CA1258805A - Vessel occluding instrument - Google Patents
Vessel occluding instrumentInfo
- Publication number
- CA1258805A CA1258805A CA000491597A CA491597A CA1258805A CA 1258805 A CA1258805 A CA 1258805A CA 000491597 A CA000491597 A CA 000491597A CA 491597 A CA491597 A CA 491597A CA 1258805 A CA1258805 A CA 1258805A
- Authority
- CA
- Canada
- Prior art keywords
- tape
- body member
- vessel
- instrument
- resilient
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
Abstract
Abstract VESSEL OCCLUDING INSTRUMENT A vessel occluding instrument for facilitating the surgical treatment of an anatomical vessel. The instrument comprises an elongated body member having top and bottom surfaces, opposed sides, and first and second opposed ends; a length of resilient tape extending from adjacent the first opposed end of the body member; securing means positioned adjacent the second opposed end for releasably holding the resilient tape; and resilient pad means secured to the bottom surface of the body member, the resilient pad means comprising a cohesive-adhesive covering sheet for releasing securing the pad means to the vessel, whereby the sheet and the vessel collectively produce an adherence relationship therebetween.
Description
~25~38~i VESSEL OCCLUDING INSTRUMENT
____~__ Technical Field __ This invention relates to vessel occluding instruments which are used to facilitate the surgical treatment of anatomical vessels.
Background Art _~.
Atraumatic means for occluding blood vessels during coronary artery surgery has been used for many years. Atraumatic occluding instruments are used to prevent damage to fragile coronary vessels which may occur if conventional instruments such as clamps or clips are used.
The ideal atraumatic occluding instrument should provide not only occlusive forces on the vessel but also sufficient traction in order to facilitate the surgical procedure. Since vessels come in various di-mensions and with different physical conditions, the ideal occluding instrument should be capable of readily ad~usting to these variables. For example, the occlud-ing portions of the instrument should be capable of de-forming readily to acco~modate the irregular shapes of atherosclerotic plaques which are attached to the interior surfaces of vessels in order to reduce the possibility of disrupting these plaques. This r -deformation capability also permits the occluding instrument to clamp over indwelling catheters which are used for dilation, irrigation, aspiration and infusion of vessels during reconstructive procedures. Moreover, the ideal occluding instrument should be not only easy to apply and remove from vessels but also sufficiently small in size as not to obstruct the operative field.
~2~8~
Although some of these features are disclosed in prior art patents such as U.S. Patent Mo. 3,880,166 and U.S Patent No. 3,993,076, many are not.
Disclosure of the Invention In view of the prior art, it is a major object of the present invention to provide a novel atraumatic occluding instrument that is capable of adhering to the - outer surface of the blood vessel in order to improve traction and prevent slipping between the instrument and the vessel.
It is another object of the present invention to provide a novel atraumatlc occluding instrument the occluding portion of which comprises an elastomeric cushion and a cohesive-adhesive covering sheet.
It is a further object of the present invention to provide a novel atraumatic occluding instrument the securing means of which is capable of being adjusted readily such that the occlusive and tractive forces on the occluded vessel could be varied easily.
It is another object of the present invention to provide a novel atraumatic occluding instrument where one of the occluding portions is secured to the instrument in a more simplified and effective fashion.
In order to accomplish the above and still further objects, the present invention pro~ides a novel atrau-matic vessel occluding instrument for Eacilitating the~
surgical treatment of an anatomical vessel. The in-strument comprises an elongated body member, a length of resilient tape, securing means and resilient pad means.
More particularly, the elongated body member has top and bottom surfac~s, opposed sides, first and second opposed ends.
The length of resilient tape extends from adjacent the Eirst opposed end o~ the body member. The ~irst opposed end of the body member includes a passageway,
____~__ Technical Field __ This invention relates to vessel occluding instruments which are used to facilitate the surgical treatment of anatomical vessels.
Background Art _~.
Atraumatic means for occluding blood vessels during coronary artery surgery has been used for many years. Atraumatic occluding instruments are used to prevent damage to fragile coronary vessels which may occur if conventional instruments such as clamps or clips are used.
