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 Cardioplegia balloon cannula

Details
Inventors: Tsugita, Ross S.; Maahs, Tracy D.;
Assignee: Embol-X, Inc. (Mountian View, CA)
Primary Examiner: Mendez; Manuel
Assistant Examiner:
Attorney, Agent or Firm: Lyon & Lyon LLP

A cardioplegia occluder and methods of using the device during cardiac surgery are disclosed. The system typically includes a substantially rigid cannula with an occluder mounted on the distal region of the cannula that expands upon activation to occlude the aorta downstream of an infusion port which delivers cardioplegia solution to arrest the heart. Systems including cutting blades, blade guards, flanges, radiopaque markers and occluder aligners are also disclosed. In use, the distal end of the cannula is inserted through an incision into the aorta, the occluder is expanded and cardioplegia solution is infused upstream of the aorta to arrest the heart. The infusion port can alternately be used to aspirate cardioplegia or embolic debris or other unwanted material from the aorta.

DETAILED DESCRIPTION FIG.
1 depicts an embodiment of a cardioplegia occluder 1 for delivering cardioplegia to the aorta during cardiopulmonary bypass where the distal region 2 of the substantially rigid cannula 3 is curved to facilitate self-centering inside the aorta.
The distal end of the cannula 14 is adapted to enter the aorta In this embodiment, a spherical occluder 20 is circumferentially disposed about the outer surface 15 of the distal region of the cannula forming a chamber 21 with an inner surface 22, an outer surface, a proximal end 24 and a distal end.
In some embodiments, the occluder is an inflatable balloon.
In other embodiments, the balloon is foam-filled, so that the occluder may be inserted in a contracted condition, for instance, within a sleeve or under negative pressure, and when released from the sleeve or the negative pressure, will automatically expand to the predetermined shape.
Although FIG.
1 and FIG.
2 depict the occluder as spherical, in other embodiments, it is conical, elliptical or funnel shaped.
In the embodiment of FIG.
1 and FIG.
2, the occluder is an inflatable balloon covering a portion of the curved distal region of the cannula.
In certain embodiments, the occluder is circumferentially disposed about the distal region of the cannula so that the cannula runs through the longitudinal center axis of the occluder.
In other embodiments, the occluder is circumferentially disposed about the distal region of the cannula so that the cannula runs through a region displaced laterally from the longitudinal center axis of the occluder.
For a detailed discussion of the construction of a balloon occluder disposed on a cannula, the reader is referred to copending U.
S.
Applications Barbut et al.
, Ser.
No.
08/645,762, filed May 14, 1996, and Tsugita et al.
, Ser.
No.
08/854,806, filed May 12, 1997, both expressly incorporated herein by reference.
The cannula is typically a rigid or semi-rigid, preferably transparent tube having a proximal end adapted to receive cardioplegia solution and a cardioplegia lumen which extends distally from the proximal end and terminates and communicates with an infusion port in the distal region for delivery of cardioplegia solution to the aorta



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