Femoral compression device

• US 5,307,811 A
• Filed: 06/10/1991
• Issued: 05/03/1994
• Est. Priority Date: 06/11/1990
• Status: Expired due to Term

• Current Assignee: Radi Medical Systems AB (Abbott Laboratories Incorporated)
• Original Assignee: Radi Medical Systems AB (Abbott Laboratories Incorporated)
• Inventors: Sigwart, Ulrich, Akerfeldt, Dan
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): RIMELL, SAMUEL G
• Application Number:
  US07/712,413
• Time in Patent Office: 1,058 Days
• Field of Search: 606/157, 606/158, 128/672, 128/677, 128/668, 128/637, 128/845, 128/846, 128/869
• US Class Current: 600/490
• CPC Class Codes: A61B 17/132 Tourniquets sphygmomanometer A61B5/022
• CPC Class Codes: A61B 17/1325 with means for applying local pressure pressure pads A61F5/30
• CPC Class Codes: A61B 17/135 inflatable for measuring blood pressure A61B5/022; inflatable pressure pads A61F5/34

Abstract

Femoral compression device including a pressurizing element for compressive bearing at the puncture site, preferably located at the femoral artery of a patient subjected to, for example, heart catheterization, and for applying a pressure on the same, and a base plate for supporting the pressurizing element. A belt is adapted to be fixed around the patient'"'"'s body. The base plate has a top portion and a bottom portion and is adapted to be fixed to the belt and the pressurizing element is provided at the bottom portion of the base plate so as to exert a compressive force against the patient'"'"'s body at the puncture site.

Claims

1. Femoral compression device comprising:

(a) a pressurizing means for compressive bearing at a puncture site at a femoral artery of a patient, and for applying a pressure on the puncture site, having a transparent portion to permit viewing of the puncture site;

(b) a belt adapted to be fixed around the patient'"'"'s body; and

(c) a base plate supporting the pressurizing means, including a top portion having a plurality of extensions, including first and second extensions extending in opposite directions, disposed at an elevated position in relation to the top portion of the base plate, and provided with locking means in the ends thereof for insertion of an end of the belt;

a bottom portion connected to the pressurizing means;

the base plate having a transparent portion to permit viewing of the puncture site.

2. Femoral compression device according to claim 1, wherein the first extension is shorter than the second extension

3. Femoral compression device according to claim 1, wherein the extensions of the base plate are telescopic.

4. Femoral compression device according to claim 1, wherein the locking means has a width which generally corresponds to a width of the belt.

5. Femoral compression device according to claim 1, wherein the top portion of the base plate is provided with a connection for connecting a tube to a means for generating a controlled pressure to the pressurizing means.

6. Femoral compression device according to claim 1, wherein the pressurizing means is in the shape of a semi spherical balloon.

7. Femoral compression device according to claim 1, wherein the pressurizing means is in the shape of a truncated cone.

8. Femoral compression device according to claim 7, wherein the truncated cone includes a pressure surface which is stiffer than the remainder of the pressurizing means.

9. Femoral compression device according to claim 1, wherein the pressurizing means and at least a part of the base plate is made of a transparent material.

10. Femoral compression device according to claim 1, wherein the pressurizing means includes an upper portion closest to the base plate having at least one accordion fold, to increase an effective stroke length of the pressurizing means.

11. Femoral compression device according to claim 1, further comprising an optic sensor for reading of a possible bleeding at the puncture site.

12. Femoral compression device according to claim 1, further comprising an electronic control unit provided with a means for driving the pressurizing means.

13. Femoral compression device according to claim 12, wherein the driving means is a pump.

14. Femoral compression device according to claim 12, wherein a plurality of selected pressure values and times are programmed into the electronic control unit for sequentially applying different pressures on the artery, whereby the driving means drives the pressurizing means in accordance with the programmed values.

15. Femoral compression device according to claim 14, wherein the pressurizing means includes a pressure medium having a pulsation responsive to a pulse of the patient, wherein the pulsations are registered and processed by the electronic control unit, the electronic control unit generating an alarm if the pulsations are absent.

16. Femoral compression device according to claim 12, wherein a pulse of the patient creates a plurality of pulsations in the pressure medium of the pressurizing means, wherein the pulsations are registered and processed by the electronic control unit, and wherein the driving means is responsive to a signal from the electronic control unit in such a way that the selected pressure value is constantly maintained or updated, dependent on the registered pulsations.

17. Femoral compression device according to claim 12, further comprising a sensor disposed at or downstream of the compression site which detects actual blood pressure in the artery and reports the detected actual blood pressure to the electronic control unit for comparison with a selected pressure value, and wherein the driving means is responsive to a signal from the electronic control unit (10) in such a way that the selected pressure value is constantly maintained or updated, dependent on the detected actual blood pressure.

18. Femoral compression device according to claim 17, wherein the sensor is a microphone detecting the Korotkoff-sound.

19. Femoral compression device according to claim 1, wherein the extensions are arc-shaped.

20. Method for achieving hemostasis of the femoral artery of a patient, comprising the steps of:

applying a reference pressure over a puncture site in the femoral artery;

applying an additional pressure over the puncture site;

monitoring a sum of the reference pressure and the additional pressure;

gradually reducing the additional pressure; and

releasing the reference pressure when the hemostasis is fully completed;

wherein the monitoring step further comprises registering a plurality of pulsation values caused by the patient'"'"'s pulse at the puncture site, comparing the pulsation values with selected values, and controlling the additional pressure dependent on the pulsation values.

21. Method for achieving hemostasis of the femoral artery of a patient, comprising the steps of:

applying a reference pressure over a puncture site in the femoral artery;

applying an additional pressure over the puncture site;

monitoring a sum of the reference pressure and the additional pressure;

gradually reducing the additional pressure; and

releasing the reference pressure when the hemostasis is fully completed;

wherein the monitoring step further comprises registering a plurality of actual blood pressure values at or downstream of the puncture site, comparing the blood pressure values with a plurality of selected values, and controlling the additional pressure dependent on the blood pressure values.

22. Method for achieving hemostasis of the femoral artery of a patient, comprising the steps of:

applying a reference pressure over a puncture site in the femoral artery;

applying an additional pressure over the puncture site;

monitoring a sum of the reference pressure and the additional pressure;

gradually reducing the additional pressure;

releasing the reference pressure when the hemostasis is fully completed; and

selecting and programming selected pressure values and times into an electronic control unit, and sequentially applying different pressures on the artery in accordance with the pressure values.

23. Method according to claim 22, further comprising the steps of registering and processing a plurality of pulsations caused by the pulse of the patient, and triggering an alarm if the pulsations are absent.

24. Method according to claim 22, further comprising the steps of registering and processing a plurality of pulsations caused by the pulse of the patient, and, responsive to signals from said electronic control unit, constantly maintaining or updating the selected pressure value dependent on the registered pulsation value.

25. Femoral compression device according to claim 22, further comprising the steps of disposing a sensor disposed at or downstream of the compression site, detecting actual blood pressure in the artery, reporting the detected actual blood pressure to the electronic control unit for comparison with a selected pressure value, and, responsive to signals from the electronic control unit, maintaining or updating the selected pressure value dependent on the detected actual blood pressure.