A method and apparatus for remotely cannulating a body part are disclosed. The apparatus is an endoscopic cannulation apparatus having a fluid stasis assembly and a coring assembly. The fluid stasis assembly allows for the penetration of the body part and deployment of an occlusive device to prevent
A method and apparatus for remotely cannulating a body part are disclosed. The apparatus is an endoscopic cannulation apparatus having a fluid stasis assembly and a coring assembly. The fluid stasis assembly allows for the penetration of the body part and deployment of an occlusive device to prevent the escape of fluid during the coring and cannulation of the body part. The cannulation assembly allows for the coring of the body part without the introduction of air bubbles or other embolic materials into the patient. The method of the invention provides for the remote coring and cannulation of a body part such as a heart, blood vessels, the stomach, intestines, and other body parts with a sealed apparatus that may be de-aired to lessen the risk of the introduction of emboli into a system.
대표청구항▼
1. An endoscopic cannulation assembly for remotely cannulating a heart at a cannulation site, the cannulation assembly comprising: a trocar;an endoscopic shaft for guiding functional components of the cannulation assembly to the cannulation site, the endoscopic shaft defining a distal end, a proxima
1. An endoscopic cannulation assembly for remotely cannulating a heart at a cannulation site, the cannulation assembly comprising: a trocar;an endoscopic shaft for guiding functional components of the cannulation assembly to the cannulation site, the endoscopic shaft defining a distal end, a proximal end, an outside surface between the distal end and the proximal end, and a lumen;a fluid stasis assembly concentrically and slidably mounted about the outside surface of the endoscopic shaft, the fluid stasis assembly configured to slide with respect to the endoscopic shaft, the fluid stasis assembly comprises an occlusive device, wherein the occlusive device comprises at least one de-airing port configured to emit fluid to help remove bubbles and debris;a coring assembly concentrically and slidably mounted about the outside surface of the endoscopic shaft, the fluid stasis assembly and the coring assembly each being mounted adjacent the outside surface of the endoscopic shaft, the coring assembly being adapted to core the heart, wherein the fluid stasis assembly is capable of being deployed prior to or concurrent with operation of the coring assembly;a core retainer positioned on the coring assembly or the endoscopic shaft for retaining the core that is cut from the heart;a guard situated between the occlusive device and the coring assembly to protect the occlusive device from contact with the coring assembly; anda cannula sized and configured to insert into the hole formed by the coring assembly to provide a seal to enable de-airing. 2. The endoscopic cannulation assembly of claim 1, wherein the shaft is flexible. 3. The endoscopic cannulation assembly of claim 1, wherein the occlusive device is an inflatable occlusive balloon. 4. The endoscopic cannulation assembly of claim 1, wherein the occlusive device is an expandable umbrella structure. 5. The endoscopic cannulation assembly of claim 1, wherein the occlusive device is an occlusive disk. 6. The endoscopic cannulation assembly of claim 1, wherein the occlusive device is a resorbable occlusive structure. 7. The endoscopic cannulation assembly of claim 6, wherein the resorbable occlusive structure comprises a compound selected from the group consisting of gelatin, polyethylene glycol, hyaluronic acid, polylactic acid, and collagen. 8. The endoscopic cannulation assembly of claim 1, wherein the guard comprises thickened regions of the occlusive device. 9. The endoscopic cannulation assembly of claim 1, wherein the guard comprises protective ridges attached to the occlusive device. 10. The endoscopic cannulation assembly of claim 1, wherein the guard comprises protective overlays attached to the occlusive device. 11. The endoscopic cannulation assembly of claim 1, wherein the guard comprises a protective shield positioned between the fluid stasis assembly and the coring assembly. 12. The endoscopic cannulation assembly of claim 1, wherein the coring assembly comprises a blade. 13. The endoscopic cannulation assembly of claim 12, wherein the blade is a spring-deployed blade. 14. The endoscopic cannulation assembly of claim 12, wherein the blade is a cylindrical cutting tool. 15. The endoscopic cannulation assembly of claim 12, wherein the blade is an elastic cylindrical cutting tool. 16. The endoscopic cannulation assembly of claim 12, wherein the blade is a hydrojet cutter. 17. The endoscopic cannulation assembly of claim 12, wherein the blade is a separate manual blade. 18. The endoscopic cannulation assembly of claim 12, wherein the coring assembly further comprises a blade sheath. 19. The endoscopic cannulation assembly of claim 1, wherein the core retainer is positioned on the coring assembly or shaft and is a raised ridge. 20. The endoscopic cannulation assembly of claim 1, wherein the core retainer is positioned on the coring assembly or shaft and is a raised helical ridge. 