Radiopaque vessel markers

• US 4,202,349 A
• Filed: 04/24/1978
• Issued: 05/13/1980
• Est. Priority Date: 04/24/1978
• Status: Expired due to Term

• Current Assignee: James W. Jones
• Original Assignee: James W. Jones
• Inventors: Jones, James W.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Rosenbaum, C. F.
• Application Number:
  US05/899,292
• Time in Patent Office: 750 Days
• Field of Search: 128/1.1, 128/1.2, 128/1 R, 128/2 R, 128/2 A, 128/2.05 R, 128/2.05 P, 128/330, 128/335.5, 128/334 R, 128/654, 128/667, 128/687, 128/689, 128/691, 3/1.4
• US Class Current: 600/502
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A radiopaque blood vessel marker is provided for attachment to the side wall portions of a blood vessel during, for example, a coronary by-pass operation. The markers in the preferred embodiment are flattened, oval-shaped radiopaque discs which are attached to the outer peripheral wall portion of the blood vessel at one hundred eighty degrees (180°) with respect to one another (See FIG. 3). Each radiopaque marker can be comprised of a central imbedded element of radiopaque material such as tantilum which is surrounded by a suitable plastic or like resinous material which is inert and acceptable for use within the human body. During a coronary by-pass, for example, these markers could be attached by suturing or like means to the vein graft which is itself sutured into its new position during the by-pass operation. A fluoroscopic examination by a radiologist would reveal a desirable pulsation of the graft vessel in the form of the two attached markers as the radiopaque markers will constantly move (in and out) with respect to one another. Each marker is attached to the undulating wall portion of the vessel which is constantly moved when blood flow is passing through the graft as is desirable. In the event that complications arise, and the graft becomes clotted (stopping the flow of blood therethrough), a fluoroscopic examination will reveal that the radiopaque vessel markers do not move in and out with respect to one another but rather are stationary indicating a lack of undulation and a corresponding lack of blood flow.

Claims

1. A radiopaque vessel marker comprising:

a. radiopaque marker means adapted for surgical attachment to a portion of an interior blood vessel for indicating the pulsatile flow of blood through the vessel said means providing spaced portions for indicating relative movement with respect to one another during such pulsitile blood flow, said marker means being of a substantially radiopaque material; and

b. means associated with said marker means for attaching said marker means to the interior blood vessel.

2. The vessel marker of claim 1 wherein said radiopaque means is attached to the outer surface portion of an interior blood vessel.

3. The vessel marker of claim 1 wherein said marker means is a pair of substantially flattened discs adapted for attachment to opposite outer wall portions of a blood vessel.

4. The vessel marker of claim 3 wherein each of said discs is provided with identifying indicia thereon.

5. The vessel marker of claim 3 wherein said attachment means is comprised of at least one opening through said disc, and suture means insertable through said opening and a portion of the vessel for tying said disy to the vessel at said opening.

6. A method of fluoroscopically inspecting a vessel like structure within the human body comprising the steps of:

a. attaching a pair of spaced radiopaque markers to the outside peripheral wall portion of the vessel-like structure the pair of markers adapted for relative movement with respect to one another; and

b. examining fluoroscopically the relative movement of each spaced radiopaque marker attached to the vessel-like structure responsive to pulsatile blood flow therethrough.

7. The method of claim 6, wherein in step "a" each radiopaque body is surgically attached to the outside peripheral wall portion of the vessel-like structure.

8. The method of claim 6 wherein in step "a" two radiopaque bodies are surgically attached by suturing to the vessel-like structure.

9. The method of claim 6 wherein in step "a" the pair of radiopaque markers are attached to the outer peripheral wall portion of a blood vessel at opposite sides thereof.

10. The method of claim 9 wherein in step "a" the two markers are attached to the outer peripheral wall portion of a blood vessel to be inspected at substantially one hundred eighty degrees (180°

) apart.

11. The method of claim 6 wherein in step "a" two radiopaque discs are surgically attached by suturing to opposing outer wall portions of a blood vessel to be fluoroscopically inspected.

