WO2007061307A1 - Abdominal cavity balloon for preventing a patient's bleeding - Google Patents

Abdominal cavity balloon for preventing a patient's bleeding Download PDF

Info

Publication number
WO2007061307A1
WO2007061307A1 PCT/NL2006/050297 NL2006050297W WO2007061307A1 WO 2007061307 A1 WO2007061307 A1 WO 2007061307A1 NL 2006050297 W NL2006050297 W NL 2006050297W WO 2007061307 A1 WO2007061307 A1 WO 2007061307A1
Authority
WO
WIPO (PCT)
Prior art keywords
balloon
abdominal cavity
patient
compartments
strip
Prior art date
Application number
PCT/NL2006/050297
Other languages
French (fr)
Inventor
Eleonora Elisabeth Hendrika Naber
Herman Jozef Theodorus Rutten
Jazek Jerzy Jakimowicz
Richard Hendrik Marc Goossens
Cornelis Christiaan Marie Moes
Sonja Nandine Buzink
Original Assignee
Technische Universiteit Delft
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 Technische Universiteit Delft filed Critical Technische Universiteit Delft
Priority to DK06812756.2T priority Critical patent/DK1954202T3/en
Priority to DE602006010231T priority patent/DE602006010231D1/en
Priority to JP2008542265A priority patent/JP5124472B2/en
Priority to CN2006800501831A priority patent/CN101355908B/en
Priority to EP06812756A priority patent/EP1954202B1/en
Priority to AT06812756T priority patent/ATE447368T1/en
Publication of WO2007061307A1 publication Critical patent/WO2007061307A1/en
Priority to US12/126,789 priority patent/US8328756B2/en

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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • 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
    • A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

Definitions

  • the invention relates to an abdominal cavity balloon for preventing a haemorrhage in a patient's pelvic region, comprising an inflatable balloon.
  • the general aim is to reduce the strain on the patient and to limit the scale of the operation necessary to remove the material needed to inhibit bleeding.
  • the American patent specification 2003/0236546 relates to a balloon product for stopping a haemorrhage in the abdominal cavity, in particular a haemorrhage occurring during childbirth.
  • the balloon is provided with an inlet tube for inflating the balloon with air or a physiologic fluid.
  • the balloon is made of a material that is able to expand such as urethane, rubber, .silicones, synthetic rubber or vinyl and, when inflated, preferably takes on the shape of a heart so as to allow it to evenly adapt to the space wherein a haemostatic pressure needs to be applied.
  • the surface of the balloon may be coated or impregnated or otherwise provided with a haemostatic coating to control bleeding.
  • the balloon is further provided with a drain tube for removing fluid (blood) from the abdominal cavity.
  • fluid blood
  • US 2003/0236546 notes that it should be sufficiently rigid to maintain its inner diameter when the balloon is inflated.
  • the American patent specification US 2003/0236546 gives no further indication of how to optimise positioning the balloon in the abdominal cavity, nor of how to prevent the balloon from adhering to the tissue in the abdominal cavity.
  • the device known from the American patent specification 2003/0236546 is, moreover, not designed for use during a surgical operation wherein the abdominal cavity is exposed.
  • the object of the invention to provide such an abdominal cavity balloon to be used during a surgical operation wherein the abdominal cavity is exposed and wherein positioning of the balloon can be realised effectively while, compared to the prior art situation, the strain on the pa ⁇ tient is reduced.
  • the abdominal cavity balloon according to the invention is characterised, in that the balloon is provided with a smooth surface and with a strip that is flex- urally stiff and formed to follow the balloon's shape for positioning the balloon.
  • the strip following the balloon's shape also serves for the simple removal in a minimally invasive operation of the balloon from the abdominal cavity.
  • the smooth surface of the balloon facilitates easy removal because it prevents adhesion to the tissue. In this way the strain on the patient is effectively limited.
  • the abdominal cavity balloon is characterised in that the balloon is parti- tioned into pre-shaped compartments.
  • a balloon can be provided having an optimised shape and being fully adapted to be used in the abdominal cavity of a patient.
  • a very suitable embodiment of the abdominal cavity balloon according to the invention is characterised in that there are three sub-compartments, and in that the strip is formed to follow the shape of a first of these compartments, extends in a curve from a second to a third compartment and, during use, projects from there to outside the patient.
  • the abdominal cavity balloon is characterised in that the strip comprises channels for the inlet and outlet of an inflating medium for the balloon.
  • the haemostatic properties of the abdominal cavity balloon according to the invention are further enhanced by the measure that the channels are designed for inflating the compartments of the balloon individually.
  • the ab- dominal cavity balloon is characterised in that the exterior of the balloon is provided with a coagulation-promoting coating.
  • FIG. 1 an elevation of the abdominal cavity bal- loon according to the invention
  • FIG. 1 the abdominal cavity balloon according to Figure 1 in a perspective transparent view.
  • reference numeral 1 indicates the abdominal cavity balloon for preventing a haemorrhage in a patient, in accordance with the invention.
  • This abdominal cavity balloon is designed to be used in the pelvic region of the patient and comprises an inflatable balloon 2.
  • the balloon 2 is provided with a smooth surface and, for positioning the balloon 2, possesses a flexurally. rigid strip 3 that follows the balloon's 2 shape.
  • Figure 2 shows that the balloon 2 is partitioned and embodied with three pre-formed sub-compartments 4, 5 and 6.
  • the strip 3 is shaped conform a first 4 of these compartments 4, 5, 6 and extends in a curve from a second 5 to a third compartment 6 wherein, when in use, the strip 3 projects to outside the patient.
  • the channels are designed for individually inflating the separate compartments 4, 5, 6 of the balloon 2.
  • the exterior of the balloon 2 may be provided with a coagulation-promoting coating.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Endoscopes (AREA)

