CA2442338A1 - Multi-axial uterine artery identification, characterization, and occlusion pivoting devices and methods - Google Patents
Multi-axial uterine artery identification, characterization, and occlusion pivoting devices and methods Download PDFInfo
- Publication number
- CA2442338A1 CA2442338A1 CA002442338A CA2442338A CA2442338A1 CA 2442338 A1 CA2442338 A1 CA 2442338A1 CA 002442338 A CA002442338 A CA 002442338A CA 2442338 A CA2442338 A CA 2442338A CA 2442338 A1 CA2442338 A1 CA 2442338A1
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- Canada
- Prior art keywords
- accordance
- doppler
- compressing portion
- view
- compressing
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- 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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
- A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
- A61B5/415—Evaluating particular organs or parts of the immune or lymphatic systems the glands, e.g. tonsils, adenoids or thymus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
- A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
- A61B5/418—Evaluating particular organs or parts of the immune or lymphatic systems lymph vessels, ducts or nodes
-
- 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
-
- 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
-
- 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
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
-
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- 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
- A61B2017/4216—Operations on uterus, e.g. endometrium
-
- 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
Abstract
A compressor (100) compressing one or both of the uterine arteries of a patient which is at least n part shaped to complement the shape of the exterior of the cervix, which allows the system to be self-positioning. One or more Doppler chips (214i, 216i) can be mounted or incorporated into the compressor (100) which permit the practitioner to better identify the uterine artery and monitor blood flow therein. The compressor (100) includes a pair of pivotally joined elements which can be moved toward and away from the cervix to compress a uterine artery.
Claims (69)
1. A device useful for compressing a uterine artery of a patient comprising:
a handle having a proximal end and a distal end; and a compressing portion mounted to the handle distal end, the compressing portion having a distal end face and a side surface.
a handle having a proximal end and a distal end; and a compressing portion mounted to the handle distal end, the compressing portion having a distal end face and a side surface.
2. A device in accordance with Claim 1, wherein the compressing portion is a first compressing portion, and further comprising a second compressing portion spaced apart from the first compressing portion; and wherein the handle is connected to at least one of the two compressing portions.
3. A device in accordance with Claim 2, further comprising:
at least one Doppler crystal mounted in the compressing portion, the at least one Doppler crystal having a direction of view away from the compressing portion distal end face.
at least one Doppler crystal mounted in the compressing portion, the at least one Doppler crystal having a direction of view away from the compressing portion distal end face.
4. A device in accordance with Claim 2, wherein the at least one Doppler crystal is releasably mounted in the distal compressing portion.
5. A device in accordance with Claim 2, wherein the at least one Doppler crystal is integrally formed in the distal compressing portion.
6. A device in accordance with Claim 2, wherein the at least one Doppler crystal comprises a plurality of Doppler crystals mounted in the compressing portion.
7. A device in accordance with Claim 6, wherein the Doppler crystals each have a direction of view, the directions of view of the Doppler crystals being parallel.
8. A device in accordance with Claim 6, wherein the device has a longitudinal axis, and the Doppler crystals each have a direction of view parallel to the longitudinal axis.
9. A device in accordance with Claim 6, wherein the Doppler crystals have diverging directions of view.
10. A device in accordance with Claim 6, wherein the Doppler crystals have a plurality of directions of view, a first of the plurality of directions being perpendicular to the compressing portion distal end face, and at least a second of plurality of directions of view being at an angle to the first direction of view.
11. A device in accordance with Claim 6, wherein the Doppler crystals are releasably mounted in the distal compressing portion.
12. A device in accordance with Claim 6, wherein the Doppler crystals are integrally formed in the distal compressing portion.
13. A device in accordance with Claim 6, wherein the Doppler crystals are equally spaced from each other.
14. A device in accordance with Claim 1, further comprising:
at least one Doppler crystal mounted in the compressing portion, the at least one Doppler crystal having a direction of view away from the compressing portion distal end face.
at least one Doppler crystal mounted in the compressing portion, the at least one Doppler crystal having a direction of view away from the compressing portion distal end face.
