Assembly and method of implanting a heart assist system
View Patent ↗A needle guard is used when suturing the cuff of an attachment ring to the heart. The needle guard is disposed in the attachment ring to prevent other parts of the attachment ring from being punctured by a suturing needle. The needle guard can include one or more grooves to inhibit relative movement between the needle guard and the attachment ring during suturing. The needle guard is removed upon completion of suturing and to allow insertion into attachment ring of an inflow conduit of a heart assist device. An articulated clamp is used to compress the attachment ring into engagement with the inflow conduit. The attachment include an annular rib that grabs the inflow conduit.
1. A method of attaching an attachment ring of a heart assist system to the heart, the method comprising:
inserting a needle guard into an attachment ring, including inserting a cylindrical side surface of the needle guard into a ring channel that passes through the attachment ring, wherein the cylindrical side surface extends entirely through the ring channel;
inserting a suture through heart tissue and a cuff of the attachment ring while the needle guard is temporarily disposed within the attachment ring, the suture connecting the attachment ring to the heart tissue; and
removing the needle guard out of the attachment ring after the inserting of the suture.
2. The method of claim 1 , wherein the inserting of the needle guard includes abutting a stop member of the needle guard against a top end of the attachment ring.
3. The method of claim 1 , wherein the inserting of the needle guard includes aligning a groove on the cylindrical side surface of the needle guard with a ring seal of the attachment ring.
4. The method of claim 1 , wherein the inserting of the suture includes:
passing a needle into the heart tissue at a point located radially outward from the cuff, the needle connected to the suture; followed by
passing the needle out from the heart tissue at a point located directly beneath the cuff; followed by
passing the needle up through the cuff so that the suture is pulled through the heart tissue and the cuff.
5. The method of claim 1 , A method of attaching an attachment ring of a heart assist system to the heart, the method comprising:
inserting a needle guard into an attachment ring; and
inserting a suture through heart tissue and a cuff of the attachment ring while the needle guard is temporarily disposed within the attachment ring, the suture connecting the attachment ring to the heart tissue,
wherein the inserting of the suture is performed while a bottom tip of the needle guard is located below an outer surface of the heart tissue.
6. The method of claim 5 , wherein the inserting of the needle guard includes abutting a stop member of the needle guard against a top end of the attachment ring.
7. The method of claim 5 , wherein the inserting of the needle guard includes aligning a groove on a cylindrical side surface of the needle guard with a ring seal of the attachment ring.
8. The method of claim 5 , further comprising removing the needle guard out of the attachment ring after the inserting of the suture.
9. The method of claim 5 , wherein the inserting of the suture includes:
passing a needle into the heart tissue at a point located radially outward from the cuff, the needle connected to the suture; followed by
passing the needle out from the heart tissue at a point located directly beneath the cuff; followed by
passing the needle up through the cuff so that the suture is pulled through the heart tissue and the cuff.