USRE35755E - Method for inducing thrombosis in blood vessels - Google Patents
Method for inducing thrombosis in blood vessels Download PDFInfo
- Publication number
- USRE35755E USRE35755E US08/120,212 US12021293A USRE35755E US RE35755 E USRE35755 E US RE35755E US 12021293 A US12021293 A US 12021293A US RE35755 E USRE35755 E US RE35755E
- Authority
- US
- United States
- Prior art keywords
- fluid
- balloon
- iaddend
- iadd
- tube
- 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.)
- Expired - Lifetime
Links
Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0475—Tracheal tubes having openings in the tube
- A61M16/0477—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids
- A61M16/0481—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids through the cuff wall
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- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B5/00—Optical elements other than lenses
- G02B5/12—Reflex reflectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00065—Material properties porous
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
- A61B2018/00488—Esophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
- A61B2018/00494—Stomach, intestines or bowel
Definitions
- This invention relates to methods employing balloon tubes in medical practice. More particularly, the invention concerns a method of using a balloon tube for inducing thrombosis in blood vessels located directly under the surface of a cavity in the body which is difficult to reach.
- Balloon tubes are known from T. V. Taylor and J. M. M. Neilson's article “Currents and Clots”--an approach to the problem of acute variceal bleeding". Br. J. Surg. Vol. 68 (1981) 692-696. It is known how to stop bleeding of vessels located directly under the surface of a difficult to reach body cavity, through thrombosis by introducing a deflated balloon tube into the body cavity and then inflating it by applying a fluid at the correct position.
- the balloon tube from the previous proposal is furnished with electrodes on its outer surface. These electrodes are supplied with a voltage across an electrically conductive wire. An electrode, possibly placed on the patient's back, can serve as an oppositely charged electrode. The electric current which arises through the application of voltage between the two electrodes induces thrombosis and therefore acts to stop the bleeding of the vessels.
- Such thrombosis in bleeding vessels is indicated especially for oesophageal varices but could also be involved in bleeding in other body cavities.
- the balloon tube which is known from the above-named article has not been able to assert itself in practice, since the resistance between the electrode and the surface of the body cavity is not defined.
- the aim of the invention is to further develop the balloon tube as it is already known, so that it suffices for the demands of practical use.
- the fluid which serves to inflate the balloon is capable of carrying an electric current and the membrane wall of the balloon is semi-permeable for the fluid.
- the wire which is to be led through the tube, should preferably be made of platinum.
- Normal saline solution can be used as the fluid.
- Other electrically conductive fluids, such as electrode gel, can be used.
- the fluid can also serve as a conductor of medication.
- FIG. 1 shows a cross-section through the balloon tube, whereby the upper part of the tube has been cut off and
- FIG. 2 shows a cross-section along the line II--II from FIG. 1.
- the balloon tube which has been used corresponds in its appearance at first glance to a normal Sengstaken-Tube. It consists of a tube 10 and a balloon 12 located near the end of tube 10. Tube 10 is furnished with openings 14 in the area in which the tube 10 is led through balloon 12, A conductive wire 16 is led through tube 10.
- the conductive wire is made from platinum.
- the balloon tube is introduced into the oesophagus, whereby balloon 12 is deflated.
- a conductive fluid for example, normal saline solution, is introduced into the tube 10.
- the fluid enters balloon 12 through the openings 14 in tube 10 and fills it.
- the balloon membrane walls 18 are of a semipermeable nature. Therefore, a small amount of the conducting fluid flows through the balloon walls 18.
- the balloon wall 18 offers no significant electrical resistance.
- a counter electrode 20 with a large surface area is applied to the chest area of the patient in the case of thrombosis of oesophageal varices.
- the special wire 16 is not absolutely necessary, but rather the conductive fluid found in the tube also can be used as an electric conductor. Tube 10 is not semi-permeable and therefore offers considerable electric resistance.
- a substance such as electrode gel for example, also can be used as a conducting fluid.
- the balloon tube suggested here can further be used for example for the treatment of post-operative rebleedings after urethra operations or by lower intestinal bleedings or also by nasopharyngeal bleedings.
- a further method is to add medicaments to the conducting fluid which induce blood-stanching over an iontophoretic tissue diffusion.