15. A device in accordance with Claim 14, wherein the at least one Doppler crystal is releasably mounted in the distal compressing portion.
16. A device in accordance with Claim 14, wherein the at least one Doppler crystal is integrally formed in the distal compressing portion.
17. A device in accordance with Claim 14, wherein the at least one Doppler crystal comprises a plurality of Doppler crystals mounted in the compressing portion.
18. A device in accordance with Claim 17, wherein the Doppler crystals each have a direction of view, the directions of view of the Doppler crystals being parallel.
19. A device in accordance with Claim 17, wherein the Doppler crystals each have a direction of view perpendicular to the compressing portion distal end face.
20. A device in accordance with Claim 17, wherein the Doppler crystals have diverging directions of view.
21. A device in accordance with Claim 17, wherein the Doppler crystals have a plurality of directions of view, a first of the plurality of directions being
22 perpendicular to the compressing portion distal end face, and at least a second of plurality of directions of view being at an angle to the first direction of view.
22. A device in accordance with Claim 17, wherein the Doppler crystals are releasably mounted in the distal compressing portion.
22. A device in accordance with Claim 17, wherein the Doppler crystals are releasably mounted in the distal compressing portion.
23. A device in accordance with Claim 17, wherein the Doppler crystals are integrally formed in the distal compressing portion.
24. A device in accordance with Claim 17, wherein the Doppler crystals are equally spaced from each other.
25. A device in accordance with Claim 1, wherein the side surface is concave.
26. A device in accordance with Claim 1, wherein the side surface is flat.
27. A device in accordance with Claim 1, wherein the handle comprises:
a first arm;
a second arm; and a hinge pivotally attaching the first arm to the second arm.
a first arm;
a second arm; and a hinge pivotally attaching the first arm to the second arm.
28. A device in accordance with Claim 27, wherein the compressing portion comprises:
a first compressing portion attached to the first arm; and a second compressing portion attached to the second arm.
a first compressing portion attached to the first arm; and a second compressing portion attached to the second arm.
29. A device in accordance with Claim 28, wherein the distal end face is a first distal end face, the side surface is a first side surface, and the first distal end face and first side surface are on the first compressing portion, and further comprising:
a second distal end face and a second side surface, and the second distal end face and second side surface are on the second compressing portion.
a second distal end face and a second side surface, and the second distal end face and second side surface are on the second compressing portion.
30. A device in accordance with Claim 29, wherein at least one of the first side surface and the second side surface is concave.
31. A device in accordance with Claim 30, wherein the concave side surface has an inner diameter between about 2 cm and about 4 cm.
32. A device in accordance with Claim 31, wherein the concave side surface an inner diameter of about 3 cm.
33. A device in accordance with Claim 29, wherein both of the first side surface and the second side surface are concave and are oriented toward each other.
34. A device in accordance with Claim 33, wherein the concave side surface has an inner diameter between about 2 cm and about 4 cm.
35. A device in accordance with Claim 34, wherein the concave side surface an inner diameter of about 3 cm.
36. A device in accordance with Claim 27, further comprising:
a Doppler crystal mounted in the compressing portion, the Doppler crystal having a direction of view parallel to the compressing portion distal end face.
a Doppler crystal mounted in the compressing portion, the Doppler crystal having a direction of view parallel to the compressing portion distal end face.
37. A device in accordance with Claim 36, wherein the Doppler crystal is releasably mounted in the distal compressing portion.
38. A device in accordance with Claim 36, wherein the Doppler crystal is integrally formed in the distal compressing portion.
39. A device in accordance with Claim 27, further comprising:
a plurality of Doppler crystals mounted in the compressing portion.
a plurality of Doppler crystals mounted in the compressing portion.
40. A device in accordance with Claim 39, wherein the Doppler crystals each have a direction of view, the directions of view of the Doppler crystals being parallel.
41. A device in accordance with Claim 39, wherein the Doppler crystals are equally spaced from each other.
42. A device in accordance with Claim 28, wherein at least one of the first and second compressing portions comprises a loop.
