The invention is directed to instruments and procedures using such
instruments for temporarily reducing or terminating blood flow through a
female patient's uterine artery to treat post partum hemorrhage (PPH).
The uterine artery is occluded by a clamping device which includes a pair
of pivotally connected clamping members, with each of the clamping
members having a handle and a clamping element at the distal end of the
handle. The clamping elements are inclined with respect to the
longitudinal axes of the handles at an included obtuse angle between
about 120.degree. and about 170.degree., preferably between about
130.degree. and 160.degree.. An artery locating sensor is provided on the
distal end of at least one of the clamping elements. Preferably, the
artery locating sensor is a Doppler ultrasound blood flow sensor. After
birth, the clamping device is inserted into the female patient's post
partum vaginal canal and advanced therein until one of the clamping
elements Is in the patient's uterine cervix and the other clamping
element is on the exterior of the uterine cervix. The clamping element on
the exterior of the patient's uterine cervix is pressed against the
patient's vaginal fornix and the clamping device closed so as to occlude
the uterine artery disposed within tissue grasped by the clamping device.
The clamping device is locked in the closed configuration and maintained
in the condition until the patient's uterus is sufficiently clotted up to
ensure termination of the hemorrhaging, typically about 5 minutes to
about 7 hours.