CA2504555A1 - Cardiac harness delivery device - Google Patents
Cardiac harness delivery device Download PDFInfo
- Publication number
- CA2504555A1 CA2504555A1 CA002504555A CA2504555A CA2504555A1 CA 2504555 A1 CA2504555 A1 CA 2504555A1 CA 002504555 A CA002504555 A CA 002504555A CA 2504555 A CA2504555 A CA 2504555A CA 2504555 A1 CA2504555 A1 CA 2504555A1
- Authority
- CA
- Canada
- Prior art keywords
- push rods
- harness
- wall
- distal
- cardiac harness
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2478—Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
- A61F2/2481—Devices outside the heart wall, e.g. bags, strips or bands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
- A61B2017/308—Surgical pincettes without pivotal connections holding by means of suction with suction cups
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00392—Transmyocardial revascularisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2478—Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
- A61F2/2481—Devices outside the heart wall, e.g. bags, strips or bands
- A61F2002/2484—Delivery devices therefor
Abstract
The apparatus includes and elongate body (36) having a proximal portion and a distal portion. The body includes a cavity sized to contain a cardiac harnes s (42) in a compacted configuration and also includes a plurality of elongate push rods (40) movable with respect to the body. The cardiac harness is releasably connected to each of the push rods such that advancement of the push rods in a distal direction moves the harness from a compacted configuration, within the cavity, to an expanded configuration, outside the cavity. The apparatus also includes a releasing member (38) for releasing th e connections between the push rods and the harness upon actuation of the releasing member by a user.
Claims (17)
1. An apparatus for delivering a cardiac harness, comprising:
an elongate body having a proximal portion and a distal portion, said body having a cavity sized to contain said harness in a compacted configuration;
a plurality of elongate push rods longitudinally movable with respect to said body, said cardiac harness releasably connected to each of said push rods such that advancement of said push rods in a distal direction moves said harness from said compacted configuration in said cavity to an expanded configuration outside said cavity, said apparatus further comprising a releasing member which releases the connections between said push rods and said harness upon actuation of said member by a user.
an elongate body having a proximal portion and a distal portion, said body having a cavity sized to contain said harness in a compacted configuration;
a plurality of elongate push rods longitudinally movable with respect to said body, said cardiac harness releasably connected to each of said push rods such that advancement of said push rods in a distal direction moves said harness from said compacted configuration in said cavity to an expanded configuration outside said cavity, said apparatus further comprising a releasing member which releases the connections between said push rods and said harness upon actuation of said member by a user.
2. The apparatus of Claim 1, wherein said cardiac harness is releasably connected to each push rod at at least first and second longitudinally spaced locations.
3. The apparatus of Claim 1, additionally comprising a positioning arrangement configured to secure said apparatus in a desired position relative to a heart.
4. The apparatus of Claim 3, wherein said positioning arrangement comprises suction cup member.
5. The apparatus of Claim 1, additionally comprising a handle and a control assembly, said handle being fixed to said proximal portion of said elongate body and said control assembly supporting said plurality of elongate push rods.
6. An apparatus for delivering a cardiac harness, comprising:
a support member, said cardiac harness being preloaded on said support member and attached to said support member by a line, said line comprised of a series of interconnected loops which form a releasable stitch.
a support member, said cardiac harness being preloaded on said support member and attached to said support member by a line, said line comprised of a series of interconnected loops which form a releasable stitch.
7. The apparatus of Claim 6, wherein an end one of said interconnected loops of said stitch is retained by an anchoring member which prevents unravelment of said series of loops, and wherein the release of said loop from said anchoring member allows unravelment of said series of interconnected loops.
8. The apparatus of Claim 7, wherein said anchoring member is fixed for movement with a release member, an end of said line being attached to said release member, and wherein movement of said release member in a direction away from said support member releases said loop from said anchoring member and unravels said series of interconnected loops.
9. An apparatus for delivering a cardiac harness, comprising:
an elongate body having a proximal portion and a distal portion;
a plurality of push rods longitudinally movable with respect to said body, said cardiac harness releasably connected to each of the push rods such that movement of said push rods in a distal direction advances said harness onto said heart, said harness being releasable from the push rods such that the push rods may be withdrawn from said harness proximally along a withdrawal path while said harness remains on said heart, said distal portion of said push rods having an inward facing surface which presses against said harness during said withdrawal, said inward facing surface configured such that non-frictional force components parallel to said path and attributable to forces exerted by said inner surface on said harness are directed distally, without substantial non-frictional force components directed proximally.
an elongate body having a proximal portion and a distal portion;
a plurality of push rods longitudinally movable with respect to said body, said cardiac harness releasably connected to each of the push rods such that movement of said push rods in a distal direction advances said harness onto said heart, said harness being releasable from the push rods such that the push rods may be withdrawn from said harness proximally along a withdrawal path while said harness remains on said heart, said distal portion of said push rods having an inward facing surface which presses against said harness during said withdrawal, said inward facing surface configured such that non-frictional force components parallel to said path and attributable to forces exerted by said inner surface on said harness are directed distally, without substantial non-frictional force components directed proximally.
