Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures
Direct-access, minimally invasive, beating-heart intracardial procedures have the potential to replace many traditional surgical procedures requiring cardio-pulmonary bypass as long as micro-emboli are prevented from entering the cardiovascular system. A new surgical port was developed to introduce...
| Main Authors: | , , , , , , |
|---|---|
| Other Authors: | |
| Format: | Article |
| Published: |
ASME International
2019
|
| Online Access: | http://hdl.handle.net/1721.1/120037 |
| _version_ | 1826201315278061568 |
|---|---|
| author | Vasilyev, Nikolay V. del Nido, Pedro J. Di Biasio, Christopher M Durand, Keith V Hopkins, Jonathan B Traina, Zachary J Slocum Jr., Alexander H |
| author2 | Massachusetts Institute of Technology. Department of Mechanical Engineering |
| author_facet | Massachusetts Institute of Technology. Department of Mechanical Engineering Vasilyev, Nikolay V. del Nido, Pedro J. Di Biasio, Christopher M Durand, Keith V Hopkins, Jonathan B Traina, Zachary J Slocum Jr., Alexander H |
| author_sort | Vasilyev, Nikolay V. |
| collection | MIT |
| description | Direct-access, minimally invasive, beating-heart intracardial procedures have the potential to replace many traditional surgical procedures requiring cardio-pulmonary bypass as long as micro-emboli are prevented from entering the cardiovascular system. A new surgical port was developed to introduce surgical instruments into chambers of the beating heart during minimally invasive, intracardial surgical procedures without allowing the introduction of micro-emboli 0.1 mm or larger in size. The design consists of an outer port body that is secured to the heart wall using a purse string suture and a series of inner tubular sleeves that form the interface between the port and the transecting instrument. The design enables rapid tool changes and accommodates a wide variety of instruments. The port uses a fluid purging system to dislodge and remove emboli from a surgical instrument. Laboratory and clinical tests show that the port adequately seals around a surgical instrument and prevents the introduction of emboli with diameters greater than 0.1 mm into the heart while minimizing hemorrhage. |
| first_indexed | 2024-09-23T11:49:37Z |
| format | Article |
| id | mit-1721.1/120037 |
| institution | Massachusetts Institute of Technology |
| last_indexed | 2024-09-23T11:49:37Z |
| publishDate | 2019 |
| publisher | ASME International |
| record_format | dspace |
| spelling | mit-1721.1/1200372022-09-27T22:12:25Z Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures Vasilyev, Nikolay V. del Nido, Pedro J. Di Biasio, Christopher M Durand, Keith V Hopkins, Jonathan B Traina, Zachary J Slocum Jr., Alexander H Massachusetts Institute of Technology. Department of Mechanical Engineering Di Biasio, Christopher M Durand, Keith V Hopkins, Jonathan B Traina, Zachary J Slocum Jr., Alexander H Direct-access, minimally invasive, beating-heart intracardial procedures have the potential to replace many traditional surgical procedures requiring cardio-pulmonary bypass as long as micro-emboli are prevented from entering the cardiovascular system. A new surgical port was developed to introduce surgical instruments into chambers of the beating heart during minimally invasive, intracardial surgical procedures without allowing the introduction of micro-emboli 0.1 mm or larger in size. The design consists of an outer port body that is secured to the heart wall using a purse string suture and a series of inner tubular sleeves that form the interface between the port and the transecting instrument. The design enables rapid tool changes and accommodates a wide variety of instruments. The port uses a fluid purging system to dislodge and remove emboli from a surgical instrument. Laboratory and clinical tests show that the port adequately seals around a surgical instrument and prevents the introduction of emboli with diameters greater than 0.1 mm into the heart while minimizing hemorrhage. 2019-01-14T19:44:48Z 2019-01-14T19:44:48Z 2011-03 2011-07 2019-01-02T16:41:21Z Article http://purl.org/eprint/type/JournalArticle 1932-6181 1932-619X http://hdl.handle.net/1721.1/120037 DiBiasio, Christopher M. et al. “Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures.” Journal of Medical Devices 5, 4 (2011): 045001 © 2011 American Society of Mechanical Engineers http://dx.doi.org/10.1115/1.4004867 Journal of Medical Devices Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf ASME International ASME |
| spellingShingle | Vasilyev, Nikolay V. del Nido, Pedro J. Di Biasio, Christopher M Durand, Keith V Hopkins, Jonathan B Traina, Zachary J Slocum Jr., Alexander H Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures |
| title | Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures |
| title_full | Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures |
| title_fullStr | Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures |
| title_full_unstemmed | Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures |
| title_short | Design of a Surgical Port for Minimally Invasive Beating-Heart Intracardial Procedures |
| title_sort | design of a surgical port for minimally invasive beating heart intracardial procedures |
| url | http://hdl.handle.net/1721.1/120037 |
| work_keys_str_mv | AT vasilyevnikolayv designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures AT delnidopedroj designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures AT dibiasiochristopherm designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures AT durandkeithv designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures AT hopkinsjonathanb designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures AT trainazacharyj designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures AT slocumjralexanderh designofasurgicalportforminimallyinvasivebeatingheartintracardialprocedures |