摘要:
A minimal intrusive cardiac support apparatus is disclosed which requires only one incision into a main blood vessel or heart chamber. The apparatus includes a pair of generally coaxial and slideably arranged cannulae (one inner and one outer) communicatively coupled to a blood pump for providing right-heart and/or left-heart cardiac support during cardiac surgery. Optional balloons may be mounted on the outside of the inner and outer conduits which can be selectively inflated to seal off the sides surrounding vessel or to deliver cooling fluid or medication to the surrounding tissue. Using the apparatus, a method of pumping blood through the body is also disclosed.
摘要:
Systems and methods for providing cardiac support provide a cannula body having an inlet and an outlet. The cannula includes a preformed bend sized and configured to extend within the heart chamber between the inlet and the outlet. The cannula is inserted through a first valve into a heart chamber and through a second valve out of the heart chamber. Blood is drawn into the cannula through the inlet and discharged from the cannula through the outlet, thereby bypassing the heart chamber.
摘要:
An improved intravascular blood pump system (10) and related methods involving the broad inventive concept of equipping the intravascular blood pump (12) with guiding features such that the intravascular blood pump can be selectively positioned at a predetermined location within the circulatory system of a patient.
摘要:
Pump and cannula systems inserted through the right side and/or left side of the heart provide protection against collapse of the heart chambers and veins and arteries and provide supplemental blood flow through same to enable beating heart bypass surgery on all vessels of the heart, including lateral and posterior vessels. The invention eliminates the use of cardiopulmonary bypass (CPB) machines. The invention further provides stents adapted for protecting from vein, artery, atrium and/or ventricle collapse during beating heart bypass surgery.
摘要:
A self-sealing hemostasis valve having a first membrane with an opening offset from the center and a second membrane with an opening offset from the center in a direction opposite of the offset in the first membrane. The two membranes are joined about their outer edges. Access through the two elastomeric membranes without tearing is available at the intersection of the openings in the membrane assembly when the two membranes are deformed by an instrument being inserted through the hemostasis valve.
摘要:
A surgical pump suitable for bodily fluids, normally blood, usable in the course of surgical interventions as an alternative to the traditional CPB (cardio pulmonary bypass) making use of external blood pumps. It consists of an intake cannula which is inserted with its fist (distal) end in a first vessel, an outflow cannula coaxial for some length with, and larger than the first cannula, which is inserted with its first (distal) end in a second vessel, both second ends of the coaxial cannulas being connected with a pump housing having an inlet for the inner cannula and outflow windows for the outer cannula, a rotor impeller housed in the housing and connected with an electric motor rotating coaxially below the pump housing, the housing having inner and outer passageways which allow inflow, change of flow direction (reversal) and outflow of the fluid, thus producing two coaxial counter flowing flows in the coaxial cannulas. The pump can be used making use of a single portal. Inflatable balloons can be used to stabilize the cannulas in situ and to stabilize the walls of the organs or vessels where the cannulas are inserted.
摘要:
Pump and cannula systems inserted through the right side and/or left side of the heart provide protection against collapse of the heart chambers and veins and arteries and provide supplemental blood flow through same to enable beating heart or still heart surgery, such as bypass surgery, on all vessels of the heart, including lateral and posterior vessels. Pump and cannula systems are provided for supporting pulmonary and/or circulatory blood flow external of the heart during any beating heart or still heart surgical procedure, including value repair or replacement. The invention eliminates the use of cardiopulmonary bypass (CPB) machines in all heart surgery and utilizes the patient's lung(s) for providing oxygenated blood during heart surgery. The invention further provides stents adapted for protecting from vein, artery, atrium and/or ventricle collapse during beating heart bypass surgery.
摘要:
A cannulation system for cardiac support uses an inner cannula disposed within an outer cannula. The outer cannula includes a fluid inlet for placement within the right atrium of a heart. The inner cannula includes a fluid inlet extending through the fluid inlet of the outer cannula and the atrial septum for placement within at least one of the left atrium and left ventricle of the heart. The cannulation system also employs a pumping assembly coupled to the inner and outer cannulas to withdraw blood from the right atrium for delivery to the pulmonary artery to provide right heart support, or to withdraw blood from at least one of the left atrium and left ventricle for delivery into the aorta to provide left heart support, or both.
摘要:
A blood pump having a supplemental outflow port and/or a supplemental inflow port. A supplemental outflow port can be used to supply blood to regions of the body during heart bypass operations, such as to perfuse heart tissue downstream from an anastomosis site during CABG procedures so as to reduce the damage to the heart tissue. A supplemental inflow port can be used to infuse blood and/or various other fluids or compositions into the patient's blood stream, such as may be helpful or advantageous during emergency situations in cardiac surgery.
摘要:
Devices and methods for sealingly joining a graft vessel, such as a coronary bypass graft, to the side wall of a target vessel, such as the aorta or a coronary artery, in an anastomosis.