Abstract: 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.

Abstract: 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.

Abstract: 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 (20) which is inserted with its first (distal) end in a first vessel, an outflow cannula (30) 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 (52) having an inlet (62) for the inner cannula and outflow windows (64) for the outer cannula, a rotor impeller (70) housed in the housing and connected with an electric motor (80) rotating coaxially below the pump housing, the housing having inner (56) and outer (59) 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.

Abstract: The present invention relates to systems and methods for transporting fluid between different locations within a body cavity and, in one particular application, systems and methods for transporting fluids to maintain at least partial blood flow through a protected blood flow path within the right and/or left side of the heart during surgery. The protected blood flow path may be established by positioning one or more conduits within at least a portion of the right and/or left sides(s) of the heart. At least partial blood flow may be maintained through the protected blood flow path by the pumping action of a blood pump disposed within the conduit.

Abstract: This invention is a cannulation apparatus, and related methods for providing indirect access to a surgical site within a patient. The cannulation apparatus includes at least two fluid flow paths that are slidable coupled (40) (50) to one another, and selectively positional within the patient. The first, the second flow path s may be advanced through a single incision disposed remotely from the surgical field to first, and second predetermined locations within the patient. Exemplary sites for the incision include the groin region or in the neck region of the patient. The cannulation apparatus, and method of the present invention are particularly suited for use in providing cardiopulmonary support during cardiac surgery, including coronary artery bypass graft surgery. The cannulation apparatus of the present invention also provides an entry site for one or more support devices used in the surgical procedure.

Abstract: The present invention relates to systems and methods for performing beating heart surgery involving the step of maintaining at least partial blood flow through a protected blood flow path within the right and/or left side of the heart during surgery. The protected blood flow path may be established by positioning one or more conduits within at least a portion of the right and/or left sides(s) of the heart. In a first system, at least partial blood flow may be maintained through the protected blood flow path by the pumping action of a blood pump communicatively coupled to the conduit. In a second system, at least partial blood flow is maintained through the protected blood flow path by the pumping action of the beating heart itself. The systems are therefore capable of maintaining at least partial blood flow through the right and/or left side(s) of the heart, even during periods when the cardiac output becomes compromised.

Abstract: 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.

Abstract: 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.

Abstract: Systems and methods for creating space within the chest cavity to more easily perform minimally invasive cardiac procedures.

Abstract: 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.

Abstract: Method and apparatus for preventing air embolisms during surgical procedures which involves providing a fluid source in communication with an aperture extending into an anatomical cavity such that fluid may be delivered into the cavity when a condition of negative pressure exists in the cavity, thereby preventing the introduction of air into the cavity.

Abstract: A cannula assembly (120) provides access to an interior body region (22). The cannula assembly defines a lumen (24) having a distal region (30). The lumen includes a bend in the distal region to guide deployment in the body region. A closure assembly (44, 46, 48) can be provided to open, and close the cannula assembly to fluid flow.

Abstract: 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.

Abstract: A disposable surgical drape for use in cardiovascular surgical procedures which may optionally be used to isolate a sterile pumping mechanism from a non-sterile pump driving mechanism and/or provide support for medical equipment, such as medical tubing.

Abstract: Method and apparatus for preventing air embolisms during surgical procedures which involves providing a fluid source in communication with an aperture extending into an anatomical cavity such that fluid may be delivered into the cavity when a condition of negative pressure exists in the cavity, thereby preventing the introduction of air into the cavity.

Abstract: An improved cardiopulmonary bypass system which consolidates and miniaturizes the entire CPB circuit on an integrated panel or box-type structure capable of being positioned within (or closely adjacent to) the sterile surgical field.

Abstract: Methods and apparatus are described to manipulate the position of the heart to provide surgical access to lateral and posterior portions of the heart. A jack apparatus connected to a surgical retractor can be positioned in the surgical cavity to produce a sideways force on the heart. A tripod apparatus can be used to hold up the heart into a desired position. A band can be attached to the heart to rotate its position. Fingers attached to the bottom of a blade on a surgical retractor can be used to manipulate the hearts position.

Abstract: 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.

Abstract: Systems and methods for creating space within the chest cavity to more easily perform minimally invasive cardiac procedures.

Abstract: 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.