# US 12,213,845 B2 · Ultrasound guided femoral artery access system (UFAAS) and method to enhance brain perfusion during neuroprotective CPR > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,213,845 B2 - Document ID: US12213845B2 - Status: Granted - Kind: B2 - Application number: 18/501,913 - Filed: 2023-11-03 - Published: 2024-05-09 - Granted: 2025-02-04 - Earliest claimed: 2022-11-03 - Assignees: Resuscitation Innovations LLC - Applicants: VitalinC LLC - Inventors: Keith G. Lurie - Web page: https://patentgrep.com/patent/US12213845B2 ## CPC - A61B 17/3403: {Needle locating or guiding means} - A61B 90/37: {Surgical systems with images on a monitor during operation} - A61H 31/007: {Manual driven} - A61B 2090/372: {Details of monitor hardware} - A61B 2090/378: {using ultrasound} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61H: PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY (electrotherapy, magnetotherapy, radiation therapy or ultrasound therapy A61N) ## Abstract A handheld ultrasound guiding system for the transcutaneous delivery of a needle into blood vessel that can be used to then deliver a guidewire, the battery powered light-weight device consisting of a phased array ultrasound generator, a transducer probe, a screen, computer processor that is mechanically coupled to a needle holder mounted at an angle to the ultrasound probe, the needle is mounted such that it can be advanced into a target blood vessel that is being visualized real-time by the ultrasound probe. ## Claims ### Claim 1 A method of performing cardiovascular resuscitation, comprising: elevating an individual's head, shoulders, and heart relative to the individual's lower body while the individual's lower body remains generally aligned with a horizontal plane; compressing the individual's chest while the individual's head, shoulders, and heart are elevated; regulating an intrathoracic pressure of the individual while the individual's head, shoulders, and heart are elevated relative to the lower body; and performing REBOA on the individual by positioning an intra-aortic balloon in the individual's aorta using an ultrasound-guided cannulation device and inflating the intra-aortic balloon. ### Claim 2 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: performing active compression decompression cardiopulmonary resuscitation on the individual while the individual is in a supine position in general alignment with the horizontal plane prior to elevating the individual's head, shoulders, and heart. ### Claim 3 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: actively decompressing the individual's chest between each chest compression. ### Claim 4 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, wherein: regulating the intrathoracic pressure comprises interfacing an impedance threshold device with the individual's airway. ### Claim 5 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, wherein: elevating the individual's head, shoulders, and heart comprises elevating the individuals' head to a height of between 10 cm and 30 cm above the horizontal plane and elevating the individual's heart to a height of between 5 cm to 15 cm above the horizontal plane. ### Claim 6 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, wherein: REBOA is performed on the individual while the individual's head, shoulders, and heart are elevated. ### Claim 7 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, wherein: positioning the intra-aortic balloon in the individual's aorta using the ultrasound-guided cannulation device comprises: locating a femoral artery of the individual using a display device of the ultrasound-guided cannulation device; inserting a needle into the femoral artery; advancing a guidewire into the femoral artery via a hollow bore of the needle; and advancing the intra-aortic balloon to the aorta using the guidewire. ### Claim 8 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: keeping the intra-aortic balloon in an inflated state for a predetermined period of time after a return of circulation to the individual. ### Claim 9 (depends on 8) The method of performing cardiovascular resuscitation of claim 8, wherein: the predetermined period of time is up to one hour. ### Claim 10 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: deflating the intra-aortic balloon after a return of circulation to the individual upon determining that a physiological measurement of the individual has reached a particular value. ### Claim 11 (depends on 10) The method of performing cardiovascular resuscitation of claim 10, wherein: the physiological measurement comprises a blood pressure of the individual. ### Claim 12 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: deflating the intra-aortic balloon after a return of circulation to the individual, wherein one or both of a timing and a rate of deflation is controlled using a closed loop feedback system with one or more physiologic measurements. ### Claim 13 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: deflating the intra-aortic balloon after a return of circulation to the individual, wherein one or both of a timing and a rate of deflation is controlled using an open loop feedback system with one or more physiologic measurements. ### Claim 14 (depends on 1) The method of performing cardiovascular resuscitation of claim 1, further comprising: deflating the intra-aortic balloon after a return of circulation to the individual, wherein deflation of the intra-aortic balloon is coordinated with a change in elevation of the individual's head, shoulders, and heart. ### Claim 15 (depends on 14) The method of performing cardiovascular resuscitation of claim 14, wherein: coordination of the deflation of the intra-aortic balloon is performed by monitoring blood flow to the individual's brain. ### Claim 16 (depends on 15) The method of performing cardiovascular resuscitation of claim 15, wherein: monitoring blood flow to the individual's brain is performed using one or both of a measurement of end tidal CO2 and a measurement of cerebral oximetry.