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US5022399A Expired / Lapsed US ⏱️ 0.0 years remaining

Venoscope

Assignee: Individual
•
Filing: 1989-05-10
•
Granted: 1991-06-11
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Expires: 2009-05-10
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Abstract

Abstract A method and apparatus for the non-surgical treatment of venous disorders and varicose veins wherein a flexible catheter is inserted into a varicose vein of a patient to be treated, guiding the catheter to the initial branch of the vein while viewing and monitoring blood flow therein to assure proper position and directing a treatment through the catheter to treat the varicose vein. The catheter of the invention includes first and second passages for directing a fluid and treatment to the distal end of the catheter, first and second fiber bundles to illuminate and view the vein, at least one piezoelectric crystal located on the distal end of the catheter for monitoring areas adjacent thereto and a guide wire for guiding the distal end of the catheter through the veins of the patient.

Inventors

  • 👤 Ken P. Biegeleisen

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 01:23
CPC Classifications
A; A61; A61B; A61B8/00; A61B8/12; A61B1/00; A61B1/04; A61B1/042; A61B17/00; A61B17/00491; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B18/245

Claims Analysis

Total Claims: 45
Claim 1
Independent Claim 98 words
A venoscope comprising: a flexible catheter having a proximal end, a distal end, and a plurality of passages extending therebetween; means for directing a treatment fluid from a fluid source to the distal end of the catheter through at least a first of said passages; means for viewing areas adjacent the distal end of the catheter through a second of said passages; means extending through another of said passages for guiding the distal end of said catheter through veins of a patient; and means for ultrasonically monitoring blood flow in areas adjacent the distal end of the catheter.
Claim 2
Dependent Claim 98 words
A venoscope comprising: a flexible catheter having a proximal end, a distal end, and a plurality of passages extending therebetween; means for directing a treatment fluid from a fluid source to the distal end of the catheter through at least a first of said passages; means for viewing areas adjacent the distal end of the catheter through a second of said passages; means extending through another of said passages for guiding the distal end of said catheter through veins of a patient; and means for ultrasonically monitoring blood flow in areas adjacent the distal end of the catheter.
Claim 3
Dependent Claim 15 words
The venoscope of claim 1 wherein said ultrasonic monitoring means comprises a doppler ultrasound device.
Claim 4
Dependent Claim 43 words
The venoscope of claim 2 wherein said doppler ultrasound device comprises one or more piezoelectric crystals capable of operating in various modes to generate blood flow data and an image of the internal vein areas adjacent to said distal end of the catheter.
Claim 5
Dependent Claim 19 words
The venoscope of claim 1 wherein said fluid directing means includes at least two first passages in said catheter.
Claim 6
Dependent Claim 34 words
The venoscope of claim 4 wherein one of said first passages directs saline from a source to the distal end of the catheter and another of said first passages directs an adhesive or sclerosant.
Claim 7
Dependent Claim 45 words
The venoscope of claim 1 wherein said first passage directs saline from a source to said distal end of the catheter and wherein said catheter includes a third passage which includes therein a conductive wire extending from an electrical source to said catheter distal end.
Claim 8
Dependent Claim 12 words
The venoscope of claim 1 wherein said viewing means comprises optical fibers.
Claim 9
Dependent Claim 45 words
The venoscope of claim 7 wherein said viewing means comprises a first optical fiber bundle disposed in said second passage for illuminating said adjacent interior vein areas and a second optical fiber bundle disposed in a further passage in said catheter for viewing said areas.
Claim 10
Dependent Claim 23 words
The venoscope of claim 8 wherein said second optical fiber bundle is connected at said proximal end of said catheter to an eyepiece.
Claim 11
Dependent Claim 27 words
The venoscope of claim 8 wherein said second optical fiber bundle is connected at said proximal end of said catheter to a television monitor through a camera.
Claim 12
Dependent Claim 21 words
The venoscope of claim 1 further comprising means for removing a portion of interior vein areas adjacent said catheter distal end.
Claim 13
Dependent Claim 33 words
The venoscope of claim 11 wherein said removing means extends through a further passage in said catheter and comprises one of means for transmitting a high energy beam or an electrical current therethrough.
Claim 14
Dependent Claim 13 words
The venoscope of claim 1 wherein said guiding means comprises a guide wire.
Claim 15
Dependent Claim 136 words
