| abstract |
An apparatus, system, and method for accessing tissue, including internal and external tissue of the heart. An engagement comprising a proximal end, a distal end, first and second lumens extending between the proximal end and the distal end, and a skirt 1830 operably connected to the distal end. A combination catheter 1810, a delivery catheter 1840 including a proximal end, a distal end, and a hollow tube extending between the proximal and distal ends, a needle located at the distal end of the delivery catheter, A vacuum port located at the proximal end of the combined catheter, wherein the first lumen of the engagement catheter includes a suction port located at or near the distal end of the engagement catheter, the suction port comprising: The proximal end is configured to removably engage the surface of tissue 1850, and the skirt is configured to form a reversible seal with the surface of the tissue when a vacuum source is operably attached to the vacuum port. . [Selection] Figure 17B |