43. A device in accordance with Claim 42, wherein the loop has an inner length X and an inner width Y, and X > Y.
44. A device in accordance with Claim 43, wherein X is greater than about 1.5 inches, and Y is between about 0.75 inches and about 1.25 inches.
45. A device in accordance with Claim 43, wherein X is about 2 inches, and Y is about 0.8 inches.
46. A device in accordance with Claim 42, further comprising:
at least one Doppler crystal mounted in the compressing portion,
at least one Doppler crystal mounted in the compressing portion,
47. A device in accordance with Claim 46, wherein the at least one Doppler crystal has a direction of view perpendicular to the compressing portion distal end face.
48. A device in accordance with Claim 46, wherein the at least one Doppler crystal has a direction of view at an angle to the longitudinal axis of the device, and > 0.
49. A device in accordance with Claim 46, wherein the at least one Doppler crystal has a direction of view and at least a portion of the loop defining a plane, the direction of view being at an angle to the plane, and > 0.
50. A device in accordance with Claim 46, wherein the at least one Doppler crystal is releasably mounted in the distal compressing portion.
51. A device in accordance with Claim 46, wherein the at least one Doppler crystal is integrally formed in the distal compressing portion.
52. A device in accordance with Claim 42, further comprising:
a plurality of Doppler crystals mounted in the compressing portion.
a plurality of Doppler crystals mounted in the compressing portion.
53. A device in accordance with Claim 52, wherein the Doppler crystals each have a direction of view, the directions of view of the Doppler crystals being parallel.
54. A device in accordance with Claim 52, wherein the plurality of Doppler crystals have a direction of view and at least a portion of the loop defining a plane, the direction of view being at an angle to the plant, and > 0.
55. A device in accordance with Claim 52, wherein the Doppler crystals each have a direction of view perpendicular to the compressing portion distal end face.
56. A device in accordance with Claim 52, wherein the Doppler crystals are releasably mounted in the distal compressing portion.
57. A device in accordance with Claim 52, wherein the Doppler crystals are integrally formed in the distal compressing portion.
58. A device in accordance with Claim 52, wherein the Doppler crystals are equally spaced from each other.
59. 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 the uterine artery; and pushing the uterine artery with the compressing member to compress the uterine artery against the uterus.
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 the uterine artery; and pushing the uterine artery with the compressing member to compress the uterine artery against the uterus.
60. A method in accordance with Claim 59, further comprising:
sensing the blood flow through the uterine artery with a Doppler crystal.
sensing the blood flow through the uterine artery with a Doppler crystal.
61. A method in accordance with Claim 59, wherein the step of pushing to compressing the uterine artery against the uterus is stopped after the step of sensing blood flow indicates that blood flow through the uterine artery has stopped.
62. A method in accordance with Claim 59, wherein the step of pushing the compressing member to compress the uterine artery comprises pushing to compress two uterine arteries against the uterus.
63. A method in accordance with Claim 59, further comprising:
pushing the uterine artery with the compressing member medially to compress the uterine artery against the uterus.
pushing the uterine artery with the compressing member medially to compress the uterine artery against the uterus.
64. A method in accordance with Claim 63, further comprising: pushing the uterine artery with the compressing member upwardly, and wherein the steps of pushing the uterine artery medially and of pushing the uterine artery upwardly are performed simultaneously.
65. A method in accordance with Claim 59, further comprising:
selecting a patient who has at least one fibroid; and performing the pushing steps to at least reduce the blood supply to the at least one fibroid.
selecting a patient who has at least one fibroid; and performing the pushing steps to at least reduce the blood supply to the at least one fibroid.
66. A method in accordance with Claim 59, further comprising:
selecting a patient who has DUB; and performing the pushing steps to at least slow bleeding from the uterus.
selecting a patient who has DUB; and performing the pushing steps to at least slow bleeding from the uterus.
67. A method in accordance with Claim 59, further comprising:
selecting a patient who is bleeding from a Caesarian incision; and performing the pushing steps to at least slow bleeding from the Caesarian incision.
selecting a patient who is bleeding from a Caesarian incision; and performing the pushing steps to at least slow bleeding from the Caesarian incision.
