WO2001003585B1 - A tissue stabilization device for use during surgery - Google Patents

A tissue stabilization device for use during surgery

Info

Publication number
WO2001003585B1
WO2001003585B1 PCT/US2000/040323 US0040323W WO0103585B1 WO 2001003585 B1 WO2001003585 B1 WO 2001003585B1 US 0040323 W US0040323 W US 0040323W WO 0103585 B1 WO0103585 B1 WO 0103585B1
Authority
WO
WIPO (PCT)
Prior art keywords
finger
heart
clinging
coupled
surgical site
Prior art date
Application number
PCT/US2000/040323
Other languages
French (fr)
Other versions
WO2001003585A1 (en
Inventor
Danny Carpenter Rogers
Samuel Lynn Austin
Albert Davis
Charles R Keyes Jr
Clyde Baker
Original Assignee
Chase Medical Inc
Danny Carpenter Rogers
Samuel Lynn Austin
Albert Davis
Charles R Keyes Jr
Clyde Baker
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Chase Medical Inc, Danny Carpenter Rogers, Samuel Lynn Austin, Albert Davis, Charles R Keyes Jr, Clyde Baker filed Critical Chase Medical Inc
Priority to AU69530/00A priority Critical patent/AU6953000A/en
Publication of WO2001003585A1 publication Critical patent/WO2001003585A1/en
Publication of WO2001003585B1 publication Critical patent/WO2001003585B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • 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
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B2017/0237—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery
    • A61B2017/0243—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery for immobilizing local areas of the heart, e.g. while it beats
    • 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

Abstract

Disclosed is a device for isolating a cardiac surgical site. The device comprises a first finger (10) having a clinging accessory (30) for attaching the first finger to a heart (140), a second finger having a clinging accessory (30) for attaching the second finger (12) to the heart (140), a first joint disposed on the first finger (10) so that the first finger (10) may rotate on a surface of the heart such that said rotation stretches a surgical site, a first stopper (24) disposed on the first finger (10) for preventing undesired rotation of the first finger (10) to isolate the surgical site, and a link (18) for coupling the first finger (10) to the second finger (12). Several embodiments of the fingers and clinging accessories are disclosed. A guard (1602) is provided to protect sutures from the clinging accessory. The guard (1712) is equipped with a sprayer to wash the surgical site. Also disclosed is a method of isolating a cardiac surgical site. The method comprises the steps of disposing a first finger on a heart, clinging the first finger to the heart surface, disposing a second finger on a heart, clinging the second finger to the heart surface, and then rotating the first finger for achieving selective isolation of the heart surface.

