Apparatus for in-situ cutting of valves within veins and method

Surgery – Instruments – Blood vessel – duct or teat cutter – scrapper or abrader

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606170, 606180, A61F 17132

Patent

active

050263838

ABSTRACT:
An apparatus for in-situ cutting through one-way valves in a vein to convert the vein for use as an artery and a method therefor. The apparatus employs a cutting catheter and a pulling catheter. The pulling catheter is advanced through the vein in the normal direction of blood flow and is then connected to a cutting catheter and pulled back reversely through the one-way valves. The cutting catheter carries cutting blades which sever the valve cusps. The connection between the two catheters is effected by a filament which can be swiftly and readily connected to the pulling catheter. The cutting catheter employs a viewing scope which can be utilized to observe the valve cusps and align the cutting blades with the cusps to achieve effective cutting.

REFERENCES:
patent: 3837345 (1974-09-01), Matar
patent: 4175545 (1979-11-01), Termanini
patent: 4493321 (1985-01-01), Leather
patent: 4528982 (1985-07-01), Wellenstam
patent: 4574781 (1986-03-01), Chin
patent: 4576162 (1986-03-01), McCorkle
patent: 4655217 (1987-04-01), Reed
patent: 4739760 (1988-04-01), Chin et al.
patent: 4768508 (1988-09-01), Chin et al.
"In Situ Saphenous Vein Bypass: 1962 to 1987" by John E. Connolly, M.D., The American Journal of Surgery, Jul. 1987.
Instrumental Evolution of the Valve Incision Method of In Situ Saphenous Vein Bypass by Robert P. Leather, M.D., Dhiraj M. Shah, M.D., John D. Corson, M.D. and Allastair M. Karmody, M.D., Journal of Vascular Surgery, Jan. 1984.
Publication announcement: In Situ Bypass Grafting by Dr. LeMaitre.
Advertisement: Leather In Situ Valve Cutter Kit by American Hospital Supply Corp., Jun. 1985.
Advertisement: Hall Vein Stripper by Cabot Limited, Apr. 1986.
Sales Information: Vascutech, Inc.--The LeMaitre Valvulotome System, Jun. 1987.

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