U.S. patent number 3,779,249 [Application Number 05/245,528] was granted by the patent office on 1973-12-18 for artery clamp.
Invention is credited to Herbert J. Semler.
United States Patent |
3,779,249 |
Semler |
December 18, 1973 |
ARTERY CLAMP
Abstract
An artery clamp including a base, a support joined to the base,
and a pressure-pad-bearing arm structure slidably mounted on, and
releasably lockable at any position along, the support. The clamp
is used, for example, following catheterization or needle puncture
of a femoral artery to compress the artery while coagulation
occurs, freeing a physician or nurse for other duties.
Inventors: |
Semler; Herbert J. (Portland,
OR) |
Family
ID: |
22927042 |
Appl.
No.: |
05/245,528 |
Filed: |
April 19, 1972 |
Current U.S.
Class: |
606/201;
248/507 |
Current CPC
Class: |
A61B
17/132 (20130101); A61B 2017/12004 (20130101) |
Current International
Class: |
A61B
17/12 (20060101); A61b 017/12 () |
Field of
Search: |
;128/325,326,327,346,33R,361 ;248/361B |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
It is claimed and desired to secure by Letters Patent:
1. An artery clamp comprising
a base,
an elongated upright tubular member joined to said base, said
member including an axially extending slot along a portion of its
length, said slot opening into the interior of said member,
an elongated rigid arm structure including an elongated mounting
portion slidably received within said tubular member, and, joined
to said mounting portion, an arm portion extending out through said
slot and overlying said base,
said mounting portion having an exterior transverse profile similar
to but smaller in area than the interior transverse profile of said
tubular member, an angular change in position of said arm portion
with respect to the base being thereby effective to lock the arm
structure against movement along said member through axial
misalignment and consequent frictional engagement between said
mounting portion and member,
said arm structure further including means for releasing the same
from a locked condition, said means including a release arm
overlying said arm portion, joined to cam means pivotally mounted
on said mounting portion within said member whereby, with the arm
structure in a locked condition, movement of said release arm away
from the base produces substantial axial alignment of said mounting
portion and said member through engagement of the cam means with
the tubular member, releasing them from frictional engagement,
and
a pressure pad joined to said arm structure adjacent the other end
thereof.
2. The clamp of claim 1, wherein the pressure pad is detachably
joined to said arm structure.
3. The clamp of claim 1, wherein said pressure pad is transparent.
Description
BACKGROUND AND SUMMARY OF THE INVENTION
Catheterization of arteries for x-ray visualization of
intra-vascular pathology is a well established medical procedure.
In addition, blood samples for laboratory analysis of blood gases
and pH are frequently obtained by needle puncture of an artery.
According to conventional procedure, following withdrawal of an
arterial catheter or needle, a physician or nurse must manually
compress the artery to allow coagulation to take place. This is
time consuming, since pressure must be maintained, typically, for
six to twelve minutes, and frequently both hands are needed for
effective compression. If the patient should, for example, suddenly
lose consciousness or develop a serious heart rhythm irregularity,
the physician or nurse should have both hands free to render
emergency care while still preventing bleeding from the punctured
artery.
The invention relates generally to an artery clamp. More
particularly, it relates to such a device which permits a user to
quickly and conveniently apply pressure to a punctured artery to
prevent bleeding, and then attend to other duties while coagulation
takes place. For the purpose of illustration, a preferred
embodiment of the invention is described herein which is
particularly adapted for use in conjunction with femoral arterial
catheterization.
The novel artery clamp of the invention consists generally of an
elongated, upright tubular support member joined to a broad, flat
base. Extending out over the base is a rigid, inverted-U-shaped arm
structure which is slidably mounted at one end on the support
member. At the other end of the arm structure is a detachable
disk-shaped pressure pad. In use (during femoral arterial
catheterization), before removing catheter from a patient, a
physician or nurse places the base of the clamp under the patient's
thigh and positions the arm structure so that the pressure pad is
directly over the puncture site. As the catheter is withdrawn, the
user moves the arm structure down toward the base causing the pad
to compress the artery and prevent bleeding. The resulting upward
pressure on the pad causes a slight angular change between the arm
structure and the support member, which change results in automatic
locking of the arm structure in position on the support. After a
sufficient period of time for coagulation, the user unlocks the arm
structure by operating a release lever mounted thereon. If bleeding
recurs, the user may quickly recompress the artery by again
pressing down on the arm structure.
