US3823705A - Blood vessel bridging device - Google Patents

Blood vessel bridging device Download PDF

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Publication number
US3823705A
US3823705A US00318130A US31813072A US3823705A US 3823705 A US3823705 A US 3823705A US 00318130 A US00318130 A US 00318130A US 31813072 A US31813072 A US 31813072A US 3823705 A US3823705 A US 3823705A
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US
United States
Prior art keywords
blood vessel
vessel
bridging device
generally
blood
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 - Lifetime
Application number
US00318130A
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English (en)
Inventor
C Trimble
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Dow Silicones Corp
Original Assignee
Dow Corning Corp
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Dow Corning Corp filed Critical Dow Corning Corp
Priority to US00318130A priority Critical patent/US3823705A/en
Priority to AU57909/73A priority patent/AU474668B2/en
Priority to IT26685/73A priority patent/IT994964B/it
Priority to CA177,228A priority patent/CA1001801A/en
Priority to DE2340410A priority patent/DE2340410C3/de
Priority to AT711673A priority patent/AT330948B/de
Priority to JP48100731A priority patent/JPS528027B2/ja
Priority to FR7345695A priority patent/FR2211208B1/fr
Priority to NL737317564A priority patent/NL152450B/xx
Priority to BE139244A priority patent/BE809058A/xx
Priority to GB5929273A priority patent/GB1445177A/en
Application granted granted Critical
Publication of US3823705A publication Critical patent/US3823705A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/14—Macromolecular materials
    • A61L27/18—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0815—Implantable devices for insertion in between organs or other soft tissues
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0815—Implantable devices for insertion in between organs or other soft tissues
    • A61B2090/0816—Implantable devices for insertion in between organs or other soft tissues for preventing adhesion

