Multi-axial uterine artery identification, characterization, and occlusion devices

• US 7,594,890 B2
• Filed: 03/28/2002
• Issued: 09/29/2009
• Est. Priority Date: 03/28/2001
• Status: Expired due to Fees

• Current Assignee: Vascular Control Systems, Inc. (Johnson & Johnson)
• Original Assignee: Vascular Control Systems, Inc. (Johnson & Johnson)
• Inventors: Jones, Michael L., Altieri, Greig E., Burbank, Fred
• Primary Examiner(s): Casler; Brian
• Assistant Examiner(s): CWERN, JONATHAN
• Application Number:
  US10/107,800
• Publication Number:
  US 20020165579A1
• Time in Patent Office: 2,742 Days
• Field of Search: 600/439, 600/454, 600/504, 600/453, 606/205, 606/119, 606/158
• US Class Current: 600/453
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61B 5/418 lymph vessels, ducts or nodes
• 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

Abstract

A system is provided for compressing one or both of the uterine arteries of a patient which is at least in part shaped to complement the shape of the exterior of the cervix, which allows the system to be self-positioning. One or more Doppler chips can be mounted or incorporated into the system which permit the practitioner to better identify the uterine artery and monitor blood flow therein. A tenaculum-like element can be further included which secures the system to the patient'"'"'s cervix.

Claims

1. An intravaginal device for occluding a uterine artery of a female patient having a uterus, a uterine cervix, a vaginal canal leading to the uterine cervix and a vaginal fornix surrounding the uterine cervix, comprising:

a first pressure applying arcuate member having a distal pressure applying end configured to invaginate tissue of the patient'"'"'s vaginal fornix and to occlude an underlying uterine artery and an arcuate concave side surface proximal to the distal pressure applying end configured to conform to an exterior side portion of the patient'"'"'s cervix;

a second pressure applying member having a distal pressure applying end and an arcuate concave side surface configured to conform to an exterior side portion of the patient'"'"'s cervix spaced apart from the first pressure applying member, wherein at least one of the first and second pressure applying members has at least one Doppler crystal mounted therein; and

an elongated handle secured to the first pressure applying member and having a proximal end configured to extend out of the patient'"'"'s vagina when the first pressure applying end is pressed against the patient'"'"'s vaginal fornix.

2. A device in accordance with claim 1, wherein the at least one Doppler crystal is releasably mounted in the distal end of the first or second pressure applying members.

3. A device in accordance with claim 1, wherein the at least one Doppler crystal is integrally formed in the distal end of the first or second pressure applying members.

4. A device in accordance with claim 1, wherein a plurality of Doppler crystals are mounted in the distal end of the first or second pressure applying members.

5. A device in accordance with claim 4, wherein at least two of the Doppler crystals have parallel views.

6. A device in accordance with claim 4, wherein the Doppler crystals each have a direction of view perpendicular to the arcuate side surface.

7. A device in accordance with claim 4, wherein at least two of the Doppler crystals have diverging directions of view.

8. A device in accordance with claim 4, wherein a first plurality of Doppler crystals have a first direction of view, and a second plurality of Doppler crystals have a second direction of view at an angle to the first direction of view.

9. A device in accordance with claim 4, wherein the Doppler crystals are releasably mounted.

10. A device in accordance with claim 4, wherein at least one Doppler crystal is integrally formed in the arcuate side surface.

11. A device in accordance with claim 4, wherein a plurality of Doppler crystals are equally spaced from each other.

12. The device in accordance with claim 1 wherein the first and second pressure applying members are secured together.

13. The device in accordance with claim 12 wherein the first and second pressure applying members are secured together by a support structure which is configured to encircle the patient'"'"'s uterine cervix.

14. The device in accordance with claim 1 wherein the at least one Doppler crystal comprises a Doppler crystal mounted in the first pressure applying member having a direction of view extending distally away from the distal end of the first pressure applying member.