DESCRIPTION OF THE DRAWINGS
These and other advantages of the novel clamp of the invention will
become more apparent as the description which follows is read in
conjunction with the accompanying drawings, wherein:
FIG. 1 illustrates the clamp of the invention in use;
FIG. 2 is an enlarged side elevation of the clamp of FIG. 1;
FIG. 3 is a fragmentary sectional view, partially broken away,
showing an arm structure of the clamp in a locked condition
therein;
FIG. 4 is a view similar to FIG. 3 showing operation of a releasing
lever in the clamp; and
FIG. 5 is a fragmentary sectional view taken on line 5--5 of FIG.
4.
DETAILED DESCRIPTION OF THE INVENTION
Referring to the drawings, and first of all particularly to FIG. 1,
indicated generally at 10 is an artery clamp as contemplated
herein--the same being shown in use in this figure applying
pressure to the right femoral artery of a patient (indicated
generally at 11). This patient has just undergone femoral arterial
catheterization, and as will be explained shortly, clamp 10 is
applying pressure over a puncture site in the patient from which a
catheter has previously been withdrawn. In general terms, clamp 10
includes a base 12, an elongated support 13 joined to the base, an
elongated arm structure 14 slidably mounted on the support, and a
pressure pad 16 carried on arm structure 14. The clamp also
includes a releasing lever, or releasing means, 18, the operation
of which will be explained later.
With the clamp in use as shown in FIG. 1, arm structure 14 is
locked against movement on support 13, with base 12 and pressure
pad 16 in contact with and bearing against opposite sides of the
patient's right thigh.
Considering the construction of the various parts in clamp 10, base
12 comprises a substantially flat aluminum plate, the particular
dimensions of which are not especially critical. However, for use
in a femoral arterial catheterization procedure, the base should be
broad enough to provide adequate stability for the clamp, and thin
enough to slip easily beneath a patient's thigh (as illustrated in
FIG. 1). For example, the base might have a width of about 6
inches, a length of about 12 inches, and a thickness of about
three-sixteenths inch.
Referring to FIGS. 1, 2 and 5, support 13, also formed of aluminum
herein, is welded to the top side, and adjacent one end, of the
base (in FIGS. 1 and 2). Support 13 is disposed with its
longitudinal axis substantially normal to the plane of base 12, and
takes the form of a hollow, square cross section tube having an
elongated slot 20 extending substantially completely along its
right side in FIGS. 2 and 5.
Referring to FIGS. 2-5 inclusive, arm structure 14 includes an arm
22, and what might be thought of as a frictioning member 24 mounted
on arm 22. Arm 22 includes an elongated, somewhat shallow inverted
U-shaped outer part 22a which joins integrally with an inner end
part 22b. As can be seen particularly in FIGS. 3-5, part 22b is
elongated, and has a generally square cross-sectional configuration
which is slightly smaller in area than cross-sectional area of the
interior of support 13. Part 22b is slidably received in the
interior of the support, with outer part 22a extending through slot
20 and over base 12. The outer (down-turned) end 22c of outer part
22a is formed with a conical outside surface. Arm 22 is made of a
suitable rigid plastic material.
Frictioning member 24 takes the form, generally, of a cylindrical
plug, which is secured in a socket 25 formed in arm part 22b. As
can be seen clearly in FIGS. 3-5, member 24 projects to the left of
the left side of arm part 22b in the figures. Preferably, member 24
is formed of fiberglass. Frictioning member 24, together with arm
part 22b, comprise what is referred to herein as a mounting portion
in the arm structure.
Releasing lever 18 has the side profile shown in FIGS. 3 and 4, and
is pivoted by a pin 26 to and between a pair of laterally spaced
upper ears 22d formed in arm part 22b. Lever 18 extends through
slot 20. This lever is formed of substantially the same plastic
material used in arm 22.