Abstract

The invention relates to an abdominal cavity balloon for preventing a haemorrhage in a patient's pelvic region, comprising an inflatable balloon, wherein the balloon is pro vided with a smooth surface and with a strip that is flex- urally stiff and formed to follow the balloon's shape for po sitioning the balloon.

Description

Abdominal cavity balloon for preventing a patient's bleeding
The invention relates to an abdominal cavity balloon for preventing a haemorrhage in a patient's pelvic region, comprising an inflatable balloon.
A possible haemorrhage during abdominal surgery is currently stopped by filling the pelvic cavity with a sufficient amount of sterilised gauze to press the relevant blood vessels shut. This gauze must be removed within 48 hours in order to minimise the risk of infections. The removal of the gauze necessitates a further operation, ' which puts a consid- erable strain on the patient and requires all the guarantees inherent to the performance of an operation to be met.
The general aim is to reduce the strain on the patient and to limit the scale of the operation necessary to remove the material needed to inhibit bleeding. The American patent specification 2003/0236546 relates to a balloon product for stopping a haemorrhage in the abdominal cavity, in particular a haemorrhage occurring during childbirth. The balloon is provided with an inlet tube for inflating the balloon with air or a physiologic fluid. The balloon is made of a material that is able to expand such as urethane, rubber, .silicones, synthetic rubber or vinyl and, when inflated, preferably takes on the shape of a heart so as to allow it to evenly adapt to the space wherein a haemostatic pressure needs to be applied. The surface of the balloon may be coated or impregnated or otherwise provided with a haemostatic coating to control bleeding. The balloon is further provided with a drain tube for removing fluid (blood) from the abdominal cavity. With respect to this drain tube, the American patent specification US 2003/0236546 notes that it should be sufficiently rigid to maintain its inner diameter when the balloon is inflated.
The American patent specification US 2003/0236546 gives no further indication of how to optimise positioning the balloon in the abdominal cavity, nor of how to prevent the balloon from adhering to the tissue in the abdominal cavity. The device known from the American patent specification 2003/0236546 is, moreover, not designed for use during a surgical operation wherein the abdominal cavity is exposed.
It is the object of the invention to provide such an abdominal cavity balloon to be used during a surgical operation wherein the abdominal cavity is exposed and wherein positioning of the balloon can be realised effectively while, compared to the prior art situation, the strain on the pa¬ tient is reduced. To this end the abdominal cavity balloon according to the invention is characterised, in that the balloon is provided with a smooth surface and with a strip that is flex- urally stiff and formed to follow the balloon's shape for positioning the balloon. By using the balloon, a pressure that corresponds to the haemorrhage can be applied to the blood vessels, while positioning of the balloon is optimised with the aid of the strip following the balloon's shape. To this end it is essential that the same have sufficient flexural stiffness to al- low the balloon to be manipulated into position. When bleeding has stopped and the balloon is no longer needed for combating the haemorrhage, the strip following the balloon's shape also serves for the simple removal in a minimally invasive operation of the balloon from the abdominal cavity. The smooth surface of the balloon facilitates easy removal because it prevents adhesion to the tissue. In this way the strain on the patient is effectively limited.
In a further aspect of the invention, the abdominal cavity balloon is characterised in that the balloon is parti- tioned into pre-shaped compartments.
In this way a balloon can be provided having an optimised shape and being fully adapted to be used in the abdominal cavity of a patient.
A very suitable embodiment of the abdominal cavity balloon according to the invention is characterised in that there are three sub-compartments, and in that the strip is formed to follow the shape of a first of these compartments, extends in a curve from a second to a third compartment and, during use, projects from there to outside the patient.
In still another aspect of the invention, the abdominal cavity balloon is characterised in that the strip comprises channels for the inlet and outlet of an inflating medium for the balloon.
This is a convenient manner for feeding the balloon, while the amount of pressure supplied can be adjusted precisely to the haemorrhage to be stopped. The haemostatic properties of the abdominal cavity balloon according to the invention are further enhanced by the measure that the channels are designed for inflating the compartments of the balloon individually.
In still another aspect of the invention, the ab- dominal cavity balloon is characterised in that the exterior of the balloon is provided with a coagulation-promoting coating.
This further improves the haemostatic properties of the device according to the invention. Hereinafter the invention will be further elucidated by way of an exemplary embodiment that does not limit the appended claims, and with reference to the drawing. The drawing shows in:
- Figure 1 an elevation of the abdominal cavity bal- loon according to the invention, and
- Figure 2 the abdominal cavity balloon according to Figure 1 in a perspective transparent view.
Identical reference numerals in the figures refer to similar parts. Referring first to Figure 1, reference numeral 1 indicates the abdominal cavity balloon for preventing a haemorrhage in a patient, in accordance with the invention. This abdominal cavity balloon is designed to be used in the pelvic region of the patient and comprises an inflatable balloon 2. The balloon 2 is provided with a smooth surface and, for positioning the balloon 2, possesses a flexurally. rigid strip 3 that follows the balloon's 2 shape. Figure 2 shows that the balloon 2 is partitioned and embodied with three pre-formed sub-compartments 4, 5 and 6.
To this end the strip 3 is shaped conform a first 4 of these compartments 4, 5, 6 and extends in a curve from a second 5 to a third compartment 6 wherein, when in use, the strip 3 projects to outside the patient.
The broken lines in Figure 2 show that in the strip 3 channels are provided for the inlet and outlet of an inflating medium for the compartments 4, 5, 6 of the balloon 2. In Figure 1, the openings for these inlet and outlet channels are indicated with reference numeral 7.
The channels are designed for individually inflating the separate compartments 4, 5, 6 of the balloon 2.
Finally, it should be noted that the exterior of the balloon 2 may be provided with a coagulation-promoting coating.