The ideal atraumatic occluding instrument should provide not only occlusive forces on the vessel but also sufficient traction in order to facilitate the surgical procedure. Since vessels come in various di-mensions and with different physical conditions, the ideal occluding instrument should be capable of readily ad~usting to these variables. For example, the occlud-ing portions of the instrument should be capable of de-forming readily to acco~modate the irregular shapes of atherosclerotic plaques which are attached to the interior surfaces of vessels in order to reduce the possibility of disrupting these plaques. This r -deformation capability also permits the occluding instrument to clamp over indwelling catheters which are used for dilation, irrigation, aspiration and infusion of vessels during reconstructive procedures. Moreover, the ideal occluding instrument should be not only easy to apply and remove from vessels but also sufficiently small in size as not to obstruct the operative field.
~2~8~
Although some of these features are disclosed in prior art patents such as U.S. Patent Mo. 3,880,166 and U.S Patent No. 3,993,076, many are not.
Disclosure of the Invention In view of the prior art, it is a major object of the present invention to provide a novel atraumatic occluding instrument that is capable of adhering to the - outer surface of the blood vessel in order to improve traction and prevent slipping between the instrument and the vessel.
It is another object of the present invention to provide a novel atraumatlc occluding instrument the occluding portion of which comprises an elastomeric cushion and a cohesive-adhesive covering sheet.
It is a further object of the present invention to provide a novel atraumatic occluding instrument the securing means of which is capable of being adjusted readily such that the occlusive and tractive forces on the occluded vessel could be varied easily.
It is another object of the present invention to provide a novel atraumatic occluding instrument where one of the occluding portions is secured to the instrument in a more simplified and effective fashion.
In order to accomplish the above and still further objects, the present invention pro~ides a novel atrau-matic vessel occluding instrument for Eacilitating the~
surgical treatment of an anatomical vessel. The in-strument comprises an elongated body member, a length of resilient tape, securing means and resilient pad means.
More particularly, the elongated body member has top and bottom surfac~s, opposed sides, first and second opposed ends.
The length of resilient tape extends from adjacent the Eirst opposed end o~ the body member. The ~irst opposed end of the body member includes a passageway,
2~8~
extending ~rom the top surface of the body member to the bottom surEace, the axis of the passageway being generally perpendicular to the top and bottom surfaces such that a generally vertical passageway is defined.
The passageway, adapted to receive the tape, has a horizon-tal cross-sectional dimension that is smaller than the horizontal cross-sectional dimension of the tape, whereby the tape is securely retained in the passageway.
The securing means, positioned at the second opposed end for releasably holding the resilient tape, includes an upwardly extending latching means which is adapted for rel`easably securing the tape.
The resilient pad means, secured to the bottom surface of the body member, comprises a cohesive-adhesive covering sheet for releasably securing the pad means to the vessel, whereby the covering sheet and the vessel collectively produce an adherence relationship therebetween. In the preferred embodiment, the resili-ent pad means further comprises an elastomeric cushion.The elastomic cushion is positioned between the cohesive-adhesive covering sheet and the bottom surface of the body member.
The occluding instrument in the preferred embodi-ment further comprises an instrument positioning means.The positioning means is an upwardly-extending protru-sion of the top surface of the body member.
One advantage of the present invention is that the occluding ins-trument, utilizing the cohesive-adhesive feature of the covering sheet of its resilient pad means, is capable of adherinq to the outer, adventitial layer of the blood vessel. Such adherence provides improved traction between the instrument and the vessel such that slipping between the instrument and the vessel during surgery is prevented.
~2~8 51~S
Another advantage of the present invention is that the resilient pad means comprises the elastomeric cushion and the cohesive-adhesive covering sheet.
A further advantage of the present invention is that the latching means of the securing means is capable of being readily adjusted such that the occlusive and tractive forces on the occluded vessel may be easily varied.
Another advantage of the present invention is that the resilient tape, one of the occluding portions of the instru~ent, is secured to the instrument in a sim-plified and effective fashion.
It is a still further advantage of the present invention that the instrument positioning means permits the easy positioning and maneuvering of the instrument.
