Device to permit offpump beating heart coronary bypass surgery

A heart manipulation system for use in cardiac surgery comprising:

• a frame which is configured to be located inside a patient during beating heart surgery and which is adapted to be mounted on the patient to move with the patient;
• a suspension head mounted on said frame for lifting the beating heart and which includes a flexible rim, said flexible rim being flexible in a plurality of planes to accommodate multiplanar movement of the surface of the beating heart, and means for accommodating multiplanar movement of the beating heart during beating heart surgery;
• means for releasably attaching said suspension head to the heart;
• and
• means for engaging a selected section of the heart to immobilize that selected section as a surgery target while permitting non-engaged sections of the heart to move in a manner whereby essentially unabated cardiac output is maintained while the heart is locally immobilized.

A manipulation system for cardiac surgery comprising:

• a gross support member configured to engage a beating heart and support the beating heart when the heart is located and oriented for surgery, said gross support member being configured to be located at the base of the heart and including a head which is sized and shaped to at least partially cradle the myocardium of the left ventricle;
• a suspension head for lifting the heart and which is configured to engage a region of the heart, such that lifting of the suspension head also lifts the heart when the heart is engaged by the suspension head and positioned under the suspension head;
• and
• said suspension head comprising adhesive for releasably attaching said suspension head to the heart.

A manipulation system for cardiac surgery comprising:

• a gross support member configured to engage a beating heart and support the beating heart when the heart is located and oriented for surgery, said gross support member being configured to be located at the base of the heart and including a head which is sized and shaped to at least partially cradle the myocardium of the left ventricle;
• a suspension head for lifting the heart and which is configured to engage a region of the heart, such that lifting of the suspension head also lifts the heart when the heart is engaged by the suspension head and positioned under the suspension head;
• and
• said suspension head comprising staples for releasably attaching said suspension head to the heart.