U.S. patent number 3,648,295 [Application Number 05/079,973] was granted by the patent office on 1972-03-14 for guide for growing blood vessels or the like.
Invention is credited to James R. Palma.
United States Patent |
3,648,295 |
Palma |
March 14, 1972 |
GUIDE FOR GROWING BLOOD VESSELS OR THE LIKE
Abstract
A device for guiding growth of blood vessels or the like for use
in the surgical repair of impaired blood vessels or like tissues. A
flexible inner perforated tube having an outside diameter
approximately equal to the inside diameter of the severed blood
vessel is located inside an outer imperforate flexible tube having
an inside diameter approximately equal to the outside diameter of
the severed blood vessel. The severed ends of the blood vessel are
positioned between the inner and outer tube ends in spaced
relationship, whereby blood can flow through the perforated tube to
the space between the inner and outer tubes to promote growth and
subsequent joining of the several blood vessel ends.
Inventors: |
Palma; James R. (Schenectady,
NY) |
Family
ID: |
22153986 |
Appl.
No.: |
05/079,973 |
Filed: |
October 12, 1970 |
Current U.S.
Class: |
600/36 |
Current CPC
Class: |
A61F
2/062 (20130101) |
Current International
Class: |
A61F
2/06 (20060101); A61f 001/24 (); A61b 017/11 () |
Field of
Search: |
;3/1,DIG.1
;128/334R,334C,1R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Frinks; Ronald L.
Claims
Having thus described my invention, I claim:
1. A device for guiding and promoting growth of a severed blood
vessel in a living body, said device comprising a first thin-walled
and flexible imperforate tube having an inside diameter about the
same as the outside diameter of the blood vessel and having end
portions adapted to fit closely over the outside of the blood
vessel, a second thin-walled and flexible tube having an outside
diameter about the same as the inside diameter of the blood vessel
and having end portions adapted to fit closely inside the blood
vessel, said second tube being located inside said first tube in
use and separated therefrom by a space equal to or slightly larger
than the thickness of the blood vessel, said first and second tubes
being made from a material suitable for contact with a blood
vessel, and said second tube having aperture means therein for
supplying blood from the severed blood vessel to the space between
said tubes to promote growth of the ends of the severed blood
vessel through said space until said ends join.
2. The guide device as claimed in claim 1 in which said end
portions of said first tube taper down from a central portion of
said tube to a substantially thinner dimension at the tips of said
tube.
3. The guide device as claimed in claim 1 in which said first and
second tubes are made of plastic.
4. The guide device as claimed in claim 3 in which said plastic
comprises nylon.
Description
BACKGROUND OF THE INVENTION
It is common at the present time for surgeons to replace impaired
sections of blood vessels with plastic tubing. It is believed to be
more desirable to replace a cut out section of a blood vessel with
natural blood vessel tissue, but it would be difficult to obtain a
sufficient length of blood vessel from a healthy area of the
patient. Specifically, if a length of healthy blood vessel were cut
say from a vessel in the patient's arm to repair another blood
vessel in the patient's chest, the arm blood vessel would become
too short in some cases.
SUMMARY OF THE INVENTION
The present invention provides a device for guiding growth of blood
vessels so that an impaired section of blood vessel may be cut out,
and either the remaining blood vessel may be grown through the
guide to the appropriate length, or a new length of blood vessel
may be grown in another portion of the patient and then
transplanted to replace the diseased or impaired blood vessel.
Accordingly, it is an object of the present invention to replace
impaired blood vessel tissue with natural blood vessel tissue by
growth of new tissue.
Another object of the invention is to provide a guide in which new
blood vessel tissue may be grown.
A further object of the invention is to provide a guide which may
be affixed to the ends of a blood vessel from which a section has
been cut out so that new blood vessel tissue will grow through the
guide and join to repair the blood vessel.
Another object of the invention is to provide a guide which may be
attached to cut ends of a blood vessel in a healthy section of the
body so that new blood vessel tissue may be grown through the
guide, removed, and transplanted to a region where impaired blood
vessel tissue has been surgically removed.
Another object of the invention is to provide a guide which keeps
blood flowing to the ends of a blood vessel which are growing in
the guide.
Although the invention is being described as applied to blood
vessels, it may be useful in other applications.
Other objects of this invention will appear from the following
description and appended claims, reference being had to the
accompanying drawings forming a part of this specification wherein
like reference characters designate corresponding parts in the
several views.
ON THE DRAWINGS
FIG. 1 is a view of a guide in accordance with the invention as
applied to a blood vessel;
FIG. 2 is an enlarged, sectional view taken along line 2--2 of FIG.
