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Minimally-invasive devices and methods for treatment of congestive heart failure

Assignee: Individual
•
Filing: 2000-03-24
•
Granted: 2004-10-12
•
Expires: 2020-03-24
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Abstract

Abstract A method of treatment of congestive heart failure comprises the steps of introducing an aortic occlusion catheter through a patient's peripheral artery, the aortic occlusion catheter having an occluding member movable from a collapsed position to an expanded position; positioning the occluding member in the patient's ascending aorta; moving the occluding member from the collapsed shape to the expanded shape after the positioning step; introducing cardioplegic fluid into the patient's coronary blood vessels to arrest the patient's heart; maintaining circulation of oxygenated blood through the patient's arterial system; and reshaping an outer wall of the patient's heart while the heart is arrested so as to reduce the transverse dimension of the left ventricle. The ascending aorta may be occluded and cardioplegic fluid delivered by means of an occlusion balloon attached to the distal end of an elongated catheter positioned transluminally in the aorta from a femoral, subclavian, or other appropriate peripheral artery.

Inventors

  • 👤 John H. Stevens
  • 👤 Lee R. Bolduc
  • 👤 Stephen W. Boyd
  • 👤 Brian S. Donlon
  • 👤 Hanson S. Gifford, III
  • 👤 Philip R. Houle
  • 👤 Daniel C. Rosenman

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 18:12
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/0057; A61B17/00234; A61B17/02; A61B17/0218; A61B17/0293; A61B17/04; A61B17/0469; A61B17/06; A61B17/06061; A61B17/12; A61B17/122; A61B17/28; A61B17/29; A61B17/34; A61B17/3417; A61B17/3421; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1492; A61B90/00; A61B90/36; A61B90/50; A61F; A61F7/00; A61F7/10; A61M; A61M39/00; A61M39/02; A61M39/0247; A61B17/0467; A61B17/2909; A61B2017/00017; A61B2017/00022; A61B2017/00039; A61B2017/00044; A61B2017/00048; A61B2017/00053; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00575; A61B2017/00831; A61B2017/00867; A61B2017/00902; A61B2017/00907; A61B2017/00946; A61B2017/0237; A61B2017/0243; A61B2017/047; A61B2017/0472; A61B2017/0474; A61B2017/0475; A61B2017/0496; A61B2017/2912; A61B2017/2926; A61B2017/2927; A61B2017/2932; A61B2017/2943; A61B17/30; A61B2017/306; A61B2017/308; A61B17/3403; A61B2017/3405; A61B2017/348; A61B2017/3492; A61B2018/00053; A61B2018/00214; A61B2018/0022; A61B2018/00232; A61B2018/0025; A61B2018/00261; A61B2018/00273; A61B2018/00291; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00363; A61B2018/00392; A61B2018/00571; A61B2018/00577; A61B2018/00982; A61B90/06; A61B2090/061; A61B90/30; A61B2090/306; A61F2/00; A61F2/02; A61F2/24; A61F2/2442; A61F2/2445; A61F2007/0001; A61F2007/0054; A61F2007/101; A61M1/00; A61M1/36; A61M1/3621; A61M25/00; A61M25/01; A61M25/02; A61M2025/028; A61M2039/027; A61M2039/0279; A61M2202/00; A61M2202/04; A61M2202/0468; A61M2202/047; A61M2205/00; A61M2205/33; A61M2205/3331; A61M2205/3344; A61M2205/3355; A61M2205/36; A61M2205/366; A61M25/10; A61M25/1011

Claims Analysis

Total Claims: 11
Claim 1
Independent Claim 84 words
A method of reshaping a patient's heart muscle, comprising the steps of: introducing a tissue attaching device into the patient's chest; engaging a first location on a wall of the patient's left ventricle with the tissue attaching device; and manipulating the tissue attaching device to attach the first location to a second location on a wall of the heart so as to reduce the transverse dimension of the left ventricle, the user's hands remaining outside the patient's chest when manipulating the tissue attaching device.
Claim 2
Independent Claim 84 words
A method of reshaping a patient's heart muscle, comprising the steps of: introducing a tissue attaching device into the patient's chest; engaging a first location on a wall of the patient's left ventricle with the tissue attaching device; and manipulating the tissue attaching device to attach the first location to a second location on a wall of the heart so as to reduce the transverse dimension of the left ventricle, the user's hands remaining outside the patient's chest when manipulating the tissue attaching device.
Claim 3
Dependent Claim 81 words
The method of claim 1 , further comprising the steps of: introducing a cutter into the patient's chest, the cutter having a manually operable actuator; cutting a portion of a patient's left ventricle from the heart with the cutter, the user's hands being outside the patient's chest when actuating the manually operable actuator; and removing the portion of the patient's heart muscle; the manipulating step being carried out to close an opening in the patient's heart formed by the removing step.
Claim 4
Dependent Claim 24 words
The method of claim 2 , wherein: the introducing steps are carried out by passing the cutter and tissue attaching device between adjacent ribs.
Claim 5
Dependent Claim 21 words
The method of claim 1 , wherein: the manipulating step is carried out without cutting through the wall of the heart.
Claim 6
Dependent Claim 34 words
The method of claim 1 , wherein: the manipulating step comprises folding a section of the heart wall between the first and second locations so as to reduce the size of the left ventricle.
Claim 7
Dependent Claim 23 words
The method of claim 1 , wherein: the manipulating step comprises attaching a portion of the left ventricular wall to the interventricular septum.
Claim 8
Dependent Claim 35 words
The method of claim 1 , further comprising measuring the size of the left ventricle before the step of manipulating using a sizing instrument introduced into the chest while maintaining the hands outside the chest.
Claim 9
Dependent Claim 21 words
The method of claim 1 , wherein: the manipulating step is carried out while viewing the heart using a viewing scope.
Claim 10
Dependent Claim 22 words
The method of claim 1 , wherein: each of said steps is carried out while maintaining the patient's ribs and sternum intact.
Claim 11
Dependent Claim 25 words
The method of claim 1 , wherein: the introducing step is carried out with the tissue attaching device extending between adjacent ribs in the patient.

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2007-10-12 2008-04-12 2008-10-12 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2011-10-12 2012-04-12 2012-10-12 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2015-10-12 2016-04-12 2016-10-12 $7700.00 Window Closed / Lapsed

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