US20010041821A1
Expired / Lapsed
US
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Intrapericardial assist method
Assignee: Wilk Patent Development Corp
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Filing: 2001-07-06
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Granted: —
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Expires: 2021-07-06
Abstract
Abstract A surgical method for assisting cardiac function utilizes a balloon initially in a collapsed configuration. The balloon is inserted into an intrapericardial space about a patient's heart and is disposed about one portion of the patient's heart. The method further includes inflating the balloon in the intrapericardial space to compress one portion of the patient's heart. A lower end portion of the patient's heart is separately compressed by an additional instrumentality to reduce ventricular volume.
Inventors
- 👤 Peter Wilk
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 12:46
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2478; A61F2/2481; A61B; A61B17/00; A61B17/00234; A61M; A61M60/00; A61M60/10; A61M60/122; A61M60/126; A61M60/13; A61M60/165; A61M60/191; A61M60/20; A61M60/289; A61M60/295; A61M60/40; A61M60/424; A61M60/427; A61M60/43; A61M60/435; A61M60/465; A61M60/468; A61M60/497; A61M60/50; A61M60/508; A61M60/515; A61M60/531; A61M60/538; A61M60/554; A61M60/80; A61M60/855; A61M60/865; A61B17/12; A61B17/12009; A61B17/12013; A61B17/22; A61B17/221; A61B2017/00017; A61B2017/00137; A61B2017/00154; A61B2017/00238; A61B2017/00243; A61B2017/00535; A61B2017/00557; A61B2017/00681; A61B2017/00694; A61B2017/00703; A61B17/04; A61B17/0469; A61B2017/048; A61B2017/2215; A61B17/30; A61B2017/303; A61B90/00; A61B90/08; A61B2090/0815; A61F2/2487; A61M2205/00; A61M2205/33; A61M2205/3303
Claims Analysis
Total Claims: 21
Claim 1
Independent Claim
156 words
1 . A surgical method for assisting cardiac function, comprising: inserting a device into a patient; and applying said device to a lower end portion of the patient's heart so as to compress and at least partially close a lower portion of at least one ventricle of the heart, said device including a wire provided at a free end with at least one anchoring barb, the applying of said device to the lower portion of the patient's heart including: inserting a catheter into a ventricle of the patient's heart; ejecting said free end of said wire from said catheter into the patient's myocardium so that said free end and said at least one barb are embedded in the myocardium, surrounded thereby; and exerting tension on said wire to pull walls of the patient's heart towards one another so as to compress and close off said lower portion of said at least one ventricle of the heart.
Claim 2
Dependent Claim
156 words
1 . A surgical method for assisting cardiac function, comprising: inserting a device into a patient; and applying said device to a lower end portion of the patient's heart so as to compress and at least partially close a lower portion of at least one ventricle of the heart, said device including a wire provided at a free end with at least one anchoring barb, the applying of said device to the lower portion of the patient's heart including: inserting a catheter into a ventricle of the patient's heart; ejecting said free end of said wire from said catheter into the patient's myocardium so that said free end and said at least one barb are embedded in the myocardium, surrounded thereby; and exerting tension on said wire to pull walls of the patient's heart towards one another so as to compress and close off said lower portion of said at least one ventricle of the heart.
Claim 3
Dependent Claim
111 words
2 . The method defined in claim 1 wherein said free end of said wires is one of a pair of free wire ends each provided with at least one barb, the applying of said device to the lower portion of the patient's heart including: ejecting said free wire ends from said catheter into the patient's myocardium so that said free ends and the respective barbs thereof are embedded in the myocardium, surrounded thereby, and exerting tension on said wire ends to pull said walls of the patient's heart towards one another so as to compress and close off said lower portion of said at least one ventricle of the heart.
Claim 4
Dependent Claim
34 words
3 . The method defined in claim 2 wherein said wire ends are terminal portions of wire segments, the exerting of tension on said wire ends includes twisting said wire segments about one another.
Claim 5
Dependent Claim
36 words
4 . The method defined in claim 2 wherein said walls are outer walls of the patient's heart, the applying of said device serving to compress and at least partially close lower portions of two ventricles.
