Claims
- 1. A luminal clip application device, comprising:
a. a first elongated pressure-applying member which has a proximal handle portion and a distal jaw portion having a clip receiving surface, said proximal handle portion and said distal jaw portion defining a longitudinal direction, said distal jaw portion being pivotally mounted to a support member at a pivot point proximal to the distal jaw portion; b. a sensor disposed on the distal jaw portion of the first elongated pressure-applying member and configured for sensing a body lumen; and c. an energy transmission element which has a distal end connected to said body lumen sensor and a proximal end configured to be operatively connected to a sensor controller.
- 2. The device of claim 1 wherein said support member comprises a second elongated pressure-applying member which has a proximal handle portion and a distal jaw portion having a luminal clip receiving surface and which pivotally receives the first elongated pressure-applying member at a location proximal to the distal jaw portion.
- 3. The luminal clip applicator device of claim 1, wherein said sensor is selected from the group of sensors consisting of blood flow sensors, sound sensors, ultrasound sensors, pressure sensors, stress sensors, strain sensors, chemical sensors, electromagnetic radiation sensors, and combinations thereof.
- 4. The luminal clip applicator device of claim 3, wherein said sensor comprises a blood flow sensor.
- 5. The luminal clip applicator device of claim 4, wherein said blood flow sensor comprises a Doppler ultrasound sensor.
- 6. The luminal clip applicator device of claim 5, wherein said Doppler sensor is configured to sense ultrasound having a frequency of between about 5 MHz and about 20 MHz.
- 7. The luminal clip applicator device of claim 5, wherein said Doppler ultrasound sensor is configured to sense ultrasound having a frequency of between about 6 MHz and about 10 MHz.
- 8. The luminal clip applicator device of claim 5, wherein said Doppler ultrasound sensor is configured to sense ultrasound having a frequency of about 8 MHz.
- 9. The luminal clip applicator device of claim 3, wherein said sensor is configured to sense electromagnetic radiation having a wavelength of between about 500 nanometers (nm) and about 2000 nm.
- 10. The luminal clip applicator device of claim 3, wherein said sensor is configured to sense electromagnetic radiation having a wavelength of between about 700 nm and about 1000 nm.
- 11. The device of claim 1, wherein a sensor has a sensing direction that is substantially perpendicular to said longitudinal direction of said first elongated pressure-applying surface.
- 12. The device of claim 1, wherein a sensor has a sensing direction that is substantially parallel to said to said longitudinal direction of said first pressure-applying surface.
- 13. The device of claim 1, wherein said pressure-applying member has a length comprising between about 0.3 cm and about 10 cm.
- 14. The device of claim 13, wherein said pressure-applying member has a length of between about 1 cm and about 8 cm.
- 15. The device of claim 1, wherein an extension member has a length of between about 3 cm and about 25 cm.
- 16. The device of claim 15, wherein an extension member has a length of between about 6 cm and about 15 cm.
- 17. The luminal clip applicator device of claim 2, wherein said first and second pressure-applying members are configured to move effective to compress a luminal clip around or onto a body lumen disposed between said pressure-applying members.
- 18. The luminal clip applicator device of claim 17, further wherein said pressure-applying members are configured to compress said luminal clip effective that the luminal clip applies sufficient pressure to occlude said body lumen.
- 19. The luminal clip applicator device of claim 18, wherein said pressure sufficient to occlude a body lumen comprises a pressure of between about 5 pounds per square inch (psi) and about 80 psi.
- 20. The luminal clip applicator device of claim 18, wherein said pressure sufficient to occlude a body lumen comprises a pressure of between about 7 pounds per square inch (psi) and about 10 psi.
- 21. The luminal clip applicator device of claim 1, comprising a plurality of sensors.
- 22. The luminal clip applicator device of claim 21, wherein said plurality of sensors comprises a plurality of Doppler ultrasound sensors.
- 23. A luminal clip application system for occluding a body lumen, comprising:
a. a first elongated pressure applying member which has a proximal handle portion and a distal jaw portion having a luminal clip receiving surface, which has a pivot point proximal to the distal jaw portion; b. a second elongated pressure applying member which has a proximal handle portion and a distal jaw portion having a luminal clip receiving surface and which is pivotally secured to the pivot point of the first elongated pressure applying member at a location proximal to the distal jaw portion; c. a sensor disposed on the distal jaw portion of the first elongated pressure applying member and configured for sensing a body lumen; d. an energy transmission element which has a distal end connected to the body lumen sensor and a proximal end configured to be operatively connected to a sensor controller; and e. a body lumen occluding clip disposed between and releasably secured by the clip receiving surfaces of the distal jaw portions of the first and second elongated pressure applying members.
- 24. The system of claim 23, wherein said body lumen occluding clip comprises a clip selected from the group of clips including metal clips, plastic clips, hinged clips, clips with latches, bioabsorbable clips, and combinations thereof.
- 25. The system of claim 24, wherein said body lumen occluding clip is a bioabsorbable clip configured to be absorbed within a patient's body.
- 26. The system of claim 25, wherein said bioabsorbable clip is configured to be absorbed after a time period of about 6 months.
- 27. The system of claim 25, wherein said bioabsorbable clip is configured to be absorbed after a time period of about 6 weeks.
- 28. The system of claim 25, wherein said bioabsorbable clip is configured to be absorbed after a time period of about 2 weeks.
- 29. The system of claim 23, wherein said body lumen occluding clip is a releasable clip configured to release after a time period of about 1 week.
