Abstract: The system and method creates immediate supplemental blood flow into an organ by punching a cannula into the organ to remove a core of the organ. The process of punching creates essentially no heat and therefore does not cauterize the wound. In the case of the heart this results in immediate supplemental blood flow into the heart muscle. Animal tests have shown this immediate blood flow is sufficient to sustain the heart even when a major coronary artery is completely blocked. The procedure may be performed in an open surgical field procedure by punching cores from the outside of the heart in or it may be a percutaneous catheter procedure punching cores from the inside-out of an organ.

Abstract: The system and method creates immediate supplemental blood flow into an organ by punching a cannula into the organ to remove a core of the organ. The process of punching creates essentially no heat and therefore does not cauterize the wound. In the case of the heart this results in immediate supplemental blood flow into the heart muscle. Animal tests have shown this immediate blood flow is sufficient to sustain the heart even when a major coronary artery is completely blocked. The procedure may be performed in an open surgical field procedure by punching cores from the outside of the heart in or it may be a percutaneous catheter procedure punching cores from the inside-out of an organ.

Abstract: A surgical procedure for revascularization the myocardium, comprising the steps of: directing a generally cylindrically shaped first nozzle into a heart wall being treated; forming a first or main channel in the heart wall from the ventricle into the myocardium of the heart by the nozzle; removing a generally cylindrically shaped tissue core through the nozzle, from the heart wall during formation of the first or main channel. A set of tributary channels may be made in the heart wall from and in communication with the main channel by an arrangement of radially directed fluid jets subsequent to the creation of that main channel.