Patent US6199556B1 successfully refreshed from Google Patents.
US6199556B1
Expired / Lapsed
US
⏱️ 0.0 years remaining
Xyphoid access for cardiac surgical procedures
Assignee: Boston Scientific Scimed Inc
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Filing: 1998-05-01
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Granted: 2001-03-13
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Expires: 2018-05-01
Abstract
Abstract Surgical procedures on the beating heart are enabled by an incision made in the xyphoid area and specially designed retractors and related devices to facilitate cardiac surgical procedures. Specifically, coronary artery bypass graft procedures (CABG) are achieved using a vertically offsetting retractor or access platform in combination with a beating heart stabilizer. The surgical methodology permits procedures such as the CABG procedure without penetrating the rib cage or performing a sternotomy or thorocotomy.
Inventors
- 👤 Federico J. Benetti
- 👤 Charles S. Taylor
- 👤 Michael V. Morejohn
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-11-09 08:45
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/02; A61B17/0206; A61B17/0293; A61B2017/0237; A61B2017/0243
Claims Analysis
Total Claims: 22
Claim 1
Independent Claim
113 words
A minimally invasive method of accessing a beating heart to perform a surgical procedure, comprising: making an incision proximate to or through a xyphoid appendage without substantially transecting a sternum; inserting an offsetting retractor into the incision, and contacting tissue on one side of the incision with a first portion of the retractor, while contacting tissue on an opposite side of the incision with a second portion of the retractor, thereby orienting the retractor substantially in a horizontal plane; and moving the second portion of the retractor in a direction substantially perpendicular to the horizontal orientation of a remainder of the retractor, thereby vertically offsetting at least a portion of the rib cage.
Claim 2
Dependent Claim
113 words
A minimally invasive method of accessing a beating heart to perform a surgical procedure, comprising: making an incision proximate to or through a xyphoid appendage without substantially transecting a sternum; inserting an offsetting retractor into the incision, and contacting tissue on one side of the incision with a first portion of the retractor, while contacting tissue on an opposite side of the incision with a second portion of the retractor, thereby orienting the retractor substantially in a horizontal plane; and moving the second portion of the retractor in a direction substantially perpendicular to the horizontal orientation of a remainder of the retractor, thereby vertically offsetting at least a portion of the rib cage.
Claim 3
Dependent Claim
18 words
The method of claim 1 , further comprising: introducing a beating heart stabilizer to contact the beating heart.
Claim 4
Dependent Claim
15 words
The method of claim 2 , further comprising establishing a coronary artery by pass graft.
Claim 5
Dependent Claim
27 words
The method of claim 2 wherein the beating-heart stabilizer exerts a mechanical force to stabilize the beating heart proximate to the site of a target coronary artery.
Claim 6
Dependent Claim
17 words
The method of claim 2 wherein the beating-heart stabilizer uses suction to attach to the beating heart.
Claim 7
Dependent Claim
12 words
The method of claim 1 further comprising harvesting an internal mammary artery.
Claim 8
Dependent Claim
23 words
The method of claim 6 wherein the harvested internal mammary artery is used as a source artery for a coronary artery bypass graft.
Claim 9
Dependent Claim
70 words
Surgical apparatus for accessing a beating heart via a xyphoid incision comprising: a vertical offset assembly having the ability to vertically offset a portion of a rib cage, said retractor assembly comprising: a main body; and a lifting arm movably mounted to said main body for movement with respect to said main body, substantially in a predetermined plane which is substantially perpendicular to a main axis of said main body.
Claim 10
Dependent Claim
70 words
Surgical apparatus for accessing a beating heart via a xyphoid incision comprising: a vertical offset assembly having the ability to vertically offset a portion of a rib cage, said retractor assembly comprising: a main body; and a lifting arm movably mounted to said main body for movement with respect to said main body, substantially in a predetermined plane which is substantially perpendicular to a main axis of said main body.
Claim 11
Dependent Claim
42 words
The apparatus of claim 8 , further comprising a locking mechanism engageable with said lifting arm in at least one position of said vertical arm with respect to said main body, to lock said vertical arm in said at least one position.
Claim 12
Dependent Claim
39 words
The apparatus of claim 8 , further comprising a retractor arm movably mounted to said main body for movement with resect to said main body, substantially in a second predetermined plane which is substantially parallel to said main axis.
Claim 13
Dependent Claim
19 words
The apparatus of claim 8 , further comprising support arms attached to and extending away from said main body.
Claim 14
Dependent Claim
17 words
The apparatus of claim 11 , wherein said support arms extend substantially perpendicularly to said main axis.
Claim 15
Dependent Claim
28 words
The apparatus of claim 8 , further comprising at least one support pad affixed to each location where the apparatus is adapted to contact the body during use.
Claim 16
Dependent Claim
35 words
The apparatus of claim 8 , further comprising a dedicated fixture on at least one of said main body and said lifting arm, said dedicated fixture being adapted to fixably mount a beating-heart stabilizer thereto.
Claim 17
Dependent Claim
38 words
The apparatus of claim 10 , further comprising a dedicated fixture on at least one of said main body, said lifting arm, and said retractor arm, said dedicated fixture being adapted to fixably mount a beating-heart stabilizer thereto.
Claim 18
Dependent Claim
24 words
The apparatus of claim 8 , further comprising a beating-heart stabilizer adapted to stabilize a surgical site upon gaining access to the beating heart.
Claim 19
Dependent Claim
42 words
The apparatus of claim 14 , further comprising a beating-heart stabilizer which is attachable to said main body or said lifting arm via said dedicated fixture, and which is adapted to stabilize a surgical site upon gaining access to the beating heart.
Claim 20
Dependent Claim
45 words
The apparatus of claim 15 , further comprising a beating-heart stabilizer which is attachable to said main body, said lifting arm or said retractor arm, via said dedicated fixture, and which is adapted to stabilize a surgical site upon gaining access to the beating heart.
Claim 21
Dependent Claim
25 words
The method of claim 1 , further comprising introducing an organ positioned through an opening formed by said vertical offsetting to engage an internal organ.
Claim 22
Dependent Claim
53 words
The method of claim 2 , further comprising relatively moving the first and second portion of the retractor away from one another in a direction substantially parallel to the horizontal orientation of a of the retractor, thereby further expanding an opening formed by the incision, prior to said introducing a beating heart stabilizer.
References Cited (Backward Citations)
FR473451A
Cited
GB168216A
Cited
US4048987A
Cited
US3882855A
Cited
US4049000A
Cited
US4226228A
Cited
US4421107A
Cited
US4434791A
Cited
US4492229A
Cited
US4627421A
Cited
US4949707A
Cited
USRE34150E
Cited
US4726356A
Cited
US4702230A
Cited
US4852552A
Cited
US5080088A
Cited
US4865019A
Cited
US5052373A
Cited
US5025779A
Cited
US4971037A
Cited
US4993862A
Cited
US5159921A
Cited
US5520610A
Cited
GB2267827A
Cited
US5772583A
Cited
US5944736A
Cited
US6036641A
Cited
US5727569A
Cited
US5730757A
Cited
US5976171A
Cited
WO1997032514A2
Cited
US5947896A
Cited
EP0803228A1
Cited
US5976080A
Cited
US5882299A
Cited
US5967972A
Cited
US5984867A
Cited
WO1999009892A1
Cited
US5879291A
Cited
US5908382A
Cited
WO2000010466A1
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2004-03-12 | 2004-09-11 | 2005-03-13 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2008-03-12 | 2008-09-11 | 2009-03-13 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2012-03-12 | 2012-09-11 | 2013-03-13 | $7700.00 | Window Closed / Lapsed |