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    • 53. 发明申请
    • Treatment for post partum hemorrhage
    • 治疗产后出血
    • US20080097473A1
    • 2008-04-24
    • US11881981
    • 2007-07-30
    • Fred BurbankMichael JonesJill Uyeno
    • Fred BurbankMichael JonesJill Uyeno
    • A61B17/42
    • A61B17/12A61B17/2812A61B17/42A61B2017/00057A61B2017/2837A61B2090/064A61B2090/378
    • The invention is directed to instruments and procedures using such instruments for temporarily reducing or terminating blood flow through a female patient's uterine artery to treat post partum hemorrhage (PPH). The uterine artery is occluded by a clamping device which includes a pair of pivotally connected clamping members, with each of the clamping members having a handle and a clamping element at the distal end of the handle. The clamping elements are inclined with respect to the longitudinal axes of the handles at an included obtuse angle between about 120° and about 170°, preferably between about 130° and 160°. An artery locating sensor is provided on the distal end of at least one of the clamping elements. Preferably, the artery locating sensor is a Doppler ultrasound blood flow sensor. After birth, the clamping device is inserted into the female patient's post partum vaginal canal and advanced therein until one of the clamping elements Is in the patient's uterine cervix and the other clamping element is on the exterior of the uterine cervix. The clamping element on the exterior of the patient's uterine cervix is pressed against the patient's vaginal fornix and the clamping device closed so as to occlude the uterine artery disposed within tissue grasped by the clamping device. The clamping device is locked in the closed configuration and maintained in the condition until the patient's uterus is sufficiently clotted up to ensure termination of the hemorrhaging, typically about 5 minutes to about 7 hours.
    • 本发明涉及使用这种器械临时减少或终止通过女性患者子宫动脉的血液流动以治疗产后出血(PPH)的仪器和程序。 子宫动脉被包括一对枢转连接的夹紧构件的夹紧装置封闭,其中每个夹紧构件具有手柄和在手柄的远端处的夹紧元件。 夹紧元件相对于把手的纵向轴线以约120°至约170°之间,优选地在约130°至160°之间的包含的钝角倾斜。 动脉定位传感器设置在至少一个夹紧元件的远端上。 优选地,动脉定位传感器是多普勒超声血流传感器。 出生后,将夹紧装置插入雌性患者的产后阴道管中并推进到其中,直到其中一个夹紧元件位于患者的子宫颈中,而另一个夹紧元件位于子宫颈的外部。 患者子宫颈外侧的夹紧元件被压靠在患者的阴道穹窿上,并且夹紧装置关闭,从而封闭设置在由夹紧装置抓握的组织内的子宫动脉。 夹紧装置被锁定在闭合构型中并保持在状态,直到患者的子宫充分凝结,以确保终止出血,通常约5分钟至约7小时。