Methods and devices for occluding the ascending aorta and maintaining circulation of oxygenated blood in the patient when the patient's heart is arrested

• US 6,159,178 A
• Filed: 01/23/1998
• Issued: 12/12/2000
• Est. Priority Date: 01/23/1998
• Status: Expired due to Fees

• Current Assignee: Edwards Lifesciences LLC (Edwards Lifesciences Corporation)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Taylor, David M., Sharkawy, A. Adam, Sterman, Wesley D., Ray, Pinaki
• Primary Examiner(s): KENNEDY, SHARON E
• Application Number:
  US09/012,833
• Time in Patent Office: 1,054 Days
• Field of Search: 604/916, 604/96, 604/101, 604/104, 604/96.01, 604/103.06, 604/103.08, 604/4.01, 604/6.16, 606/192, 606/194
• US Class Current: 604/103.08
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61M 2025/1052 for temporarily occluding a vessel for isolating a sector
• CPC Class Codes: A61M 2025/1084 having features for increasing the shape stability, the reproducibility or for limiting expansion, e.g. containments, wrapped around fibres, yarns or strands
• CPC Class Codes: A61M 2210/127 Aorta
• 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 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence

Abstract

A method and device for occluding a patient'"'"'s ascending aorta, maintaining circulation of oxygenated blood in the patient and delivering cardioplegic fluid to arrest the patient'"'"'s heart. An aortic occlusion catheter has an occluding member for occluding the ascending aorta. The aortic occlusion catheter passes through a cannula. Delivery of oxygenated blood is accomplished through either the cannula or the aortic occlusion catheter.

Claims

1. A method of occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising the steps of:

providing an aortic occlusion device having a blood delivery lumen and an occluding member, the occluding member having an interior in fluid communication with the blood delivery lumen, the occluding member being a balloon having at least one opening therein, wherein blood in the balloon passes directly through the at least one opening in the balloon;

inserting the aortic occlusion device into a patient'"'"'s ascending aorta;

coupling the blood delivery lumen to a source of oxygenated blood;

delivering oxygenated blood through the blood delivery lumen from the source of oxygenated blood so that the oxygenated blood inflates the occluding member and occludes the ascending aorta, the oxygenated blood being delivered directly through the at least one opening in the balloon and also being delivered to the patient to maintain circulation of oxygenated blood in the patient when the ascending aorta is occluded.

2. The method of claim 1, further comprising the step of:

delivering cardioplegic fluid to the patient'"'"'s ascending aorta to arrest the patient'"'"'s heart;

the providing step being carried out with the aortic occlusion device having a cardioplege lumen, the cardioplege lumen being coupled to a source of cardioplegic fluid.

3. The method of claim 1, further comprising:

a device disposed between the lumen and an interior of the balloon, the device being movable between a first position and a second position, the interior of the balloon being fluidly coupled to the lumen when in the device is in the first position and the balloon being fluidly isolated from the lumen when the device is in the second position.

4. A method of occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising the steps of:

providing a cannula and an aortic occlusion device, the cannula having a lumen, the aortic occlusion device having a blood flow lumen and an occluding member, the blood flow lumen having an outlet, the occluding member being movable between a collapsed position and an expanded position;

inserting the cannula into a patient'"'"'s ascending aorta;

passing the aortic occlusion device through the lumen of the cannula so that the occluding member is positioned in the ascending aorta;

coupling the blood flow lumen of the aortic occlusion device to a source of oxygenated blood;

infusing oxygenated blood into the patient through the blood flow lumen from the source of oxygenated blood.

5. The method of claim 4, further comprising the step of:

infusing cardioplegic fluid into the ascending aorta through the cannula.

6. The method of claim 5, wherein:

the infusing step is carried out by passing the cardioplegic fluid through the lumen in the cannula.

7. The method of claim 4, further comprising the step of:

coupling the lumen of the cannula to the source of oxygenated blood;

removing the aortic occlusion catheter from the lumen of the cannula; and

infusing oxygenated blood into the patient through the lumen of the cannula.

8. A system for occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising:

a cannula having a lumen;

an aortic occlusion device having a blood delivery lumen and an occluding member, the occluding member having an interior in fluid communication with the blood delivery lumen, the aortic occlusion device passing through the lumen, wherein the occluding member is a balloon having at least one opening therethrough which blood within the balloon passes directly through; and

a source of oxygenated blood coupled to the blood delivery lumen.

9. The system of claim 8, further comprising:

a source of cardioplegic fluid fluidly coupled to the lumen of the cannula.

10. A system of occluding a patient'"'"'s ascending aorta and delivering oxygenated blood to the patient, comprising the steps of:

a cannula having a lumen;

an aortic occlusion device having a blood flow lumen and an occluding member, the blood flow lumen having an outlet, the occluding member being movable between a collapsed position and an expanded position, the aortic occlusion device passing through the lumen of the cannula;

a source of oxygenated blood coupled to the blood flow lumen of the aortic occlusion device; and

a source of cardioplegic fluid coupled to the lumen of the cannula.

11. The system of claim 10, wherein:

the lumen of the cannula is also fluidly coupled to the source of oxygenated blood via a valve.