As can best be seen in FIG. 2, pressure pad 16 includes a generally
disk-shaped base 16a, on top of which is formed an integral
mounting boss 16b. Boss 16b is provided with a conical socket 28,
which matches with and receives end 22c in arm 22. The pad is
detachably held (by friction) on the arm. As contemplated herein,
pad 16 is formed from a suitable transparent plastic material.
Preferably, this material is one which permits autoclaving and gas
sterilizing of the pad for reuse purposes. A satisfactory plastic
for this purpose is a polycarbonate resin made by General Electric
sold under the name "Lexan."
Explaining now how clamp 10 may be used in a femoral arterial
catheterization procedure and assuming that a patient is lying down
(as indicated generally in FIG. 1) with a catheter inserted in his
right femoral artery, base 12 of the clamp is slipped beneath the
patient's right thigh with pressure pad 16 positioned essentially
directly over the puncture site for the catheter. When the user is
ready to remove the catheter, he moves arm structure 14 down on
support 13. Substantially simultaneously with withdrawal of the
catheter, he presses down on the arm structure (at a point closely
adjacent the support), causing pad 16 to press against the artery
at the puncture site with sufficient pressure to stop bleeding from
the site. The user then lets go of arm structure 14, and, as a
result of upward pressure then existing against the pad, the
structure automatically locks in position on the support.
This automatic locking action obtainable in the proposed clamp is
an important feature of the invention. As previously described,
inner end part 22b of arm 22 is similar in cross section to, but
slightly smaller than, the interior of support 13. Thus, after pad
16 has been pressed against an artery to compress it, the resulting
upward pressure against the pad causes inner end part 22b to tilt
slightly within the support. Such action results in relatively
high-friction frictional engagement between the mounting portion of
the arm structure and support 13. More specifically, this
high-friction engagement results from contact between opposite
interior sides of the support, the bottom end of arm part 22b
(where it joins with outer arm part 22a), and frictioning member
24. FIG. 3 clearly illustrates this locked condition.
It should be noted that such high-friction engagement can occur
with the arm structure at any one of an infinite number of
different positions on support 13.
The locked condition of the arm structure on the support remains
unchanged until actuation of lever 18. When the user decides to
remove pressure from the artery in the hope that coagulation has
occurred at the puncture site, he actuates lever 18 by swinging it
upwardly as indicated in FIG. 4. With such swinging of the lever,
the end thereof which is inside the support engages that wall of
support 13 which is opposite slot 20 (as shown in FIG. 4).
Continued upward swinging of lever 18 tilts arm part 22b clockwise
in FIG. 4 (from its dash-dot position in the figure), releasing
member 24 from frictional engagement with the support, and allowing
arm structure 14 to climb slightly on the support under the
influence of the upward pressure still existing on pad 16. As the
arm climbs up the support, pressure on the artery is relaxed. By
then lowering the lever and repeating the operation just described
several times, all clamping pressure on the artery can be
graduaally released.
If, as pressure is thus slowly released, bleeding recurs, it may
again be stopped by pressing down on the arm assembly (as described
earlier) to increase clamping pressure.
Another important feature of the invention is that the pressure pad
proposed herein is transparent. A number of important advantages
are thus attained. For example, during the application of pressure
by the pad over the puncture site, it is easy for the user to be
sure that the pad is properly positioned. Further, during the
process of relaxing pressure from an artery, the user can
continually view the puncture site and can note immediately if
bleeding recurs.
After complete removal of clamping pressure, the arm structure may
be lifted on support 13 to any desired elevated position thereon,
such as the position shown in FIG. 2, in order to facilitate
removal of the clamp. When the arm structure is lifted to such a
position and released, the weight of the cantilevered portion of
the structure is sufficient to tilt the mounting portion of the arm
within support 13 and produce frictional engagement between the two
which is ample to support the structure in its raised position.
There is thus provided a convenient clamping device which allows a
user to compress an artery and permit intra-vascular coagulation,
while freeing the user for other duties.
Although a preferred embodiment has been described herein, it is
understood that variations and modifications are possible without
departing from the spirit of the invention.
* * * * *