10. The apparatus of Claim 9, wherein the distal portions of the push rods splay outwardly during advancement.
11. The apparatus of Claim 9, wherein the distal portions of the push rods are canted outwardly.
12. An apparatus for creating a passage through the pericardium of a patient to permit access of a cardiac harness delivery device to the heart, comprising:
an introducer sleeve having an outer wall defining a proximal end and a distal end, the outer wall having a reduced diameter portion adjacent said distal end, said reduced diameter portion defining a reduced orientation having a first diameter;
a dilator sleeve, said dilator sleeve being sized and shaped to be insertable into said introducer sleeve to urge said reduced diameter portion into an expanded orientation having a second diameter, larger than said first diameter, said second diameter being of a size sufficient to permit the apparatus to pass therethrough.
an introducer sleeve having an outer wall defining a proximal end and a distal end, the outer wall having a reduced diameter portion adjacent said distal end, said reduced diameter portion defining a reduced orientation having a first diameter;
a dilator sleeve, said dilator sleeve being sized and shaped to be insertable into said introducer sleeve to urge said reduced diameter portion into an expanded orientation having a second diameter, larger than said first diameter, said second diameter being of a size sufficient to permit the apparatus to pass therethrough.
13. The apparatus of Claim 12, additionally comprising a biasing member surrounding said outer wall of said introducer sleeve, said biasing member being configured to bias said reduced diameter portion into said reduced orientation.
14. The apparatus of Claim 12, wherein said outer wall of said introducer sleeve comprises a plurality of cut out portions extending parallel to a longitudinal axis of said outer wall, said cut out portions extending at least through said reduced diameter portion of said outer wall.
15. An apparatus for assisting the loading of a cardiac harness to a delivery device having a plurality of elongated push rods, comprising:
an outer wall defining a generally funnel shaped portion, said funnel shaped portion including a plurality of channels configured to receive said plurality of elongated push rods, said outer wall being configured to support said push rods in an outwardly splayed orientation.
an outer wall defining a generally funnel shaped portion, said funnel shaped portion including a plurality of channels configured to receive said plurality of elongated push rods, said outer wall being configured to support said push rods in an outwardly splayed orientation.
16. The apparatus of Claim 15, wherein a portion of each of said plurality of channels opens to at least one of an inward-facing surface and an outward-facing surface of said outer wall.
17. The apparatus of Claim 15, wherein said outer wall additionally comprises a generally cylindrical portion extending from a lower end of said funnel shaped portion, said cylindrical portion being configured to receive a distal end portion of the delivery device.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US42707902P | 2002-11-15 | 2002-11-15 | |
US60/427,079 | 2002-11-15 | ||
PCT/US2003/036476 WO2004045456A2 (en) | 2002-11-15 | 2003-11-17 | Cardiac harness delivery device |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2504555A1 true CA2504555A1 (en) | 2004-06-03 |
CA2504555C CA2504555C (en) | 2012-09-04 |
Family
ID=32326470
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2504555A Expired - Fee Related CA2504555C (en) | 2002-11-15 | 2003-11-17 | Cardiac harness delivery device |
Country Status (6)
Country | Link |
---|---|
US (6) | US7189203B2 (en) |
EP (1) | EP1560541A2 (en) |
JP (1) | JP2006506183A (en) |
AU (1) | AU2003291541A1 (en) |
CA (1) | CA2504555C (en) |
WO (1) | WO2004045456A2 (en) |
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-
2003
- 2003-11-17 CA CA2504555A patent/CA2504555C/en not_active Expired - Fee Related
- 2003-11-17 WO PCT/US2003/036476 patent/WO2004045456A2/en active Application Filing
- 2003-11-17 EP EP03768947A patent/EP1560541A2/en not_active Withdrawn
- 2003-11-17 AU AU2003291541A patent/AU2003291541A1/en not_active Abandoned
- 2003-11-17 US US10/715,150 patent/US7189203B2/en not_active Expired - Fee Related
- 2003-11-17 JP JP2004553700A patent/JP2006506183A/en active Pending
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2004
- 2004-05-03 US US10/838,002 patent/US7572219B2/en not_active Expired - Fee Related
- 2004-09-13 US US10/939,721 patent/US7500946B2/en not_active Expired - Fee Related
- 2004-10-18 US US10/967,955 patent/US7338435B2/en not_active Expired - Fee Related
- 2004-11-23 US US10/995,695 patent/US7361139B2/en not_active Expired - Fee Related
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2005
- 2005-04-19 US US11/109,175 patent/US20050182290A1/en not_active Abandoned
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US20040210104A1 (en) | 2004-10-21 |
CA2504555C (en) | 2012-09-04 |
US20050055032A1 (en) | 2005-03-10 |
US7500946B2 (en) | 2009-03-10 |
US7361139B2 (en) | 2008-04-22 |
US7572219B2 (en) | 2009-08-11 |
US7338435B2 (en) | 2008-03-04 |
AU2003291541A1 (en) | 2004-06-15 |
WO2004045456A2 (en) | 2004-06-03 |
EP1560541A2 (en) | 2005-08-10 |
WO2004045456A3 (en) | 2004-11-04 |
JP2006506183A (en) | 2006-02-23 |
US20050090707A1 (en) | 2005-04-28 |
US20050182290A1 (en) | 2005-08-18 |
US20050033322A1 (en) | 2005-02-10 |
US20050049611A1 (en) | 2005-03-03 |
US7189203B2 (en) | 2007-03-13 |
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