Other objects, features, and advantages of the present invention will appear from the following detailed description of the best mode of a preferred embodiment, taken together with the accompanying drawing.
_ eJ~a ~r_~on of the Drawinqs -Figure 1 is a perspective view of the novel atraumatic vessel occluding instrument of the present invention as it is being attached to a blood vessel;
25Fi~ure 2 is a perspective view of the occluding instrument of Figure 1 when i~ is attached to a vessel, a portion of which is being occluded by the instrument;
Figure 3 is an exploded perspective view of the occluding instrument of Figures 1 and 2, without the resilient tapej Figure 4 is a top view of the occluding instrument o~ Figure 3;
Figure 5 is a cross section view of the occluding instrument of Figure 4, taken along line 5-5, with the resilient tape in phantom;
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Figure 6 is a side cross section view of the occluding instrument o~ Figure 5, ta~en along line 6-6;
and Figure 7 is side cross section view of the occluding instrument of Figure 5, taken along line 7-7.
Best Mode fo ~
___ Referring to Figure 1, there is shown a vessel occluding instrument, generally designated 12, as it is being attached to a coronary blood vessel 14. An in-strument such as a forcep 16 is generally used in assisting the attachment of instrurnent 12 to vessel 14.
Figure 2 generally shows instrument 12, ~ully attached to vessel 14, as it occludes a segment of vessel 14.
Vessel occluding instrument 12 comprises an elongated body member 20, a length of resilient tape 22, securing means 24, resilient pad means 26, and in-strument positioning means 28.
More particularly, as best shown in Figures 3 and 4, elongated body member 20 has top sur~ace 30, bottom surface 32, opposed sides 34, 36, first opposed end 38, and second opposed end 40.
As best shown in Figures 1 and 2, resilient tape 22 extends from adjacent first opposed end 38. Tape 22 is generally an elastomeric tube which is made from conventional white silicone rubber. As best shown in Figures 4 and 5, first opposed end 38 includes a .
passageway 42. Passageway 42 extends from top surface 30 of body metnber 20 to bottom surface 32. Since the axis of passageway 42 is generally perpendicular to top and bottom surfaces 30, 32, passageway 42 is a gener-ally vertical passageway. Passageway 42, which is adapted to receive ta~e 22, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sectional dimension of tape 22. In the pre~erred embodiment, as best shown in Figures 4 and 5, passage-way 42 has an inner cylindrical passageway 44 the diameter PD of which is smaller than the diameter TD of tape 22, ~,2S~
shown as dotted line in Figure 5. Since diameter PD of passageway 42 is smaller than diameter TD of tape 22, tape 22 is securely retained in passageway 42, thereby eliminating other securing features such as knots, 5 loops, diagonal passageways, etc. of prior art instru-ments Next, securing means 24, positioned adjacent second opposed end 40, is provided to releasably hold resilient tape 22 when instrument 12 is occluding ves-10 sel 14, as best shown in Figure 2. As best shown inFigures 3, 4, 5 and 7, securing means 24 includes an upwardly extending latch 46. Lat~h 46, positioned at an angle oblique to the axis of tape 22, is adapted to hold securely tape 22 in securing means ?4.
Further, resilient pad means 26, as best shown in Figures 3, 5 and 6, is secured to bottom surface 32 of body member 20. Resilient pad means 26 comprises an elastomeric cushion 48 and a cohesive-adhesive covering sheet 50, as best shown in Figure 3. Elastomeric cush-20 ion 48, in the preferred embodiment is a length of re-silient surgical tubing similar to tape 22. Covering sheet 50, covering cushion 48, has Velcro-like loops 52 on it. Such loops 52 are capable of interacting with the external adventitial layer of blood vessel 14 to 25 create an adherence reIationship similar to the bonding efect of Velcro materials -- the loops attaching to the felt-like Velcro material. The adherence relationship improves the traction between instrument 12 and vessel 14 by preventing slipping between the 30 two.
Moreover, as best shown in Figures 3 and 5, in-strument positioning means 28 is an upwardly-extending protr~sion of top sur~ace 30 of body member 20.
