CA2500409A1 - Sheath based blood vessel puncture locator and depth indicator - Google Patents

Sheath based blood vessel puncture locator and depth indicator Download PDF

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Publication number
CA2500409A1
CA2500409A1 CA002500409A CA2500409A CA2500409A1 CA 2500409 A1 CA2500409 A1 CA 2500409A1 CA 002500409 A CA002500409 A CA 002500409A CA 2500409 A CA2500409 A CA 2500409A CA 2500409 A1 CA2500409 A1 CA 2500409A1
Authority
CA
Canada
Prior art keywords
sheath
blood vessel
puncture site
dilator
marking
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
CA002500409A
Other languages
French (fr)
Other versions
CA2500409C (en
Inventor
Mark Ashby
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.)
Boston Scientific Scimed Inc
Original Assignee
Individual
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
Priority claimed from US10/256,493 external-priority patent/US7008440B2/en
Application filed by Individual filed Critical Individual
Publication of CA2500409A1 publication Critical patent/CA2500409A1/en
Application granted granted Critical
Publication of CA2500409C publication Critical patent/CA2500409C/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
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491—Surgical glue applicators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00672—Locating means therefor, e.g. bleed back lumen
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/062—Measuring instruments not otherwise provided for penetration depth

Abstract

The present invention discloses a sheath based puncture locator and depth indicator. The present invention provides for locating a blood vessel puncture site and determining the depth of the puncture of the blood vessel extravascularly using the introducer sheath that is already in place within the tissue tract. The present invention also provide for positioning the introducer sheath extravascularly or outside the blood vessel, controlling the blood vessel puncture site, and delivering a hemostasis promoting material to a blood vessel puncture site.

Claims (38)

1. ~A method for positioning a sheath located within a blood vessel extravascular and substantially adjacent the blood vessel puncture site, the method comprising:
inserting a dilator into the sheath and said blood vessel, said dilator having a bleed back hole near a distal end of said sheath;
withdrawing said dilator and sheath until blood from said blood vessel no longer enters said bleed back hole;
applying external pressure to said blood vessel puncture site; and removing said dilator from said sheath
2. ~The method of claim 1 further comprising delivering a hemostasis promoting material to said blood vessel puncture site through said sheath.
3. ~A method for positioning a sheath located within a blood vessel extravascular and substantially adjacent the blood vessel puncture site, the method comprising:
applying external pressure over said blood vessel puncture site; and withdrawing said sheath until a blood flow no longer enters a distal end of said sheath, wherein said blood flow can not be seen from a vent tube.
4. ~The method of claim 3 further comprising delivering a hemostasis promoting material to said blood vessel puncture site through said sheath.
5. ~A method for determining the location and depth of a blood vessel puncture site from a skin surface with a sheath positioned within a blood vessel, comprising:
inserting a dilator into the sheath and said blood vessel, said dilator having a bleed back hole near a distal end of said sheath;
withdrawing said dilator and said sheath until a blood flow from said blood vessel no longer enters said bleed back hole;
marking said sheath at a skin surface; and removing said sheath to determine the depth of said blood vessel puncture site.
6. ~The method of claim 5 wherein said withdrawing said dilator and sheath further comprises controlling the blood flow from said puncture site with said dilator.
7. ~The method of claim 5 wherein said marking further comprises grasping said sheath at said skin surface.
8. ~The method of claim 5 wherein said marking further comprises placing a marker around said sheath at said skin surface.
9. ~The method of claim 5 wherein said marking further comprises a depth indicator on said sheath.
10. ~The method of claim 5 further comprising measuring a distance from said marking to said bleed back hole.
11. ~The method of claim 5 wherein said withdrawing said dilator and said sheath further comprises applying external pressure to said blood vessel puncture site.
12. ~The method of claim 5 wherein said marking further comprises:
applying external pressure to said blood vessel puncture site;
removing said dilator; and delivering a hemostasis promoting material to said blood vessel puncture site through said sheath.
13. ~A method for determining the location and depth of a blood vessel puncture site from a skin surface with a sheath positioned within a blood vessel, comprising:
inserting a control tip dilator into the sheath and said blood vessel;
withdrawing said sheath until a blood flow no longer enters a distal end of said sheath;
marking said sheath at a skin surface; and removing said sheath to determine the depth of said blood vessel puncture site.
14. ~The method of claim 13 wherein said withdrawing further comprises controlling the blood flow from said puncture site with said control tip dilator.
15. ~The method of claim 13 wherein said marking further comprises grasping said sheath at said skin surface.
16. ~The method of claim 13 wherein said marking further comprises placing a marker around said sheath at said skin surface.
17. ~The method of claim 13 wherein said marking further comprises a depth indicator on said sheath.
18. ~The method of claim 13 wherein said removing further comprises applying external pressure to said blood vessel puncture site.
19. ~The method of claim 13 further comprising measuring a distance from said marking to said distal end of said sheath.
20. ~The method of claim 13 wherein said marking further comprises:
applying external pressure to said blood vessel puncture site;
removing said control tip dilator; and delivering a hemostasis promoting material to said blood vessel puncture site through said sheath.
21. ~A method for determining the location and depth of a blood vessel puncture site from a skin surface with a sheath positioned within a blood vessel, comprising:
applying external pressure to said blood vessel puncture site;
withdrawing said sheath until a blood flow from said blood vessel no longer enters a distal end of said sheath, wherein said blood flow can not be seen from a vent tube;
marking said sheath at a skin surface; and removing said sheath to determine the depth of said blood vessel puncture site.
22. ~The method of claim 21 wherein said marking further comprises grasping said sheath at said skin surface.
23. ~The method of claim 21 wherein said marking further comprises placing a marker around said sheath at said skin surface.
24. ~The method of claim 21 wherein said marking further comprises a depth indicator on said sheath.
25. ~The method of claim 21 further comprising measuring a distance from said marking to said distal end of said sheath.
26. ~A method for delivering a hemostasis promoting material to a blood vessel puncture site, through a sheath located within a blood vessel, comprising:~
inserting a dilator into the sheath and said blood vessel, said dilator having a bleed back hole near a distal end of said sheath;
withdrawing said dilator and said sheath until a blood flow from said blood vessel no longer enters said bleed back hole;
applying external pressure to said blood vessel puncture site;
removing said dilator; and delivering the hemostasis promoting material to said blood vessel puncture site through said sheath.
27. ~A method for delivering a hemostasis promoting material to a blood vessel puncture site, through a sheath located within a blood vessel, comprising:
inserting a control tip dilator into the sheath and said blood vessel;
withdrawing said sheath until a blood flow no longer enters a distal end of said sheath;
applying external pressure to said blood vessel puncture site;
removing said control tip dilator; and delivering a hemostasis promoting material to said blood vessel puncture site through said sheath.
28. ~A method for delivering a hemostasis promoting material to a blood vessel puncture site, through a sheath located within a blood vessel, comprising:

