Method and device for applying external pressure in combination with coagulant treatment of puncture wounds

• US 6,827,727 B2
• Filed: 12/18/2001
• Issued: 12/07/2004
• Est. Priority Date: 12/18/2001
• Status: Expired due to Fees

• Current Assignee: St. Jude Medical Coordination Center BVBA (Abbott Laboratories)
• Original Assignee: Radi Medical Systems AB (Abbott Laboratories)
• Inventors: Mathisen, Torbjörn, Stålemark, Jan
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US10/020,495
• Publication Number:
  US 20030114881A1
• Time in Patent Office: 1,085 Days
• Field of Search: 606/201-203, 600/490, 600/499, 128/961, 128/100.1, 128/112.1
• US Class Current: 606/201
• CPC Class Codes: A61B 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1325 with means for applying local pressure pressure pads A61F5/30
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61L 15/28 Polysaccharides or their derivatives A61L15/225 takes precedence
• CPC Class Codes: A61L 2400/04 Materials for stopping bleeding
• CPC Class Codes: C08L 5/08 Chitin; Chondroitin sulfate; Hyaluronic acid; Derivatives thereof

Abstract

Following a catheterisation of the artery, the flow of blood through the puncture wound has to be stopped. With the method according to the invention, the time for achieving haemostasis can be reduced by combining the normal clotting mechanism with a chitosan induced clogging mechanism. A compression device (1; 8; 16) for achieving haemostasis in a puncture wound comprises a compressor (2; 9; 17) and a pressure element (3; 10; 18) connected to said compressor (2; 9; 17) so that the bottom side of the pressure element (3; 10; 18) is in contact with the puncture wound, characterized in that the bottom side of the pressure element (3; 10; 18) is provided with chitosan, so that the chitosan and the external compression pressure are applied simultaneously on the puncture wound when the compressor (2; 9; 17) applies an external compression pressure on the puncture wound via the pressure element (3; 10; 18).

Claims

1. A compression device for achieving haemostasis in a puncture wound following a catheterisation procedure, comprising:

a compressor; and

a pressure element connected to said compressor so that a side of the pressure element is in contact with said puncture wound, wherein said side of the pressure element is provided with coagulant, so that the coagulant and external compression pressure are applied simultaneously on said puncture wound when said compressor applies external compression pressure on said puncture wound via said pressure element; and

wherein the coagulant is provided at said side of the pressure element by a coagulant patch, which is detachable from the pressure element, so that the coagulant patch remains seated at the puncture wound when the pressure element is removed.

2. A compression device according to claim 1, wherein the coagulant patch is in the form of a weakly adhesive patch, an adhesive side of which is attached to said side of the pressure element and which is easy to remove therefrom.

3. A compression device according to claim 1, wherein the coagulant patch is in the form of a thin foil, which adheres to said side of the pressure element by covalent forces and which is easy to remove therefrom.

4. A compression device according to claim 1 for the compression of the femoral artery, which femoral wherein further comprises an inflatable pressure element and the compressor comprises a belt adapted to be fixed around a patient'"'"'s body, a base plate, which is connectable to the belt and has a top portion and a bottom portion connected to the pressure element, and a pump connectable to the pressure element, wherein external compression pressure are applied simultaneously on said puncture wound when the inflatable pressure element is inflated by the pump.

5. A compression device according to claim 1 wherein further and comprising a support plate having a first securing strap connected to a distal end of the support plate, a second securing strap connected to a proximal end of the support plate, and at least one intermediate securing strap, on which the pressure element is attached, for holding the pressure element and the support plate in position on essentially opposite sides of the wrist of a patient, wherein the coagulant and external compression pressure are applied simultaneously on said puncture wound when said at least one intermediate securing strap is tightened.

6. A compression device according to claim 1 wherein further comprises compression of the radial artery, which wherein further comprises a support arm provided with a support pad, a compression arm connected to the support arm and provided with the pressure element, and a pressure-adjusting assembly for adjusting the distance between the support pad and the pressure element, so that, when the compression device is arranged on a forearm of a patient, the support pad bears against a well-defined area at the upside of the radius bone and the pressure element bears against a well-defined area at the underside of the radius bone, wherein the coagulant and external compression pressure are applied simultaneously on said puncture wound by the pressure-adjusting assembly.

7. A compression device according to claim 1, wherein the coagulant comprises chitosan.

8. A compression device according to claim 1, wherein the pressure element comprises an inflatable pressure element.