In use, one end of surgical tape 22 is brought 35 around coronary vessel 14. Surgical instruments such as forceps 16 may be used. Similarly, forcep 16, grasping positioning means 28, may be used to position occluding instrument 12. Velcro-like loops 52 are then capable of attaching to the external adventitial tissue of vessel 14 to facilitate the subsequent occlusion phase of the operation. With forcep 16 and Velcro-llke loops 52 holding instrument 12 in the desired position, as best shown in Figure 2, resilient tape 22 is then pulled through securing means 24 until blood ceases to flow through vessel 14. The position of tape 22 is secured by latch 46. Vessel 14 is now resting between two resilient, atraumatic surfaces -- tape 22 and Velcro-covered elastomeric cushion 48.
While vessel 14 is being occluded, Velcro covering sheet 50, attached to the adventitial tissue of vessel 14, also prevents slippage between instrument 12 and vessel 14. In addition, the occlusive and tractive forces on vessel 14 may be easily and quickly adjusted by removing tape 22 from latch 46.
It will be apparent to those skilled in the art that various modifications may be made within the spirit of the invention and the scope of the appended claims.
extending ~rom the top surface of the body member to the bottom surEace, the axis of the passageway being generally perpendicular to the top and bottom surfaces such that a generally vertical passageway is defined.
The passageway, adapted to receive the tape, has a horizon-tal cross-sectional dimension that is smaller than the horizontal cross-sectional dimension of the tape, whereby the tape is securely retained in the passageway.
The securing means, positioned at the second opposed end for releasably holding the resilient tape, includes an upwardly extending latching means which is adapted for rel`easably securing the tape.
The resilient pad means, secured to the bottom surface of the body member, comprises a cohesive-adhesive covering sheet for releasably securing the pad means to the vessel, whereby the covering sheet and the vessel collectively produce an adherence relationship therebetween. In the preferred embodiment, the resili-ent pad means further comprises an elastomeric cushion.The elastomic cushion is positioned between the cohesive-adhesive covering sheet and the bottom surface of the body member.
The occluding instrument in the preferred embodi-ment further comprises an instrument positioning means.The positioning means is an upwardly-extending protru-sion of the top surface of the body member.
One advantage of the present invention is that the occluding ins-trument, utilizing the cohesive-adhesive feature of the covering sheet of its resilient pad means, is capable of adherinq to the outer, adventitial layer of the blood vessel. Such adherence provides improved traction between the instrument and the vessel such that slipping between the instrument and the vessel during surgery is prevented.
~2~8 51~S
Another advantage of the present invention is that the resilient pad means comprises the elastomeric cushion and the cohesive-adhesive covering sheet.
A further advantage of the present invention is that the latching means of the securing means is capable of being readily adjusted such that the occlusive and tractive forces on the occluded vessel may be easily varied.
Another advantage of the present invention is that the resilient tape, one of the occluding portions of the instru~ent, is secured to the instrument in a sim-plified and effective fashion.
It is a still further advantage of the present invention that the instrument positioning means permits the easy positioning and maneuvering of the instrument.
Other objects, features, and advantages of the present invention will appear from the following detailed description of the best mode of a preferred embodiment, taken together with the accompanying drawing.
_ eJ~a ~r_~on of the Drawinqs -Figure 1 is a perspective view of the novel atraumatic vessel occluding instrument of the present invention as it is being attached to a blood vessel;
25Fi~ure 2 is a perspective view of the occluding instrument of Figure 1 when i~ is attached to a vessel, a portion of which is being occluded by the instrument;
Figure 3 is an exploded perspective view of the occluding instrument of Figures 1 and 2, without the resilient tapej Figure 4 is a top view of the occluding instrument o~ Figure 3;
Figure 5 is a cross section view of the occluding instrument of Figure 4, taken along line 5-5, with the resilient tape in phantom;
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Figure 6 is a side cross section view of the occluding instrument o~ Figure 5, ta~en along line 6-6;
and Figure 7 is side cross section view of the occluding instrument of Figure 5, taken along line 7-7.
Best Mode fo ~
___ Referring to Figure 1, there is shown a vessel occluding instrument, generally designated 12, as it is being attached to a coronary blood vessel 14. An in-strument such as a forcep 16 is generally used in assisting the attachment of instrurnent 12 to vessel 14.
