Patent · US Expired

Method for subxiphoid endoscopic access

US7398781B1 · kind B1 · utility

167Cited by
177References
6Claims
0Family size

Assignee

Inventor

Key dates

Filing dateAug 9, 2000
Grant dateJul 15, 2008
Priority date
Expiry dateAug 9, 2020

Classification

  • Technology area (CPC A)Human Necessities
  • CPC primaryA61N2001/0578
  • WIPO fieldMedical technology
  • WIPO sectorInstruments

Abstract

Apparatus and method for performing surgical procedures within the mediastinum or within the pericardium include an endoscopic cannula that is introduced into the mediastinum and optionally into the pericardium via a subxiphoid incision. A cavity may be initially dilated for advancing the endoscopic cannula using a dilating tool having an inner cannula and an outer expansible sheath that is expansible to exert a laterally expansive force against the surrounding tissue. Surgical instruments such as a pericardial entry device are inserted into a lumen of the endoscopic cannula to grasp a flap of the pericardium, and a cutting tool is extended to cut the flap to create a small opening through which other surgical tools may be introduced. The endoscopic cannula can then be advanced inside the pericardium to access all regions of the heart by sweeping the endoscopic cannula around the heart. Other surgical instruments may be inserted through the opening to perform surgical procedures within the pericardium.

Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.