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US5921979A Expired / Lapsed US ⏱️ 0.0 years remaining

Apparatus and method for tissue and organ stabilization

Assignee: Origin Medsystems LLC
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Filing: 1996-12-18
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Granted: 1999-07-13
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Expires: 2016-12-18
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Abstract

Abstract A system for locally stabilizing an anastomotic site of a vessel of a beating heart during a surgical procedure is disclosed. The system includes bonding a pad to the myocardium and attaching a control arm to the pad, all by use of a bioabsorbable adhesive. The control arm is grasped and manipulated by a retractor thereby stabilizing the anastomotic area during the surgical procedure. The pad is optional and can be ommitted in one embodiment where the control arm has feet that are directly bonded to tissue. The pad may also have barbs or can include suction cups. The pad can include a helix-shaped fastener or a mechanical fastener that can be easily linked or hooked to a surgical instrument for manipulation.

Inventors

  • 👤 Tim J. Kovac
  • 👤 Peter S. Brown
  • 👤 Albert K. Chin

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-31 09:24
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/02; A61B17/064; A61B17/0643; A61B2017/00004; A61B2017/00831; A61B2017/00951; A61B2017/0237; A61B2017/0243; A61B17/08; A61B17/085; A61B2017/086

Claims Analysis

Total Claims: 63
Claim 1
Independent Claim 48 words
A system for manipulating an internal organ during a surgical procedure comprising: a pad attached to an area of tissue of the internal organ; means for bonding the pad to the area of tissue; and a surgical instrument to grasp the pad to manipulate the area of tissue.
Claim 2
Independent Claim 48 words
A system for manipulating an internal organ during a surgical procedure comprising: a pad attached to an area of tissue of the internal organ; means for bonding the pad to the area of tissue; and a surgical instrument to grasp the pad to manipulate the area of tissue.
Claim 3
Dependent Claim 12 words
The system of claim 1, wherein the surgical instrument is a retractor.
Claim 4
Dependent Claim 12 words
The system of claim 1, wherein the pad is a biodegradable adhesive.
Claim 5
Dependent Claim 21 words
The system of claim 1, wherein the means for bonding the pad to the area of tissue includes a bioabsorbable adhesive.
Claim 6
Dependent Claim 23 words
The system of claim 1, wherein the means for bonding the pad to the area of tissue includes a collagen based bioabsorbable adhesive.
Claim 7
Dependent Claim 38 words
The system of claim 1, wherein the pad includes a material that is selected from the group of materials consisting of polyglycolic acid (PGA), poly-L-lactic acid (L-PLA), polyorthoesters, polyanhydrides, polyiminocarbonates, inorganic calcium phosphate, polyorthoesters, aliphatic polycarbonates, and polyphosphazenes.
Claim 8
Dependent Claim 36 words
The system of claim 3, wherein the adhesive pad is a bioabsorbable copolymer selected from the group of copolymers consisting of poly-L-lactic acid (L-PLA), polycaprolactone (PCL), collagen based adhesive, albumin based adhesive, and fibrin based adhesive.
Claim 9
Dependent Claim 22 words
The system of claim 1, wherein the pad is flexible and deforms to match an irregular surface of the area of tissue.
Claim 10
Independent Claim 54 words
A system for locally stabilizing a beating heart during a surgical procedure, the system comprising: a pad for attaching to an area of cardiac tissue; means for controlling the pad to manipulate the area of cardiac tissue to create a locally stable area; and means for bonding the pad to the area of tissue.
Claim 11
Independent Claim 54 words
A system for locally stabilizing a beating heart during a surgical procedure, the system comprising: a pad for attaching to an area of cardiac tissue; means for controlling the pad to manipulate the area of cardiac tissue to create a locally stable area; and means for bonding the pad to the area of tissue.
Claim 12
Dependent Claim 55 words
The system of claim 9, wherein the means for controlling the pad is a control arm attached to the pad at a first end and having an attachment member at a second end, whereby the attachment member is manipulated during the surgical procedure to create a locally stable area at the area of cardiac tissue.
Claim 13
Dependent Claim 42 words
The system of claim 10, further comprising: a fluid adhesive applied to the heart and to the first end of the control arm and solidified therebetween; and additional fluid adhesive applied to the first end of the control arm and solidified thereupon.
Claim 14
Dependent Claim 12 words
