U.S. patent number 3,911,926 [Application Number 05/498,280] was granted by the patent office on 1975-10-14 for adjustable microvascular u-clamp.
This patent grant is currently assigned to The United States of America as represented by the Secretary of the. Invention is credited to Norman D. Peters.
United States Patent |
3,911,926 |
Peters |
October 14, 1975 |
Adjustable microvascular U-clamp
Abstract
An adjustable clamp for temporary occlusion of a blood vessel
for use in microvascular surgery is disclosed. The clamp includes a
pair of aneurysm clips which slide along a cylindrical bar.
Frictional engagement is provided between the clips and other
components of the clamp, with the result that the clips may be
positioned along the bar at any desired spacing, and, once
positioned, such positions will be maintained during use of the
clamp.
Inventors: |
Peters; Norman D. (Silver
Spring, MD) |
Assignee: |
The United States of America as
represented by the Secretary of the (Washington, DC)
|
Family
ID: |
23980366 |
Appl.
No.: |
05/498,280 |
Filed: |
August 16, 1974 |
Current U.S.
Class: |
606/158;
24/339 |
Current CPC
Class: |
A61B
17/1227 (20130101); Y10T 24/3444 (20150115) |
Current International
Class: |
A61B
17/12 (20060101); A61B 17/122 (20060101); A61B
017/12 () |
Field of
Search: |
;24/81R,81A,81AA,81DM,81FC,81PE,81TH ;128/325,326,346 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
618,821 |
|
Apr 1960 |
|
CA |
|
891,400 |
|
Dec 1943 |
|
FR |
|
Primary Examiner: Pace; Channing L.
Claims
It is claimed:
1. An adjustable microvascular clamp which comprises: a cylindrical
bar having a spacer member mounted on each end of said bar; a pair
of clips slidably mounted on said bar; a semi-cylindrical covering
mounted on said spacer members and extending parallel to said bar;
each of said clips having one end thereof located between and in
engagement with said covering and said bar; said engagement
providing sufficient friction upon said clips to allow said clips
to be individually positioned along the bar, while maintaining said
clips in position during use of said clips in closing off a blood
vessel or the like.
2. The adjustable clamp of claim 1, wherein said clamp is
constructed of stainless steel.
3. The adjustable clamp of claim 1, wherein said bar has a diameter
of 1/16 inch and wherein said semi-cylindrical covering has a
radius of 0.093 inch.
4. The adjustable clamp of claim 1, wherein said clips comprise a
pair of aneurysm clips.
Description
BACKGROUND AND SUMMARY OF THE INVENTION
The present invention is concerned with an adjustable microvascular
clamp. More particularly the present invention is concerned with an
adjustable miscrovascular U-clamp for use in temporary occlusion of
blood-vessels during microvascular surgery.
Various clamps are known in the prior art for use in microvascular
surgery, such clamps including that described by Henderson, P.N.,
"An adjustable Microvascular Clamp," The Medical Journal of
Australia, 1: 715-717, April, 1970. This prior art clamp requires
placement of the clip about the vessel, along with multiple
adjustments which are effected by a "cylinder key". Such
manipulation mitigates against intracranial use on delicate
vessels. Other microvascular clamps are known in the prior art,
such clamps being, in general cumbersome and requiring multiple
adjustments after being set in place, with such clamps thus not
being suitable for use on the brain or in other delicate areas.
By the present invention, there is provided an adjustable
microvascular clamp which is in the form of a pair of aneurysm
clips which slide along a cylindrical bar. A covering is provided
for the bar, with the clips being positioned between the covering
and the bar. Sufficient space is provided between the covering and
the bar to allow the clips to be positioned along the bar, while
providing frictional engagement to maintain the clips in their
determined positions.
Microvascular surgery and repair requires absolute precision in
instrumentation, and, above all, accurate approximation of vessels
to be anastomosed, including vessels having a diameter of 1 mm or
less. It is believed that the clamp of the present invention
satisfies these requirements in a highly satisfactory manner.
BRIEF DESCRIPTION OF THE DRAWINGS
The advantages and features of the adjustable clamp of the present
invention will be more clearly understood from the following
description of the preferred embodiments, taken in conjunction with
the accompanying drawings, wherein:
FIG. 1 is an exploded perspective view showing the various
components of the microvascular clamp of the present invention.