applying external pressure to said blood vessel puncture site;
withdrawing said sheath until a blood flow from said blood vessel no longer enters a distal end of said sheath; and delivering the hemostasis promoting material to said blood vessel puncture site.
29. ~The method of claim 28 further comprising releasing said external pressure.
30. ~An apparatus for determining the location and depth of a blood vessel puncture site from a skin surface, comprising:
a procedural sheath positioned within a blood vessel;
a control tip dilator located within said procedural sheath such that a control tip of said control tip dilator is located external a distal end of said procedural sheath;
a marking means on said procedural sheath; and a means for determining a bleed back flow.
31. ~The apparatus of claim 30 further comprising means for controlling a bleed back flow with said control tip dilator.
32. ~The apparatus of claim 30 wherein said marking means comprises a finger placement marker.
33. ~The apparatus of claim 30 wherein said marking means further comprises an o-ring.
34. ~The apparatus of claim 30 wherein said marking means further comprises a depth indicator.
35. ~An apparatus for determining the location and depth of a blood vessel puncture site from a skin surface, comprising:
a procedural sheath positioned within a blood vessel;
means for applying external pressure to said blood vessel puncture site;
means for determining a bleed back flow with a vent tube; and a marking means on said procedural sheath.
36. ~The apparatus of claim 35 wherein said marking means further comprises a finger placement marker on said procedural sheath at said skin surface.
37. ~The apparatus of claim 35 wherein said marking means further comprises an o-ring at said skin surface.
38. ~The apparatus of claim 35 wherein said marking means further comprises a depth indicator at said skin surface.
CA2500409A 2002-09-26 2003-09-26 Sheath based blood vessel puncture locator and depth indicator Expired - Fee Related CA2500409C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US10/256,493 US7008440B2 (en) 2001-11-08 2002-09-26 System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure
US10/255,493 2002-09-26
US10/302,575 US7025748B2 (en) 2001-11-08 2002-11-22 Sheath based blood vessel puncture locator and depth indicator
US10/302,575 2002-11-22
PCT/US2003/030656 WO2004030719A2 (en) 2002-09-26 2003-09-26 Hemostatic puncture closure with depth indicator

Publications (2)

Publication Number Publication Date
CA2500409A1 true CA2500409A1 (en) 2004-04-15
CA2500409C CA2500409C (en) 2012-03-20

Family

ID=32072840

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2500409A Expired - Fee Related CA2500409C (en) 2002-09-26 2003-09-26 Sheath based blood vessel puncture locator and depth indicator

Country Status (6)

Country Link
US (1) US7025748B2 (en)
EP (1) EP1549945A4 (en)
JP (1) JP4652810B2 (en)
AU (1) AU2003275280A1 (en)
CA (1) CA2500409C (en)
WO (1) WO2004030719A2 (en)

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WO2004030719A3 (en) 2004-07-08
US20040019330A1 (en) 2004-01-29
AU2003275280A8 (en) 2004-04-23
CA2500409C (en) 2012-03-20
WO2004030719A2 (en) 2004-04-15
JP4652810B2 (en) 2011-03-16
EP1549945A4 (en) 2012-04-25
US7025748B2 (en) 2006-04-11

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