Adjustable heart surface stabilizer

• US 6,113,534 A
• Filed: 03/19/1998
• Issued: 09/05/2000
• Est. Priority Date: 03/19/1998
• Status: Expired due to Fees

• Current Assignee: Koros, Gabriel J., Koros, Tibor B.
• Original Assignee: Koros, Gabriel J., Koros, Tibor B.
• Inventors: Koros, Tibor B., Koros, Gabriel J.
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/045,774
• Time in Patent Office: 901 Days
• Field of Search: 600/201, 600/210, 600/227, 600/228, 600/229, 600/231, 600/232, 600/235, 600/37, 600/233, 600/213, 606/1
• US Class Current: 600/213
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/0243 for immobilizing local areas of the heart, e.g. while it beats
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

This invention relates to a device for stabilizing a particular area of the heart surface tissue for performing an anastomosis. In one embodiment the invention is comprised of a rectangular flat plate frame stabilizer having a bottom gripping surface for pressing against the surface tissue of the heart and minimizing motion during a heart bypass operation. Opposite closed sides or ends of the rectangular flat plate stabilizer substantially occlude the vessel while the surgery is being performed. A gap or opening in a side of the stabilizer allows for removal after the operation is completed. Various methods are described for locking the position of the stabilizer once it is pressed firmly in position against surface tissue of the heart. In one embodiment a knurled cylindrical rail is mounted on the stabilizer and engages a socket in a rigid shaft. A locking mechanism is provided by a pin and a handle for locking the rail in the socket in the rigid shaft. Other embodiments include a ball and socket mechanism that allows a wide range of adjustments, a hinged end on the rectangular frame to allow the stabilizer to be closed when the surgical procedure is being performed and an embodiment that allows external adjustment of the rectangular flat plate frame stabilizing plate against heart surface tissue from outside the surgical site.

Claims

1. A heart stabilizing device for stabilizing surface tissue of a heart during heart bypass surgery comprising;

a flat rectangular frame having an opening along one side for pressing on and stabilizing a small area of surface tissue of said heart where an anastomosis is to be performed;

a rail mounted on an upper surface of said flat rectangular frame;

a holder for holding said flat rectangular frame in position on said small area of surface tissue, said holder comprising a rigid shaft removably attached to said rail on said flat rectangular frame having a socket in one end, said rail being seated in said socket;

said flat rectangular frame being adjusted by moving said rail in said socket on said rigid shaft so that said flat rectangular frame conforms to the center of a small area of surface tissue where the stabilizer is placed; and

a locking device for locking said flat rectangular frame in an adjusted position;

whereby both angle and position of said flat rectangular frame may be adjusted for optimal pressure on an area of heart tissue and then locked in that position.

2. The device according to claim 1 in which said flat rectangular frame has a bottom surface formed to improve gripping force on said surface tissue.

3. The device according to claim 2 in which said bottom surface has a plurality of grooves.

4. The device according to claim 2 in which said bottom surface is cross cut to form a plurality of gripping ridges.

5. The device according to claim 2 in which said bottom surface is formed with a plurality of dimples to form an uneven gripping surface.

6. The device according to claim 2 in which said bottom surface is cut to produce a pattern of ridges and grooves forming a tread.

7. The device according to claim 2 including a resilient material attached to said bottom surface to form a capsule;

said capsule being filled with a pliant material.

8. The device according to claim 7 in which said pliant material is a gel.

9. A heart stabilizing device for stabilizing surface tissue of a heart during heart bypass surgery comprising;

a flat rectangular frame having an opening along one side for pressing on and stabilizing a small area of surface tissue of said heart where an anastomosis is to be performed;

a holder for holding said flat rectangular frame in position on said small area of surface tissue, said holder comprising a rigid shaft removably attached to said flat rectangular frame,

a half-spherical ball having a central cavity attached to a flange on said flat rectangular frame, said ball constructed to fit in a socket in an end of said rigid shaft;

said flat rectangular frame being adjusted by moving said half-spherical ball in said socket on said rigid shaft so that said flat rectangular frame conforms to shape and angle of a small area of surface tissue where the stabilizer is to be placed;

a locking device in said shaft for locking said flat rectangular frame in an adjusted position, said locking device comprising a rod inside said rigid shaft having an end constructed to fit inside said central cavity in said half-spherical ball and a clamp for clamping said rod with said end firmly pressed in said socket in said half-spherical ball;

whereby both angle and position of said flat rectangular frame may be adjusted for optimal pressure on an area of heart tissue and then locked in that position.

