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Method and device for doppler-guided retrograde catheterization

Assignee: Individual
•
Filing: 1989-09-28
•
Granted: 1991-08-13
•
Expires: 2009-09-28
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Abstract

Abstract A method is claimed for the intravascular catheterization of a higher mammal without fluoroscopy, which comprises inserting into a peripheral blood vessel a steerable catheter which has a Doppler ultrasound transceiver at its tip, generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow direction relative to the catheter tip, visually displaying the indication on a display monitor, and advancing the catheter towards the heart in accordance with the indication of blood flow direction until the catheter is positioned at a desired location within the circulatory system of the mammal. A device for use in carrying out the inventive method is also claimed.

Inventors

  • 👤 Leon J. Frazin

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 15:46
CPC Classifications
A; A61; A61B; A61B8/00; A61B8/06; A61B8/12; A61B90/00; A61B90/39; A61B2090/3925; A61B2090/3933

Claims Analysis

Total Claims: 22
Claim 1
Independent Claim 104 words
A method for the intravascular catherization of a higher mammal without fluoroscopy, comprising: inserting into a peripheral blood vessel a catheter provided with an ultrasound transceiver, said catheter being inserted into the vessel and directed in the retrograde direction; generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow relative to the catheter; displaying said indication of blood flow direction; and advancing the catheter towards the heart in the retrograde direction in accordance with the indication of blood flow direction; whereby the catheter is selectively positioned at a desired location within the circulatory system of the mammal.
Claim 2
Independent Claim 104 words
A method for the intravascular catherization of a higher mammal without fluoroscopy, comprising: inserting into a peripheral blood vessel a catheter provided with an ultrasound transceiver, said catheter being inserted into the vessel and directed in the retrograde direction; generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow relative to the catheter; displaying said indication of blood flow direction; and advancing the catheter towards the heart in the retrograde direction in accordance with the indication of blood flow direction; whereby the catheter is selectively positioned at a desired location within the circulatory system of the mammal.
Claim 3
Dependent Claim 13 words
The method of claim 1 wherein the peripheral blood vessel is an artery.
Claim 4
Dependent Claim 20 words
The method of claim 2 wherein the artery is selected from the group consisting of the brachial and femoral arteries.
Claim 5
Dependent Claim 10 words
The method of claim 2 wherein the catheter is steerable.
Claim 6
Dependent Claim 17 words
The method of claim 4 wherein the catheter is steered with the use of a guide wire.
Claim 7
Dependent Claim 15 words
The method of claim 4 wherein the catheter is steered by rotation of the catheter.
Claim 8
Dependent Claim 22 words
The method of claim 6 wherein the catheter is advanced in accordance with the indications of both pressure and blood flow direction.
Claim 9
Dependent Claim 21 words
The method of claim 2 wherein the catheter is provided with means for obtaining indications of blood pressure within the artery.
Claim 10
Dependent Claim 28 words
The method of claim 8 wherein the means for obtainin pessure indications comprise a pressure transducer connected to the proximal end of a lumen extending through the catheter.
Claim 11
Dependent Claim 19 words
The method of claim 2 wherein the desired location at which the catheter is positioned is the aortic arch.
Claim 12
Dependent Claim 22 words
The method of claim 2 where in the desired location at which the catheter is positioned is superior to the aortic valve.
Claim 13
Dependent Claim 21 words
The method of claim 2 wherein the desired location at which the catheter is positioned is in the left ventricular chamber.
Claim 14
Dependent Claim 17 words
The method of claim 1 wherein the ultrasound transceiver is placed at the tip of the catheter.
Claim 15
Independent Claim 189 words
A method for the catheterization of a human patient without fluoroscopy, comprising: inserting a catheter into a peripheral artery selected from the group consisting of the brachial and femoral arteries, the catheter having a Doppler ultrasound transceiver at its tip, at least one lumen capable of accommodating a guide wire, and at least one lumen capable of being connected to a pressure transducer, said catheter being inserted into the vessel and directed in the retrograde direction; generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow relative to the catheter tip; selectively connecting the pressure transducer to the catheter lumen and generating from signals produced by the pressure transducer an indication of blood pressure at the catheter tip; visually displaying the indications of pressure and blood flow direction; and advancing the catheter towards the heart in the retrograde direction in accordance with the indications of pressure and blood flow direction while rotating the catheter and selectively using the guide wire to steer the catheter; whereby the catheter tip is selectively positioned at a desired location within the circulatory system of the patient.
Claim 16
Independent Claim 189 words
A method for the catheterization of a human patient without fluoroscopy, comprising: inserting a catheter into a peripheral artery selected from the group consisting of the brachial and femoral arteries, the catheter having a Doppler ultrasound transceiver at its tip, at least one lumen capable of accommodating a guide wire, and at least one lumen capable of being connected to a pressure transducer, said catheter being inserted into the vessel and directed in the retrograde direction; generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow relative to the catheter tip; selectively connecting the pressure transducer to the catheter lumen and generating from signals produced by the pressure transducer an indication of blood pressure at the catheter tip; visually displaying the indications of pressure and blood flow direction; and advancing the catheter towards the heart in the retrograde direction in accordance with the indications of pressure and blood flow direction while rotating the catheter and selectively using the guide wire to steer the catheter; whereby the catheter tip is selectively positioned at a desired location within the circulatory system of the patient.