Claims

AMENDED CLAIMS[received by the International Bureau on 12 January 2001 (12.01.01); original claims 1, 6, 9, 12, 17 and 29 amended; original claims 2, 22 and 30 cancelled; new claims 31-91 added; remaining claims unchanged (11 pages)]
1. A device for isolating a cardiac surgical site, comprising: a first finger having a longitudinal axis and a clinging accessory adapted to attach the first finger to a heart; a first joint positioned along the longitudinal axis such that the first finger may rotate about the longitudinal axis on a surface of the heart such that said rotation stretches the surgical site, and a first stopper disposed on the first finger for preventing undesired rotation of the first finger to isolate the surgical site.
2. Canceled.
3. The device of claim 1 further comprising a second finger having a clinging accessory adapted to attach the second finger to the heart.
4. The device of claim 3 further comprising a link coupling the first finger to the second
5. The device of claim 1 wherein the first finger is cylindrical.
6. The device of claim 1 wherein the clinging accessory comprises a plurality of tines.
7. The device of claim 1 wherein the clinging accessory comprises a plurality of suction points.
8. The device of claim 1 wherein the clinging accessory comprises a rough textured surface.
9. The device of claim 1 wherem the first joint comprises a rotatable handle coupled in a sleeve.
10. The device of claim 9 wherein the first stopper is configured such that the rotatahle handle comprises at least one notch and the sleeve has at least one cooperating rib.
11. The device of claim 9 wherein the first stopper is configured such that the rotatable handle comprises at least one rib and the sleeve has at least one cooperating notch.
12. The device of claim 3 further comprising a second joint disposed on the second finger adapted such that the second finger may rotate on a surface of the heart.
13. The device of claim 3 further comprising a second stopper disposed on the second finger for preventing undesired rotation of the second finger.
14. The device of claim 4 wherein the link comprises: a ball disposed between the first finger and the second finger adapted to secure attachment to a stabilizing member; a first attachment bar coupled between the first finger and the ball; and a second attachment bar coupled between the second finger and the ball.
15. The device of claim 4 wherein the link comprises: a first stabilizing member associated with the first finger; a second stabilizing member associated with the second finger; and a retractor adapted to couple the first stabilizing member to the second stabilizing member.
16. The device of claim 9 wherein the handle comprises an O-ring groove adapted to secure an O-ring about an end of the handle.
17. A method of isolating a cardiac surgical site, comprising the steps of: disposing a first finger on a heart surface having a longitudinal axis; clinging the first finger to the heart surface; disposing a second finger on the heart surface; clinging the second finger to the heart surface; rotating the first finger about the longitudinal axis to achieve selective isolation of a portion of the heart surface, and locking the first finger to prevent rotation.
26
18. The method of claim 17 further comprising the step of rotating the second finger to further achieve the selective isolation of the portion of the heart surface.
19. The method of clai 18 wherein the step of rotating the first finger and the step of rotating the second finger are accomplished at approximately the same time.
20. The method of claim 1 further comprising the step of compressing the first finger into the heart surface.
21. The method of claim 17 further comprising the step of lifting the first finger while maintaining the cling to the heart surface.
22. Canceled.
23. The method of claim 17 further comprising the step of locking the second finger to prevent rotation.
24. The method of claim 17 wherein either of said clinging steps comprises penetrating the surface of the heart.
25. The method of claim 17 wherein either of said clinging steps comprises applying suction to the surface of the heart via the first finger and the second finger.
26. The method of claim 17 wherein either of said clinging steps comprises applying the first or second fingers having a rough textured surface adapted to frictionally grip the surface of the heart.
27. The method of claim 17 further comprising the step of compressing the first finger and the second finger into the heart surface.
27
28. The method of claim 17 further comprising the step of lifting the first finger and the second finger from the heart while maintaining the cling to the heart surface.
29. A device for isolating a cardiac surgical site, comprising: a first support means having a longitudinal axis and a clinging means for attaching the first support means to a heart; a second support means having a clinging means for attaching the second support means to the heart; a rotating means disposed on the first support means so that the first support means may rotate about the longitudinal axis on a surface of the heart; an attaching means for connecting the first support means to the second support means; and a locking means disposed on the first support means for preventing undesired rotation of the first support means.
30. Canceled.
31. A device for isolating a cardiac surgical site, comprising a first and second finger, each finger having a longitudinal axis and a clinging accessory adapted to attach to a heart, wherein at least one of the fingers may rotate about its longitudinal axis on a surface of the heart such that the rotation stretches a surgical site, and at least one of the fingers has a varying axial diameter with respect to its longitudinal axis.
32. The device of claim 31 further comprising a link coupling the first finger to the second finger, and a stabilizing member coupling to the link.
33. The device of claim 32 wherein the link comprises a ball disposed between the first finger and the second finger adapted to secure an attachment to the stabilizing member; a first attachment bar coupled between the first finger and the ball; and a second attachment bar coupled between the second finger and the ball.
34. The device of claim 32 wherein the stabilizing member comprises: a socket for coupling with the link,
28 a flexible arm with a first end and a second end wherein the first end couples to the socket, a tightening device coupled to the flexible arm for fixing the position of the flexible arm, and a mounting device coupled to the second end of the flexible arm.
35. The device of claim 31 wherein at least one finger is cylindrically convex.
36. The device of claim 31 wherein at least one finger is cylindrically concave.
37. The device of claim 31 wherein at least one finger is cam-shaped.
38. The device of claim 31 wherein the clinging accessory comprises a plurality of tines, and each tine having a distal end and proximal end such that the proximal end is coupled to a surface of the finger.
39. The device of claim 38 wherein the tines are made entirely or in part of a material selected from the group consisting of stainless steel, plastic and nylon.
40. The device of claim 38 wherein the distal end is hooked shaped.
41. The device of claim 38 wherein the tines are straight.
42. The device of claim 38 wherein the distal end has an enlarged spherical head.
43. The device of claim 38 wherein the length of each tine varies according to its radial position on a circumference of an outer surface of the respective finger.
44. The device of claim 31 wherein the clinging accessory comprises a rough textured surface.
29
45. The device of claim 31 further comprising a guard coupled to the first finger and the second finger.
46. The device of claim 45 wherein the guard has at least one element, wherein the element is longitudinally aligned with at least one finger such that the element partially covers the finger.
47. The device of claim 46 wherein the element has a cross-sectional shape in the form of an arc.
48. The device of claim 46 wherein the guard further comprises a support coupled to at least one element such that at least one element is supported above the respective finger.
49. The device of claim 45 further comprising a spray tube coupled to the guard, wherein the spray tube comprises at least one spray nozzle positioned and directed so that fluids may be sprayed onto a surgical site.
