end and extends toward and contacts the wall of the ascending aorta thereby occluding the patient'"'"'s ascending aorta;

coupling the second lumen to a source of myocardial protection solution;

delivering myocardial protection solution into the patient'"'"'s ascending aorta through the second lumen; and

infusing oxygenated blood into the patient through the first lumen.

6. The method of claim 5, wherein:

the delivering step is initiated to arrest the patient'"'"'s heart.

7. The method of claim 5, further comprising the steps of;

sewing a purse-string suture onto the patient'"'"'s ascending aorta before the inserting step;

the positioning step being carried out by inserting the aortic occlusion device through the purse-string suture.

8. The method of claim 5, wherein:

the providing step is carried out with the distal end of the aortic occlusion device having a conical shape.

9. The method of claim 5, wherein:

the providing step is carried out with the aortic occlusion device having a cutting element at the distal end; and

the positioning step being carried out with the cutting element incising the patient'"'"'s ascending aorta.

10. The method of claim 9, further comprising the step of:

moving the cutting element away from the distal end of the aortic occlusion device after the positioning step.