Percutaneous fixation of hollow organs

Abstract

For percutaneous fixation of a hollow organ of a body, a hollow needle carrying a retaining device attached to a tension filament through the skin into the hollow organ, the retaining device is released from the needle, and the organ is fixed by adjusting the tension on the filament and clamping the filament outside the body by means bearing upon the exterior of the body.

What is claimed is: 
     
       1. A method for the fixation of a hollow organ of a living body to a body wall comprising: percutaneously inserting a rigid hollow needle carrying a retaining device attached to a trailing tension filament, through the skin, from outside the body, into said hollow organ in the manner that a portion of said trailing tension filament remains outside of the body,   said retaining device having a portion adapted to engage and apply pressure to an interior wall of said hollow organ,   releasing said retaining device within said hollow organ from said needle,   pulling a portion of said trailing tension filament from outside the body to draw said retaining device against the interior wall of said hollow organ to pull said organ against the body wall, and   fixing said organ by adjusting the tension on said filament and clamping said filament outside the body by means bearing upon the exterior of the body.   
     
     
       2. The method of claim 1 wherein said retaining device comprises a head that extends cross-wise to said filament in a "T" arrangement upon release from said needle. 
     
     
       3. A percutaneous fixation device suitable to fix the position of a hollow organ within a body which comprises: a hollow needle; and   a "T" head, wherein said head comprises a stiff hollow tube having a hole in its side, a root mass of resinous material larger than said hole disposed within said tube, a tension filament attached to the mid-portion of said head, said head dislodgedly held within said needle, said filament extending through said hole and bonded to said mass, with said filament extending back with said needle, and means threaded on said filament for bearing with compression against the body to apply tension to said filament to draw said head against the inner surface of said hollow organ.   
     
     
       4. A retaining element adapted for insertion by a needle and eventual removal through the passage formed by said needle, comprising an elongated stiff head, a primary flexible tension filament secured to said head, and a secondary tension filament secured to an end of said head, adapted to be pulled upon to withdraw said head end-wise upon release of tension on said first tension element. .Iadd. 
     
     
       5.  A percutaneous fixation device suitable to fix the position of a hollow organ within a body, comprising: a "T" head comprising a stiff member,   an elongated, relatively more flexible primary tension filament secured at the mid-region of said head, said elongated primary tension filament having a free end trailing back from said head, and   compressible means threaded on said elongated primary tension filament for bearing in a cushioning manner with compression against the skin of the body, and means for pressing upon said compressible means while clamping said primary tension member to apply tension to said primary tension filament to draw said head against the inner surface of the hollow organ. .Iaddend. .Iadd.6. The primary fixation device of claim 5 wherein said device is adapted for insertion through a passage, and further comprises a secondary tension filament secured at an end of said head, adapted to be pulled upon to withdraw said head endwise upon release of tension on said primary tension filament. .Iaddend. .Iadd.7. The percutaneous fixation device of claim 5 or 6 wherein said head comprises a hollow tube having a hole defined in its side wall, and said primary tension filament extends through said hole. .Iaddend. .Iadd.8. The percutaneous fixation device of claim 5 or 6 wherein said head comprises a stainless steel tube having a hole defined in its side wall, and said primary tension filament extends   
     
     
        through said hole. .Iaddend. .Iadd.9.  The percutaneous fixation device of claim 5 or 6 wherein said compressible means comprises a compressible cushioning element and a retention member. .Iaddend. .Iadd.10. The percutaneous fixation device of claim 9 wherein said compressible cushioning element comprises an absorbent for fluids. .Iaddend. .Iadd.11. The percutaneous fixation device of claim 5 or 6 wherein said means for pressing upon said compressible means comprises: a crimpable element in a first state adapted for sliding movement along said primary tension filament, toward said head, in a manner for application of compressive force upon said compressible cushioning element, and in a second state adapted for engagement upon said primary tension filament for maintaining said compressible cushioning element in a compressive state, and   a clamping element in a first state adapted for sliding movement along said primary tension filament, toward said head, in a manner for application of compressive force upon said compressible cushioning element, and in a second state adapted upon application of radially directed force upon said clamping element for engagement upon said primary tension filament for maintaining said compressible cushioning element in a compressive state. .Iaddend. .Iadd.12. A method for the fixation of a hollow organ of a living body to a body wall comprising:   inserting a retaining device attached to a trailing tension filament, through the skin, from outside the body, into the hollow organ in the manner that a portion of said trailing tension filament remains outside of the body,   said retaining device having a portion adapted to engage and apply pressure to an interior wall of the hollow organ,   releasing said retaining device within said hollow organ,   pulling a portion of said trailing filament from outside the body to draw said retaining device against the interior wall of the hollow organ to pull the hollow organ against the body wall, and   fixing the hollow organ by adjusting the tension on said filament outside   
     
     
        the body. .Iaddend. .Iadd.13.  The method of claim 12 wherein said retaining device comprises a head that extends cross-wise to said filament in a "T" arrangement upon release within the hollow organ. .Iaddend. 
     
     
        .Iadd.4.  A percutaneous fixation device suitable to fix the position of a hollow organ within a body which comprises a tension filament having a distal end destined for the interior of the organ and a trailing portion extending in usage through an adjacent wall of the body and terminating outside the exterior of the body,   a cross bar attached to the distal end of said filament so as to form a "T" head for forcible engagement of the inner surface of the organ, and   a fastener connected to said filament for securing the trailing portion of said filament on the exterior of the body under tension so as to draw the   
     
     
        organ toward the adjacent wall. .Iaddend. .Iadd.15.  The device of claim 14, wherein said fastener comprises means for bearing against the exterior of the body. .Iaddend. .Iadd.16. The device of claim 15, wherein said fastener further comprises means for fixing the position of said bearing means along the trailing end of said filament. .Iaddend. .Iadd.17. A method of securing a hollow organ within a body to a wall of the body in preparation for insertion of a catheter through the wall into the interior of the organ, comprising the steps of selecting a site for catheter insertion on the exterior of the body,   inserting a first retaining device from outside the body through the body wall into the hollow organ at a position on the exterior of the body nearby but displaced from said catheter insertion site, said retaining device having a head portion adapted to forcibly engage an interior wall of the hollow organ and a trailing tension filament attached to said head portion extending through the organ and body walls outside of the body,   pulling the trailing filament from outside the body to draw said retaining device against the interior wall of the hollow organ to pull the hollow organ against the body wall,   fixing the hollow organ by adjusting the tension on said filament outside the body, and   repeating the steps of inserting, pulling and fixing with a plurality of similar retaining devices at other positions, said other positions together with the position of said first retaining device surrounding said   
     
     
        catheter insertion site. .Iaddend. .Iadd.18.  The method of claim 17, wherein four of said retaining devices are used in a square configuration centered on said catheter insertion site. .Iaddend. .Iadd.19. A method for the fixation of a hollow organ of a living body to a body wall comprising: percutaneously providing a tract from outside the body through the skin and into the hollow organ,   inserting a retaining device attached to a trailing tension filament, through the tract from outside the body, into said hollow organ in the manner that a portion of said trailing tension filament remains outside of the body,   said retaining device having a portion adapted to engage and apply pressure to an interior wall of said hollow organ,   releasing said retaining device within said hollow organ from said tract,   pulling a portion of said trailing tension filament from outside the body to draw said retaining device against the interior wall of said hollow organ to pull said organ against the body wall, and   fixing said organ by adjusting the tension on said filament. .Iaddend.