# US 2013/0158345 A1 · Veno-Merse / Harvester Device

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- Number: US 2013/0158345 A1
- Document ID: US20130158345A1
- Status: Published application
- Kind: A1
- Application number: 13/329,590
- Filed: 2011-12-19
- Published: 2013-06-20
- Earliest claimed: 2011-12-19
- Inventors: Heshmat Majlessi
- Web page: https://patentgrep.com/patent/US20130158345A1

## CPC

- A61B 17/00008: {Vein tendon strippers (tube strippers A61M1/83)}
- A61B 1/00016: {using wireless means}
- A61B 1/00045: {Display arrangement}
- A61B 1/00087: {Tools (A61B17/00234 takes precedence)}
- A61B 1/044: {for absorption imaging}
- A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B 1/0676: {at distal tip of an endoscope}
- A61B 17/320016: {Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes (A61B10/0233, A61B17/29, A61B17/3207 take precedence)}
- A61B 17/3203: Fluid jet cutting instruments
- A61B 17/32053: {Punch like cutting instruments, e.g. using a cylindrical or oval knife (A61B17/326 takes precedence; trepans A61B17/1695)}
- A61B 90/361: {Image-producing devices, e.g. surgical cameras}
- A61F 2/062: {Apparatus for the production of blood vessels made from natural tissue or with layers of living cells}
- A61M 19/00: Local anaesthesia (syringes therefor A61M5/00); Hypothermia (A61M5/42 takes precedence; cooling blood in a bypass of the arterial system A61M1/36)
- A61B 2017/00296: {mounted on an endoscope}
- A61B 2217/007: with irrigation system
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

A veno-merse/harvester device having a handle portion, a hollow shaft portion, and a cutting portion. A fixed cannula system incorporated in the device improves the hydrostatic pressure, which allows efficient hydro-dissection with less retrograde leak of tumescent fluid and facilitates the separation of the vein from surrounding tissues with less bleeding. The veno-merse/harvester device may incorporate a camera system to allow direct visualization of the side branches to be ligated during a procedure. The self-adjustable cutting tip facilitates the forward advancement of the veno-merse/harvester device safely over a dilated portion of a vein.

## Claims

### Claim 1

A device for removing veins from the body of a patient comprising:
a. a handle portion having first and second ends;
b. a hollow shaft portion extending from said second end of said handle portion, said shaft portion having a distal end;
c. a cutting portion extending from said distal end of said shaft portion, said cutting portion having a distal end; and
d. a cannula system for delivering a fluid near the veins fixedly incorporated within said handle portion, said hollow shaft portion and said cutting portion to form a closed system.

### Claim 2 (depends on 1)

The device of claim 1 wherein said cannula system comprises an injection port and a tip, wherein said injection port extending from said first end of said handle portion, and said tip extending from said distal end of said cutting portion, wherein a fluid enters the injection port travels through said handle portion and said hollow shaft portion and exits at said tip.

### Claim 3 (depends on 2)

The device of claim 2 wherein said cannula system further comprises a one-way valve such that fluid in said cannula system flows only in one direction.

### Claim 4 (depends on 1)

The device of claim 1 wherein said cutting portion having a generally frusto-conical shape with said distal end of said cutting portion having a wider diameter.

### Claim 5 (depends on 1)

The device of claim 1 further comprises a cutting tip at said distal end of said cutting portion.

### Claim 6 (depends on 1)

The device of claim 1 wherein said handle portion having a first cross-sectional distance and said hollow shaft portion having a second cross-sectional distance, and said first cross-sectional distance being larger than said second cross-sectional distance.

### Claim 7 (depends on 1)

The device of claim 1 wherein said distal end of said shaft portion is sealed except for said cannula system.

### Claim 8 (depends on 1)

The device of claim 1 wherein said cutting portion having an opening for percutaneous division of the veins.

### Claim 9 (depends on 5)

The device of claim 5 wherein said cutting tip is circular.

### Claim 10

A device for removing veins from the body of a patient and providing visualization of the veins at a remove display device comprising:
a. a handle portion having first and second ends;
b. a hollow shaft portion extending from said second end of said handle portion, said shaft portion having a distal end;
c. a cutting portion extending from said distal end of said shaft portion, said cutting portion having a distal end; and
d. a camera system for direct visualization of the veins, comprises a camera within said cutting portion and a transmission device within said shaft portion, wherein said camera captures said visualization and said transmission device transmits said visualization to a remote display device.

### Claim 11 (depends on 10)

The device of claim 10 wherein said camera system further comprises a light source within said cutting portion.

### Claim 12

A device for removing veins from the body of a patient comprising:
a. a handle portion having first and second ends;
b. a hollow shaft portion extending from said second end of said handle portion, said shaft portion having a distal end;
c. a cutting portion extending from said distal end of said shaft portion having a third cross-sectional distance; and
d. means for adjusting said third cross-sectional distance of said cutting portion.

### Claim 13 (depends on 12)

The device of claim 12 wherein said adjusting means comprises at least two cutting sections overlappingly, matingly and pivotably connected to each other forming said cutting portion, each of said cutting sections having a distal end.

### Claim 14 (depends on 13)

The device of claim 13 further comprising a cutting tip at said distal ends of said cutting sections.
