CA2481170A1 - Doppler directed suturing and compression device and method - Google Patents

Doppler directed suturing and compression device and method Download PDF

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Publication number
CA2481170A1
CA2481170A1 CA002481170A CA2481170A CA2481170A1 CA 2481170 A1 CA2481170 A1 CA 2481170A1 CA 002481170 A CA002481170 A CA 002481170A CA 2481170 A CA2481170 A CA 2481170A CA 2481170 A1 CA2481170 A1 CA 2481170A1
Authority
CA
Canada
Prior art keywords
accordance
distal end
uterine artery
compressing
end faces
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002481170A
Other languages
French (fr)
Other versions
CA2481170C (en
Inventor
Fred H. Burbank
Michael L. Jones
Greig E. Altieri
R. J. Serra
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Vascular Control Systems Inc
Original Assignee
Vascular Control Systems, Inc.
Fred H. Burbank
Michael L. Jones
Greig E. Altieri
R. J. Serra
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Vascular Control Systems, Inc., Fred H. Burbank, Michael L. Jones, Greig E. Altieri, R. J. Serra filed Critical Vascular Control Systems, Inc.
Publication of CA2481170A1 publication Critical patent/CA2481170A1/en
Application granted granted Critical
Publication of CA2481170C publication Critical patent/CA2481170C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters

Abstract

A compression and ligation device includes a pair of jaws including one or more Doppler chips oriented to send and receive Doppler signals across the jaws, to assist a practitioner in determining whether or not a uterine artery is between the jaws. A suture leader with an attached suture can be pushed through a channel on one of the jaws, through tissue behind the uterine artery, into another channel on the other jaw, and proximally out the device so that the practitioner can ligate the artery and effect hemostasis.

Claims (27)

