Method of performing heart surgery using thermographic imaging

Claim 3

The method of claim 1 wherein the step of assessing blood flow characteristics in said heart tissue comprises employing a means for estimating volumetric blood flow and distribution of blood flow.

Claim 4

The method for performing heart surgery of claim 1 wherein said blood flow assessment of step (b) is done dynamically.

Claim 5

The method of performing heart surgery of claim 1 wherein said blood flow assessment of step (b) is accomplished by assessing the temperature of at least a portion of said heart tissue.

Claim 6

The method of performing heart surgery of claim 4 wherein said temperature assessment is accomplished thermographically.

Claim 7

The method of performing heart surgery of claim 1 wherein said decisions on graft location and the number of grafts is based solely upon step (b).

Claim 8

(four times amended) A method of performing bypass surgery on a coronary artery of a patient wherein one or more bypass grafts are attached to said coronary artery at selected locations, said method comprising the steps of: (a) preparing said patient for surgery, said patient having a heart, including heart tissue, said coronary artery attached to at least a portion of said heart tissue; (b) assessing temperature characteristics of said heart tissue; (c) making decisions on bypass graft location and number based substantially upon said temperature assessment of step (b) and placing or not placing a graft or grafts in accordance with said decisions, and (d) completing said surgery.

Claim 9

(four times amended) A method of performing bypass surgery on a coronary artery of a patient wherein one or more bypass grafts are attached to said coronary artery at selected locations, said method comprising the steps of: (a) preparing said patient for surgery, said patient having a heart, including heart tissue, said coronary artery attached to at least a portion of said heart tissue; (b) assessing temperature characteristics of said heart tissue; (c) making decisions on bypass graft location and number based substantially upon said temperature assessment of step (b) and placing or not placing a graft or grafts in accordance with said decisions, and (d) completing said surgery.

Claim 10

The method for performing heart surgery of claim 7 wherein said temperature assessment of step (b) is done dynamically.

Claim 11

The method of performing heart surgery of claim 8 wherein said temperature assessment is accomplished thermographically.

Claim 12

The method of performing heart surgery of claim 7 wherein said decisions on graft location and number of grafts is based solely upon said temperature assessment of step (b).

Claim 15

The method of performing heart surgery of claim 11 further comprising the following step: (d) assessing blood flow characteristics in said heart tissue of said patient after attaching said bypass graft.

Claim 16

The method for performing heart surgery of claim 11 wherein said selected position is chosen based solely on the blood flow assessment of step (b).

Claim 19

The method of claim 14 further comprising the following steps: (d) performing a second dynamic assessment of blood flow characteristics of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging; and (e) placing a second graft into said artery at a second point selected based at least in apart upon information obtained from the assessment of step (d).

Claim 20

The method of claim 15 wherein a single blood-carrying vessel is used for said first graft and said second graft.

Claim 21

The method of claim 15 further comprising the following step: (f) performing a third dynamic assessment of blood flow characteristics of that portion of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging.

Claim 22

The method of claim 17 further comprising the following step: (g) comparing the third dynamic assessment of step (f) with the second dynamic assessment of step (d).

Claim 23

The method of claim 15 wherein: said artery includes a first branch and a second branch; said first point is located in said first branch; and said second point is located in said second branch.

Claim 24

The method of claim 17 wherein step (f) includes employing a means for estimating volumetric blood flow and distribution of blood flow to said heart tissue.

Claim 25

The method of claim 14 further comprising the following steps: (d) performing a second dynamic assessment of blood flow characteristics of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging; and (e) placing a second graft into said artery at a second point upstream from said first point when said assessment of step (d) reveals an ischemic area of said heart tissue located upstream from said first point.

Claim 26

The method of claim 21 wherein a single blood-carrying vessel is used for said first graft and said second graft.

Claim 27

The method of claim 14 wherein step (b) includes the following steps: determining a temperature for said heart; perfusing said artery with a perfusing solution that is at least 5 degrees Centigrade lower than said heart tissue temperature; sensing infra-red radiation emanating from said heart tissue.

Claim 28

The method of claim 14 wherein step (a) includes the following steps: perfusing said artery with a perfusing solution having a temperature which creates a temperature differential between said perfusing solution and said heart tissue; sensing infra-red radiation emanating from said heart tissue.

Claim 29

The method of claim 14 wherein step (b) includes employing a means for estimating volumetric blood flow and distribution of blood flow to said heart tissue.

Claim 30

The method of performing surgery of claim 14 wherein said first graft is placed at said first point based solely on information obtained from step (b).