Claim 6
Dependent Claim
53 words
5 . The method defined in claim 2 wherein one of said walls is an outer wall of the patient's heart while another of said walls is a septum of the patient's heart, the applying of said device serving to compress and at least partially close a lower portion of exactly one ventricle.
Claim 7
Dependent Claim
76 words
6 . The method defined in claim 1 wherein the ejecting said free end of said wire from said catheter into the patient's myocardium includes forcing said free end of said wire through a septum of the patient and into an outer wall of the patient's heart, said walls being said septum and said outer wall, the applying of said device serving to compress and at least partially close a lower portion of exactly one ventricle.
Claim 8
Dependent Claim
49 words
7 . The method defined in claim 1 , further comprising: additionally inserting at least one balloon into an intrapericardial space about the patient's heart; and inflating said balloon in said intrapericardial space to place a compressive pressure on the patient's heart sufficient to force blood from the heart.
Claim 9
Dependent Claim
28 words
8 . The method defined in claim 7 wherein said device is applied to said lower portion of the patient's heart prior to the inflating of said balloon.
Claim 10
Dependent Claim
27 words
9 . The method defined in claim 8 , further comprising periodically inflating and alternately deflating said balloon to pump blood from said heart in pulsatile fashion.
Claim 11
Dependent Claim
47 words
10 . The method defined in claim 9 , further comprising maintaining said device applied to the patient's heart to maintain said lower portion of said at least one ventricle of the patient's heart compressed and closed off during the periodic inflating and deflating of said balloon.
Claim 12
Dependent Claim
44 words
11 . The method defined in claim 7 wherein the inserting of said balloon includes providing a hypodermic type needle, inserting said needle through a skin surface and into said intrapericardial space, and injecting said balloon in a collapsed configuration into said intrapericardial space.
Claim 13
Dependent Claim
24 words
12 . The method defined in claim 7 , further comprising periodically inflating said balloon upon inserting of said balloon into said intrapericardial space.
Claim 14
Dependent Claim
33 words
13 . The method defined in claim 7 wherein said balloon has an arcuate cuff configuration in an inflated configuration, the inflating of said balloon including shaping said balloon into said arcuate configuration.
Claim 15
Dependent Claim
24 words
14 . The method defined in claim 7 wherein the inserting of said device includes inserting said device through a trocar sleeve or cannula.
Claim 16
Dependent Claim
85 words
15 . A method for reducing ventricular volume, comprising: inserting a catheter into a ventricle of a patient's heart; deploying a tensile member from a leading end of said catheter; attaching said tensile member to the patient's heart so that said tensile member is contained completely within the patient's heart and does not protrude therefrom; and exerting tension on said tensile member to draw walls of the patient's heart towards one another to reduce the volume of at least one ventricle of the patient's heart.
Claim 17
Dependent Claim
85 words
15 . A method for reducing ventricular volume, comprising: inserting a catheter into a ventricle of a patient's heart; deploying a tensile member from a leading end of said catheter; attaching said tensile member to the patient's heart so that said tensile member is contained completely within the patient's heart and does not protrude therefrom; and exerting tension on said tensile member to draw walls of the patient's heart towards one another to reduce the volume of at least one ventricle of the patient's heart.
Claim 18
Dependent Claim
41 words
16 . The method defined in claim 15 wherein said tensile member is provided with at least one barb at a leading end, the attaching of said tensile member to the patient's heart including embedding said barb in the patient's heart.
Claim 19
Dependent Claim
48 words
17 . The method defined in claim 15 wherein said tensile member is one of two tensile members, further comprising attaching the other tensile member to the patient's heart, the exerting of tension on said one of said tensile members including twisting the tensile members about one another.
Claim 20
Dependent Claim
49 words
18 . The method defined in claim 15 wherein said walls are outer walls of the patient's heart, the attaching of said tensile member to the patient's heart and the exerting tension on said tensile member serving to compress and at least partially close lower portions of two ventricles.
Claim 21
Dependent Claim
66 words
19 . The method defined in claim 15 wherein one of said walls is an outer wall of the patient's heart while another of said walls is a septum of the patient's heart, the attaching of said tensile member to the patient's heart and the exerting tension on said tensile member serving to compress and at least partially close a lower portion of exactly one ventricle.
References Cited (Backward Citations)
No citation records indexed.
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