Surgical kit for repairing leaks in fluid carrying vessels and organs and method thereof

Abstract

A surgical kit for percutaneously repairing post-operative leaks in internal fluid carrying vessels and organs. The kit includes at least one syringe and at least one marker for placement on the body of the patient to mark the location of the leak. The syringe and marker are enclosed in a sterile package which includes a top cover and a bottom cover. A method for repairing a leak in a fluid carrying vessel or organ, such as the dura mater of the spinal cord, is also disclosed.

1 . A surgical kit for repairing a fluid leak in internal fluid carrying vessels and organs, comprising: 
 at least one syringe having a needle;    at least one container for carrying a bio-compatible fluid, said fluid serving to fill a breach in an internal fluid carrying vessel or organ;    at least one marker for placement on a patient's body to mark the breach in the vessel or organ, the marker serving as a needle guide for the needle of the syringe to assist in placement of the needle adjacent the breach; and    a package including a top cover and a bottom cover, said top and bottom cover forming a package containing the at least one syringe, the at least one container, and the at least one marker.    
   
   
       2 . A surgical kit according to  claim 1 , further comprising at least one sterile surgical drape.  
   
   
       3 . A surgical kit according to  claim 1 , wherein the bio-compatible fluid is a fibrin glue material.  
   
   
       4 . A surgical kit according to  claim 1 , wherein the marker is radiopaque and includes a hole which passes through the marker to accommodate the needle of the syringe, to guide insertion of the needle into the patient.  
   
   
       5 . A surgical kit according to  claim 1 , wherein the syringe contains a fluid which reacts with the bio-compatible material to form a fibrin glue material to fill the breach in the fluid carrying vessel or organ.  
   
   
       6 . A surgical kit according to  claim 1 , further comprising a container for carrying a myelographic contrast agent, and a syringe having a needle for delivering the agent to the vessel or organ having the breach.  
   
   
       7 . A surgical kit according to  claim 1 , wherein the at least one syringe, the at least one container and the at least one marker are sterile.  
   
   
       8 . A surgical kit for repairing a fluid leak in internal fluid carrying vessels and organs, comprising: c a syringe having a needle and containing a fluid for filling a breach in an internal fluid carrying vessel or organ; 
 at lest one marker for placement on a patient's body to mark the breach in the vessel or organ, the marker serving as a needle guide for the syringe to assist in placement of the needle adjacent the breach; and    a package including a top cover and bottom cover, said top and bottom cover forming a package containing the at least one syringe and the at least one marker.    
   
   
       9 . A surgical kit according to  claim 8 , further comprising at least one sterile surgical drape.  
   
   
       10 . A surgical kit according to  claim 8 , wherein the syringe is a dual chamber syringe.  
   
   
       11 . A surgical kit according to  claim 10 , wherein said fluid in said syringe is a fibrin glue, and a first chamber and a second chamber of the syringe contain the components of the fibrin glue.  
   
   
       12 . A surgical kit according to  claim 11 , wherein a needle of the syringe has two lumens.  
   
   
       13 . A surgical kit according to  claim 8 , wherein the marker includes a hole which passes through the marker to accommodate the needle of the syringe, to guide insertion of the needle into the patient.  
   
   
       14 . A surgical kit according to  claim 8 , further comprising an additional syringe having a needle and containing a myelographic contrast agent for delivery to the vessel or organ having the breach.  
   
   
       15 . A surgical kit according to  claim 14 , wherein the syringe containing the fluid, the at least one marker, and the syringe containing the contrast agent are sterile.  
   
   
       16 . A surgical kit for repairing a fluid leak in internal fluid carrying vessels and organs, comprising: 
 a syringe having a needle for applying a fibrin glue material to a location adjacent a leak in an internal fluid carrying vessel or organ;    at least one marker for placement on a patient's body to mark the location of the leak; and    a package including a top cover and a bottom cover, said top and bottom cover forming a package containing the at least one syringe and the at least one marker.    
   
   
       17 . A surgical kit according to  claim 16 , further comprising at least one sterile surgical drape.  
   
   
       18 . A surgical kit according to  claim 16 , wherein the syringe is a dual chamber syringe, a first chamber containing platelets and a second chamber containing fibrin.  
   
   
       19 . A surgical kit according to  claim 18 , wherein a needle of the syringe has two lumens.  
   
   
       20 . A surgical kit according to  claim 16 , wherein the marker includes a hole which passes through the marker to accommodate the needle of the syringe, to guide insertion of the needle into the patient.  
   
   
       21 . A surgical kit according to  claim 16 , further comprising a syringe having a needle and containing a myelographic contrast agent for delivery to the vessel or organ having the leak.  
   
   
       22 . A surgical kit according to  claim 21 , wherein the syringe having the fibrin glue, that at least one marker, and the syringe having the contrast agent are sterile.  
   
   
       23 . A method for repairing a fluid leak in internal fluid carrying vessels and organs, comprising the steps of: 
 determining that a leak has occurred in a fluid carrying vessel or organ;    injecting a radiographic contrast agent into the fluid carrying vessel or organ;    observing flow of the contrast agent using radiographic imaging to determine the location of the leak;    placing a marker on the patient's body to mark the location of the leak;    confirming the location of the leak with respect to the marker using radiographic imaging;    providing a syringe having a needle and containing a fibrin glue material;    inserting the needle into the patient's body through the marker;    confirming the location of the distal tip of the needle of the syringe using radiographic imaging; and    delivering the fibrin glue material to the location of the leak to seal the leak on the fluid carrying vessel or organ.    
   
   
       24 . A method for repairing a CSF leak in the dura mater of the spinal cord, comprising the steps of: 
 (a) determining that a leak has occurred;    (b) determining the location of the leak;    (c) placing a marker on the patient's body to mark the location of the leak;    (d) providing a syringe having a needle and containing fibrin glue;    (e) inserting the needle into the patient's body through the marker to the location of the leak; and    (f) delivering the fibrin glue to the location of the leak to seal the leak in the dura mater.    
   
   
       25 . The method of  claim 24 , further comprising the step of delivering a contrast agent to the dura mater and observing at least steps (b), (c), (e) and (f) through scanning techniques.