Figure 2 generally shows instrument 12, ~ully attached to vessel 14, as it occludes a segment of vessel 14.
Vessel occluding instrument 12 comprises an elongated body member 20, a length of resilient tape 22, securing means 24, resilient pad means 26, and in-strument positioning means 28.
More particularly, as best shown in Figures 3 and 4, elongated body member 20 has top sur~ace 30, bottom surface 32, opposed sides 34, 36, first opposed end 38, and second opposed end 40.
As best shown in Figures 1 and 2, resilient tape 22 extends from adjacent first opposed end 38. Tape 22 is generally an elastomeric tube which is made from conventional white silicone rubber. As best shown in Figures 4 and 5, first opposed end 38 includes a .
passageway 42. Passageway 42 extends from top surface 30 of body metnber 20 to bottom surface 32. Since the axis of passageway 42 is generally perpendicular to top and bottom surfaces 30, 32, passageway 42 is a gener-ally vertical passageway. Passageway 42, which is adapted to receive ta~e 22, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sectional dimension of tape 22. In the pre~erred embodiment, as best shown in Figures 4 and 5, passage-way 42 has an inner cylindrical passageway 44 the diameter PD of which is smaller than the diameter TD of tape 22, ~,2S~
shown as dotted line in Figure 5. Since diameter PD of passageway 42 is smaller than diameter TD of tape 22, tape 22 is securely retained in passageway 42, thereby eliminating other securing features such as knots, 5 loops, diagonal passageways, etc. of prior art instru-ments Next, securing means 24, positioned adjacent second opposed end 40, is provided to releasably hold resilient tape 22 when instrument 12 is occluding ves-10 sel 14, as best shown in Figure 2. As best shown inFigures 3, 4, 5 and 7, securing means 24 includes an upwardly extending latch 46. Lat~h 46, positioned at an angle oblique to the axis of tape 22, is adapted to hold securely tape 22 in securing means ?4.
Further, resilient pad means 26, as best shown in Figures 3, 5 and 6, is secured to bottom surface 32 of body member 20. Resilient pad means 26 comprises an elastomeric cushion 48 and a cohesive-adhesive covering sheet 50, as best shown in Figure 3. Elastomeric cush-20 ion 48, in the preferred embodiment is a length of re-silient surgical tubing similar to tape 22. Covering sheet 50, covering cushion 48, has Velcro-like loops 52 on it. Such loops 52 are capable of interacting with the external adventitial layer of blood vessel 14 to 25 create an adherence reIationship similar to the bonding efect of Velcro materials -- the loops attaching to the felt-like Velcro material. The adherence relationship improves the traction between instrument 12 and vessel 14 by preventing slipping between the 30 two.
Moreover, as best shown in Figures 3 and 5, in-strument positioning means 28 is an upwardly-extending protr~sion of top sur~ace 30 of body member 20.
In use, one end of surgical tape 22 is brought 35 around coronary vessel 14. Surgical instruments such as forceps 16 may be used. Similarly, forcep 16, grasping positioning means 28, may be used to position occluding instrument 12. Velcro-like loops 52 are then capable of attaching to the external adventitial tissue of vessel 14 to facilitate the subsequent occlusion phase of the operation. With forcep 16 and Velcro-llke loops 52 holding instrument 12 in the desired position, as best shown in Figure 2, resilient tape 22 is then pulled through securing means 24 until blood ceases to flow through vessel 14. The position of tape 22 is secured by latch 46. Vessel 14 is now resting between two resilient, atraumatic surfaces -- tape 22 and Velcro-covered elastomeric cushion 48.
While vessel 14 is being occluded, Velcro covering sheet 50, attached to the adventitial tissue of vessel 14, also prevents slippage between instrument 12 and vessel 14. In addition, the occlusive and tractive forces on vessel 14 may be easily and quickly adjusted by removing tape 22 from latch 46.
It will be apparent to those skilled in the art that various modifications may be made within the spirit of the invention and the scope of the appended claims.