Claims

CIAIMS
1. An abdominal cavity balloon (1) for preventing a haemorrhage in a patient's pelvic region, comprising an inflatable balloon (2), characterised in that the balloon (2) is provided with a smooth surface and with a strip (3) that is flexurally stiff and formed to follow the balloon's (2) shape for positioning the balloon.
2. An abdominal cavity balloon according to claim 1, characterised in that the balloon (2) is partitioned into pre-shaped compartments (4, 5, 6) .
3. An abdominal cavity balloon according to claim 2, characterised in that there are three sub-compartments (4, 5, 6)/ and in that the strip (3) is formed to follow the shape of a first "(4) of these compartments (4, 5, 6), extends in a curve from a second (5) to a third (6) compartment and, dur- ing use, projects from there to outside the patient.
4. An abdominal cavity balloon according to one of the preceding claims, characterised in that that the strip (3) comprises channels for the inlet and outlet of an inflating medium for the balloon (2) . 5. An abdominal cavity balloon according to claim 2, 3 or 4, characterised in that the channels are designed for inflating the compartments (4,
5, 6) of the balloon (2) individually.
6. An abdominal cavity balloon according to one of the preceding claims, characterised in that the exterior of the balloon (2) is provided with a coagulation-promoting coating.
PCT/NL2006/050297 2005-11-23 2006-11-23 Abdominal cavity balloon for preventing a patient's bleeding WO2007061307A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
DK06812756.2T DK1954202T3 (en) 2005-11-23 2006-11-23 Abdominal cavity balloon to prevent patient bleeding
DE602006010231T DE602006010231D1 (en) 2005-11-23 2006-11-23 BELLOW BALLOON FOR PREVENTING BLEEDINGS IN A PATIENT
JP2008542265A JP5124472B2 (en) 2005-11-23 2006-11-23 Abdominal balloon to prevent patient bleeding
CN2006800501831A CN101355908B (en) 2005-11-23 2006-11-23 Abdominal cavity balloon for preventing a patient's bleeding
EP06812756A EP1954202B1 (en) 2005-11-23 2006-11-23 Abdominal cavity balloon for preventing a patient's bleeding
AT06812756T ATE447368T1 (en) 2005-11-23 2006-11-23 ABDOMINAL CAVITY BALLOON FOR PREVENTION OF BLEEDING IN A PATIENT
US12/126,789 US8328756B2 (en) 2005-11-23 2008-05-23 Abdominal cavity balloon for preventing a patient's bleeding

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL1030500A NL1030500C2 (en) 2005-11-23 2005-11-23 Device for preventing bleeding in a patient.
NL1030500 2005-11-23

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/126,789 Continuation-In-Part US8328756B2 (en) 2005-11-23 2008-05-23 Abdominal cavity balloon for preventing a patient's bleeding

