U.S. patent number 3,741,214 [Application Number 05/106,728] was granted by the patent office on 1973-06-26 for varicer bougie.
This patent grant is currently assigned to Astra-Meditec AB. Invention is credited to Hans Tillander.
United States Patent |
3,741,214 |
Tillander |
June 26, 1973 |
VARICER BOUGIE
Abstract
A disposable varicer bougie comprising a flexible and tensile
strength wire-like device having vein stripping means affixed to
its rear end. The wire-like device has a front end which is
helically shaped, preferably with a specified pitch, and preferably
terminating in a tapered portion.
Inventors: |
Tillander; Hans (Goteborg,
SW) |
Assignee: |
Astra-Meditec AB (Goteborg,
SW)
|
Family
ID: |
20257481 |
Appl.
No.: |
05/106,728 |
Filed: |
January 15, 1971 |
Foreign Application Priority Data
|
|
|
|
|
Jan 28, 1970 [SW] |
|
|
1032/70 |
|
Current U.S.
Class: |
606/159 |
Current CPC
Class: |
A61B
17/00008 (20130101) |
Current International
Class: |
A61B
17/00 (20060101); A61m 029/00 (); A61b
017/00 () |
Field of
Search: |
;128/303,341 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Claims
I claim:
1. A disposable varicer bougie comprising a flexible and tensile
strength wire-like device having a front-end, a rear-end and vein
stripping means comprising an enlarged member (2) of a size larger
than the vein fixedly attached to said rear-end, said front end (3)
being formed in the shape of a single permanent spiral, helically
shaped and terminating at an enlarged tip (4) in a single straight
section extending forwardly from the spiral, whereby the front end
(3) finds its way through a winding passage of a varicosed vein as
the bougie is rotated about its axis during insertion.
2. A varicer bougie according to claim 1, in which the helix at the
front end (3) has a maximum pitch of three-fourths of a turn per
cm.
3. A varicer bougie according to claim 2, in which the pitch is
one-fourth of a turn per cm.
4. A varicer bougie according to claim 5, in which the spiral
tapers conically towards the tip.
5. A varicer bougie according to claim 1, in which the wire-like
device has a smooth external surface formed of a homogeneous
plastic material.
Description
The present invention relates to a disposable varicer bougie
consisting of a flexible and tensile strength wire-like device
having vein stripping means fixedly attached to one of the ends,
the rear one, of the device.
The object of the present invention is to provide a disposable
varicer bougie which easily may pass a varicer, that is a
blood-varicose vein, whereby a varicer operation may be carried out
with a minimal incision and whereby the risk for supervening
infections will be reduced.
There are previously known varicer bougies which substantially
consist of a steel wire the front end of which is provided with a
cone-shaped end and the rear end of which is provided with a
so-called olive, which is fixedly attached to the wire. With such a
varicer bougie varicer operations are carried out, varicose veins
being removed.
When operating on a varicer in a leg, the vein is laid bare below
the rupture place and the bougie is introduced into the vein with
the front end first. The bougie which generally has a length of
about 1000 mm is introduced and the object is to pass the rupture
place and extract the front end through the vein near the groin.
When done the whole bougie is drawn in, the vein being caught on
the olive, which has a considerably bigger diameter than the vein,
and being torn out of the leg, whereby the rupture is removed. The
disadvantage of the previously known varicer bougies is that they
have difficulty in passing the rupture places, where the blood
veins often have a very winding course. Therefore the vein has to
be laid bare and be operated away piece by piece. If there are
several ruptures in the same vein, it will cause many incisions to
be made in the leg, so that the risk of infections is great. Wounds
on the legs are as a rule very slow-healing, which makes it
desirable that the number of incisions on the leg be reduced to a
minimum so that the patient shall not suffer more than
necessary.
The previously known bougies are manufactured for repeated use so
that the bougie is to be cleaned, washed and sterilized between
every operation. The use of a steel wire causes the blood to easily
penetrate between the threads in the wire so that they cannot be
completely cleaned and the risk of transferring and introducing
bacteria in the tissue is greatly increased.
These obvious disadvantages will be entirely eliminated by the
present invention, which is characterized in that the bougie is
produced of a homogeneous, solid or tubular smooth plastic material
and that the front end is helically shaped. An alternative
construction would be a metal wire coated or imbedded in a suitable
plastic material.
Suitably the helix in the front end has a maximum pitch of
three-fourths of a turn per cm, preferably one-fourth of a turn per
cm.
The present invention will be described in the following with
reference to the enclosed drawing, which is a lateral view.
At 1 a wire-like device is indicated, formed of a plastic material
which is flexible and resistent to tearing and has a diameter of
2.5 mm. Thus, the wire-like device is solid or tubular shaped.
As a suitable material "Makrolon" may be mentioned, which is a
polycarbonate having a great resistance to tearing. The wire-like
device 1 at one end, the rear one, is provided with a truncated
olive shaped means 2 manufactured integrally with the wire-like
device 1. The means 2 has a diameter and a length of up to 15
mm.
The wire-like device 1, which has a length of about 1000 mm, in the
other end, the front end 3, is helically shaped and in its tip 4 is
somewhat enlarged and conically tapered. The helix has a length of
about 5 cm and a diameter of 7-8 mm. The pitch of the helix is
one-fourth of a turn per cm, which means that the helix has a
length of 1 1/4 turns.
The helical shape is obtained by heating up and winding the front
end 3 of the wire-like device 1.
When a varicer operation is to be carried out, for example in a
leg, the vein below the varicose rupture is laid bare and the
bougie is introduced into the vein with the front end first. At the
place of the rupture the bougie is rotated on its axis or screwed
so that the front end 3 will bore and find its way through the
winding passage and further through the vein. If more ruptures or
other winding passages are encountered in the same vein, the
movement is repeated. When one has reached the groin the front end
is extracted from the vein and the bougie is taken from the leg by
pulling the free front end. Since the vein is caught on the olive
shaped means, the whole rupture and all the vein is torn out and
removed by the operation with the minimum number of incisions
having been made.
The bougie has a smooth surface, which means that it easily passes
through the vein. It may be varied with regard to the helical shape
so that the pitch may be less per cm. Moreover, the helix may be
cylindrical or conically tapering forward. The different forms and
the pitch degree depend on what type of varicose vein is to be
treated.
The bougie is not limited to the preferred embodiment shown herein
but may vary within the scope of the following claims.
* * * * *