Definitions

  • ABSTRACT A blood vessel bridging device to be surgically implanted between two blood vessels to prevent partial occlusion of one by the other.
  • the device comprises a generally U-shaped molded body of, e.g., Dacron reinforced silicone rubber having flattened bearing portions at both ends thereof and a generally U-shaped cross-section at its mid portion to cradle the overlying blood vessel.
  • the present invention relates to surgical devices and more particularly to a device for surgical implantation for prevention of partial occlusion of blood vessels at points where one crosses over another.
  • the bearing portions of the device serve to support the overlying blood vessel and prevent pressure from being exerted on any confined area of the underlying vessel by the overlying one.
  • the device has been designed specifically for the point at which the right common iliac artery crosses over the left common iliac vein. Clinical evidence indicates efficacy of the device for the purpose for which it was designed.
  • FIG. 1 is a view in prespective of a bridging device made in accordance with the present invention
  • FIG. 2 is a side elevational view of the device shown in FIG. 1;
  • FIG. 3 is an end view in elevation of the device shown in FIGS. 1 and 2;
  • FIG. 4 is a vertical cross-sectional view of the device shown in FIGS. 1-3 taken along the line 44 of FIG. 2;
  • FIG. 5 is an anatomical sketch showing positioning of the device of FIGS. 1-4 within a human body
  • FIG. 6 is a view in perspective of a modified form of the device.
  • FIG. 7 is an anatomical sketch showing positioning of the device of FIG. 6 within a human body.
  • FIGS. 1-4 a molded body of semi-rigid material which consti tutes the present invention.
  • semi-rigid means a material of sufficient rigidity to retain its shape under stress from the pulsing of arteries into which it is to be placed in contact but capable of flexing to prevent anatomical damage to portions of the body adjacent to the device in the event of severe stresses.
  • the material of course, must be substantially inert with respect to the body in which it is being implanted.
  • a preferred material is Dacron fabric reinforced silicone rubber.
  • the body has a generally U-shaped configuration along its longitudinal axis and in addition has a generally U-shaped configuration in its midsection as may be seen more clearly from the cross-section in FIG. 4.
  • the opposite ends of the body are flattened to provide footplates or bearing portions 11 and 12 and preferably an elongated stripe 13 of radio-paque material is provided along the length of the device to allow visual inspection by X-ray of placement of the device subsequent to surgery.
  • the anatomical sketch shown in FIG. 5 shows placement of the device as shown in FIGS. 1-4.
  • the aorta is indicated by the numeral 14 and branches into right and left iliac arteries 15 and 16, respectively.
  • the vena cava 17 is similarly fed by the right and left iliac veins l8 and 19, respectively. Since the aorta lies to the left of the vena cava the right iliac artery 15 must cross over the left iliac vein 19. Iliac venous compression is caused by pressure exerted by the artery 15 on the vein 19.
  • the body 20 of the present invention is interposed between the artery and vein at that point.
  • the bearing portions 11 and 12 of the device are sutured to the prevertebralfascia at the iliac venous crotch and the left superior iliocaval border.
  • the right iliac artery is cradled between the upturned edges of the center portion of the device to thereby hold it in position.
  • the longitudinal U-shaped of the center portion of the device serves as a bridge over the left iliac vein to thereby eliminate pressure on the vein by the artery.
  • the device also acts as a spacer to prevent any adhesion between the vein and the artery.
  • the inherent rigidity of the device provided, for example, by the silicone rubber and the fabric reinforcement thereof from which the device is preferably manufactured, serves to maintain the relationship.
  • the bearing portion 11' at one end of the device is made substantially wider than the body of the device instead of substantially the same width of the device as is shown in FIGS. 1-4. Placement of the device in ahuman body is shown in the anatomical sketch of FIG. 7.
  • the wide bearing portion 11 can then overly the right iliac vein and bear on fascia at both sides thereof or at least spread any pressure exerted on the device by the right iliac artery over a much wider area thereby preventing adhesions.
  • the widened bearing portion 11' it is desirable for the widened bearing portion 11' to have a curvature corresponding to the curvature of the right iliac vein to minimize pressure on the right iliac vein and flattened footplates provided at each end of the bearing portion 11'.
  • the aortic bifurcation is exposed through a midline transabdominal incision.
  • the distal aorta and the right common iliac artery are mobilized and retracted to the left. Elevation of the artery permits lysis of fibrous adhesions surrounding the left iliac vein and characteristically allows the previously flattened vein to assume a substantially circular configuration.
  • Minimal posterior dissection is required.
  • the prevertebral fascia at the iliac venous crotch and the left superior ileocaval border is then exposed and the device is temporarily positioned with its footplates on these cleared areas to allow ajustments to insure. gentle arterial bridging.
  • sutures are placed into the fascia with the device removed and the free suture ends are then passed through each respective footplate. After the device is securely positioned the peritoneum is closed over the vessels and the abdomen is closed.
  • a blood vessel bridging device for surgical implantation between a juxtaposed pair of blood vessels to prevent compression of one of said vessles by the other, comprising a molded body of semi-rigid material substantially inert to the animal body having a generally 'U-shaped configuration along the longitudinal axis thereof with a flattened bearing portion at both ends thereof; the center portion of said body being also generally U-shaped in a cross-section taken perpendicular 3.
  • a pair of juxtaposed blood vessels in an animal body comprising a first vessel and a second vessel and a blood vessel bridging device to be implanted between the first and second vessel, the device comprising a molded body of semirigid material substantially inert to said body having a generally U-shaped configuration along the longitudinal axis thereof with a flattened bearing portion at both ends thereof; the center portion of said body being also generally U-shaped in a cross-section taken perpendicular to the portion of the longitudinal configuration along the longitudinal axis abutting the first vessel and spaced from the second vessel thereby to cradle the first vessel and preventing contact between said pair of vessels.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Chemical & Material Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medicinal Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Dermatology (AREA)
  • Cardiology (AREA)
  • Epidemiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pathology (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
US00318130A 1972-12-26 1972-12-26 Blood vessel bridging device Expired - Lifetime US3823705A (en)

Priority Applications (11)

Application Number Priority Date Filing Date Title
US00318130A US3823705A (en) 1972-12-26 1972-12-26 Blood vessel bridging device
AU57909/73A AU474668B2 (en) 1972-12-26 1973-07-10 Blood vessel bridging device
IT26685/73A IT994964B (it) 1972-12-26 1973-07-17 Dispositivo per il ponticellamento di vasi sanguigni
CA177,228A CA1001801A (en) 1972-12-26 1973-07-24 Blood vessel bridging device
DE2340410A DE2340410C3 (de) 1972-12-26 1973-08-09 Chirurgisches Implantat zum Schutz von Blutgefäßen
AT711673A AT330948B (de) 1972-12-26 1973-08-14 Vorrichtung zum uberbrucken von blutgefassen
JP48100731A JPS528027B2 (en:Method) 1972-12-26 1973-09-06
FR7345695A FR2211208B1 (en:Method) 1972-12-26 1973-12-20
NL737317564A NL152450B (nl) 1972-12-26 1973-12-21 Implantaat voor het gescheiden houden van aders.
BE139244A BE809058A (fr) 1972-12-26 1973-12-21 Dispositif de pontage de vaisseaux sanguins
GB5929273A GB1445177A (en) 1972-12-26 1973-12-21 Blood vessel bridging device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US00318130A US3823705A (en) 1972-12-26 1972-12-26 Blood vessel bridging device

