Organ manipulator apparatus

• US 9,402,608 B2
• Filed: 02/03/2014
• Issued: 08/02/2016
• Est. Priority Date: 07/08/2003
• Status: Active Grant

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Inventors: Green, Harry Leonard II, Tanaka, Jon M., Pineda, Edward A., Morejohn, Dwight P., Lau, Liming, Lunsford, John P., Mosley, Robert, Wallin, Joshua, Corbin, Iris Leon
• Primary Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US14/171,723
• Publication Number:
  US 20140148641A1
• Time in Patent Office: 911 Days
• Field of Search: 600/37, 600/201, 600/206, 600/208, 600/227, 600/228, 600/230, 600/231, 623/3, 601/132, 602/4, 602/6, 602 60- 61, 602 75- 76, 602/903, 606/151
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• 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 trocars attached to inner organs or inner body tissue A61B2017/3488
• CPC Class Codes: A61B 2017/308 with suction cups
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61B 90/57 Accessory clamps
• CPC Class Codes: A61M 1/80 Suction pumps A61M1/64, A61M1/71, A61M60/00 take precedence

Abstract

Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.

Claims

1. A suction assembly for an organ manipulation apparatus, comprising:

a hollow shaft connectable to a vacuum source;

a suction cup connected to the hollow shaft and configured to establish a relative negative pressure, via the vacuum source, in a space between the suction cup and an organ and exert sufficient force on the organ to move the organ when the suction cup is moved after first being placed against the organ;

a clevis arranged to translate along a length of the hollow shaft; and

a roller comprising an elongated body with an axis of rotation substantially perpendicular to the length of the hollow shaft to permit rotational movement between the clevis and the hollow shaft about the axis of rotation.

2. The assembly of claim 1, further comprising a bias member configured to exert a biasing force on the clevis in a direction along the length of the hollow shaft.

3. The assembly of claim 1, wherein the clevis includes a shaft protruding therefrom configured to connect the suction assembly to an organ manipulation apparatus.

4. An organ manipulation device comprising the suction assembly of claim 1 secured to an articulating arm via a shaft protruding from the clevis.

5. The organ manipulation device of claim 4, further comprising a support structure connected to the articulating arm opposite to the suction assembly.

6. An assembly for establishing an interface limiting movement between a support structure and a beating heart, the assembly comprising:

a suction member comprising a shaft and shaped to engage a heart'"'"'s apex region;

a fitting establishing a fluidic interface between the suction member and tubing associated with the fitting;

a suspension disposed between the fitting and the suction member, the suspension comprising a roller rotatably mounted to a base member and coupled to the shaft, said roller comprising an elongated body with a longitudinal axis of rotation substantially perpendicular a length of said shaft, wherein the roller comprises a bore that receives the shaft of the suction member.

7. The assembly of claim 6, wherein the assembly is configured to allow for a limited amount of translation of said suction member with respect to the suspension.

8. The assembly of claim 7, further comprising a spring located along a length of the shaft.

9. The assembly of claim 8, wherein the spring is located between the roller and the fitting.

10. The assembly of claim 8, wherein the spring comprises a helical portion.

11. The assembly of claim 8, wherein the spring is a helical spring.

12. The assembly of claim 6, wherein the suction member is cup shaped.

13. A surgical method performed on a beating heart comprising the steps of:

attaching a suction cup of a heart positioning device to a surface of h heart by suction;

rotating the heart via the suction cup so as to position the heart in a retracted position to perform a surgical procedure; and

movably suspending the heart via a suspension of the heart positioning device so as to allow for contraction and relaxation of the heart during the surgical procedure and wherein the suspension is moveable and biased to oppose the weight of the suction cup and heart attached thereto, wherein the suspension comprises a roller rotatably mounted to a base member and a shaft of the suction cup is received by a bore of the roller so that the shaft is movably coupled to the roller.

14. The method of claim 13, wherein a spring is operatively associated with at least one of the roller or shaft.

15. The method of claim 13, further comprising the steps of:

contacting the heart with a stabilizer;

stabilizing a surgical site of the heart; and

performing the surgical procedure at the surgical site.

16. The method of claim 13, wherein the heart is movably suspended so as not to substantially restrict contractibility and cardiac output of the heart in the retracted position.

17. The method of claim 13, further comprising translating the heart via the suction cup so as to position the heart in the retracted position to perform the surgical procedure.

18. The method of claim 13, wherein the suspension is movably biased via a spring of the suspension.

19. The method of claim 13, wherein movably suspending the heart via the suspension includes rotating, translating, or both rotating and translating, the shaft within the bore of the roller.