Publications (1)

Publication Number Publication Date
WO2007061307A1 true WO2007061307A1 (en) 2007-05-31

Family

ID=36540165

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/NL2006/050297 WO2007061307A1 (en) 2005-11-23 2006-11-23 Abdominal cavity balloon for preventing a patient's bleeding

Country Status (10)

Country Link
US (1) US8328756B2 (en)
EP (1) EP1954202B1 (en)
JP (1) JP5124472B2 (en)
CN (1) CN101355908B (en)
AT (1) ATE447368T1 (en)
DE (1) DE602006010231D1 (en)
DK (1) DK1954202T3 (en)
ES (1) ES2335233T3 (en)
NL (1) NL1030500C2 (en)
WO (1) WO2007061307A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009103298A2 (en) * 2008-02-18 2009-08-27 Mohammed Mourad Youssif Soliman-mourad intra-abdominal balloon device

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6983118B2 (en) * 2018-06-26 2021-12-17 株式会社日立製作所 Dialogue system control methods, dialogue systems and programs

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999015082A1 (en) * 1997-09-26 1999-04-01 Alliance Medical Technologies, Inc. Surgical support apparatus and method
US6024753A (en) * 1996-02-05 2000-02-15 Atos Medical Ab Device for staunching uterus bleeding
US20030028097A1 (en) * 2001-08-03 2003-02-06 D'amico Anthony V. Immobilizer probe system and method
US6607546B1 (en) * 2000-09-01 2003-08-19 Roger E. Murken Nasal catheter
US20030236546A1 (en) 2001-07-17 2003-12-25 Packer Paul R. Tamponade device to control post-partum hemorrhage
WO2004069057A2 (en) * 2003-02-10 2004-08-19 Microcuff Gmbh Device to be used in healing processes
US20040199196A1 (en) * 1998-02-06 2004-10-07 Biagio Ravo Inflatable intraluminal molding device

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US3516407A (en) * 1968-04-25 1970-06-23 Santo L Ruggero Inflatable intranasal tampon
US3570494A (en) * 1968-12-16 1971-03-16 George H Gottschalk Nasal tampon
US4338941A (en) * 1980-09-10 1982-07-13 Payton Hugh W Apparatus for arresting posterior nosebleeds
US4619261A (en) 1984-08-09 1986-10-28 Frederico Guerriero Hydrostatic pressure device for bleeding control through an inflatable, stitchable and retrievable balloon-net system
WO1989000407A1 (en) 1987-07-21 1989-01-26 Thomas Vincent Taylor Apparatus for arrest of bleeding at a duodenal ulcer
JPH0461548U (en) * 1990-10-05 1992-05-27
US6605030B2 (en) * 1998-11-09 2003-08-12 The Trustees Of Columbia University In The City Of New York Apparatus and method for treating a disease process in a luminal structure
GB0307826D0 (en) 2003-04-04 2003-05-07 Univ London A device for transfixing and joining tissue

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6024753A (en) * 1996-02-05 2000-02-15 Atos Medical Ab Device for staunching uterus bleeding
WO1999015082A1 (en) * 1997-09-26 1999-04-01 Alliance Medical Technologies, Inc. Surgical support apparatus and method
US20040199196A1 (en) * 1998-02-06 2004-10-07 Biagio Ravo Inflatable intraluminal molding device
US6607546B1 (en) * 2000-09-01 2003-08-19 Roger E. Murken Nasal catheter
US20030236546A1 (en) 2001-07-17 2003-12-25 Packer Paul R. Tamponade device to control post-partum hemorrhage
US20030028097A1 (en) * 2001-08-03 2003-02-06 D'amico Anthony V. Immobilizer probe system and method
WO2004069057A2 (en) * 2003-02-10 2004-08-19 Microcuff Gmbh Device to be used in healing processes

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009103298A2 (en) * 2008-02-18 2009-08-27 Mohammed Mourad Youssif Soliman-mourad intra-abdominal balloon device
WO2009103298A3 (en) * 2008-02-18 2009-12-03 Mohammed Mourad Youssif Intra-abdominal balloon device

Also Published As

Publication number Publication date
EP1954202B1 (en) 2009-11-04
NL1030500C2 (en) 2007-05-24
ATE447368T1 (en) 2009-11-15
EP1954202A1 (en) 2008-08-13
ES2335233T3 (en) 2010-03-23
DK1954202T3 (en) 2010-03-15
US20080287868A1 (en) 2008-11-20
DE602006010231D1 (en) 2009-12-17
US8328756B2 (en) 2012-12-11
CN101355908B (en) 2010-11-03
CN101355908A (en) 2009-01-28
JP5124472B2 (en) 2013-01-23
JP2009516566A (en) 2009-04-23

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