A venoscope comprising: a flexible catheter having a proximal end, a distal end, and a plurality of passages extending therebetween and further including therein; a first and second of said passages for directing first and second fluids, respectively, to the distal end of the catheter; a third and fourth of said passages for directing first and second optical fiber bundles, respectively, through the catheter for viewing internal vein areas adjacent the distal end of the catheter; at least one piezoelectric crystal located on the distal end of said catheter for monitoring at least one of blood flow and direction in areas adjacent thereto; and means for guiding the distal end of said catheter through veins of a patient, said guiding means extending through at least a portion of a fifth of said passages of said catheter.
Claim 16
Dependent Claim 136 words
A venoscope comprising: a flexible catheter having a proximal end, a distal end, and a plurality of passages extending therebetween and further including therein; a first and second of said passages for directing first and second fluids, respectively, to the distal end of the catheter; a third and fourth of said passages for directing first and second optical fiber bundles, respectively, through the catheter for viewing internal vein areas adjacent the distal end of the catheter; at least one piezoelectric crystal located on the distal end of said catheter for monitoring at least one of blood flow and direction in areas adjacent thereto; and means for guiding the distal end of said catheter through veins of a patient, said guiding means extending through at least a portion of a fifth of said passages of said catheter.
Claim 17
Dependent Claim 40 words
The venoscope of claim 14 wherein a first fluid passage directs saline from a source to the distal end of the catheter and a second passage directs an adhesive or a sclerosant from a source to said catheter distal end.
Claim 18
Dependent Claim 45 words
The venoscope of claim 14 wherein a first fluid passage directs saline from a source to the distal end of the catheter and wherein said catheter further comprises a conductive wire extending through a further passage from an electrical source to said catheter distal end.
Claim 19
Dependent Claim 34 words
The venoscope of claim 14 wherein said first optical fiber bundle is operatively associated with means for illuminating said internal vein areas and said second optical fiber bundle includes means for viewing said areas.
Claim 20
Dependent Claim 29 words
The venoscope of claim 17 wherein said viewing means includes an eyepiece and said second optical fiber is connected at said proximal end of said catheter to said eyepiece.
Claim 21
Dependent Claim 39 words
The venoscope of claim 17 wherein said viewing means includes a video camera and a television monitor, and said second optical fiber is connected at said proximal end of said catheter to said television monitor through said video camera.
Claim 22
Dependent Claim 31 words
The venoscope of claim 14 wherein said catheter further comprises means to generate a laser beam to remove a portion of said internal vein areas adjacent to said catheter distal end.
Claim 23
Dependent Claim 13 words
The venoscope of claim 20 wherein said guiding means comprises a guide wire.
Claim 24
Independent Claim 153 words
A method for treating varicose veins in a patient which comprises: inserting into a vein of a patient to be treated, a venoscope comprising a flexible catheter having a proximal end and a distal end, means for directing a treatment from a source to the distal end of the catheter, means for viewing areas adjacent the distal end of the catheter, and means for ultrasonically monitoring areas adjacent the distal end of the catheter, wherein said directing means, viewing means, and monitoring means are located within said catheter; guiding the distal end of said venoscope to a branch of said vein while viewing said vein through said venoscope viewing means and monitoring blood flow in said vein by said venoscope monitoring means to assure proper position of the distal end of said venoscope in said vein; and directing a treatment through said venoscope treatment directing means to treat said vein of said patient.
Claim 25
Independent Claim 153 words
A method for treating varicose veins in a patient which comprises: inserting into a vein of a patient to be treated, a venoscope comprising a flexible catheter having a proximal end and a distal end, means for directing a treatment from a source to the distal end of the catheter, means for viewing areas adjacent the distal end of the catheter, and means for ultrasonically monitoring areas adjacent the distal end of the catheter, wherein said directing means, viewing means, and monitoring means are located within said catheter; guiding the distal end of said venoscope to a branch of said vein while viewing said vein through said venoscope viewing means and monitoring blood flow in said vein by said venoscope monitoring means to assure proper position of the distal end of said venoscope in said vein; and directing a treatment through said venoscope treatment directing means to treat said vein of said patient.
Claim 26
Independent Claim 115 words
