Methods and apparatus for hemostasis following arterial catheterization

• US 7,115,127 B2
• Filed: 02/04/2003
• Issued: 10/03/2006
• Est. Priority Date: 02/04/2003
• Status: Expired due to Fees

• Current Assignee: Cardiodex, Ltd.
• Original Assignee: Cardiodex, Ltd.
• Inventors: Eckhouse, Shimon, Lindenbaum, Hayim
• Primary Examiner(s): Johnson, III, Henry M.
• Application Number:
  US10/358,130
• Publication Number:
  US 20040153054A1
• Time in Patent Office: 1,337 Days
• Field of Search: 606 34- 52, 128/898
• US Class Current: 606/49
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue

Abstract

A method for accelerating hemostasis of an artery having a puncture after arterial catheterization, the catheterization using a catheter introducer, the method including the steps of inserting into an artery a catheter introducer prior to arterial catheterization, following arterial catheterization, introducing a hemostasis device into the catheter introducer, such that a forward end of the hemostasis device lies exterior of the artery adjacent a puncture in a wall of the artery, accelerating hemostasis by heating blood in the vicinity of the puncture, thereby shortening the time required for hemostasis and following hemostasis, removing the catheter introducer and hemostasis device from the patient. A method for monitoring the progress of hemostasis of an artery is also disclosed.

Claims

1. A method for monitoring the progress of hemostasis of an artery having a puncture after arterial catheterization, said catheterization using a catheter introducer, the method comprising the steps of:

inserting into an artery a catheter introducer prior to arterial catheterization;

following arterial catheterization, introducing a hemostasis device into said catheter introducer, such that a forward end of said hemostasis device lies exterior of the artery adjacent a puncture in a wall of the artery;

during hemostasis, measuring the beat conductivity of blood in the vicinity of said puncture, thereby to provide an output indication of the progress of hemostasis; and

following hemostasis, removing said catheter introducer and said hemostasis device from the patient.

2. A method for monitoring the progress of hemostasis according to claim 1 and also comprising inflating a balloon attached to said catheter introducer to block said puncture, prior to said introducing a hemostasis device.

3. A method for monitoring the progress of hemostasis according to claim 2 and wherein said removing said catheter introducer also comprises deflating said balloon prior to removing said catheter introducer.

4. A method for accelerating hemostasis of an artery having a puncture after arterial catheterization, said catheterization using a catheter introducer, the method comprising the steps of:

inserting into an artery a catheter introducer prior to arterial catheterization;

following arterial catheterization, introducing a hemostasis device into said catheter introducer, such that a forward end of said hemostasis device lies exterior of the artery adjacent a puncture in a wall of the artery;

accelerating hemostasis by heating blood in the vicinity of said puncture, thereby shortening the time required for hemostasis; and

following hemostasis, removing said catheter introducer and hemostasis device from the patient.

5. A method for accelerating hemostasis of an artery according to claim 4 and also comprising inflating a balloon attached to said catheter introducer to block said puncture, prior to said introducing a hemostasis device.

6. A method for accelerating hemostasis of an artery according to claim 5 and wherein said removing said catheter introducer also comprises deflating said balloon prior to removing said catheter introducer.

7. A method according to claim 4 and also comprising measuring the heat conductivity of blood in the vicinity of said puncture during hemostasis, thereby to provide an output indication of the progress of hemostasis.

8. Hemostasis apparatus comprising:

an elongate element;

at least one inflatable balloon disposed adjacent a forward end of said elongate element and being adapted to form a skirt surrounding and sealing a puncture in an artery;

a resistance element, disposed at a forward edge of said forward end and being operative as a resistance heater adapted to heat blood adjacent said resistance element and as

a resistance sensor adapted for sensing the resistance of said blood; and

a resistance indicator, operative to provide an indication of the resistance at said resistance sensor, and thus being adapted to monitor the progress of hemostasis.

9. A hemostasis device according to claim 8 and also comprising a power supply serially connected to said resistance element, and said resistance indicator.

10. A hemostasis device according to claim 9 and wherein said power supply is operative to supply a high level current to said resistance element.

11. A hemostasis device according to claim 9 and wherein said power supply is operative to supply a low level current to said resistance element.