Abstract
Description
Claims (15)
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/120,212 USRE35755E (en) | 1989-05-12 | 1993-09-10 | Method for inducing thrombosis in blood vessels |
US08/785,445 USRE39200E1 (en) | 1989-05-12 | 1997-01-17 | Apparatus for treating a blood vessel |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE3915636 | 1989-05-12 | ||
DE3915636A DE3915636C1 (en) | 1989-05-12 | 1989-05-12 | |
US07/518,163 US5047028A (en) | 1989-05-12 | 1990-05-03 | Method for inducing thrombosis in blood vessels |
US08/120,212 USRE35755E (en) | 1989-05-12 | 1993-09-10 | Method for inducing thrombosis in blood vessels |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/518,163 Reissue US5047028A (en) | 1989-05-12 | 1990-05-03 | Method for inducing thrombosis in blood vessels |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/518,163 Continuation US5047028A (en) | 1989-05-12 | 1990-05-03 | Method for inducing thrombosis in blood vessels |
Publications (1)
Publication Number | Publication Date |
---|---|
USRE35755E true USRE35755E (en) | 1998-03-24 |
Family
ID=6380582
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/518,163 Ceased US5047028A (en) | 1989-05-12 | 1990-05-03 | Method for inducing thrombosis in blood vessels |
US08/120,212 Expired - Lifetime USRE35755E (en) | 1989-05-12 | 1993-09-10 | Method for inducing thrombosis in blood vessels |
US08/785,445 Expired - Lifetime USRE39200E1 (en) | 1989-05-12 | 1997-01-17 | Apparatus for treating a blood vessel |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/518,163 Ceased US5047028A (en) | 1989-05-12 | 1990-05-03 | Method for inducing thrombosis in blood vessels |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/785,445 Expired - Lifetime USRE39200E1 (en) | 1989-05-12 | 1997-01-17 | Apparatus for treating a blood vessel |
Country Status (3)
Country | Link |
---|---|
US (3) | US5047028A (en) |
EP (1) | EP0396945B1 (en) |
DE (2) | DE3915636C1 (en) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20030055454A1 (en) * | 2001-03-14 | 2003-03-20 | Cardiodex Ltd. | Balloon method and apparatus for vascular closure following arterial catheterization |
US20040153060A1 (en) * | 2003-02-04 | 2004-08-05 | Cardiodex Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US7115127B2 (en) | 2003-02-04 | 2006-10-03 | Cardiodex, Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US20060267255A1 (en) * | 2003-01-31 | 2006-11-30 | Daniela Tomova | Process for producing a performance enhanced single-layer blow-moulded container |
US8366706B2 (en) | 2007-08-15 | 2013-02-05 | Cardiodex, Ltd. | Systems and methods for puncture closure |
US8435236B2 (en) | 2004-11-22 | 2013-05-07 | Cardiodex, Ltd. | Techniques for heat-treating varicose veins |
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US5236413B1 (en) * | 1990-05-07 | 1996-06-18 | Andrew J Feiring | Method and apparatus for inducing the permeation of medication into internal tissue |
US5499971A (en) * | 1990-06-15 | 1996-03-19 | Cortrak Medical, Inc. | Method for iontophoretically delivering drug adjacent to a heart |
EP0533816B1 (en) * | 1990-06-15 | 1995-06-14 | Cortrak Medical, Inc. | Drug delivery apparatus |
US5498238A (en) * | 1990-06-15 | 1996-03-12 | Cortrak Medical, Inc. | Simultaneous angioplasty and phoretic drug delivery |
US5458568A (en) * | 1991-05-24 | 1995-10-17 | Cortrak Medical, Inc. | Porous balloon for selective dilatation and drug delivery |
US5810810A (en) | 1992-04-23 | 1998-09-22 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
CA2134071C (en) * | 1992-04-23 | 1999-04-27 | Sew Wah Tay | Apparatus and method for sealing vascular punctures |
US6063085A (en) | 1992-04-23 | 2000-05-16 | Scimed Life Systems, Inc. | Apparatus and method for sealing vascular punctures |
JP2818075B2 (en) * | 1992-05-27 | 1998-10-30 | 久光製薬株式会社 | Interface for iontophoresis |
AU3321793A (en) * | 1992-08-28 | 1994-03-29 | Cortrak Medical, Inc. | Internal iontophoresis electrical circuit and waveforms |
EP0611311A1 (en) * | 1992-08-28 | 1994-08-24 | Cortrak Medical, Inc. | Polymer matrix drug delivery apparatus and method |
US5807306A (en) * | 1992-11-09 | 1998-09-15 | Cortrak Medical, Inc. | Polymer matrix drug delivery apparatus |
US6923805B1 (en) * | 1992-11-13 | 2005-08-02 | Scimed Life Systems, Inc. | Electrophysiology energy treatment devices and methods of use |
DE4338758C2 (en) * | 1992-11-13 | 2001-08-09 | Scimed Life Systems Inc | Catheter assembly |
US6068653A (en) * | 1992-11-13 | 2000-05-30 | Scimed Life Systems, Inc. | Electrophysiology catheter device |
US5256141A (en) * | 1992-12-22 | 1993-10-26 | Nelson Gencheff | Biological material deployment method and apparatus |
US5716410A (en) * | 1993-04-30 | 1998-02-10 | Scimed Life Systems, Inc. | Temporary stent and method of use |
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US20030055454A1 (en) * | 2001-03-14 | 2003-03-20 | Cardiodex Ltd. | Balloon method and apparatus for vascular closure following arterial catheterization |
US7008441B2 (en) | 2001-03-14 | 2006-03-07 | Cardiodex | Balloon method and apparatus for vascular closure following arterial catheterization |
US20060267255A1 (en) * | 2003-01-31 | 2006-11-30 | Daniela Tomova | Process for producing a performance enhanced single-layer blow-moulded container |
US20040153060A1 (en) * | 2003-02-04 | 2004-08-05 | Cardiodex Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US7115127B2 (en) | 2003-02-04 | 2006-10-03 | Cardiodex, Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US20070055223A1 (en) * | 2003-02-04 | 2007-03-08 | Cardiodex, Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US20070213710A1 (en) * | 2003-02-04 | 2007-09-13 | Hayim Lindenbaum | Methods and apparatus for hemostasis following arterial catheterization |
US20100228241A1 (en) * | 2003-02-04 | 2010-09-09 | Cardiodex Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US8372072B2 (en) | 2003-02-04 | 2013-02-12 | Cardiodex Ltd. | Methods and apparatus for hemostasis following arterial catheterization |
US8435236B2 (en) | 2004-11-22 | 2013-05-07 | Cardiodex, Ltd. | Techniques for heat-treating varicose veins |
US8366706B2 (en) | 2007-08-15 | 2013-02-05 | Cardiodex, Ltd. | Systems and methods for puncture closure |
Also Published As
Publication number | Publication date |
---|---|
EP0396945A2 (en) | 1990-11-14 |
EP0396945B1 (en) | 1996-03-06 |
DE3915636C1 (en) | 1990-04-26 |
USRE39200E1 (en) | 2006-07-18 |
DE59010170D1 (en) | 1996-04-11 |
US5047028A (en) | 1991-09-10 |
EP0396945A3 (en) | 1991-03-13 |
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