Tissue compression device with tension limiting strap retainer

• US 9,795,391 B2
• Filed: 04/25/2014
• Issued: 10/24/2017
• Est. Priority Date: 10/25/2013
• Status: Active Grant

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Inventors: Saatchi, Sanaz, Flannery, Conor, Hoff, Mark, Lai, John, Mason, Brian Joseph, Miyashita, Yusuke, Pieron, Remy O'Leary
• Primary Examiner(s): EREZO, DARWIN P
• Assistant Examiner(s): Schwiker, Katherine
• Application Number:
  US14/261,744
• Publication Number:
  US 20150119925A1
• Time in Patent Office: 1,278 Days
• Field of Search: 606201-204
• 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 17/132 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
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61F 5/32 Adjustable pressure pads
• CPC Class Codes: A61H 1/006 Apparatus for applying pressure or blows for compressive stressing of a part of the skeletal structure, e.g. for preventing or alleviating osteoporosis
• CPC Class Codes: A61H 9/0092 Cuffs therefor

Abstract

Tissue compression devices having a tension limiting strap retainer and methods of using the same. The tissue compression devices described herein may include a strap retainer that is attached to a base by an elastic member that is configured to draw the strap retainer towards the base. The tissue compression devices described herein may also include a tension indicator that extends between the base of the tissue compression device and strap retainer. The tension indicator may be configured to limit the travel distance of the strap retainer away from the base in response to forces acting on the strap retainer. The tension indicator may also provide visual feedback to a user of the tension force in a strap to attach the tissue compression device to a patient.

Claims

1. A tissue compression device comprising:

a pressure apparatus attached to a base, the pressure apparatus configured to apply pressure to selected tissue at a selected location located beneath the compression device;

a strap comprising a first end attached to a first side of the base and a second end distal from the first end;

an elastic member having first and second ends, the first end of the elastic member is attached to a second side of the base opposite from the first side of the base;

a strap retainer attached to the second end of the elastic member, such that the elastic member extends between the second side of the base and the strap retainer, wherein the elastic member is configured to be extensible in response to tension forces while the elastic member draws the strap retainer towards the second side of the base, and wherein the strap retainer is configured to retain the second end of the strap such that the strap and strap retainer retain the base and the pressure apparatus over the selected location when the second end of the strap is retained by the strap retainer;

a tension indicator comprising an inextensible member extending between the base and the strap retainer, wherein the tension indicator is configured to provide visual indication of a tension force supplied between the strap retainer and the base by the elastic member;

wherein the tension indicator is configured to limit a travel distance to a selected travel distance between the strap retainer and the second side of the base when the strap is tightened to retain the base and the pressure apparatus over the selected location.

2. A device according to claim 1, wherein the elastic member comprises a spring constant configured to provide a selected tension force when the strap retainer is separated from the second side of the base by the selected travel distance.

3. A device according to claim 1, wherein the strap is inextensible.

4. A device according to claim 1, wherein the inextensible member comprising a fixed end that is fixedly attached to one of the strap retainer and the base and a traveling end that is located distal from the fixed end, and wherein the inextensible member is configured to allow movement between the base and the strap retainer over the selected travel distance.

5. A device according to claim 4, wherein the inextensible member passes through a slot in the other of the strap retainer and the base, and wherein the inextensible member comprises a structural stop that is configured to limit movement between the base and the strap retainer to the selected travel distance by mechanical interference between the slot and the structural stop.

6. A device according to claim 5, wherein the fixed end of the inextensible member is fixedly attached to the strap retainer and wherein the slot is located in the base.

7. A device according to claim 4, wherein the inextensible member comprises visible indicia indicative of the tension force supplied by the elastic member as the elastic member is stretched when the strap retainer is moved away from the second side of the base.

8. A device according to claim 1, wherein the pressure apparatus comprises a bladder and wherein the base comprises a bottom surface, a top surface, and a bladder orifice formed through the base from the bottom surface to the top surface, wherein a lower surface of the bladder faces the selected tissue when the base is retained over the selected location, and wherein an upper surface of the bladder faces away from the lower surface of the bladder.

9. A device according to claim 8, wherein the device further comprises a ring indicator positioned above and in contact with the upper surface of the bladder, wherein the ring indicator is in a concave configuration, wherein inflation of the bladder causes the upper surface of the bladder to move the ring indicator from the concave configuration to a convex configuration, and wherein an inner edge of the indicator ring is further away from the base when the ring indicator is in the convex configuration than when the ring indicator is in the concave configuration;

wherein the device defines a compression axis extending through the upper surface of the bladder, the bladder orifice in the base, and the lower surface of the bladder when the base is retained over the selected location.

10. A device according to claim 9, wherein the ring indicator is configured to move from the concave configuration to the convex configuration when the bladder provides a selected compression force to the selected tissue at the selected location over which the base is retained.

11. A device according to claim 9, wherein the ring indicator comprises an indicator surface facing away from the upper surface of the bladder and a contact surface facing and in contact with the upper surface of the bladder, wherein the indicator surface faces the compression axis when the ring indicator is in the concave configuration and wherein the indicator surface faces away from the compression axis when the ring indicator is in the convex configuration.

12. A device according to claim 9, the device further comprising:

a plurality of posts extending from the top surface of the base, wherein the plurality of posts are arranged around a perimeter of the bladder orifice, wherein each post of the plurality of posts comprises an inner surface facing the bladder orifice and an outer surface facing away from the bladder orifice;

a dial housing mounted on the plurality of posts, wherein the dial housing comprises a circular channel that comprises an opening facing the top surface of the base, an inner wall facing the inner surfaces of the plurality of posts, and an outer wall facing the outer surfaces of the plurality of posts;

mating features on the inner surface of the plurality of posts and the inner wall of the circular channel are configured to move the dial housing towards the top surface of the base when the dial housing is rotated in a first direction about the compression axis and are also configured to move the dial housing away from the top surface of the base when rotated in a second direction about the compression axis.

13. A device according to claim 8, wherein a first portion of the bladder including the upper surface of the bladder is located above the top surface of the base, and wherein a second portion of the bladder including the lower surface of the bladder is located between the bottom surface of the base and the selected location over which the base is retained.

14. A device according to claim 8, wherein the bladder comprises

a plurality of chambers,

wherein an upper chamber of the plurality of chambers is positioned adjacent a lower chamber of the plurality of chambers,

wherein the upper chamber is connected to the lower chamber about an opening formed between the upper chamber and the lower chamber, wherein fluid in the upper chamber can pass into or out of the lower chamber through the opening,

wherein the upper chamber is located above the top surface of the base and the lower chamber is located below the bottom surface of the base,

and wherein inflation of the bladder moves the top layer of the upper chamber away from the top surface of the base and also moves the bottom layer of the lower chamber away from the bottom surface of the base.

15. A device according to claim 1, wherein the strap retainer has a slot to receive and retain the strap, the slot further including an opening into the slot to slidably receive the strap into the slot.

16. A device according to claim 1, wherein the tension indicator is adjacent the elastic member.