Publications (1)

Publication Number Publication Date
US3823705A true US3823705A (en) 1974-07-16

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ID=23236790

Family Applications (1)

Application Number Title Priority Date Filing Date
US00318130A Expired - Lifetime US3823705A (en) 1972-12-26 1972-12-26 Blood vessel bridging device

Country Status (11)

Country Link
US (1) US3823705A (en:Method)
JP (1) JPS528027B2 (en:Method)
AT (1) AT330948B (en:Method)
AU (1) AU474668B2 (en:Method)
BE (1) BE809058A (en:Method)
CA (1) CA1001801A (en:Method)
DE (1) DE2340410C3 (en:Method)
FR (1) FR2211208B1 (en:Method)
GB (1) GB1445177A (en:Method)
IT (1) IT994964B (en:Method)
NL (1) NL152450B (en:Method)

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4013078A (en) * 1974-11-25 1977-03-22 Feild James Rodney Intervertebral protector means
WO1994010913A1 (en) * 1992-11-12 1994-05-26 Neville Alleyne Cardiac protection device
EP0766950A3 (en) * 1995-10-05 1997-10-01 Peter J Jannetta Neurovascular bypass implant
US5866217A (en) * 1991-11-04 1999-02-02 Possis Medical, Inc. Silicone composite vascular graft
US6053935A (en) * 1996-11-08 2000-04-25 Boston Scientific Corporation Transvaginal anchor implantation device
US6689047B2 (en) 2000-11-15 2004-02-10 Scimed Life Systems, Inc. Treating urinary incontinence
US20050126576A1 (en) * 2003-11-04 2005-06-16 Ferree Bret A. Protecting biological structures, including the great vessels, particularly during spinal surgery
US6936052B2 (en) 2001-03-09 2005-08-30 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US7025772B2 (en) 2001-03-09 2006-04-11 Scimed Life Systems, Inc. System for implanting an implant and method thereof
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US7402133B2 (en) 2002-12-17 2008-07-22 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
WO2013063222A1 (en) * 2011-10-25 2013-05-02 Vanderbilt University Apparatus and method for vascular and nerve separation and bridging
WO2014098810A1 (en) * 2012-12-18 2014-06-26 Empire Technology Development, Llc Vascular reinforcement device
WO2014098811A3 (en) * 2012-12-18 2015-06-25 Empire Technology Development, Llc Helical vascular reinforcement device
WO2015152738A1 (en) * 2014-04-04 2015-10-08 Ossis Limited Surgical shield
USD792588S1 (en) * 2015-10-30 2017-07-18 Ossis Limited Surgical shield

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2000977B (en) * 1977-07-07 1982-07-14 Bentley Lab Blood access devices and methods of implantation
GB2203342B (en) * 1987-04-07 1991-12-11 Julian Garth Ellis Radio-opaque tracer for surgical implants
IL106738A (en) * 1993-08-19 1998-02-08 Mind E M S G Ltd Device for external correction of deficient valves in venous junctions
WO2022035431A1 (en) * 2020-08-13 2022-02-17 C.R. Bard, Inc. Catheter for forming an intervascular bridge to relieve vessel compression

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3176316A (en) * 1963-01-07 1965-04-06 Bruce R Bodell Plastic prosthetic tendon
US3461869A (en) * 1966-04-05 1969-08-19 Bio Medical Systems Inc Permanent skin exit device
US3577837A (en) * 1968-04-30 1971-05-11 Karl F Bader Jr Subdermal tendon implant

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3176316A (en) * 1963-01-07 1965-04-06 Bruce R Bodell Plastic prosthetic tendon
US3461869A (en) * 1966-04-05 1969-08-19 Bio Medical Systems Inc Permanent skin exit device
US3577837A (en) * 1968-04-30 1971-05-11 Karl F Bader Jr Subdermal tendon implant

Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4013078A (en) * 1974-11-25 1977-03-22 Feild James Rodney Intervertebral protector means
US5866217A (en) * 1991-11-04 1999-02-02 Possis Medical, Inc. Silicone composite vascular graft
WO1994010913A1 (en) * 1992-11-12 1994-05-26 Neville Alleyne Cardiac protection device
EP0766950A3 (en) * 1995-10-05 1997-10-01 Peter J Jannetta Neurovascular bypass implant
US5962004A (en) * 1995-10-05 1999-10-05 Jannetta; Peter J. Method and apparatus for treatment of neurogenic diabetes mellitus, and other conditions
AU716498B2 (en) * 1995-10-05 2000-02-24 Peter J. Jannetta Method and apparatus for treatment of neurogenic diabetes mellitus, and other conditions
US6053935A (en) * 1996-11-08 2000-04-25 Boston Scientific Corporation Transvaginal anchor implantation device
US6319272B1 (en) 1996-11-08 2001-11-20 Boston Scientific Corporation Transvaginal anchor implantation device and method of use
US7014607B2 (en) 2000-11-15 2006-03-21 Boston Scientific Scimed, Inc. Treating urinary incontinence
US6689047B2 (en) 2000-11-15 2004-02-10 Scimed Life Systems, Inc. Treating urinary incontinence
US20070060788A1 (en) * 2000-11-15 2007-03-15 Boston Scientific Scimed Inc. Systems and methods for delivering a medical implant to an anatomical location in a patient
US6936052B2 (en) 2001-03-09 2005-08-30 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US6991597B2 (en) 2001-03-09 2006-01-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US7025772B2 (en) 2001-03-09 2006-04-11 Scimed Life Systems, Inc. System for implanting an implant and method thereof
US8162816B2 (en) 2001-03-09 2012-04-24 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US7235043B2 (en) 2001-03-09 2007-06-26 Boston Scientific Scimed Inc. System for implanting an implant and method thereof
US8617048B2 (en) 2001-03-09 2013-12-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
US8632453B2 (en) 2002-12-17 2014-01-21 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US7402133B2 (en) 2002-12-17 2008-07-22 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US7824326B2 (en) 2003-07-31 2010-11-02 Boston Scientific Scimed, Inc. Bioabsorbable casing for surgical sling assembly
US20050126576A1 (en) * 2003-11-04 2005-06-16 Ferree Bret A. Protecting biological structures, including the great vessels, particularly during spinal surgery
WO2013063222A1 (en) * 2011-10-25 2013-05-02 Vanderbilt University Apparatus and method for vascular and nerve separation and bridging
WO2014098810A1 (en) * 2012-12-18 2014-06-26 Empire Technology Development, Llc Vascular reinforcement device
US20150157476A1 (en) * 2012-12-18 2015-06-11 Empire Technology Development Llc Vascular reinforcement device
WO2014098811A3 (en) * 2012-12-18 2015-06-25 Empire Technology Development, Llc Helical vascular reinforcement device
US9283096B2 (en) * 2012-12-18 2016-03-15 Empire Technology Development Llc Vascular reinforcement device
WO2015152738A1 (en) * 2014-04-04 2015-10-08 Ossis Limited Surgical shield
AU2015242541B2 (en) * 2014-04-04 2019-10-31 Zimmer Gmbh Surgical shield
US10548581B2 (en) * 2014-04-04 2020-02-04 Ossis Limited Surgical shield
USD792588S1 (en) * 2015-10-30 2017-07-18 Ossis Limited Surgical shield

Also Published As

Publication number Publication date
NL7317564A (en:Method) 1974-06-28
CA1001801A (en) 1976-12-21
DE2340410B2 (de) 1975-01-09
NL152450B (nl) 1977-03-15
GB1445177A (en) 1976-08-04
FR2211208B1 (en:Method) 1976-06-25
FR2211208A1 (en:Method) 1974-07-19
DE2340410A1 (de) 1974-07-11
DE2340410C3 (de) 1975-08-28
ATA711673A (de) 1975-10-15
JPS49100888A (en:Method) 1974-09-24
JPS528027B2 (en:Method) 1977-03-05
BE809058A (fr) 1974-06-21
AU5790973A (en) 1975-01-16
AU474668B2 (en) 1976-07-29
IT994964B (it) 1975-10-20
AT330948B (de) 1976-07-26

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