68. A method in accordance with Claim 59, further comprising:
selecting a patient who is has PPH; and performing the pushing steps to at least slow bleeding from the uterus.
selecting a patient who is has PPH; and performing the pushing steps to at least slow bleeding from the uterus.
69. A method in accordance with Claim 59, further comprising:
removing the compressing member.
removing the compressing member.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US27947701P | 2001-03-28 | 2001-03-28 | |
US60/279,477 | 2001-03-28 | ||
PCT/US2002/009548 WO2002078521A2 (en) | 2001-03-28 | 2002-03-28 | Device for uterine compression |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2442338A1 true CA2442338A1 (en) | 2002-10-10 |
CA2442338C CA2442338C (en) | 2009-12-15 |
Family
ID=23069136
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002442362A Expired - Fee Related CA2442362C (en) | 2001-03-28 | 2002-03-27 | Method and apparatus for the detection and ligation of uterine arteries |
CA002442341A Expired - Fee Related CA2442341C (en) | 2001-03-28 | 2002-03-28 | Multi-axial uterine artery identification, characterization, and occlusion devices and methods |
CA002442338A Expired - Fee Related CA2442338C (en) | 2001-03-28 | 2002-03-28 | Multi-axial uterine artery identification, characterization, and occlusion pivoting devices and methods |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002442362A Expired - Fee Related CA2442362C (en) | 2001-03-28 | 2002-03-27 | Method and apparatus for the detection and ligation of uterine arteries |
CA002442341A Expired - Fee Related CA2442341C (en) | 2001-03-28 | 2002-03-28 | Multi-axial uterine artery identification, characterization, and occlusion devices and methods |
Country Status (6)
Country | Link |
---|---|
US (4) | US6905506B2 (en) |
EP (3) | EP1377223A2 (en) |
JP (3) | JP4227415B2 (en) |
AU (3) | AU2002254414B2 (en) |
CA (3) | CA2442362C (en) |
WO (3) | WO2002078549A2 (en) |
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2002
- 2002-03-27 WO PCT/US2002/009775 patent/WO2002078549A2/en active Application Filing
- 2002-03-27 CA CA002442362A patent/CA2442362C/en not_active Expired - Fee Related
- 2002-03-27 EP EP02736522A patent/EP1377223A2/en not_active Withdrawn
- 2002-03-27 JP JP2002576820A patent/JP4227415B2/en not_active Expired - Lifetime
- 2002-03-28 WO PCT/US2002/009549 patent/WO2002078522A2/en active IP Right Grant
- 2002-03-28 WO PCT/US2002/009548 patent/WO2002078521A2/en active Search and Examination
- 2002-03-28 JP JP2002576796A patent/JP4227413B2/en not_active Expired - Lifetime
- 2002-03-28 AU AU2002254414A patent/AU2002254414B2/en not_active Revoked
- 2002-03-28 EP EP02723646A patent/EP1387642A4/en not_active Withdrawn
- 2002-03-28 US US10/107,810 patent/US6905506B2/en not_active Expired - Fee Related
- 2002-03-28 US US10/113,096 patent/US7229465B2/en not_active Expired - Fee Related
- 2002-03-28 US US10/107,800 patent/US7594890B2/en not_active Expired - Fee Related
- 2002-03-28 AU AU2002255955A patent/AU2002255955B2/en not_active Revoked
- 2002-03-28 CA CA002442341A patent/CA2442341C/en not_active Expired - Fee Related
- 2002-03-28 CA CA002442338A patent/CA2442338C/en not_active Expired - Fee Related
- 2002-03-28 JP JP2002576797A patent/JP4227414B2/en not_active Expired - Lifetime
- 2002-03-28 EP EP02725389A patent/EP1381318A4/en not_active Withdrawn
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2005
- 2005-06-13 US US11/151,808 patent/US20050228416A1/en not_active Abandoned
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- 2007-07-04 AU AU2007203115A patent/AU2007203115B2/en not_active Revoked
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