21. The endoscopic cannulation assembly of claim 1, wherein the core retainer is positioned on the coring assembly or shaft and is a barb. 22. The endoscopic cannulation assembly of claim 1, wherein the core retainer is positioned on the coring assembly or shaft and is a hook. 23. An endoscopic cannulation assembly for remotely cannulating a heart at a cannulation site, the cannulation assembly comprising: a trocar mounted to an endoscopic shaft for guiding functional components of the cannulation assembly to the cannulation site, the endoscopic shaft defining a distal end, a proximal end, and an outside surface between the distal end and the proximal end;a fluid stasis assembly concentrically and slidably mounted about the outside surface of the endoscopic shaft, the fluid stasis assembly including an occlusive device having a stowed configuration and a deployed configuration, the occlusive device further comprises at least one de-airing port configured to emit fluid to help remove bubbles and debris, the fluid stasis assembly configured to slide with respect to the shaft;a coring assembly concentrically and slidably mounted about the outside surface of the endoscopic shaft, the fluid stasis assembly and the coring assembly each being mounted adjacent the outside surface of the endoscopic shaft, the coring assembly including a blade that may be deployed to cut and remove a core from the heart, wherein the fluid stasis assembly is capable of being deployed prior to or concurrent with operation of the coring assembly;a core retainer positioned on the coring assembly or the endoscopic shaft for retaining the core that is cut from the heart;a guard situated between the occlusive device and the coring assembly to protect the occlusive device from contact with the coring assembly; anda cannula sized and configured to insert into the hole formed by the coring assembly to provide a seal to enable de-airing. 24. The endoscopic cannulation assembly of claim 23, wherein the endoscopic shaft is flexible. 25. The endoscopic cannulation assembly of claim 23, wherein the endoscopic shaft includes more than one endoscopic shaft to allow independent control of individual elements of the cannulation assembly. 26. The endoscopic cannulation assembly of claim 23, wherein the occlusive device of the fluid stasis assembly is an inflatable occlusive balloon. 27. The endoscopic cannulation assembly of claim 23, wherein the occlusive device of the fluid stasis assembly is an expandable umbrella structure. 28. The endoscopic cannulation assembly of claim 23, wherein the occlusive device of the fluid stasis assembly is a resorbable occlusive structure. 29. The endoscopic cannulation assembly of claim 28, wherein the resorbable occlusive structure comprises a compound selected from the group consisting of gelatin, polyethylene glycol, hyaluronic acid, polylactic acid, and collagen. 30. The endoscopic cannulation assembly of claim 23, wherein the blade is a separate manual blade. 31. The endoscopic cannulation assembly of claim 23, wherein the blade is a spring-deployed blade. 32. The endoscopic cannulation assembly of claim 31, wherein the coring assembly further comprises a sheath. 33. The endoscopic cannulation assembly of claim 23, wherein the core retainer comprises a helical ridge positioned on the coring assembly. 34. The endoscopic cannulation assembly of claim 23, wherein the coring assembly comprises an elastic cylindrical cutting tool and a core retainer. 35. The endoscopic cannulation assembly of claim 34, wherein the core retainer comprises a helical ridge positioned on the coring assembly. 36. The endoscopic cannulation assembly of claim 34, wherein the core retainer comprises a helical ridge positioned on an inside face of the elastic cylindrical coring tool. 37. The endoscopic cannulation assembly of claim 23, wherein the coring assembly comprises a hydrojet cutter and a core retainer. 38. The endoscopic cannulation assembly of claim 37, wherein the core retainer comprises a helical ridge positioned on the coring assembly. 39. The endoscopic cannulation assembly of claim 23, wherein the guard is attached to the occlusive device to prevent damage to the occlusive device from the coring assembly. 40. The endoscopic cannulation assembly of claim 39, wherein the guard comprises a thickened region of the occlusive device. 41. The endoscopic cannulation assembly of claim 39, wherein the guard comprises a protective ridge attached to the occlusive device. 42. The endoscopic cannulation assembly of claim 39, wherein the guard comprises protective overlays attached to the occlusive device. 43. The endoscopic cannulation assembly of claim 39, wherein the guard comprises protective shields positioned between the fluid stasis assembly and the coring assembly. 