12. The method of claim 6 wherein the vessel to be fluoroscopically inspected is provided with the pair of spaced markers during a surgical operation.

13. A method of adapting a bypass graft blood vessel for subsequent fluoroscopic examination, comprising the steps of:

a. surgically removing a blood vessel a patient to be used as a bypass;

b. attaching a pair of spaced radiopaque markers to the bypass blood vessel outer opposite wall portions; and

c. surgically grafting the bypass blood vessel into a desired position with the grafted bypass vessel thereafter circulating blood.

14. The method of claim 13 further comprising the step "d" of fluoroscopically examining the pair of radiopaque markers to determine relative movement therebetween.

15. The method of claim 13 wherein in step 15 the pair of markers oscillate with respect to one another from a farther relative position to a closer relative position responsive to pulsatile blood flow through the graft vessel.

16. The method of claim 13 wherein in step "b" the radiopaque markers are surgically attached by suturing to the bypass vessel.

17. The method of claim 13 wherein in step "b" the pair of spaced radiopaqued markers are provided with differing indicia markers.

18. A method of adapting a bypass graft blood vessel for subsequent fluoroscopic examination comprising the steps of:

a. surgically removing a blood vessel from a patient to be used as a bypass graft vessel;

b. attaching at approximately one hundred eighty degrees (180°

) apart a pair of spaced radiopaque markers to the bypass blood vessel outer wall surface portion, the pair of spaced markers being independently movable with respect to one another during pulsatile blood flow through the bypass blood vessel graft;

c. surgically grafting the bypass blood vessel into a desired position with the grafted bypass vessel thereafter adapted for circulating blood;

d. fluoroscopically examining the pair of radiopaque markers to determine relative movement therebetween, the examination determining relative outer vessel wall position and the presence of pulsatile blood flow through the graft.

19. A radiopaque coronary vessel marker apparatus comprising:

a. a pair of radiopaque marker discs adapted for surgical attachment to a portion of an interior blood vessel, said pair of discs indicating the pulsatile flow of blood through the blood vessel during, for example a coronary bypass operation, said radiopaque marker discs comprising each a marker body, said marker body providing an inner radiopaque member surrounded by an inert covering;

b. at least one opening through each marker body at said covering, said opening adapting each of said marker discs for surgical sutured attachment to a desired vessel to be marked.

20. The radiopaque vessel marker apparatus of claim 19 wherein said covering is an inert plastic resinous covering.

21. The radiopaque vessel marker apparatus of claim 19 wherein said marker discs are generally oval shaped.

22. The radiopaque vessel marker apparatus of claim 19, wherein there are two openings on each marker disc at opposite end portions thereof.

23. The radiopaque vessel marker apparatus of claim 19, wherein there is further provided suture means adapted for attachment to said marker bodies at said openings, said suture means being provided with a needle for attaching said suture means and said associated discs to a vessel to be marked.

24. A radiopaque vessel marker apparatus for indicating vessel pulsatile blood flow comprising:

a. first radiopaque oval marker disc, said marker disc having a pair of suture attachment openings at its opposite end portions;

b. a second radiopaque oval marker disc, said second marker disc having a pair of openings at its opposite end portions, said openings adapted for receiving surgical suture therethrough for attaching said marker disc to a vessel to be marked, said first and said second radiopaque markers each comprising a central inner radiopaque member and a surrounding and embedding outer covering, said covering being an inert plastic material, each of said markers providing upper and lower surfaces, said lower surface of each marker disc being adapted for attachment to the surface portion of a vessel to be marked, said radiopaque member adapting each of said discs for fluoroscopic examination; and

c. surgical suture attachment means associated with each of said openings on each of said markers for attaching said markers to a blood vessel to be marked, said surgical suture means being adapted for atttachment to a surgical needle during operation.

25. The radiopaque vessel marker apparatus of claim 24 wherein said radiopaque member is a tantilum metal material.