50. The device of claim 49 further comprising a fluid supply controller coupled to the spray tube to regulate a flow of fluids.
51. The device of claim 50 further comprising a supply of fluids coupled to the fluid supply controller, wherein the supply of fluids are entirely or in part selected from the group consisting of saline solution, water, and air.
52. A device for isolating a cardiac surgical site, comprising at least one finger comprising a hollow cylinder with a plurality of openings therethrough, the at least one finger for engaging the surface of a surgical site, wherein the at least one finger may rotate on the surface of the site such that the surface of the site may be stretched.
53. The device of claim 52 further comprising a device for creating suction at the plurality of openings to facilitate engagement of the finger to the surface of the site.
30
54. The device of claim 52 wherein the respective openings are longitudinal slits radially spaced around a longitudinal axis of the hollow cylinder.
55. The device of claim 54 further comprising at least one cover partially Burrounding a perimeter of the cylinder such that the plurality of openings are sealed when the finger is placed adjacent to the surface of the heart.
56. The device of claim 53 further comprising a second finger; a link coupling the at least one finger to the second finger; and a stabilizing member coupling to the link.
57. The device of claim 56 wherein the link comprises a ball disposed between the first sleeve and the second sleeve adapted to secure attachment to a stabilizing member; a first attachment bar coupled between the first finger and the ball; and a second attachment bar coupled between the second finger and the ball.
58. The device of claim 57 wherein the stabilizing member comprises a socket, a flexible arm with a first end and a second end wnere the first end couples to the socket, and wherein the second end couples to a tightening means and a mounting means.
59. A device to shield a heart stabilizer comprising a guard and a supporting member coupled to the guard such that the supporting member positions the guard over the heart stabilizer.
60. The device of claim 59 wherein the supporting member couples to the heart stabilizer such that the heart stabilizer supports the supporting member.
61. A device to shield a heart stabilizer, having at least one longitudinal member, comprising at least one element longitudinally aligned with the longitudinal member such that the element covers the longitudinal member.
31
62. The device of claim 61 wherein the element has a cross-sectional shape in the form of an arc.
63. The device of claim 61 further comprising a supporting member coupled to the element such that the element is supported above the longitudinal member.
64. The device of claim 63 further comprising at least one spray tube coupled to the element, wherein the spray tube comprises at least one spray nozzle directed and positioned so that a flow of fluids may be sprayed onto a surgical site.
65. The device of claim 64 further comprising a fluid supply controller to regulate the flow of fluids.
66. The device of claim 64 wherein the fluids are selected entirely or in part from the group consisting of saline solution, water, carbon dioxide and air.
67. A device for cleaning a surgical site comprising a heart surface isolator and a spray tube comprising at least one spray nozzle directed at the surgical site so that a flow of fluids may be sprayed onto the surgical site.
68. The device of claim 67 further comprising a fluid supply controller to regulate the flow of fluids.
69. The device of claim 68 wherein the fluids are selected entirely or in part from the group consisting of saline solution, water, carbon dioxide and air.
70. A device for isolating a cardiac surgical site, comprising a first and second finger, each finger having a longitudinal axis and a clinging accessory adapted to attach to a heart, wherein at least one of the fingers may rotate about its longitudinal axis on a surface of the heart such that the rotation stretches a surgical site, and a guard coupled to the first finger and the second finger.
32
71. The device of claim 70 further comprising a link coupling the first finger to the second finger, and a stabilizing member coupling to the link.
72. The device of claim 71 wherein the link comprises a ball disposed between the first finger and the second finger adapted to secure an attachment to the stabilizing member; a first attachment bar coupled between the first finger and the ball; and a second attachment bar coupled between the second finger and the ball.
73. The device of claim 71 wherein the stabilizing member comprises: a socket for coupling with the link, a flexible arm with a first end and a second end wherein the first end couples to the socket, a tightening device coupled to the flexible arm for fixing the position of the flexible arm, and a mounting device coupled to the second end of the flexible arm.
74. The device of claim 70 wherein the guard has at least one element, wherein the element is longitudinally aligned with at least one finger such that the element partially covers the finger.
75. The device of claim 74 wherein the element has a cross-sectional shape in the form of an arc.
76. The device of claim 74 wherein the guard further comprises a support coupled to at least one element such that at least one element is supported above the respective finger.
77. The device of claim 70 further comprising a spray tube coupled to the guard, wherein the spray tube comprises at least one spray nozzle positioned and directed so that fluids may be sprayed onto a surgical site.
33
78. The device of claim 70 further comprising a fluid supply controller coupled to the spray tube to regulate the flow of fluids.
79. The device of claim 70 further comprising a supply of fluids coupled to the fluid supply controller, wherein the supply of fluids are selected entirely or in part from the group consisting of saline solution, water, carbon dioxide and air.
80. A method of isolating a cardiac surgical site, comprising the steps of: guiding a first finger to a heart surface; clinging the first finger to the heart surface; guiding a second finger to the heart surface; clinging the second finger to the heart surface; and rotating at least one of the fingers about a longitudinal axis such that the rotation stretches a surgical site, and at least one of the fingers has a varying diameter.
81. The method of claim 80 further comprising the step of rotating the second finger to further achieve the selective isolation of the portion of the heart surface.
82. The method of claim 80 further comprising the steps of locking the first finger to prevent rotation.
83. The method of claim 81 further comprising the steps of locking the first finger and the second finger to prevent rotation.
84. The method of claim 80 wherein either of said clinging steps comprises frictionally engaging the surface of the heart.
85. The method of claim 80 further comprising the step of shielding the fingers.
86. The method of claim 80 further comprising the step of spraying the heart surface with a fluid mixture.
34
87. A method of isolating a cardiac surgical site, comprising the steps of: guiding a first finger to a heart surface; clinging the first finger to the heart surface using a suction force; guiding a second finger to the heart surface; clinging the second finger to the heart surface using a suction force; and rotating at least one of the fingers about its longitudinal axis such that the rotation stretches a surgical site.
88. The method of claim 87 further comprising the step of rotating the second finger to further achieve the selective isolation of the portion of the heart surface.
89. The method of claim 87 further comprising the steps of locking the first finger to prevent rotation.
90. The method of claim 88 further comprising the steps of locking the first finger and the second finger to prevent rotation.
91. The method of claim 87 further comprising the step of spraying the heart surface with a fluid mixture.
35
PCT/US2000/040323 1999-07-08 2000-07-07 A tissue stabilization device for use during surgery WO2001003585A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU69530/00A AU6953000A (en) 1999-07-08 2000-07-07 A tissue stabilization device for use during surgery

