Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery

• US 6,032,672 A
• Filed: 06/06/1997
• Issued: 03/07/2000
• 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.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/870,687
• Time in Patent Office: 1,005 Days
• Field of Search: 606/205, 606/207, 606/191, 604/313, 604/314, 604/315, 604/316, 607/119, 607/126, 600/210, 600/235, 128/878, 601/6, 601/7, 601/8, 601/9, 601/10, 601/11, 601/12, 601/13, 601/14
• US Class Current: 128/898
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00703 correcting for movement of heart, e.g. ECG-triggered
• CPC Class Codes: A61B 2017/0243 for immobilizing local areas of the heart, e.g. while it beats trocars attached to inner organs or inner body tissue A61B2017/3488
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment

Abstract

The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.

Claims

1. As part of a surgical procedure on a beating heart, a method to minimize the motion of a target area of tissue of the beating heart during the surgical procedure comprising the steps of:

introducing an instrument to the surface of the beating heart at said target area and proximate to where the surgical procedure is to be performed,

wherein said instrument comprises a housing having a plurality of suction ports to apply negative pressure to the target area,

manipulating said instrument to rest said plurality of suction ports and against the surface of the beating heart, and

applying a negative pressure to the beating heart by attaching a source of negative pressure to said instrument.

2. The method of claim 1 wherein said step of applying a negative pressure is achieved by attaching the negative pressure source to an inlet of said instrument.

3. The method of claim 2 wherein the inlet communicates said negative pressure to said plurality of suction ports through a pressure conducting chamber.

4. The method of claim 3 wherein said pressure conducting chamber is within the housing of the instrument.