Cardiac harness delivery device and method of use

• US 7,229,405 B2
• Filed: 07/06/2006
• Issued: 06/12/2007
• Est. Priority Date: 11/15/2002
• Status: Expired due to Fees

• Current Assignee: Paracor Medical, Inc.
• Original Assignee: Paracor Medical, Inc.
• Inventors: Lau, Lilip, Wallin, Joshua
• Primary Examiner(s): Gilbert; Samuel G.
• Application Number:
  US11/481,567
• Publication Number:
  US 20070015958A1
• Time in Patent Office: 341 Days
• Field of Search: 600 16- 18, 600/37, 128/897, 128/898, 606/1, 606/108, 606/110, 606/113, 606/127, 606/151, 606140-142, 606/213
• US Class Current: 600/37
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00238 Type of minimally invasive operation A61B2017/00805 takes precedence
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/308 with suction cups
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61F 2/2481 Devices outside the heart wall, e.g. bags, strips or bands
• CPC Class Codes: A61F 2002/2484 Delivery devices therefor

Abstract

A delivery system for delivering and mounting a cardiac harness on a heart including an elongate body having a proximal portion and a distal portion. The body includes a cavity sized to contain the cardiac harness in a compacted configuration and also includes a plurality of elongate push rods movable with respect to the body. The cardiac harness is releasably connected to the push rods such that, advancement of the push rods in a distal direction moves the cardiac harness from a compacted configuration, within the cavity, to an expanded configuration, outside the cavity. The push rods are configured to have varying stiffness along their length to provide sufficient flexibility to bend up to 90° to advance the cardiac harness onto the heart.

Claims

1. An assembly for delivering and mounting a cardiac harness on a heart, comprising:

an elongate body having a proximal portion and a distal portion, the elongate body having a cavity sized to contain a cardiac harness in a compressed configuration;

the cardiac harness having a plurality of elongate sheaths, the sheaths having elongate lumens;

the cardiac harness being permanently attached to the sheaths;

a plurality of elongate push rods longitudinally movable with respect to the elongate body, each lumen of each sheath slidably receives one of the elongate push rods such that advancement of the push rods in a distal direction moves the cardiac harness from the compressed configuration in the cavity to an expanded configuration outside the cavity; and

the push rods are tapered from a larger cross-section at a proximal end to a relatively narrower cross-section at a distal end so that at least a portion of the push rods frictionally slide into corresponding lumens of the sheaths.

2. The assembly of claim 1, wherein each push rod is configured to frictionally slide into the corresponding lumen of the sheath.

3. The assembly of claim 1, wherein the sheaths are formed from a polymer.

4. The assembly of claim 3, wherein the polymer is taken from the group of polymers consisting of silicone rnbber, silicone, polyethylene, polyurethane, polyethylene, teraphthalate, and the like.

5. The assembly of claim 1, wherein the elongate body includes a flange for engaging a proximal end of the sheaths so that as the push rods are withdrawn proximally from the sheaths, the flange prevents the sheaths and the cardiac harness from sliding off of the heart.

6. The assembly of claim 1, wherein the sheaths have a transverse cross-sectional shape that is generally elliptical.

7. The assembly of claim 1, wherein the sheaths have a transverse cross-sectional shape that is generally rectangular.

8. The assembly of claim 1, wherein a positioning arrangement is configured to secure the elongate body in a desired position relative to the heart.

9. The assembly of claim 8, wherein the positioning arrangement comprises a suction cup member.

10. The assembly of claim 9, wherein the suction cup member comprises a first flared member having a first diameter and a second flared member having a second diameter, the second diameter being larger than the first diameter.

11. The assembly of claim 10, wherein the second flared member is inflated to provide a variable second diameter.

12. The assembly of claim 1, wherein the distal portion of the elongate body further comprises a ramp member for biasing the push rods radially outwardly as the push rods are advanced distally out of the cavity.

13. The assembly of claim 12, wherein the ramp member is inflatable to vary the size of the ramp member.

14. The assembly of claim 1, wherein each push rod has a proximal region, a central region, and a distal region, the proximal region being the most stiff, the central region being less stiff than the proximal region, and the distal region being the least stiff.

15. The assembly of claim 14, wherein the push rods have varying degrees of stiffness along the length so that as the push rods are advanced over the heart, at least a portion of the push rods form an S configuration.

16. The assembly of claim 1, further comprising a handle and a control assembly, the handle being fixed to the proximal portion of the elongate body and the control assembly supporting the plurality of elongate push rods.

17. An assembly for delivering and mounting a cardiac harness on a heart, comprising:

an elongate body having a proximal portion and a distal portion, the elongate body having a cavity sized to contain a cardiac harness in a compressed configuration;

a suction cup member proximate the distal end of the elongate body, the suction cup member having a first flared member;

a second flared member proximate the distal end of the elongate body;

a plurality of push rods longitudinally movable with respect to the elongate body and releasably connected to the cardiac harness; and

the push rods slidingly engaging the second flared member as the push rods are advanced distally out of the cavity to advance the cardiac harness onto the heart.

18. The assembly of claim 17, wherein as the push rods slidingly engage the second flared member, distal ends of the push rods flare radially outwardly thereby opening the cardiac harness as the push rods advance the cardiac harness onto the heart.

19. The assembly of claim 17, wherein the first flared member has a first diameter and the second flared member has a second diameter, the second diameter being greater than the first diameter.

20. The assembly of claim 19, wherein the second flared member is inflated to provide a variable second diameter.

21. The assembly of claim 19, wherein the first flared diameter is in the range of about 1 cm to about 6 cm and the second flared diameter is in the range of about 3 cm to about 9 cm.