Method for thoracoscopic intracardiac procedures including septal defect
First Claim
1. A method of visualizing an interior chamber of a heart for closing a septal defect, the method comprising:
- introducing a scope through a penetration in a wall of the heart into an interior chamber of a patient'"'"'s heart, the scope having a proximal end, a distal end, an optical channel therebetween, and a transparent bulb at the distal end;
preventing blood from leaking from the internal chamber through the penetration;
viewing the interior chamber of the heart through the optical channel and through the transparent bulb; and
positioning the bulb against a septal defect in a wall of the interior chamber of the heart so that the location shape and size of the septal defect is visualized.
1 Assignment
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Accused Products
Abstract
Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.
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Citations
7 Claims
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1. A method of visualizing an interior chamber of a heart for closing a septal defect, the method comprising:
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introducing a scope through a penetration in a wall of the heart into an interior chamber of a patient'"'"'s heart, the scope having a proximal end, a distal end, an optical channel therebetween, and a transparent bulb at the distal end; preventing blood from leaking from the internal chamber through the penetration; viewing the interior chamber of the heart through the optical channel and through the transparent bulb; and positioning the bulb against a septal defect in a wall of the interior chamber of the heart so that the location shape and size of the septal defect is visualized. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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Specification