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United States Patent [w]

Laufer et al.

US005810847A [ii] Patent Number: [45] Date of Patent:

5,810,847 Sep. 22, 1998

[54] METHOD AND APPARATUS FOR

MINIMALLY INVASIVE TREATMENT OF
CHRONIC VENOUS INSUFFICIENCY

[75] Inventors: Michael D. Laufer; H. DuBose

Montgomery, both of Menlo Park,
Calif.

[73] Assignee: Vnus Medical Technologies, Inc.,

Sunnyvale, Calif.

[21] Appl. No.: 812,758
[22] Filed: Mar. 6, 1997

Related U.S. Application Data

[62] Division of Ser. No. 367,063, Dec. 30, 1994, Pat. No. 5,609,598.

[51] Int. CI.6 A61F 2/24; A61B 17/10

[52] U.S. CI 606/142; 606/108; 606/139;

606/151; 623/2

[58] Field of Search 606/108, 139,

606/142, 143, 151, 152, 158, 191, 232, 200; 623/2

[56] References Cited

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4,056,854 11/1977 Boretos et al. .

4,315,509 2/1982 Smit 128/303

4,374,523 2/1983 Yoon 606/206

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5,445,167 8/1995 Yoon 606/143

FOREIGN PATENT DOCUMENTS

0 338 994 10/1989 European Pat. Off 2/24

WO 91/17720 11/1991 WIPO A61F 2/24

OTHER PUBLICATIONS

"Total opening valves for a ventricular prosthesis", W.
Lenne et al., Medical and Biological Engineering, vol. 13,
Jul. 1975, pp. 509-517.

Primary Examiner—Michael Powell Buiz
Assistant Examiner—Daphna Shai

Attorney, Agent, or Firm—Fulwider Patton Lee & Utecht,
LLP

[57] ABSTRACT

The invention is embodied in an appliance or a prosthesis and a delivery catheter for use in a vein for minimally invasive treatment of chronic venous insufficiency. The system and method of the invention eliminate the need for open surgical valve repair procedures, obviate the need for arm vein transplantation into the leg, and allow patients to return to their former active lifestyles without the limitations currently associated with the treatment of this condition. An incompetent valve to be repaired is identified by injected contrast through the delivery catheter or similar means and the catheter is positioned at that valve, a clip appliance or similar prosthesis is deployed from the catheter and affixed to the valve. Next, the delivery catheter is repositioned and appliances or prostheses are deployed on sequentially lower valves until all desired valves are repaired and functionally competent.

3 Claims, 8 Drawing Sheets

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