Claim 17
Independent Claim 174 words
A device for the intravascular catheterization of a higher mammal without fluoroscopy, comprising: a catheter capable of insertion into a peripheral blood vessel; an ultrasound transceiver secured to the tip of the catheter, the transceiver being capable of producing an electrical signal indicative of the direction of blood flow relative to the catheter; a control unit capable of supplying power to the transceiver and of generating from the signal produced by the transceiver a continuous indication of blood flow direction; wires connected to the transceiver, extending through the catheter from its tip towards its proximal end and connected to the control unit; and a display monitor visible to an operator of the device, the monitor being electrically connected to the control unit and capable of visually displaying the indication of blood flow direction; whereby the operator if able, in accordance with the indication of blood flow direction, to advance and direct the catheter in the retrograde direction towards and selectively position the catheter in a desired location within the circulatory system of the mammal.
Claim 18
Independent Claim 174 words
A device for the intravascular catheterization of a higher mammal without fluoroscopy, comprising: a catheter capable of insertion into a peripheral blood vessel; an ultrasound transceiver secured to the tip of the catheter, the transceiver being capable of producing an electrical signal indicative of the direction of blood flow relative to the catheter; a control unit capable of supplying power to the transceiver and of generating from the signal produced by the transceiver a continuous indication of blood flow direction; wires connected to the transceiver, extending through the catheter from its tip towards its proximal end and connected to the control unit; and a display monitor visible to an operator of the device, the monitor being electrically connected to the control unit and capable of visually displaying the indication of blood flow direction; whereby the operator if able, in accordance with the indication of blood flow direction, to advance and direct the catheter in the retrograde direction towards and selectively position the catheter in a desired location within the circulatory system of the mammal.
Claim 19
Dependent Claim 100 words
The device of claim 15 additionally comprising a pressure transducer in communication with a lumen of the catheter and capable of producing an electrical signal indicative of blood pressure at the catheter tip, the transducer being electrically connected to the control unit, the control unit being additionally capable of generating from the signal produced by the transducer an indication of blood pressure, and the display monitor being additionally capable of visually displaying the indication of blood pressure, whereby the operator is able to advance and position the catheter in accordance with the indications of both pressure and blood flow direction.
Claim 20
Dependent Claim 37 words
The device of claim 15 additionally comprising a guide wire inserted into a lumen of the catheter and capable of manipulation independently of the catheter, whereby the operator is able to steerably advance and position the catheter.
Claim 21
Independent Claim 164 words
A method for the catheterization of a human patient without fluoroscopy, comprising: inserting a catheter into a peripheral artery selected from the group consisting of the brachial and femoral arteries, the catheter having a Doppler ultrasound transceiver at its tip, at least one lumen extending the length of the catheter, said catheter being inserted into the vessel in the retrograde direction; generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow relative to the catheter tip; selectively connecting a pressure transducer to the catheter lumen and generating from signals produced by the pressure transducer an indication of blood pressure at the catheter tip; visually displaying the indications of pressure and blood flow direction; and advancing the catheter towards the heart in the retrograde direction in accordance with the indications of pressure and blood flow direction while steering the catheter; whereby the catheter tip is selectively positioned at a desired location within the circulatory system of the patient.
Claim 22
Independent Claim 164 words
A method for the catheterization of a human patient without fluoroscopy, comprising: inserting a catheter into a peripheral artery selected from the group consisting of the brachial and femoral arteries, the catheter having a Doppler ultrasound transceiver at its tip, at least one lumen extending the length of the catheter, said catheter being inserted into the vessel in the retrograde direction; generating from signals produced by the ultrasound transceiver a continuous indication of the direction of blood flow relative to the catheter tip; selectively connecting a pressure transducer to the catheter lumen and generating from signals produced by the pressure transducer an indication of blood pressure at the catheter tip; visually displaying the indications of pressure and blood flow direction; and advancing the catheter towards the heart in the retrograde direction in accordance with the indications of pressure and blood flow direction while steering the catheter; whereby the catheter tip is selectively positioned at a desired location within the circulatory system of the patient.

References Cited (Backward Citations)

US3443433A Cited
US4175566A Cited
US4237729A Cited
US4577637A Cited
US4637401A Cited
US4674336A Cited
US4665925A Cited
US4771788A Cited
US4920967A Cited
US4771782A Cited
US4947852A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1994-08-12 1995-02-11 1995-08-13 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1998-08-12 1999-02-11 1999-08-13 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2002-08-12 2003-02-11 2003-08-13 $7700.00 Window Closed / Lapsed

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