Claims (7)
1. A vessel occluding instrument for facilitat-ing the surgical treatment of an anatomical vessel, said instrument comprising an elongated body member having top and bottom surfaces, opposed sides, and first and second opposed ends;
a length of resilient tape extending from adjacent said first opposed end of said body member;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape; and resilient pad means secured to said bottom surface of said body member, said resilient pad means comprising a cohesive-adhesive covering sheet for releas-ably securing said pad means to said vessel, whereby said sheet and said vessel collec-tively produce an adherence relationship therebetween.
a length of resilient tape extending from adjacent said first opposed end of said body member;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape; and resilient pad means secured to said bottom surface of said body member, said resilient pad means comprising a cohesive-adhesive covering sheet for releas-ably securing said pad means to said vessel, whereby said sheet and said vessel collec-tively produce an adherence relationship therebetween.
2. The vessel occluding instrument as claimed in claim 1, wherein said resilient pad means further comprises an elastomeric cushion, said elastomeric cushion being positioned between said cohesive-adhesive covering sheet and said bottom surface of said body member.
3. A vessel occluding instrument for facilitat-ing the surgical treatment of an anatomical vessel, said instrument comprising an elongated body member having top and bottom surfaces, opposed sides, and first and second opposed ends;
a length of resilient tape extending from adjacent said first opposed end of said body member;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape, said securing means includes an upwardly-extending latching means which is adapted for releasably securing said tape; and resilient pad means secured to said bottom surface of said body member.
a length of resilient tape extending from adjacent said first opposed end of said body member;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape, said securing means includes an upwardly-extending latching means which is adapted for releasably securing said tape; and resilient pad means secured to said bottom surface of said body member.
4. A vessel occluding instrument for facilitat-ing the surgical treatment of an anatomical vessel, said instrument comprising an elongated body member having top and bottom surfaces, opposed sides, and first and second opposed ends;
a length of resilient tape extending from adjacent said first opposed end of said body member, said first opposed end of said body member includes a passageway, extending from said top surface of said body member to said bottom surface, the axis of said passageway being generally perpendicular to said top and bottom surfaces defining a generally vertical passageway;
said passageway, adapted to receive said tape, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sectional dimension of said tape, whereby said tape is securely retained in said passageway;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape; and resilient pad means secured to said bottom surface of said body member.
a length of resilient tape extending from adjacent said first opposed end of said body member, said first opposed end of said body member includes a passageway, extending from said top surface of said body member to said bottom surface, the axis of said passageway being generally perpendicular to said top and bottom surfaces defining a generally vertical passageway;
said passageway, adapted to receive said tape, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sectional dimension of said tape, whereby said tape is securely retained in said passageway;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape; and resilient pad means secured to said bottom surface of said body member.
5. A vessel occluding instrument for facilitat-ing the surgical treatment of an anatomical vessel, said instrument comprising an elongated body member having top and bottom surfaces, opposed sides, and first and second opposed ends;
a length of resilient tape extending from adjacent said first opposed end of said body mem-ber, said first opposed end of said body member includes a passageway, extending from said top surface of said body member to said bottom surface, the axis of said passageway being generally perpendicular to said top and bottom surfaces defining a generally vertical passageway;
said passageway, adapted to receive said tape, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sec-tional dimension of said tape, whereby said tape is securely retained in said passageway;
said passageway, adapted to receive said tape, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sec-tional dimension of said tape, whereby said tape is securely retained in said passageway;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape, said securing means includes an upwardly extending latching means which is adapted for releasably securing said tape; and resilient pad means secured to said bottom surface of said body member, said resilient pad means comprising a cohesive-adhesive covering sheet for releasably securing said pad means to said vessel, whereby said covering sheet and said vessel collectively produce an adherence relation-ship therebetween.
a length of resilient tape extending from adjacent said first opposed end of said body mem-ber, said first opposed end of said body member includes a passageway, extending from said top surface of said body member to said bottom surface, the axis of said passageway being generally perpendicular to said top and bottom surfaces defining a generally vertical passageway;
said passageway, adapted to receive said tape, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sec-tional dimension of said tape, whereby said tape is securely retained in said passageway;
said passageway, adapted to receive said tape, has a horizontal cross-sectional dimension that is smaller than the horizontal cross-sec-tional dimension of said tape, whereby said tape is securely retained in said passageway;
securing means positioned adjacent said second opposed end for releasably holding said resilient tape, said securing means includes an upwardly extending latching means which is adapted for releasably securing said tape; and resilient pad means secured to said bottom surface of said body member, said resilient pad means comprising a cohesive-adhesive covering sheet for releasably securing said pad means to said vessel, whereby said covering sheet and said vessel collectively produce an adherence relation-ship therebetween.