WHAT IS CLAIMED IS:
1. A device useful for compressing a uterine artery of a female human patient comprising:
a first jaw having a distal end and a first distal end face;
a second jaw having a distal end and a second distal end face;
a pivot, the first jaw and the second jaw movably attached at the pivot;
wherein the first and second jaws are configured and arranged so that when the first and second jaws are pivoted relative to each other at the pivot in a first direction to a relatively closed orientation, the first and second distal end faces are oriented toward each other; and at least one Doppler crystal mounted in one of the first or second distal end faces, the at least one Doppler crystal having a direction of view, the direction of view being toward the other of the first and second distal end face in the relatively closed orientation.
2. A device in accordance with Claim 1, wherein the at least one Doppler crystal is releasably mounted in the one of the first and second distal end faces.
3. A device in accordance with Claim 1, wherein the at least one Doppler crystal is integrally formed in the one of the first and second distal end faces.
4. A device in accordance with Claim 1, wherein the at least one Doppler crystal comprises at least one Doppler crystal mounted in each of the first and second distal end faces.
5. A device in accordance with Claim 1, wherein the at least one Doppler crystal comprises a plurality of Doppler crystals mounted in each of the first and second distal end faces.
6. A device in accordance with Claim 1, wherein the at least one Doppler crystal comprises a plurality of Doppler crystals mounted in the one of the first and second distal end faces.
7. A device in accordance with Claim 1, further comprising:
a first guide channel formed on the first jaw, the first guide channel having a proximal opening, a distal opening, and a lumen extending between the proximal and distal openings; and a second guide channel formed on the second jaw, the second guide channel having a proximal opening, a distal opening, and a lumen extending between the proximal and distal openings.
g. A device in accordance with Claim 7, wherein the first guide channel distal opening and the second guide channel distal opening are oriented toward each other when the device is in the relatively closed orientation.
9. A device in accordance with Claim 7, further comprising:
a suture leader sized and configured to pass through the first guide channel lumen and the second guide channel lumen; and a length of ligation material attached to the suture leader.
10. A device in accordance with Claim 1, wherein at least one of the first and second jaws has a shaped selected to allow tissue to accumulate proximal of the first and second distal end faces when the device is in the relatively closed orientation.
11. A device in accordance with Claim 10, wherein at least one of the first and second jaws are C-shaped.
12. A device in accordance with Claim 10, wherein both of the first and second jaws are C-shaped.
13. A method of occluding a uterine artery of a female human patient, the patient having a uterus, a cervix with a cervical os, and a vaginal wall with a vaginal fornix, comprising:
pushing a compressing member toward the uterine artery until the compressing member reaches the vaginal fornix;
pushing the compressing member upwardly to distend the vaginal wall at the vaginal fornix adjacent to and on two substantially opposite sides of the uterine artery; and compressing the uterine artery with the compressing member.
14. A method in accordance with Claim 13, further comprising:
sensing the blood flow through the uterine artery with at least one Doppler crystal.
15. A method in accordance with Claim 14, wherein the step of sensing blood flow comprises sensing blood flow along a direction of view of the at least one Doppler crystal between said two substantially opposite sides of the uterine artery.
16. A method in accordance with Claim 14, wherein the step of compressing the uterine artery is continued for a therapeutically effective time after the step of sensing blood flow indicates that blood flow through the uterine artery has stopped.
17. A method in accordance with Claim 13, wherein the step of compressing the uterine artery comprises:
compressing the uterine artery between two end faces of two pivoting jaws.
18. A method in accordance with Claim 13, wherein the step of compressing the uterine artery comprises:
ligating the uterine artery with a length of ligation material.
19. A method in accordance with Claim 18, wherein the step of ligating comprises passing a length of ligation material through the vaginal wall, through tissue distally behind the uterine artery, and again through the vaginal wall.
20. A method in accordance with Claim 18, wherein the step of ligating comprises temporarily ligating with a resorbable ligation material.
21. A method in accordance with Claim 18, wherein the step of ligating comprises ligating with a non-resorbable ligation material.
22. A method in accordance with Claim 21, further comprising:
removing the non-resorbable ligation material.
23. A method in accordance with Claim 13, further comprising:
selecting a patient who has at least one fibroid; and performing the compressing step to at least reduce the blood supply to the at least one fibroid.
24. A method in accordance with Claim 13, further comprising:
selecting a patient who has DUB; and performing the compressing step to at least slow bleeding from the uterus.
25. A method in accordance with Claim 13, further comprising:
selecting a patient who is bleeding from a Caesarian incision; and performing the compressing step to at least slow bleeding from the Caesarian incision.
26. A method in accordance with Claim 13, further comprising:
selecting a patient who is has PPH; and performing the compressing step to at least slow bleeding from the uterus.
27. A method in accordance with Claim 13, further comprising:
removing the compressing member.
CA2481170A 2002-04-04 2003-04-04 Doppler directed suturing and compression device and method Expired - Fee Related CA2481170C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/115,422 US7207996B2 (en) 2002-04-04 2002-04-04 Doppler directed suturing and compression device and method
US10/115,422 2002-04-04
PCT/US2003/010551 WO2003086171A2 (en) 2002-04-04 2003-04-04 Doppler directed suturing and compression device and method

Publications (2)

Publication Number Publication Date
CA2481170A1 true CA2481170A1 (en) 2003-10-23
CA2481170C CA2481170C (en) 2010-11-09

Family

ID=28673773

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2481170A Expired - Fee Related CA2481170C (en) 2002-04-04 2003-04-04 Doppler directed suturing and compression device and method

Country Status (9)

Country Link
US (2) US7207996B2 (en)
EP (1) EP1489976B1 (en)
JP (1) JP2005521530A (en)
AT (1) ATE493940T1 (en)
AU (1) AU2003221827B2 (en)
CA (1) CA2481170C (en)
DE (1) DE60335612D1 (en)
ES (1) ES2358190T3 (en)
WO (1) WO2003086171A2 (en)

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AU2003221827B2 (en) 2008-10-30
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JP2005521530A (en) 2005-07-21
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WO2003086171A3 (en) 2004-03-25
EP1489976A2 (en) 2004-12-29
CA2481170C (en) 2010-11-09
AU2003221827A1 (en) 2003-10-27
US20030191391A1 (en) 2003-10-09
ATE493940T1 (en) 2011-01-15
WO2003086171A2 (en) 2003-10-23
DE60335612D1 (en) 2011-02-17
US20060074328A1 (en) 2006-04-06
US7207996B2 (en) 2007-04-24
US7645284B2 (en) 2010-01-12
ES2358190T3 (en) 2011-05-06

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