FIG. 2 is a perspective view of the clamp shown in FIG. 1, with the
clamp being shown in the open position prior to application;
and
FIG. 3 is a perspective view, similar to FIG. 2, but with the clamp
being shown in the closed position after being applied to a blood
vessel.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
In the embodiment of the present invention as shown in FIGS. 1-3,
there is provided an adjustable microvascular clamp 10 which
includes a pair of aneurysm clips 11 which are slidably attached to
a short cylindrical bar 12. The clips 11 and the bar 12 are
preferably formed of a metal such as stainless steel. An outer
semi-cylindrical covering 13, also of stainless steel or other
suitable material is attached to each end of the bar 12 by means of
a cylindrical spacer member 14. In making this connection, the
spacer members 14 are preferably attached by means such as
soldering to the ends of the bar 12 and the covering 13 is then
soldered to the spacers 14. The use of the spacers 14 allows a gap
to be provided between the cylindrical bar 12 and the covering 13,
with the gap being of a size which will result in friction being
applied against the clips 11 by the bar 12 and covering 13, this
friction being sufficient to maintain the clips 11 in thier
determined positions but also allowing the clips 11 to be moved
along the bar 12, upon exertion of a reasonable amount of force by
the operator.
As an example of dimensions of the clamp 10 which may be employed,
the cylindrical bar 12 may be 1 inch in length and have a diameter
of 1/16 inch, while the covering 13 may also be 1 inch in length,
and with a thickness of 0.010 inch for the material of the covering
13. A radius of 0.093 inch for the semi-cylindrical proportion of
the covering 13 may also be employed.
The clips 11 may be any suitable clips which will perform the
function as described herein, such clips having one end portion
which will fit over the bar 12, and with the opposite end having a
pair of engaging members for engaging and closing off a blood
vessel. As an example, a pair of the so-called "Mayfield" aneurysm
clips may be employed, and this type of clip is shown in the
drawings.
As shown in FIGS. 2 and 3, the clamp 10 of the present invention
may be applied to the intended vessel 15 by the use of a modified
aneurysm clip applier 16 to allow simultaneous placement of both
clips 11 on the vessel 15. The clip applier 16 may be a Mayfield
clip applier modified by the use of a broader tip 17, of a length
sufficient to operate both clips 11.
Prior to application of the clamp 10, the clips 11 are adjusted by
sliding them along the length of the bar 12 to achieve the desired
spacing between clips 11. The clip applier 16 is then employed to
open the clips 11 and to position the clamp 10 in the intended
position for closing off the vessel 15. Upon application, the clip
applier 16 is released and the clips 11 will function to close off
the vessel 15. No further adjustments of the clamp 10 are necessary
until it is desired to remove the clamp 10, at which time the clip
applier 16 is again employed to open the clips 11 and withdraw the
clamp 10 from the vicinity of the vessel 15.
The weight of the clamp 10, having dimensions as previously
described, is approximately 1.1 grams, with the result that the
clamp 10 of the present invention provides a lightweight device
which is relatively simple to operate. The clamp 10 of the present
invention has been employed on many vessels having a diameter of 1
mm or less with excellent results.
As previously mentioned, the microvascular clamp 10 of the present
invention is of simple construction, and may be held and
manipulated by one hand of the user. The clamp may also be readily
secured in an adjustable closed position, while being easily opened
to permit its disengagement from the vessel or part which is being
clamped.
The members which comprise the clamp may be made of any suitable
material, such as stainless steel, but the material selected and
the cross section of the members should be such as to permit them
to be sprung into and out of alignment so that the components may
be engaged or disengaged as desired. The material which is employed
should be durable so that it will last indefinitely, and will also
not be subject to deterioration or to attack by body acids.
Futhermore, the clamp should be of material which will not set up
any galvanic action or otherwise be subject to electrolysis.
It is thought that the invention and many of its attendant
advantages will be understood from the foregoing description, and
it will be apparent that various changes may be made in the form,
construction and arrangement of the parts without departing from
the spirit and scope of the invention or sacrificing its material
advantages, the forms hereinbefore described being merely preferred
embodiments thereof.
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