15. An intravaginal device for at least partially occluding a uterine artery of a female patient having a uterus, a uterine cervix, a vaginal canal leading to the uterine cervix and a vaginal fornix surrounding the uterine cervix, comprising:

a cylindrical member having at least a pair of opposed distal pressure applying end surfaces, and having one or more arcuate side walls proximal to the distal pressure applying end surfaces with a concave surface defining in part a hollow interior configured to receive the uterine cervix of the female human patient therein when the pressure applying end surfaces are positioned against the vaginal fornix of the female human patient to occlude the patient'"'"'s underlying uterine arteries, wherein at least one of the pressure applying end surfaces of the cylindrical member has at least one Doppler crystal mounted therein; and

an elongated handle secured to the cylindrical member and having a proximal end which extends out of the patient'"'"'s vaginal canal for manipulation.

16. A device in accordance with claim 15, wherein the hollow interior of the cylindrical member has an inner diameter between about 2 cm and about 4 cm.

17. A device in accordance with claim 15, wherein the hollow interior of the cylindrical member has an inner diameter of about 3 cm.

18. A device in accordance with claim 15, wherein the at least one Doppler crystal is releasably mounted in one of the distal pressure applying end surfaces.

19. A device in accordance with claim 15, wherein the at least one Doppler crystal is integrally formed in one of the distal pressure applying end surfaces.

20. A device in accordance with claim 15, wherein the at least one Doppler crystal comprises a plurality of Doppler crystals mounted in the one of the distal pressure applying end surfaces.

21. A device in accordance with claim 20, wherein at least two of the Doppler crystals have parallel views.

22. A device in accordance with claim 20, wherein at least two of the Doppler crystals have views perpendicular to an interior surface of the cylindrical member.

23. A device in accordance with claim 20, wherein at least two of the Doppler crystals have diverging views.

24. A device in accordance with claim 20, wherein a first plurality of Doppler crystals have a first direction of view, and a second plurality of Doppler crystals have a second direction of view at an angle to the first direction of view.

25. A device in accordance with claim 20, wherein the Doppler crystals are integrally formed in the one of the distal pressure applying end surfaces.

26. A device in accordance with claim 20, wherein a plurality of the Doppler crystals are equally spaced from each other.

27. A device in accordance with claim 20, wherein the cylindrical member includes a proximal end, and wherein the cutout comprises a slot extending proximally from the one of the distal pressure applying end surfaces to a proximal portion of the cylindrical member.

28. A device in accordance with claim 15, wherein at least one cutout is provided in one of the distal pressure applying end surfaces of the cylindrical member.

29. A device in accordance with claim 15, wherein the cylindrical member is provided with two cutouts in the distal pressure applying end surfaces thereof.

30. A device in accordance with claim 29, wherein the two cutouts are on diametrically opposite sides of the distal pressure applying end surfaces of the cylindrical member.

31. A device in accordance with claim 29, wherein the cylindrical member includes a proximal end, and further comprising a pair of slots extending proximally from the distal pressure applying end surfaces to the proximal end of the cylindrical member.

32. An intravaginal device for occluding uterine artery comprising:

a first pressure applying arcuate member having a distal pressure applying end configured to invaginate tissue of a patient'"'"'s vaginal fornix and to occlude an underlying uterine artery and an arcuate concave side surface proximal to the pressure applying end configured to conform to an exterior side portion of the patient'"'"'s cervix;

at least one Doppler crystal mounted on the first pressure applying member; and

an elongated handle secured to the first pressure applying member and having a proximal end configured to extend out of the patient'"'"'s vagina when the first pressure applying end is pressed against the patient'"'"'s vaginal fornix.

33. A device in accordance with claim 32, further comprising:

a second pressure applying member having a distal pressure applying end and an arcuate concave side surface configured to conform to an exterior side portion of the patient'"'"'s cervix spaced apart from the first pressure applying member; and

at least one Doppler crystal mounted on the second pressure applying member.

34. A device in accordance with claim 33, wherein the at least one Doppler crystal is releasably mounted in the distal end of the first or second pressure applying members.

35. A device in accordance with claim 33 wherein the at least one Doppler crystal is integrally formed in the distal end of the first or second pressure applying members.

36. A device in accordance with claim 33, wherein a plurality of Doppler crystals are mounted in the distal end of the first or second pressure applying members.