Method of ultrasonic Doppler monitoring of blood flow in a blood vessel

• US 5,289,821 A
• Filed: 06/30/1993
• Issued: 03/01/1994
• Est. Priority Date: 06/30/1993
• Status: Expired due to Term

• Current Assignee: William M. Swartz
• Original Assignee: William M. Swartz
• Inventors: Swartz, William M.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/083,572
• Time in Patent Office: 244 Days
• Field of Search: 128/661.08, 128/661.09, 128/662.03, 128/662.06, 128/691
• US Class Current: 600/455
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4227 characterised by straps, belts, cuffs or braces

Abstract

A method of employing ultrasonic Doppler monitoring of blood flow in a patient'"'"'s blood vessel includes, providing an ultrasonic transducer operatively associated with an ultrasonic processor by connection through an electrically conductive wire. The ultrasonic transducer-conducer wire assembly is secured to a strip of biologically inert or absorbable material, which is subsequently wrapped into contacting surrounding relationship with the exterior surface of the blood vessel and secured in such position to establish a cuff. The ultrasonic transducer-wire assembly is employed in a Doppler mode to monitor blood flow within the blood vessel. After completion of monitoring the ultrasonic transducer-wire assembly, but not the cuff are removed from the patient. The monitoring cuff is preferably positioned downstream, with respect to the direction of blood flow, of an anastomosis in the blood vessel.

Claims

1. A method of ultrasonic Doppler monitoring of blood flow in a patient'"'"'s blood vessel comprising

providing an ultrasonic transducer operatively associated with ultrasonic processor means by an electrically conductive wire,

securing the ultrasonic transducer to a strip of biologically inert or absorbable material,

wrapping said strip in contacting surrounding relationship with the exterior surface of said blood vessel to establish a cuff,

securing said cuff in said surrounding relationship,

employing said ultrasonic transducer-wire assembly in a Doppler mode to monitor blood flow within said blood vessel, and

after completion of said monitoring removing said ultrasonic transducer and said wire but not said cuff.

2. The method of claim 1 including

employing said method to monitor blood flow in a blood vessel which has been subjected to microsurgery.

3. The method of claim 2 including

employing said method in a blood vessel which is disposed at a position spaced beneath the surface of the skin.

4. The method of claim 3 including

establishing said cuff at a position disposed downstream of an anastomosis with respect to the direction of blood flow in said blood vessel.

5. The method of claim 1 including

removing said ultrasonic transducer and wire as a unit.

6. The method of claim 1 including

employing a polyfluorotetraethylene material in said strip.

7. The method of claim 1 including

securing said ultrasonic transducer within said strip by introducing it into said strip through a slit in said strip.

8. The method of claim 7 including

securing the transducer-wire assembly to said strip by adhesive means.

9. The method of claim 8 including

placing said adhesive means on said strip adjacent to said slit.

10. The method of claim 1 including

determining if a thrombosis exists in said blood vessel.

11. The method of claim 10 including

employing said method on a vein.

12. The method of claim 11 including

employing said method on a blood vessel disposed within a patient'"'"'s body.

13. The method of claim 12 including

employing said method on a blood vessel disposed within a patient'"'"'s hand.

14. The method of claim 10 including

employing said method on an artery.

15. The method of claim 10 including

performing exploratory surgery on said blood vessel if a predetermined level of reduced blood flow exists in said blood vessel.

16. The method of claim 1 including

effecting removal of said ultrasonic transducer-wire assembly about 3 to 7 days after original insertion.

17. The method of claim 1 including

positioning said strip in intimate substantially continuous contact with the exterior surface of said blood vessel, and

securing said strip in position by sutures passing through a portion of said strip.