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US7294115B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Methods of providing direct blood flow between a heart chamber and a coronary vessel

Assignee: Horizon Technology Funding Co LLC
•
Filing: 2000-03-24
•
Granted: 2007-11-13
•
Expires: 2020-03-24
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Abstract

Abstract Methodology and related medical devices for effectively bypassing a blocked or partially blocked coronary artery and providing oxygenated blood to the myocardium. A coronary artery bypass method utilizes a shunt member. An upstream end portion of the shunt member is disposed in the myocardium of a patient's heart so that the upstream end portion communicates with the left ventricle of the patient's heart. An opposite or downstream end portion of the shunt member is placed in communication with a coronary artery of the patient downstream of a blockage in the coronary artery. The shunt member extends into the coronary artery from the myocardium either directly or indirectly with an intermediate or middle portion of the shunt member being disposed in an intrapericardial space of the patient, outside of the myocardium and outside of the coronary artery. In a method for performing a myocardial revascularization a passageway is formed at least partially through a myocardium of a patient from an outer surface of the patient's heart, with a surgical operation being performed at an outer end of the passageway to permanently close the passageway at the outer end. The passageway may extend though a posterior wall of a coronary artery and is produced by forming an aperture in an anterior wall of the coronary artery and forming the passageway in substantial alignment with the aperture. The closure of the passageway is effectuated particularly by closing the aperture in the anterior wall of the coronary artery.

Inventors

  • 👤 Peter J. Wilk

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 15:04
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2493; A61B; A61B17/00; A61B17/11; A61B5/00; A61B5/0002; A61B5/0031; A61B5/68; A61B5/6846; A61B5/6847; A61B5/6862; A61B5/6867; A61B5/6876; A61F2/04; A61F2/06; A61F2/064; A61F2/82; A61F2/86; A61F2/90; A61F2/91; A61F2/915; A61F2/94; A61M; A61M27/00; A61M27/002; A61B17/0057; A61B17/34; A61B17/3468; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00252; A61B2017/00637; A61B2017/00646; A61B2017/00654; A61B2017/1107; A61B2017/1135; A61B18/00; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B5/02; A61B5/021; A61B5/0215; A61B5/026; A61F2/848; A61F2002/8486; A61F2002/91508; A61F2002/91516; A61F2002/91525; A61F2002/91533; A61F2002/9155; A61F2002/91575; A61F2220/00; A61F2220/0008; A61F2220/0016; A61F2250/00; A61F2250/0001; A61F2250/0002; A61F2250/0014; A61F2250/0039; A61F2250/0058; A61F2250/0067

Claims Analysis

Total Claims: 15
Claim 1
Independent Claim 72 words
A method of providing direct blood flow between a heart chamber and a coronary vessel, the method comprising the steps of: inserting an instrument through an anterior wall of the coronary vessel; further inserting the instrument through a posterior wall of the coronary vessel and a heart wall between the heart chamber and the coronary vessel to form a passageway in the heart wall; and radially expanding an implant within the passageway.
Claim 2
Independent Claim 72 words
A method of providing direct blood flow between a heart chamber and a coronary vessel, the method comprising the steps of: inserting an instrument through an anterior wall of the coronary vessel; further inserting the instrument through a posterior wall of the coronary vessel and a heart wall between the heart chamber and the coronary vessel to form a passageway in the heart wall; and radially expanding an implant within the passageway.
Claim 3
Dependent Claim 23 words
The method of claim 1 , further comprising advancing the implant past the posterior wall of the coronary vessel and into the passageway.
Claim 4
Dependent Claim 19 words
The method of claim 2 , further comprising advancing the implant past the anterior wall of the coronary vessel.
Claim 5
Dependent Claim 17 words
The method of claim 1 , further comprising inserting the implant in the passageway via a catheter.
Claim 6
Dependent Claim 18 words
The method of claim 4 , further comprising advancing the catheter to the passageway via the heart chamber.
Claim 7
Dependent Claim 23 words
The method of claim 1 , wherein expanding the implant includes expanding an implant carrying a substance for delivery to the heart wall.
Claim 8
Dependent Claim 21 words
The method of claim 6 , wherein the substance is chosen from angiogenesis factors and nucleic acid instructions for angiogensis factors.
Claim 9
Dependent Claim 22 words
The method of claim 6 , wherein the substance is for at least one of generating, stimulating, and enhancing blood vessel formation.
Claim 10
Dependent Claim 12 words
The method of claim 1 , wherein the implant includes a stent.
Claim 11
Dependent Claim 18 words
The method of claim 1 , wherein expanding the implant includes expanding the implant from a collapsed configuration.
Claim 12
Dependent Claim 22 words
The method of claim 1 , wherein the passageway in the heart wall is formed via one of lasing, drilling, and boring.
Claim 13
Dependent Claim 15 words
The method of claim 1 , wherein inserting the instrument includes inserting an incising instrument.
Claim 14
Dependent Claim 23 words
The method of claim 1 , further comprising removing the instrument from the heart wall prior to expanding the implant in the passageway.
Claim 15
Dependent Claim 20 words
The method of claim 1 , wherein the implant does not extend substantially along an axial direction of the vessel.

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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) 2010-11-12 2011-05-14 2011-11-13 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2014-11-12 2015-05-14 2015-11-13 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2018-11-12 2019-05-14 2019-11-13 $7700.00 Window Closed / Lapsed

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