- 30. The system of claim 23, wherein said body lumen occluding clip is a releasable clip configured to release after a time period of about 12 hours.
- 31. The system of claim 23, wherein said body lumen occluding clip is a releasable clip configured to release after a time period of about 8 hours.
- 32. The system of claim 23, wherein said body lumen occluding clip is a temporary-occlusion clip configured to compress tissue for a time period of between about 0.5 hour and about 1 week.
- 33. The system of claim 23, wherein said body lumen occluding clip is a temporary-occlusion clip configured to compress tissue for a time period of between about 0.5 hour and about 12 hours.
- 34. The system of claim 23, wherein said body lumen occluding clip is a temporary-occlusion clip configured to compress tissue for a time period of between about 1 hour and about 8 hours.
- 35. The system of claim 23, further comprising a sensor controller.
- 36. A method of occluding a body lumen of a patient, comprising:
locating a body lumen with a sensor disposed on a vessel-occlusion device carrying a body lumen occluding clip; and compressing a portion of said body lumen with said body lumen occluding clip applied to said vessel by said vessel-occlusion device comprising said sensor.
- 37. The method of claim 36, wherein said body lumen is selected from the group of body lumens consisting of blood vessels, ducts, and lymph nodes.
- 38. The method of claim 37, wherein said body lumen is a blood vessel.
- 39. The method of claim 36, wherein said sensor comprises a blood flow sensor and said locating comprises detecting blood flow in a blood vessel.
- 40. The method of claim 39, further comprising detecting a reduction in blood flow in said blood vessel.
- 41. The method of claim 39, wherein said blood flow sensor comprises a Doppler ultrasound blood flow sensor.
- 42. The method of claim 41, wherein locating with said Doppler ultrasound blood flow sensor comprises locating a body lumen with ultrasound having a frequency of between about 5 MHz and about 20 MHz.
- 43. The method of claim 41, wherein locating with said Doppler ultrasound blood flow sensor comprises locating a body lumen with ultrasound having a frequency of about 8 MHz.
- 44. The method of claim 38, wherein said blood vessel is a uterine artery.
- 45. The method of claim 44, wherein said sensor comprises a blood flow sensor and said locating comprises detecting blood flow in a uterine artery.
- 46. The method of claim 45, further comprising detecting a reduction in blood flow in said uterine artery.
- 47. The method of claim 36, wherein said body lumen occluding clip comprises a releasable clip configured to release said occlusion after a limited time.
- 48. The method of claim 47, wherein said limited time comprises a time of at least about 6 months.
- 49. The method of claim 47, wherein said limited time comprises a time of at least about 6 weeks.
- 50. The method of claim 47, wherein said limited time comprises a time of at least about 2 weeks.
- 51. The method of claim 47, wherein said limited time comprises a time of at least about 1 week.
- 52. The method of claim 36, wherein said body lumen occluding clip comprises a releasable clip configured to compress tissue for a limited time comprising between about 0.5 hour and about 1 week.
- 53. The method of claim 36, wherein said body lumen occluding clip comprises a releasable clip configured to compress tissue for a limited time comprising between about 0.5 hour and about 12 hours.
- 54. The method of claim 53, wherein said limited time comprises a time period of between about 1 hour and about 8 hours.
- 55. The method of claim 36, wherein said compressing a portion of said body lumen with a body lumen occluding clip comprises applying between about 5 psi and about 80 psi of pressure.
- 56. The method of claim 36, wherein said compressing a portion of said body lumen with a body lumen occluding clip comprises applying between about 7 psi and about 10 psi of pressure.
- 57. The device of claim 2, wherein a pressure-applying member has a distal tip and wherein said sensor is spaced between about 0.1 inch and about 1 inch proximal of said distal tip.
- 58. The device of claim 57, wherein said sensor is disposed at a location between about 0.2 inch and about 0.6 inch proximal of said distal tip.
- 59. The device of claim 57, wherein said sensor is disposed at a location about 0.4 inch proximal of said distal tip.
- 60. A body lumen occlusion system comprising:
a. a first elongated pressure applying member which has a proximal handle portion and a distal jaw portion having a luminal clip receiving surface, which is pivotally mounted to a support member at a pivot point proximal to the distal jaw portion; b. a sensor disposed on the distal jaw portion of the first elongated pressure applying member and configured for sensing a body lumen; c. a sensor controller; and d. an energy transmission element which has a distal end connected to the body lumen sensor and a proximal end operatively connected to the sensor controller.
- 61. The body lumen occlusion system of claim 60, further comprising a luminal clip.
- 62. A luminal clip application device, comprising:
a. a means for applying pressure to tissue having a body lumen; b. a means for pivotally supporting said means for applying pressure; c. a means for sensing a body lumen, said body lumen sensing means having an electrical connection means with an end configured to connect with a source of electrical power.
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation-in-part of patent application Ser. No. 10/113,096, filed Mar. 28, 2002, which claims the benefit of provisional patent application Ser. No. 60/279,477, filed Mar. 28, 2001, which applications are hereby incorporated by reference in their entirety and from which priority is hereby claimed under 35 U.S.C. § 119(e) and 35 U.S.C. § 120.
Provisional Applications (1)
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Number |
Date |
Country |
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60279477 |
Mar 2001 |
US |
Continuation in Parts (1)
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Number |
Date |
Country |
Parent |
10113096 |
Mar 2002 |
US |
Child |
10300410 |
Nov 2002 |
US |