6. The vessel occluding instrument as claimed in claim 5, wherein said resilient pad means further comprises an elastomeric cushion, said elastomic cushion being positioned between said cohesive-adhesive covering sheet and said bottom surface of said body member.
7. The vessel occluding instrument as claimed in claim 5 or 6, further comprising an instrument positioning means, said posi-tioning means being an upwardly-extending protru-sion of said top surface of said body member.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US06/677,561 US4611593A (en) | 1984-12-03 | 1984-12-03 | Vessel occluding instrument |
| US677,561 | 1984-12-03 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1258805A true CA1258805A (en) | 1989-08-29 |
Family
ID=24719229
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000491597A Expired CA1258805A (en) | 1984-12-03 | 1985-09-26 | Vessel occluding instrument |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US4611593A (en) |
| EP (1) | EP0184542B1 (en) |
| JP (1) | JPS61135647A (en) |
| AT (1) | ATE60210T1 (en) |
| CA (1) | CA1258805A (en) |
| DE (1) | DE3581511D1 (en) |
Families Citing this family (36)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4821719A (en) * | 1984-12-03 | 1989-04-18 | Fogarty Thomas J | Cohesive-adhesive atraumatic clamp |
| US4708140A (en) * | 1986-05-08 | 1987-11-24 | Baron Howard C | Atraumatic vascular balloon clamp |
| GB2218726A (en) * | 1988-02-12 | 1989-11-22 | Applied Microsurgical Res | Clamps |
| US4938765A (en) * | 1989-06-22 | 1990-07-03 | Life Centers, Inc. | Surgical silicon loops |
| US4988355A (en) * | 1990-01-16 | 1991-01-29 | Leveen Eric G | Arterial clamp |
| US5057118A (en) * | 1990-05-29 | 1991-10-15 | Applied Medical Technology, Inc. | Vessel occlusion device |
| US5413585A (en) * | 1992-12-22 | 1995-05-09 | Pagedas; Anthony C. | Self locking suture lock |
| FR2717065A1 (en) * | 1994-03-09 | 1995-09-15 | Callape Robert | Surgical wire fixing used in blood vessel tying or other suturing operations |
| GB2293768A (en) * | 1994-10-08 | 1996-04-10 | Microsurgical Equipment Ltd | Ligature clip |
| US5797959A (en) * | 1995-09-21 | 1998-08-25 | United States Surgical Corporation | Surgical apparatus with articulating jaw structure |
| US5735877A (en) * | 1996-02-28 | 1998-04-07 | Pagedas; Anthony C. | Self locking suture lock |
| US5718717A (en) | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
| US8092473B2 (en) * | 1997-02-03 | 2012-01-10 | Applied Medical Resources Corporation | Surgical clamp with improved traction |
| US6458079B1 (en) * | 1997-04-25 | 2002-10-01 | Beth Israel Deaconess Medical Center | Surgical retractor and method of use |
| US6007552A (en) * | 1997-12-18 | 1999-12-28 | Minumys | Vascular clamps and surgical retractors with directional filaments for tissue engagement |
| US6045551A (en) | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
| US6099539A (en) * | 1998-07-27 | 2000-08-08 | Thomas J. Fogarty | Surgical clamp pad with interdigitating teeth |
| US6273902B1 (en) | 1999-06-18 | 2001-08-14 | Novare Surgical Systems, Inc. | Surgical clamp having replaceable pad |
| US6387112B1 (en) | 1999-06-18 | 2002-05-14 | Novare Surgical Systems, Inc. | Surgical clamp having replaceable pad |
| US6228104B1 (en) | 1999-06-18 | 2001-05-08 | Novare Surgical Systems, Inc. | Surgical clamp having replaceable pad |
