Balloon tamponade
First Claim
1. An apparatus for controlling gynecologic and obstetric hemorrhage in a body cavity of a subject, comprising:
- at least one expandable balloon having a distal end and a proximal end, the at least one expandable balloon has a flexible structure adapted to be inserted into the uterine cavity and can be filled with fluid volumes between 200 milliliters and 1.0 liter, wherein the exterior shape of the balloon conforms to the area within the uterine cavity;
a conduit extending from a proximal end portion of the apparatus to a distal end portion of the apparatus, the conduit sealably surrounded, in part, by the at least one expandable balloon and including at least one inflation lumen in communication with the interior of the at least one expandable balloon; and
a fluid supply fitting disposed at the proximal end portion of the conduit, the fluid supply fitting configured to directly connect a liquid supply bag to the at least one inflation lumen and facilitating inflation of the at least one expandable balloon to an expanded liquid fill volume in three minutes or less.
1 Assignment
0 Petitions
Accused Products
Abstract
An implantable device is provided for controlling hemorrhage in a body cavity, comprising an expandable balloon and a conduit for supplying a physiologically compatible fluid to inflate the balloon. When the balloon tamponade device is implanted or inserted into the body cavity, it is inflated with a physiologically suitable fluid, so that the balloon generally conforms to the body cavity and exerts compressive force against the walls, tissues or structures of the body cavity to control hemorrhage. The balloon may have a deforming means to limit expansion of the balloon in a direction to facilitate expansion of the balloon in another direction. The device may have additional tubes within the conduit, or a plurality of separate lumens within the conduit or tubes to allow drainage and irrigation to the body cavity. There is also provided a cuff for attachment of an external traction to the balloon tamponade, to facilitate the compressive effect of the device. In a preferred embodiment, there is provided a dual balloon tamponade in which two balloons are axially spaced along the conduit, providing a means to control hemorrhage from two distinct body cavities, such as a uterus and a vagina. There is also provided a method to control hemorrhage in a body cavity by implantation or insertion of the balloon tamponade, inflating the balloon with a fluid to a sufficient pressure and retaining the fluid pressure within the balloon for a sufficient period of time to determine whether hemorrhage has been controlled. A kit comprising the balloon tamponade apparatus is also provided.
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Citations
30 Claims
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1. An apparatus for controlling gynecologic and obstetric hemorrhage in a body cavity of a subject, comprising:
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at least one expandable balloon having a distal end and a proximal end, the at least one expandable balloon has a flexible structure adapted to be inserted into the uterine cavity and can be filled with fluid volumes between 200 milliliters and 1.0 liter, wherein the exterior shape of the balloon conforms to the area within the uterine cavity; a conduit extending from a proximal end portion of the apparatus to a distal end portion of the apparatus, the conduit sealably surrounded, in part, by the at least one expandable balloon and including at least one inflation lumen in communication with the interior of the at least one expandable balloon; and a fluid supply fitting disposed at the proximal end portion of the conduit, the fluid supply fitting configured to directly connect a liquid supply bag to the at least one inflation lumen and facilitating inflation of the at least one expandable balloon to an expanded liquid fill volume in three minutes or less. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A balloon tamponade for controlling gynecologic and obstetric hemorrhage in a body cavity of a subject, comprising:
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an expansible balloon having a distal end and a proximal end which has a flexible structure adapted to be inserted into the uterine cavity and can be filled with fluid volumes between 300 milliliters and 1,000 milliliters in three minutes or less to substantially fill a first body cavity; a conduit having a distal end and a proximal end and having an inflation lumen, a guide lumen, an irrigation lumen and a drainage lumen; a traction wire extending the length of the guide lumen; and
an internal cuff surrounding the conduit at or near the proximal end of the balloon, wherein the conduit is sealably surrounded, in part, by the balloon, the inflation lumen is in communication with the interior of the balloon and the guide lumen is in communication with an interior surface of the balloon at the distal end of the balloon, and wherein the irrigation lumen and drainage lumen are each in communication with the body cavity through openings at or near the distal end of the conduit and are each in communication with the exterior of the subject'"'"'s body through an opening at or near the proximal end of the conduit, and wherein the traction wire is fixedly attached to the interior surface of the balloon at the distal end of the balloon and is fixedly attached to the internal cuff at the proximal end of the balloon.
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25. A dual balloon tamponade for controlling gynecologic and obstetric hemorrhage in a body cavity of a subject, comprising:
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an expandable first balloon having a distal end and a proximal end which has a flexible structure adapted to be inserted into the uterine cavity and can be filled with fluid volumes between 300 milliliters and 1,000 milliliters in three minutes or less to substantially fill a first body cavity; an expandable second balloon configured to substantially fill a second body cavity, the second balloon co-axially spaced from the first balloon, having a distal end and a proximal end; a first conduit having a distal end and a proximal end, and comprising a first inflation lumen in communication with the interior of the first balloon and being sealably surrounded by the first balloon; and a second conduit having a distal and a proximal end, and comprising a second inflation lumen in communication with the interior of the second balloon and being sealably surrounded by the second balloon, and wherein the second conduit is slidably engaged over the first conduit. - View Dependent Claims (26, 27, 28, 29, 30)
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Specification