The device of claim 10, wherein the control arm includes a tether.
Claim 15
Dependent Claim 11 words
The system of claim 10, wherein the control arm is semi-rigid.
Claim 16
Dependent Claim 21 words
The system of claim 9, wherein the means for bonding the pad to the area of tissue includes a bioabsorbable adhesive.
Claim 17
Dependent Claim 23 words
The system of claim 9, wherein the means for bonding the pad to the area of tissue includes a collagen based bioabsorbable adhesive.
Claim 18
Dependent Claim 18 words
The system of claim 10, wherein the first end of the control arm is encased in the pad.
Claim 19
Dependent Claim 18 words
The system of claim 10, wherein the pad and the control arm are made from a bioabsorbable material.
Claim 20
Dependent Claim 41 words
The system of claim 10, wherein the material for the control arm and pad is selected from the group of bioabsorbable materials consisting of polyglycolic acid (PGA), poly-L-lactic acid (L-PLA), polyorthoesters, polyanhydrides, polyiminocarbonates, inorganic calcium phosphate, polyorthoesters, aliphatic polycarbonates, and polyphosphazenes.
Claim 21
Dependent Claim 38 words
The system of claim 10, wherein the pad and the control arm include a copolymer selected from the group of copolymers consisting of poly-L-lactic acid (L-PLA), polycaprolactone (PCL), collagen based adhesive, albumin based adhesive, and fibrin based adhesive.
Claim 22
Dependent Claim 12 words
The system of claim 10, wherein the attachment member is a ring.
Claim 23
Dependent Claim 10 words
The system of claim 9, wherein the pad is removable.
Claim 24
Dependent Claim 26 words
The device of claim 9, wherein the pad is bioabsorbable and includes a plurality of attachment members for contacting an anastomotic site proximate to a vessel.
Claim 25
Dependent Claim 17 words
The device of claim 9, wherein the pad is bioabsorbable and is formed from a rigid material.
Claim 26
Dependent Claim 28 words
The device of claim 9, wherein the pad is bioabsorbable and has a contact surface for receiving a bioabsorbable adhesive to attach the pad to an anastomotic site.
Claim 27
Dependent Claim 12 words
The system of claim 9, wherein the pad is a bioabsorbable adhesive.
Claim 28
Dependent Claim 11 words
The system of claim 10, wherein the control arm is malleable.
Claim 29
Dependent Claim 11 words
The system of claim 10, wherein the control arm is rigid.
Claim 30
Dependent Claim 14 words
The system of claim 9, wherein the pad has a plurality of attachment members.
Claim 31
Dependent Claim 22 words
The system of claim 9, wherein the pad is flexible and deforms to match an irregular surface of the area of tissue.
Claim 32
Independent Claim 54 words
A method of stabilizing a vessel during a surgical procedure, the method steps comprising: providing a pad having a control arm extending therefrom, wherein the control arm includes an attachment member; attaching the pad to an area of tissue; and grasping the attachment member to manipulate the control arm and the area of tissue.
Claim 33
Independent Claim 54 words
A method of stabilizing a vessel during a surgical procedure, the method steps comprising: providing a pad having a control arm extending therefrom, wherein the control arm includes an attachment member; attaching the pad to an area of tissue; and grasping the attachment member to manipulate the control arm and the area of tissue.
Claim 34
Dependent Claim 15 words
The method according to claim 30, wherein the attachment member is grasped with a retractor.
Claim 35
Dependent Claim 15 words
The method according to claim 30, further comprising the step of removing the control arm.
Claim 36
Dependent Claim 18 words
The method according to claim 30, further comprising the steps of removing the pad and the control arm.
Claim 37
Dependent Claim 28 words
The method according to claim 30, wherein the pad and control arm are bioabsorbable, the method further comprising the steps of dissolving the pad and the control arm.
Claim 38
Dependent Claim 23 words
The method according to claim 30, wherein the step of attaching the pad to tissue includes the step of providing a bioabsorbable adhesive.
Claim 39
Dependent Claim 20 words
The method according to claim 30, wherein the step of attaching the pad to tissue utilizes a bioabsorbable mechanical fastener.
Claim 40
Independent Claim 57 words
A system for manipulating an internal organ during a surgical procedure, the system comprising: a pad for attaching to an area of tissue associated with the internal organ; means for bonding the pad to the area of tissue; and means for controlling the pad and thereby manipulating the area of tissue to create a locally stable area.
Claim 41
Independent Claim 57 words
