Vascular Control Systems, Inc.

Micro Therapeutics, Inc.

Spectrum Medsystems Corporation

R J Serra

Michael L Jones

Fred H Burbank

Greig E Altieri

Jill Uyeno

Yu-Tung Wong

Blair D Walker

Scott M Evans

Richard J Harp

Ed Olson

Thomas L Hursman

Larry A Dial

Randy Werneth

Alfred S Soria

Alan DeLaRama

Steve Tarpening

The invention provides devices, systems and methods for clamping arteries which are useful in reducing or abolishing blood flow in an artery, and may be used to control hemorrhage following a caesarian delivery. A clamping device embodying features of the invention includes a pair of clamping members with opposed pressure-applying members having facing pressure-applying surfaces, at least one of which is a yieldable pressure-applying surface. The yieldable pressure-applying surface is preferably resilient. The clamping members are configured to adjust the distance between pressure-applying surfaces, and a blood flow sensor is disposed on at least one of the pressure-applying members to aid in locating the target artery and also to monitor blood flow through the artery. The clamping device is particularly suitable for occluding uterine arteries by compressing the broad ligament which contains the uterine artery and which is connected to the patient's uterus with the arterial clamp.

Vascular clamp for caesarian section

The invention is directed to tenaculum-like devices and systems for the intravaginal delivery of therapeutic or diagnostic devices and particularly for occluding a female patient's uterine arteries in order to treat uterine disorders. Included are methods for grasping, manipulating and retaining tissue. The tenaculum-type device has a distal portion with a sound configured to enter a cervical os without causing undue trauma or discomfort to the patient, and a retention or tissue grasping mechanism with a grasping element such as a spike configured to engage and retain a patient's cervix. The tenaculum-type devices embodying features of the invention may have an expandable distal tip to more securely be engaged within the patient's uterine cervical canal.

Tenaculum-like device for intravaginal instrument delivery

Devices, systems and methods for temporarily reducing or abolishing blood flow by occluding blood vessels are provided. A blood vessel-occlusion device embodying features of the invention includes a deployable pressure-applying member with a location sensor, and an applicator. The location sensor is configured to detect a blood vessel, which may be occluded by compression from the pressure-applying member. A pressure-applying member may be released from the applicator, with blood-vessel compression maintained after release. The applicator is configured to engage a guide, such as a tenaculum, to aid in the placement and operation of the applicator. A pressure-applying member may also engage the guide. The invention finds use in, for example, treating uterine disorders and conditions which may be treated by occlusion of the uterine arteries, such as uterine fibroids, dysfunctional uterine bleeding, post-partum hemorrhage, and bleeding associated with caesarian section.

Occlusion device with deployable paddles for detection and occlusion of blood vessels

The invention provides devices, systems and methods for occluding arteries without puncturing skin or vessel walls. The devices, systems and methods for occluding arteries are configured to be applied to arteries externally of the arteries. Occlusion may be temporary or permanent, and may be partial or complete. Clamping a device to tissue near to an artery is effective to compress tissue around the artery and to indirectly compress the artery. The methods, devices and systems of the invention find use in, for example, treatment of uterine disorders and conditions which may be treated by occlusion of the uterine arteries. A uterine artery may be accessed via a patient's vagina by compressing a portion of the vaginal wall around a portion of a uterine artery to occlude a uterine artery. Clamping of an artery may also be performed by clamping a device directly onto an artery.

Method and apparatus for the detection and ligation of uterine arteries

A compression and ligation device includes a pair of jaws including one or more Doppler chips oriented to send and receive Doppler signals across the jaws, to assist a practitioner in determining whether or not a uterine artery is between the jaws. A suture leader with an attached suture can be pushed through a channel on one of the jaws, through tissue behind the uterine artery, into another channel on the other jaw, and proximally out the device so that the practitioner can ligate the artery and effect hemostasis.

Doppler directed suturing and compression device and method

Exemplary embodiments are directed to providing a method of preparing an anatomical vessel contained within a tissue bundle for ligation, including positioning a cannula adjacent to the tissue bundle, wherein the positioning is non-penetrating, the cannula including a first extendable member, a second extendable member, a Doppler wand, and a distal end, transmitting ultrasound signals toward the vessel through the tissue bundle with the Doppler wand, receiving ultrasound signals reflected by the vessel through the tissue bundle with the Doppler wand, invaginating the tissue bundle with the first extendable member on a first side of the tissue bundle, invaginating the tissue bundle with the second extendable member on a second side of the bundle opposite the first side, and interpenetrating a length of ligation material between the first and second extendable members on a side of the vessel opposite the cannula distal end.

Doppler directed suture ligation device and method

A ligation device includes a cannula having first and second extendable members and a Doppler wand. The Doppler wand permits an anatomical vessel, such as a blood vessel, to be located in close proximity to the distal end of the cannula. The extendable members are extendable on two opposite sides of the vessel. A length of ligation material, such as suture material, extends through the first extendable member, and is attached to a detachable element mounted to the distalmost end of the extendable member. The second extendable member includes a snare. The first extendable member includes curved portions which, when the member is extended distally, extend the detachable element into position for the snare so that the snare can grab the loop. Once ensnared, the detachable element is released from the first extendable member, which pulls the ligation material around the vessel. The ligation device does not require prior visualization or dissection of the area around the vessel.

A miniaturized brush and method of making same having a hollow lumen for introducing an agent for dissolving a soft fibrinous obstruction, such as a recently formed thrombus, within a patient's vascular system. The brush has soft, flexible bristles extending outward from the drive shaft distal section, the bristles being sufficiently resilient and dimensioned for enabling compression and passage of the brush out of and back into the distal end of an introducer lumen and to mix into the fibrin of the soft thrombus, yet not damage the vessel wall. The brush assembly is formed of a proximal section comprising an elongated proximal tube and a distal section comprising a distal tube extension, the proximal and distal sections having an aligned lumen and forming a drive shaft or brush body. The brush is formed of brush bristles entrapped between coiled wire turns of a metal having enhanced radiographic imaging characteristics wound about the outer wall of the distal tube extension and distributed in a uniform pattern or in a helical pattern around the circumference of the outer wall to form a helical brush. The distal tube extension may be a continuation of the elongated proximal tube and the coiled wire may be wound about the outer wall of the proximal tube. Alternatively, a separate distal tube extension may be attached to a reinforced proximal tube and the coiled wire may be wound about the distal tube extension and a portion of the distal end of the proximal tube.

Miniaturized brush with hollow lumen brush body

A bi-directional endoscope comprising a catheter body having a tubular spring frame attached to and extending axially from the distal end thereof. The spring frame comprises a spring body which includes a tip member positioned on the distal end thereof, and a plurality of relief slots disposed therein for allowing the deflection of the spring frame within a first deflection plane. The relief slots are formed in the spring body in a manner defining first and second longitudinally extending stiffening portions which are oriented substantially diametrically opposite each other therewithin. Extending longitudinally through the catheter body and spring frame is a pair of activation wires which are encased by a pair of support sleeves. The spring frame is deflected by stressing the activation wires by subjecting either of the wires to a tensile force. Stressing the wires as operable to transmit the tensile force from the stressed wire to the tip member thus causing the spring body to deflect in the first deflection plane toward the stressed wire.

Growing community of inventors

Irvine, CA, United States of America

R J Serra