44. An endoscopic cannulation assembly for remotely cannulating a heart at a cannulation site, the cannulation assembly comprising: a hollow trocar for penetrating the heart, wherein the trocar is mounted to an endoscopic shaft for guiding functional components of the cannulation assembly to the cannulation site, the endoscopic shaft defining a distal end, a proximal end, and an outside surface between the distal end and the proximal end;a guidewire passing through the trocar;the endoscopic shaft configured to slide along the guidewire into the heart;a coring assembly concentrically and slidably mounted about the outside surface of the endoscopic shaft, the coring assembly including a blade for cutting and removing a core from the heart;a fluid stasis assembly concentrically and slidably mounted about the outside surface of the endoscopic shaft, the coring assembly and the fluid stasis assembly are each mounted adjacent the outside surface of the endoscopic shaft, the fluid stasis assembly comprising an occlusive device for creating a seal with the heart, wherein the occlusive device further comprises at least one de-airing port configured to emit fluid to help remove bubbles and debris, wherein the fluid stasis assembly is capable of being deployed prior to or concurrent with operation of the coring assembly, the fluid stasis assembly configured to slide with respect to the shaft; a guard situated between the occlusive device and the coring assembly to protect the occlusive device from contact with the coring assembly; anda cannula sized and configured to insert into the hole formed by the coring assembly to provide a seal to enable de-airing. 45. The endoscopic cannulation assembly of claim 44, wherein the shaft is flexible. 46. The endoscopic cannulation assembly of claim 44, wherein the occlusive device is an inflatable occlusive balloon. 47. The endoscopic cannulation assembly of claim 44, wherein the occlusive device is an expandable umbrella structure. 48. The endoscopic cannulation assembly of claim 44, wherein the occlusive device is an occlusive disk. 49. The endoscopic cannulation assembly of claim 44, wherein the occlusive device is a resorbable occlusive structure. 50. The endoscopic cannulation assembly of claim 49, wherein the resorbable occlusive structure comprises a compound selected from the group consisting of gelatin, polyethylene glycol, hyaluronic acid, polylactic acid, and collagen. 51. The endoscopic cannulation assembly of claim 44, wherein the blade is a spring-deployed blade. 52. The endoscopic cannulation assembly of claim 44, wherein the blade is a cylindrical cutting tool. 53. The endoscopic cannulation assembly of claim 44, wherein the blade is an elastic cylindrical cutting tool. 54. The endoscopic cannulation assembly of claim 44, wherein the blade is a hydrojet cutter. 55. The endoscopic cannulation assembly of claim 44, wherein the blade is a separate manual blade. 56. The endoscopic cannulation assembly of claim 44, wherein the blade further includes a blade sheath. 57. The endoscopic cannulation assembly of claim 56, wherein the blade is a resilient member maintained in a retracted configuration within the sheath that expands during deployment and which returns to its deployed configuration upon retraction of the sheath. 58. The endoscopic cannulation assembly of claim 44, wherein the coring assembly further includes a core retainer. 59. The endoscopic cannulation assembly of claim 58, wherein the core retainer is a raised ridge. 60. The endoscopic cannulation assembly of claim 58, wherein the core retainer is a raised helical ridge. 61. The endoscopic cannulation assembly of claim 58, wherein the core retainer comprises a barb. 62. The endoscopic cannulation assembly of claim 58, wherein the core retainer comprises a hook. 63. The endoscopic cannulation assembly of claim 58, wherein the core retainer comprises a helical ridge positioned on the coring assembly to engage the core cut from the body part to allow its withdrawal from the body. 64. The endoscopic cannulation assembly of claim 1, wherein the fluid stasis assembly is mounted toward the distal end of the endoscopic shaft relative to the coring assembly, and wherein the coring assembly is mounted toward the proximal end of the endoscopic shaft relative to the fluid stasis assembly. 65. The endoscopic cannulation assembly of claim 23, wherein the fluid stasis assembly is mounted toward the distal end of the endoscopic shaft relative to the coring assembly, and wherein the coring assembly is mounted toward the proximal end of the endoscopic shaft relative to the fluid stasis assembly. 66. The endoscopic cannulation assembly of claim 44, wherein the fluid stasis assembly is mounted toward the distal end of the endoscopic shaft relative to the coring assembly, and wherein the coring assembly is mounted toward the proximal end of the endoscopic shaft relative to the fluid stasis assembly.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (24)
Kletschka Harold D. (1925 Noble Dr. Minneapolis MN 55422), Angioplasty device and method of using the same.
Huitema Thomas W. ; Gregoire David K. ; Kruszynski Michael L. ; Privitera Salvatore ; Voegele James W., Biopsy instrument with tissue penetrating spiral.
Todd Allen Berg ; Daniel J. Sullivan ; Matthew W. Baker ; Paul J. Hindrichs ; Gregory Alan Boldenow ; Jason A. Galdonik ; Mark D. Wahlberg, Minimally invasive revascularization apparatus and methods.
McGough Edwin C. (1327 E. Michigan Ave. Salt Lake City UT 84105) Boucek Mark M. (4231 Emigration Canyon Rd. Salt Lake City UT 84108), Ventricular access device and method.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.