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Last Updated: April 25, 2024

Claims for Patent: 9,011,367


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Summary for Patent: 9,011,367
Title:Device and method for injecting pulsed steam into a human or animal vessel E.G. a vein
Abstract: The purpose of the invention is to develop an improved device for injecting pulsed steam into a human or animal vessel (e.g. veins), especially tributaries and perforating veins to treat them through thermofibrosis. The device of the invention includes a water pulse generator that produces micro pulses of pressurized sterile water; a hand piece that transforms pulses of water coming from the generator into pulses of steam; an endoluminal catheter with a tubular part for delivering the steam into the vessel; connection means between the hand piece and the endoluminal catheter; and a programmable central processing unit (cpu) to control the water pulse generator and the hand piece.
Inventor(s): Humbert; Sophie (Arbusigny, FR), Milleret; Rene (Montpellier, FR), Lugbull; Sebastien (Seyssel, FR)
Assignee: Cermavein (Archamps, FR)
Application Number:13/983,833
Patent Claims:1. A method for treating tributaries comprising using a device for injecting pulsed steam into human or animal vessel, the device including: a water pulse generator that produces micro pulses of pressurized sterile water; a hand piece that transforms pulses of water coming from the generator into pulses of steam; an endoluminal catheter for delivering the steam into the vessel; connection means between the hand piece and the endoluminal catheter; and a programmable central processing unit (cpu) to control the water pulse generator and the hand piece; wherein a. the endoluminal catheter comprises a tubular part which length L (in cm) is comprised between one of the following inclusive ranges: [1; 30], [2; 28], [3; 27], [4; 26], [5; 25], [6; 24], [8; 22], [10; 20]; b. the tubular part of the endoluminal catheter is made of a flexible, biocompatible, thermically insulating and thermically resistant non-metallic material or polymer; c. the distal end of the endoluminal catheter has a terminal and central opening; the method further comprising: i. the tubular part of the endoluminal catheter is introduced into a patient and positioned within the section of the vein to be treated through multiple punctures; each of them corresponding to a given segment of vein to be treated; ii. several pulses of pressurized overheated steam are delivered consecutively towards the vein; iii. the tubular part of the endoluminal catheter remains active until there has been sufficient shrinkage of the vein; iv. the extent of shrinkage of the vein is detected by appropriate detection means; and wherein the segments' length is 4 to 12 cm.

2. A method for treating tributaries comprising using a device for injecting pulsed steam into human or animal vessel, the device including: a water pulse generator that produces micro pulses of pressurized sterile water; a hand piece that transforms pulses of water coming from the generator into pulses of steam; an endoluminal catheter for delivering the steam into the vessel; connection means between the hand piece and the endoluminal catheter; and a programmable central processing unit (cpu) to control the water pulse generator and the hand piece; wherein a. the endoluminal catheter comprises a tubular part which length L (in cm) is comprised between one of the following inclusive ranges: [1; 30], [2; 28], [3; 27], [4; 26], [5; 25], [6; 24], [8; 22], [10; 20]; b. the tubular part of the endoluminal catheter is made of a flexible, biocompatible, thermically insulating and thermically resistant non-metallic material or polymer; c. the distal end of the endoluminal catheter has a terminal and central opening; the method further comprising: i. the tubular part of the endoluminal catheter is introduced into a patient and positioned within the section of the vein to be treated through multiple punctures; each of them corresponding to a given segment of vein to be treated; ii. several pulses of pressurized overheated steam are delivered consecutively towards the vein; iii. the tubular part of the endoluminal catheter remains active until there has been sufficient shrinkage of the vein; iv. the extent of shrinkage of the vein is detected by appropriate detection means; and wherein local anesthesia is carried out by skin cooling, with skin temperatures down to 39.2/42.8.degree. F. (4/6.degree. C.).

3. A method for treating by direct obliteration, a tortuous perforating vein longer than 2 cm and extending between a superficial vein and a deep vein, said method comprising using a device for injecting pulsed steam into human or animal vessel, the device including: a water pulse generator that produces micro pulses of pressurized sterile water; a hand piece that transforms pulses of water coming from the generator into pulses of steam; an endoluminal catheter for delivering the steam into the vessel; connection means between the hand piece and the endoluminal catheter; and a programmable central processing unit (cpu) to control the water pulse generator and the hand piece; wherein a. the endoluminal catheter comprises a tubular part which length L (in cm) is comprised between one of the following inclusive ranges: [1; 30], [2; 28], [3; 27], [4; 26], [5; 25], [6; 24], [8; 22], [10; 20]; b. the tubular part of the endoluminal catheter is made of a flexible, biocompatible, thermically insulating and thermically resistant non-metallic material or polymer; c. the distal end of the endoluminal catheter has a terminal and central opening; the method further comprising: i. the tubular part of the endoluminal catheter is introduced under echo guidance in the perforator, at least 2 cm from the deep vein, ii. at least 3 pulses of pressurized overheated steam are delivered, iii. then the tubular part of the endoluminal catheter is removed of a distance of about 1 cm and 3 other pulses are emitted.

4. A method for treating by indirect obliteration, a 2 cm long or less perforating vein extending between a superficial vein and a deep vein, said method comprising using a device for injecting pulsed steam into human or animal vessel, the device including: a water pulse generator that produces micro pulses of pressurized sterile water; a hand piece that transforms pulses of water coming from the generator into pulses of steam; an endoluminal catheter for delivering the steam into the vessel; connection means between the hand piece and the endoluminal catheter; and a programmable central processing unit (cpu) to control the water pulse generator and the hand piece; wherein a. the endoluminal catheter comprises a tubular part which length L (in cm) is comprised between one of the following inclusive ranges: [1; 30], [2; 28], [3; 27], [4; 26], [5; 25], [6; 24], [8; 22], [10; 20]; b. the tubular part of the endoluminal catheter is made of a flexible, biocompatible, thermically insulating and thermically resistant non-metallic material or polymer; c. the distal end of the endoluminal catheter has a terminal and central opening; the method further comprising: i. the tubular part of the endoluminal catheter is introduced distally in the superficial vein, guided upward proximal to the perforator; ii. the vein is obliterated by delivering at least 3 pulses of pressurized overheated steam, so that the perforator cannot drain in the upward side of the superficial vein; iii. the tubular part of the endoluminal catheter is removed downward proximal to the perforator; iv. the vein is obliterated by delivering at least 3 pulses of pressurized overheated steam, so that the perforator cannot drain in the downward side of the superficial vein.

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