A system for manipulating an internal organ during a surgical procedure, the system comprising: a pad for attaching to an area of tissue associated with the internal organ; means for bonding the pad to the area of tissue; and means for controlling the pad and thereby manipulating the area of tissue to create a locally stable area.
Claim 42
Dependent Claim 50 words
The system of claim 37, wherein the means for controlling the pad is a control arm attached to the pad at a first end and having an attachment member at a second end, wherein the attachment member is manipulated to obtain a locally stable area at the area of tissue.
Claim 43
Dependent Claim 44 words
The system of claim 38, further comprising: a fluid adhesive applied to the area of tissue and to the first end of the control arm and solidified therebetween; and additional fluid adhesive applied to the first end of the control arm and solidified thereupon.
Claim 44
Dependent Claim 11 words
The system of claim 38, wherein the control arm is semi-rigid.
Claim 45
Dependent Claim 11 words
The system of claim 38, wherein the control arm is rigid.
Claim 46
Dependent Claim 12 words
The system of claim 37, wherein the internal organ is the heart.
Claim 47
Dependent Claim 12 words
The system of claim 37, wherein the pad is a biodegradable adhesive.
Claim 48
Dependent Claim 21 words
The system of claim 37, wherein the means for bonding the pad to the area of tissue includes a bioabsorbable adhesive.
Claim 49
Dependent Claim 35 words
The system of claim 44, wherein the bioabsorbable adhesive is a copolymer selected from the group of copolymers consisting of poly-L-lactic acid (L-PLA), polycaprolactone (PCL), collagen based adhesive, albumin based adhesive, and fibrin based adhesive.
Claim 50
Dependent Claim 23 words
The system of claim 37, wherein the means for bonding the pad to the area of tissue includes a collagen based bioabsorbable adhesive.
Claim 51
Dependent Claim 18 words
The system of claim 37, wherein the first end of the control arm is encased in the pad.
Claim 52
Dependent Claim 18 words
The system of claim 37, wherein the pad and the control arm are made from a bioabsorbable material.
Claim 53
Dependent Claim 35 words
The system of claim 48, wherein the bioabsorbable material is selected from the group of materials consisting of polyglycolic acid (PGA), poly-L-lactic acid (LPLA), polyorthoesters, polyanhydrides, polyiminocarbonates, inorganic calcium phosphate, polyorthoesters, aliphatic polycarbonates, and polyphosphazenes.
Claim 54
Dependent Claim 22 words
The system of claim 37, wherein the pad is flexible and deforms to match an irregular surface of the area of tissue.
Claim 55
Dependent Claim 36 words
The system of claim 37, wherein the system includes a plurality of control arms wherein each control arm is attached to the pad at the first end and includes an attachment member at the second end.
Claim 56
Dependent Claim 14 words
The system of claim 37, wherein the pad includes a section of bioabsorbable tubing.
Claim 57
Independent Claim 44 words
A system for locally stabilizing a beating heart during a surgical procedure, the system comprising: a pad for attaching to an area of cardiac tissue; and means for controlling the pad to manipulate the area of cardiac tissue to create a locally stable area.
Claim 58
Independent Claim 44 words
A system for locally stabilizing a beating heart during a surgical procedure, the system comprising: a pad for attaching to an area of cardiac tissue; and means for controlling the pad to manipulate the area of cardiac tissue to create a locally stable area.
Claim 59
Dependent Claim 12 words
The system of claim 53, wherein the pad attachment means is biodegradable.
Claim 60
Independent Claim 39 words
A system for manipulating an internal organ during a surgical procedure, the system comprising: a pad for attaching to an area of tissue of the internal organ; and means for controlling the pad to manipulate an area of tissue.
Claim 61
Independent Claim 39 words
A system for manipulating an internal organ during a surgical procedure, the system comprising: a pad for attaching to an area of tissue of the internal organ; and means for controlling the pad to manipulate an area of tissue.
Claim 62
Dependent Claim 12 words
The system of claim 55, wherein the internal organ is the heart.
Claim 63
Dependent Claim 17 words
The system of claim 56, wherein the pad further comprises a pad attachment means that is biodegradable.

References Cited (Backward Citations)

US4051842A Cited
US5148806A Cited
US5415666A Cited
US5425705A Cited
US5733305A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-07-12 2003-01-11 2003-07-13 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-07-12 2007-01-11 2007-07-13 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-07-12 2011-01-11 2011-07-13 $7700.00 Window Closed / Lapsed

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