Designing innovative retractors and devices - Europe PMC
· To repair mitral valves with multi-segment prolapse via a right minithoracotomy, the loop technique (13, 14) is facilitated by a tool designed especially for use during MIMVS. A loop-maker is useful in facilitating the creation of an appropriately sized ePTFE loop.
Totally endoscopic mitral valve repair using a robotic
· DESCRIPTION: Eighteen patients with mitral valve disease underwent totally endoscopic mitral valve surgery using the retractor. It was inserted in the second or third intercostal space just lateral to the sternum, and it was manipulated at the robotic console for dynamic exposure of the valve …
Cosgrove Mitral Valve Retractor System – Kapp Surgical
Complete with 2 mounting bars. This instrument is a unique heart retractor designed and proven specifically for heart valve surgery. It provides exceptional and consistent exposure of the right and left atrium, tricuspid and mitral valve for surgical repair or replacement, while reducing the need for surgical assistance. This retractor system provides the surgeon with the greatest visualization of the operative …
Robotic mitral valve repair in infective - Europe PMC
Background. The first robotic mitral valve repair was performed by Carpentier in 1998 using a prototype of the da Vinci TM surgical system (Intuitive Surgical, Inc., Sunnyvale, CA, USA) (), since then the concept of robotic mitral valve surgery became reality, and now robotic mitral surgery is the most common robotic cardiac procedures.Mitral valve repair in degenerative disease is the .
Bolling Mitral Valve Retractor User Manual
Slide joint onto bar where retractors are needed. To avoid suture snags, position the knob toward the bottom of the bar as shown. Alternately, the knob may be positioned toward the . top for easier access (inset photo). 1 2. 3. BOLLING MITRAL VALVE RETRACTOR USER MANUAL. 2. BOLLING MITRAL VALVE RETRACTOR USER MANUAL. L-Bar 2" (47200N) T-Bar 8 .
Evaluation of a New Atrial Retractor for - Europe PMC
Smith et al., have recently evaluated the novel EndoWrist atrial retractor (Intuitive Surgical Inc, Sunnyvale, CA) in an 18-patient study of mitral valve repairs. 3 Coupled to the da Vinci surgical robot, the EndoWrist retractor can be inserted through a small port, then expanded and maneuvered within the chest cavity.
MITRAL VALVE REPAIR - Delec
Four ways da Vinci technology facilitates a precise mitral valve repair: da Vinci-controlled Dynamic Atrial Retraction provided by the 3rd instrument arm allows the surgeon to adapt and optimize exposure of the entire mitral valve from the console. Obtain a 3DHD® view of the mitral valve anatomy and minimize valve distortion or rib spreading with
Bolling Retractor System – surgi one
The Bolling Retractor provides Uncompromised Exposure for a variety of procedures and exposures. Fast, easy, secure, and out of the way, the fully customizable system is especially ideal for: Trans Septal Approach, Direct Atrial Approach, Thoracotomy Approach, Mitral Valve Repair, Mitral Valve Replacement, and …
Mitral Valve Repair—Robotic Minimally Invasive | Thoracic Key
· The advent of mechanical valves impeded the progress of mitral valve repair surgery until the early 1970s, when Carpentier and Duran pioneered novel reconstructive techniques. Despite mitral valve repair successes in Europe, skepticism pervaded U.S. surgeons until Carpentier showed in 1983 excellent longterm repair results.
Cardiac Surgery - Minimally Invasive Mitral Valve Surgery
"UCSF offers the full range of minimally invasive approaches for mitral valve repair and replacement using a small 4-6 cm incision. The benefits are significant including less post-operative pain at the incision site, a shorter hospital stay, a faster return to normal activities, and an improved cosmetic result."
Totally Robotic Mitral Valve Repair
mitral valve repair operations (18 planned mitral valve re-placementswerealsoperformed).Therewerenoconversions from robotic to open procedures. Of the 160 patients for whomrepairwasplanned,onlyonepatientwasconvertedto a replacement, whereas all others had successful repair with either 0 or Trace mitral regurgitation at the conclusion of
Minimally invasive heart valve surgery
Following cardioplegia instillation and cardiac arrest the left atrium is opened and the valve exposed by means of a left atrial retractor. Mitral valve repair is then guided by high definition two-dimension video image assistance. (Fig –4) Port access is now a standardised approach in …
Strip-T’s Sterile Adhesive Surgical Organizer (Box of 60
Kapp surgical has co-designed the Cosgrove® Mitral Valve Retractor along with Dr. Delos M. Cosgrove III. More recently, Kapp Surgical developed a permanent, durable, reusable Minimum Invasion Heart Retractor with the input of Dr. Alex Zapolanski of Seton Medical Center in San Francisco and the help of two prominent heart surgeons from the .
Mitral valve repair with the american correction: the
Associated surgical procedures included coronary artery bypass grafting in 130 cases (51%), mitral valve replacement in 11 cases (4%), and tricuspid or mitral valve repair in 12 cases (5%).
Repair of injured right inferior pulmonary vein during
The exposure of mitral valve during its repair or replacement is usually obtained through the Sondergaard's groove method. Typically the atriotomy comprises partial detachment and retraction of the right atrium from the left followed by incision at the midpoint between the right inferior pulmonary vein's (RIPV) take off and the interatrial groove [ 1 ].
Early and long-term outcomes of minimally invasive mitral
· Mitral valve repair was performed in 1137 (71 %) patients and 476 (29 %) had mitral valve replacement. Direct aortic cannulation was achieved in 1325 (83 %) patients. Among patients with degenerative disease candidate for repair (n = 958), rate of mitral valve repair was 95 %.
Minimally invasive mitral valve repair using external
Coutinho GF, Antunes MJ. Mitral valve repair for degenerative mitral valve disease: Surgical approach, patient selection and long-term outcomes. Heart 2017;103:1663-9. Girdauskas E, Pausch J, Harmel E, et al. Minimally invasive mitral valve repair for functional mitral …
Minimally invasive mitral valve surgery. - Abstract
Use of GoreTex neochords both as simple chords or loops, has become increasingly popular in minimally invasive surgery to avoid resection and maintain a sound …
A New Left Atrial Retractor for Minimally Invasive Mitral
The use of the MitraXs retractor may represent a helpful addition in selected patients, and should be recommended for redo operations. doi: 10.1111/j.1540-8191.2008.00719.x (J Card Surg 2009;24:175-177) The recent boost of the minimally invasive tech- resection and retrosternal colon interposition that un- niques for mitral valve surgery has .