A method for delivering a vein treatment solution which comprises inserting into a vein of a patient to be treated, a venoscope comprising a flexible catheter having a proximal end and a distal end, means for directing a fluid from a fluid source to the distal end of the catheter, means for viewing areas adjacent the distal end of the catheter, and means for ultrasonically monitoring areas adjacent the distal end of the catheter, wherein said directing means, viewing means, and monitoring means are located within said catheter, guiding the distal end of said venoscope through the vein to assure proper positioning therein; and introducing said vein treatment solution through said venoscope fluid directing means.
Claim 27
Independent Claim 115 words
A method for delivering a vein treatment solution which comprises inserting into a vein of a patient to be treated, a venoscope comprising a flexible catheter having a proximal end and a distal end, means for directing a fluid from a fluid source to the distal end of the catheter, means for viewing areas adjacent the distal end of the catheter, and means for ultrasonically monitoring areas adjacent the distal end of the catheter, wherein said directing means, viewing means, and monitoring means are located within said catheter, guiding the distal end of said venoscope through the vein to assure proper positioning therein; and introducing said vein treatment solution through said venoscope fluid directing means.
Claim 28
Dependent Claim 11 words
The method of claim 22 wherein said treatment is an adhesive.
Claim 29
Dependent Claim 27 words
The method of claim 22 wherein said vein is the greater saphenous vein, and said venoscope distal end is directed to the branch from the femoral vein.
Claim 30
Dependent Claim 28 words
The method of claim 25 which further comprises sealing tributaries of said greater saphenous vein with an adhesive or sclerosant prior to treating the greater sapherous vein itself.
Claim 31
Dependent Claim 22 words
The method of claim 26 wherein the adhesive is an alkyl cyano acrylate, a fatty acid, a hypertonic sclerosant, or a polypeptide.
Claim 32
Dependent Claim 12 words
The method of claim 27 wherein the polypeptide adhesive is mussel glue.
Claim 33
Dependent Claim 20 words
The method of claim 22 which further comprises treating the vein with a high energy beam to ablate obstructions therein.
Claim 34
Dependent Claim 20 words
The method of claim 29 wherein said high energy beam treatment comprises using a laser to treat said varicose vein.
Claim 35
Dependent Claim 17 words
The method of claim 22 wherein said treatment comprises using a conductive wire to cauterize said vein.
Claim 36
Dependent Claim 47 words
A method for delivering a varicose vein treatment solution which comprises inserting the catheter of claim 1 into a varicose vein of a patient to be treated; guiding the catheter through the vein to assure proper positioning therein; and introducing said solution through said fluid directing means.
Claim 37
Dependent Claim 14 words
The method of claim 31 wherein said treatment is an adhesive or a sclerosant.
Claim 38
Dependent Claim 22 words
The method of claim 32 wherein the adhesive is an alkyl cyano acrylate, a fatty acid, a hypertonic sclerosant, or a polypeptide.
Claim 39
Dependent Claim 12 words
The method of claim 33 wherein the polypeptide adhesive is mussel glue.
Claim 40
Independent Claim 84 words
A method for treating veins in a patient which comprises: inserting a venoscope comprising a catheter having a proximal end and a distal end into a vein in a patient to be treated; positioning the distal end of the venoscope at a desired location in said vein by viewing interior portions of said vein and ultrasonically monitoring blood flow therein adjacent the distal tip of said catheter through said venoscope; and directing a treatment through said venoscope to treat said vein of said patient.
Claim 41
Independent Claim 84 words
A method for treating veins in a patient which comprises: inserting a venoscope comprising a catheter having a proximal end and a distal end into a vein in a patient to be treated; positioning the distal end of the venoscope at a desired location in said vein by viewing interior portions of said vein and ultrasonically monitoring blood flow therein adjacent the distal tip of said catheter through said venoscope; and directing a treatment through said venoscope to treat said vein of said patient.
Claim 42
Dependent Claim 20 words
The method of claim 36 wherein said treatment is a schlerosing solution, an adhesive, a high energy beam or cauterization.
Claim 43
Dependent Claim 22 words
The method of claim 37 wherein said adhesive is an alkyl cyano acrylate, a fatty acid, a hypertonic schlerosant or a polypeptide.
Claim 44
Dependent Claim 22 words
The method of claim 35 which further comprises guiding the distal end of the catheter through the catheter to said desired location.
Claim 45
Dependent Claim 19 words
The method of claim 35 wherein the treatment of the vein occurs adjacent the distal end of the catheter.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1994-06-10 1994-12-10 1995-06-11 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1998-06-10 1998-12-10 1999-06-11 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2002-06-10 2002-12-10 2003-06-11 $7700.00 Window Closed / Lapsed

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