| US6299621B1 (en) | 1999-06-18 | 2001-10-09 | Novare Surgical Systems, Inc. | Surgical clamp pads with elastomer impregnated mesh |
| US6368343B1 (en) | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
| US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
| US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
| CA2303692A1 (en) * | 2000-04-05 | 2001-10-05 | Anthony Paolitto | Surgical loop with associated pledget for constricting an anatomic conduit |
| US6719766B1 (en) * | 2000-08-24 | 2004-04-13 | Novare Surgical Systems, Inc. | Surgical clamp pads having surface overlay |
| US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
| US9155544B2 (en) | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
| US6942676B2 (en) * | 2002-03-21 | 2005-09-13 | Novare Surgical Systems, Inc. | Surgical clamp pads with deflecting elements |
| GB0228134D0 (en) * | 2002-12-03 | 2003-01-08 | Griffith Textile Mach Ltd | Suturing method |
| US7651511B2 (en) * | 2003-02-05 | 2010-01-26 | Vascular Control Systems, Inc. | Vascular clamp for caesarian section |
| US7497864B2 (en) | 2003-04-30 | 2009-03-03 | Marctec, Llc. | Tissue fastener and methods for using same |
| EP1667585B1 (en) * | 2003-09-16 | 2018-07-04 | Vitalitec International, Inc. | Surgical clamp inserts with hooked traction elements |
| RU2534413C2 (en) * | 2012-10-04 | 2014-11-27 | Государственное бюджетное образовательное учреждение высшего профессионального образования "Дагестанская государственная медицинская академия" Минздравсоцразвития РФ | Finger occlusion device for lukashevich-oberst's anaesthesia |
| US10058393B2 (en) | 2015-10-21 | 2018-08-28 | P Tech, Llc | Systems and methods for navigation and visualization |
| RU2649470C1 (en) * | 2017-05-03 | 2018-04-03 | Юрий Александрович Шнейдер | Left atrial appendage ligation device during heart surgeries |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3166072A (en) * | 1962-10-22 | 1965-01-19 | Jr John T Sullivan | Barbed clips |
| US3993076A (en) * | 1973-08-20 | 1976-11-23 | Fogarty Thomas J | Vessel occluding instrument |
| US3880166A (en) * | 1973-08-20 | 1975-04-29 | Thomas J Fogarty | Vessel occluder |
| US3866611A (en) * | 1973-12-17 | 1975-02-18 | George O Baumrucker | Incontinence device |
| US4135749A (en) * | 1977-01-19 | 1979-01-23 | Panduit Corp. | Cable tie |
| US4233980A (en) * | 1978-12-11 | 1980-11-18 | Narco Scientific Industries, Inc. | Hemostatic compressive device |
| US4390019A (en) * | 1979-02-28 | 1983-06-28 | Leveen Harry H | Blood vessel clamp |
-
1984
- 1984-12-03 US US06/677,561 patent/US4611593A/en not_active Expired - Lifetime
-
1985
- 1985-09-26 CA CA000491597A patent/CA1258805A/en not_active Expired
- 1985-11-18 JP JP60256848A patent/JPS61135647A/en active Granted
- 1985-11-27 EP EP85630207A patent/EP0184542B1/en not_active Expired - Lifetime
- 1985-11-27 AT AT85630207T patent/ATE60210T1/en not_active IP Right Cessation
- 1985-11-27 DE DE8585630207T patent/DE3581511D1/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| JPH0560384B2 (en) | 1993-09-02 |
| EP0184542A2 (en) | 1986-06-11 |
| ATE60210T1 (en) | 1991-02-15 |
| DE3581511D1 (en) | 1991-02-28 |
| EP0184542B1 (en) | 1991-01-23 |
| EP0184542A3 (en) | 1988-08-24 |
| JPS61135647A (en) | 1986-06-23 |
| US4611593A (en) | 1986-09-16 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MKEX | Expiry | ||
| MKEX | Expiry |
Effective date: 20060829 |