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US14302399P 1999-07-08 1999-07-08
US60/143,023 1999-07-08
US09/376,538 US6258023B1 (en) 1999-07-08 1999-08-18 Device and method for isolating a surface of a beating heart during surgery
US09/376,538 1999-08-18

Publications (2)

Publication Number Publication Date
WO2001003585A1 WO2001003585A1 (en) 2001-01-18
WO2001003585B1 true WO2001003585B1 (en) 2001-08-16

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2000/040323 WO2001003585A1 (en) 1999-07-08 2000-07-07 A tissue stabilization device for use during surgery

Country Status (3)

Country Link
US (3) US6258023B1 (en)
AU (1) AU6953000A (en)
WO (1) WO2001003585A1 (en)

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WO2001003585A1 (en) 2001-01-18
US6478729B1 (en) 2002-11-12
US6740029B2 (en) 2004-05-25
US20030009081A1 (en) 2003-01-09
US6258023B1 (en) 2001-07-10

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Free format text: PEDIDO CONSIDERADO RETIRADO EM RELACAO AO BRASIL, TENDO EM VISTA O NAO CUMPRIMENTO DAS DETERMINACOES CONTIDAS NO ITEM 9.2 DO AN NO 128/97, QUANDO DA ENTRADA NA FASE NACIONAL.