10. A heart stabilizing device for stabilizing surface tissue of a heart during heart bypass surgery comprising;

a flat rectangular frame having an opening along one side for pressing on and stabilizing a small area of surface tissue of said heart where an anastomosis is to be performed, said opening along one side of said flat rectangular frame being a hinged section whereby said hinged section is adapted to open and close for removal of said stabilizer after completing an anastomosis;

a holder for holding said flat rectangular frame in position on said small area of tissue, said holder allowing adjustment of both position and angle of said flat rectangular frame to conform to the center of the small area of surface tissue where the stabilizer is placed.

11. A heart stabilizing device for stabilizing surface tissue of a heart during heart bypass surgery comprising;

a flat rectangular frame having an opening along one side for pressing on and stabilizing a small area of surface tissue of said heart where an anastomosis is to be performed;

a rigid shaft attached to said flat rectangular frame for holding said flat rectangular frame in position on said small area of tissue;

said flat rectangular plate being movably attached to said rigid shaft by a rod passing through said rigid shaft;

a connector for connecting said flat rectangular frame to said rod passing through said rigid shaft, said connector comprising;

a boss attached to a flange on said flat rectangular frame,

a dowel inserted in a hole in said boss,

a screw constructed for insertion through a slot in said boss into a threaded hole in said dowel,

said screw passing through an eyelet on an end of said rod,

said screw and boss having mutually opposing angled surfaces for engaging an end of said rigid shaft for locking the position of said stabilizer;

a locking device for locking aid flat rectangular plate against an end of said rigid shaft, said locking device comprising a handle threaded on an upper end of said rod for tightening said mutually opposing angled surfaces against an end of said rigid shaft;

whereby both angle and position of said flat rectangular frame may be adjusted for optimal pressure on an area of heart tissue and then locked in that position.

12. The device according to claim 11 in which said mutually opposing angled surfaces comprises conical surfaces on a head on said screw and on a side of said boss.

13. A heart stabilizing device for stabilizing surface tissue of a heart during heart bypass surgery comprising;

a flat rectangular frame having an opening along one side for pressing on and stabilizing a small area of surface tissue of said heart where an anastomosis is to be performed;

a holder for holding said flat rectangular frame in position on said small area of tissue, said holder including a rigid shaft attached to said flat rectangular frame;

an adjustable attachment for adjustably attaching said flat rectangular frame to said rigid shaft, said adjustable attachment comprising;

a ball on a flange attached to said flat rectangular frame, a socket on an end of said rigid shaft for receiving said ball;

remote adjustment device for remotely adjusting said flat rectangular frame on said rigid shaft, said remote adjustment device comprising;

at least one angularly adjustable ring on an end of said rigid shaft remote from said flat rectangular frame,

joining means for joining said at least on angularly adjustable ring for angular movement around a first and second axis for angular adjustment of said flat rectangular frame;

a locking device for locking said flat rectangular frame after angular adjustment, said locking device comprising;

a rod inside a bore in said rigid shaft,

a handle for tightening said rod against said ball on said flat rectangular plate;

whereby said flat rectangular plate may be adjustably positioned against an area of heart tissue and locked in the adjusted position.

14. A heart stabilizing device according to claim 13 wherein said at least one angularly adjustable ring comprises a wobble plate mounted on a ball formed on an end of said rigid shaft remote from said flat rectangular plate.

15. The device according to claim 14 in which said connecting means comprises cable means connecting said flat rectangular plate to said concentric yokes whereby angular adjustment of said concentric yokes produces nearly identical angular adjustment of said flat rectangular plate so that said flat rectangular plate can be adjusted to the contour of the surface of the heart externally.

16. The device according to claim 15 including means for locking said flat rectangular plate at an adjusted angular position.

17. The device according to claim 16 in which said locking means comprises;

a rod in said rigid shaft; and

clamp means for clamping an in inner end of said rod against said ball mounted on said flat rectangular frame.

18. A heart stabilizing device according to claim 13 wherein said at least one angularly adjustable ring comprises a pair of concentric angularly movable yokes on a remote end of said rigid shaft.