1 and viewed in the direction of the arrows;
FIG. 3 is an enlarged, cross-sectional view taken along line 3--3
of FIG. 1 and viewed in the direction of the arrows;
FIG. 4 shows a blood vessel, partly cut away to reveal internal
clotting or fatty tissue buildup;
FIG. 5 is an enlarged view, partly in section, showing the ends of
a severed blood vessel after they have grown and joined each other
in the guide;
FIG. 6 is a pictorial view illustrating how the guide may be used
to grow a length of blood vessel at a healthy region of the body to
be later transplanted to replace an impaired section of blood
vessel; and
FIG. 7 is an enlargement of a portion of FIG. 6.
Before explaining the present invention in detail, it is to be
understood that the invention is not limited in its application to
the details of construction and arrangement of parts illustrated in
the accompanying drawings, since the invention is capable of other
embodiments and of being practiced or carried out in various ways.
Also, it is to be understood that the phraseology or terminology
employed herein is for the purpose of description and not of
limitation.
AS SHOWN ON THE DRAWINGS
A guide in accordance with a preferred embodiment of the invention
includes an outer, imperforate tube 10 which is applied at tapered,
flexible end portions 12 and 14 over the outside of the ends 16 and
18 of a severed blood vessel. The guide also includes a perforated
tube 20 which is smaller in diameter than tube 10 and has ends 22
and 24 which are applied inside the ends 16 and 18 of the blood
vessel. The tube 20 is sufficiently smaller in outside diameter
than the inside diameter of tube 10 that there is a space at 26
between the two tubes where the ends 16 and 18 of the blood vessel
can grow together and join. The holes 28 in the perforated tube 20
provide a path through which blood can flow from the inside of the
blood vessel to the space 26 so as to keep blood circulating about
the ends 16 and 18 of the blood vessel and thus promote growth of
the blood vessel and joining of the ends after they have grown
together.
Both of the tubes 10 and 20 are flexible and are preferably made of
plastic material such as nylon. The ends 12 and 14 of tube 10 taper
down from the thicker midportion of the tube so that the ends 12
and 14 are very thin and flexible. This allows the ends 12 and 14
to be sutured to the blood vessel. The ends 22 and 24 of tube 20
may also be sutured to the blood vessel. Alternatively, one or both
of the tubes may be left unsutured, particularly if the blood
vessel is immobilized. It is also possible to provide a sanitary
covering (not shown) over the outside of tube 10 merely for
protective purposes.
As previously mentioned, the guide may be applied to a blood vessel
where an impaired section of the vessel has been cut out to allow
the ends of the blood vessel to grow together through the guide and
join in the guide. FIG. 4 illustrates a blood vessel 30 which has
an obstruction, such as a clot or fatty tissue, at the center
section 32. The center section 32 may be removed surgically, and
then the guide applied in the manner shown in FIG. 2. The ends of
the blood vessel grow together in the space 26 nourished by blood
supplied through the apertures 28 until the ends join to again form
a continuous blood vessel 30 in the manner illustrated in FIG. 5. A
portion of the guide is cut away in FIG. 5 to reveal the blood
vessel 30 and the point where the two ends of the blood vessel have
joined at 34. The guide may be used in an alternate manner. It is
assumed that a blood vessel, say in the chest of the patient, has
an impaired section 32 shown in FIG. 4. Rather than cutting this
section out at the beginning of the procedure, an alternate
procedure is followed. A blood vessel (vein or artery) is exposed
at a healthy region of the body, say at a patient's side as shown
in FIGS. 6 and 7, and the blood vessel is cut once, and the guide
comprising tubes 10 and 20 is applied to the severed ends of the
blood vessel in the manner shown in FIG. 2. The guide remains in
this condition while the blood vessel grows in the guide and the
ends of the blood vessel join together in the guide. This
effectively grows a new section of blood vessel which is then cut
out of the original blood vessel of the patient's side. This
original blood vessel is sewn back together. The impaired section
32 of the blood vessel 30 is cut out and the new length of blood
vessel which has been grown on the patient's side is transplanted
or transferred to the blood vessel 30 by suturing the ends
together. The guide may be entirely removed from the new section of
blood vessel before it is transferred, or part of the guide may be
removed, or the guide may remain entirely on the blood vessel.
There may be other ways of employing the guide of the invention.
For example, it may be possible to grow vessels or tubes other than
blood vessels in the guide. However, the primary utility of the
invention is believed to be in the growth of blood vessels.
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