Abstract One device in accordance with the present invention includes a surgical device for creating channels in tissue of a patient. The device includes a catheter defining a lumen and a transducer assembly carried by the catheter along a lengthwise dimension of the catheter. An end effector is operatively coupled to the transducer assembly and extends distally relative to the transducer assembly. The end effector has a vibrating channel-forming tip wherein the channel-forming tip is adapted to create channels in the heart of a patient. A method in accordance with the present invention includes the steps of inserting an end effector having a tip into a patient, placing the tip of the end effector in direct contact with a surface of the heart, energizing the end effector to cause the tip to vibrate, piercing through the surface of the heart with the tip to create a channel, and removing the end effector.
A method of improving blood flow in a heart of a patient comprising the steps of: inserting a catheter in a cardiovascular system of the patient; advancing the catheter through the cardiovascular system until it is positioned in a left ventricle of the heart of the patient; vibrating a distal end of an acoustic assembly at an ultrasonic frequency; contacting the heart with the distal end of the acoustic assembly to create a channel of a selected depth in the inner surface of the heart; and withdrawing distal the end of the acoustic assembly from the heart.
Claim 2
Independent Claim
97 words
A method of improving blood flow in a heart of a patient comprising the steps of: inserting a catheter in a cardiovascular system of the patient; advancing the catheter through the cardiovascular system until it is positioned in a left ventricle of the heart of the patient; vibrating a distal end of an acoustic assembly at an ultrasonic frequency; contacting the heart with the distal end of the acoustic assembly to create a channel of a selected depth in the inner surface of the heart; and withdrawing distal the end of the acoustic assembly from the heart.
Claim 3
Dependent Claim
23 words
The method of claim 1 further repeating the steps of advancing, contacting and withdrawing to form a plurality of channels in the heart.
Claim 4
Independent Claim
87 words
A method of improving the blood flow to a heart of a patient comprising the steps of: providing a catheter carrying an end effector having a distal end; vibrating the distal end of the end effector at a selected frequency; contacting the distal end of the end effector with a ventricular wall of a heart; advancing the distal end of the end effector into the ventricle wall; creating a channel in the ventricular wall with the distal end; and removing the end effector from the ventricle wall.
Claim 5
Independent Claim
87 words
A method of improving the blood flow to a heart of a patient comprising the steps of: providing a catheter carrying an end effector having a distal end; vibrating the distal end of the end effector at a selected frequency; contacting the distal end of the end effector with a ventricular wall of a heart; advancing the distal end of the end effector into the ventricle wall; creating a channel in the ventricular wall with the distal end; and removing the end effector from the ventricle wall.
Claim 6
Dependent Claim
31 words
A method of claim 3 wherein the ventricular wall has an outer surface and an inner surface, and wherein the channel starts at the inner wall and extends into the myocardium.
Claim 7
Dependent Claim
15 words
The method of claim 3 wherein the frequency is between 20 kHz and 100 kHz.
Claim 8
Dependent Claim
22 words
The method of claim 1 wherein the step of forming a channel is accomplished without synchronizing to a heartbeat of a patient.