DR. GARY A. GELBFISH, M.D.
Radiology at Avenue I, Brooklyn, NY

6059745, May 9, 2000

May 20, 1997

8/858938

Gary A. Gelbfish - Brooklyn NY

A61M 134

604 5

A thrombectomy device includes a tubular shunt generally connected at an upstream end to a relatively high-pressure blood vessel such as an artery and at a downstream end to a relatively low-pressure blood vessel such as a vein. During use, the shunt is disposed mostly outside of the patient. A filter is disposed in the shunt for blocking the passage of clot particles. This device enables a real-time return of blood to the vascular system of the patient. A selectively operable syringe is operatively connected to the tubular member for exerting an auxiliary force on clot material stuck in one of the tubular member and the inlet port element. A three-way valve element is operable in first configuration to couple the suction device to the inlet port element, in a second configuration to couple the suction device to the outlet port element, and in a third configuration to couple the inlet port element and the outlet port element to one another.

5662603, Sep 2, 1997

May 29, 1996

8/654834

Gary A. Gelbfish - Brooklyn NY

A61B 1732

604 22

A cutting member for a medical material removal instrument comprises a cutting head having an axis and an elongate drive rod eccentrically attached at a distal end to the cutting head at a location spaced from the axis. The drive rod extends substantially parallel to the axis. The cutting member is used with an introducer sheath or catheter which has a distal end portion inserted into a patient. The cutting head is provided with a cut-out on the proximal side in part for enabling a drawing of material in a proximal direction internally from a patient into a distal end of the sheath upon a partial ejection of the cutting head from the distal end of the sheath during a material removal operation. The material drawn into the sheath is severed in a scissors-type action of the cutting head against the distal end of the sheath upon a drawing of the cutting head via the drive rod into the distal end of the sheath. The cutting head has a maximal transverse cross-section conforming in a close fit to an inner surface of the sheath and is tapered from the maximal transverse cross-section in a proximal direction to facilitate a smooth and unobstructed drawing of the cutting head into the distal end of the sheath and also without damaging the sheath.

5730717, Mar 24, 1998

Dec 15, 1995

8/573323

Gary A. Gelbfish - Brooklyn NY

A61B 1720

604 22

A pull push device for removing a clot. The device includes an elongate tubular member having a suction port and an irrigation or fluid pressurization port respectively connectable to a vacuum source and a pressurizable fluid reservoir. The tubular member also has a clot intake port positionable through a patient's skin inside a clogged vascular vessel. The vacuum source enables clot suction into the clot intake port for severing while liquid pressure supplies fluid for clot ejection and device clearance. A single piece rotating or reciprocating cutter and intake closure component is mounted inside the tubular member for closing the clot intake port upon each small vacuum assisted severing of clot mass by the cutting element. By simultaneously severing the clot and closing the intake port by the closure component, the device automatically converts from a suction to a pressure mode, thus ejecting any clot through the suction port. The ordered and continual suck, cut, push, pull tandem ejection system is aided by an automatic anticlogging mechanism which is operative when a sucked clot obstructs suction through the tubular member.

5800457, Sep 1, 1998

Mar 5, 1997

8/811919

Gary A. Gelbfish - Brooklyn NY

A61B 1722

606200

An intravascularly deployable device in the nature of a filter for collecting intravascular debris includes a filter or collector body expandable from a collapsed insertion configuration to an expanded use configuration. The use configuration of the filter body tapers down from a maximum cross-sectional area to a minimal cross-sectional area at a downstream end of the filter body. The filter body is provided at the downstream end with an access port so that the instrument can traverse the access port to remove debris from the filter body after disposition of the intravascularly deployable device inside a blood vessel of a patient. The access port takes the form of a sleeve or chimney which is beveled to taper down from a maximal transverse dimension at an upstream end to a minimal transverse dimension at a downstream end. The beveled or tapered sleeve is especially useful in locating or guiding the distal end of the debris removal instrument onto the downstream end of the filter body during a shifting of the instrument in the upstream direction towards the filter body.

5520635, May 28, 1996

Dec 16, 1994

8/358209

Gary A. Gelbfish - Brooklyn NY

A61B 1720

604 22

A method for removing a clot utilizes a surgical instrument or device including an elongate tubular member having a most distal first opening, a relatively central second opening and a most proximal third opening all spaced from each other along the tubular member. The distal end of the tubular member is inserted through a skin surface of a patient into a subcutaneous blood vessel or vascular bypass and subsequently out of the vascular component and the skin surface so that the first opening and the third opening are located outside the patient while the second opening is located in the vascular component. Upon completed insertion of the device, suction is applied to one of the openings outside the patient to thereby draw a blood clot in the blood vessel or vascular bypass towards the second opening which is disposed in the vessel, graft or bypass. Upon a drawing of the clot at least partially into the tubular member through the second opening, a portion of the clot is severed inside the tubular member and is subsequently removed from the tubular member through the suction opening in the tubular member.

5928218, Jul 27, 1999

May 24, 1996

8/653514

Gary A. Gelbfish - Brooklyn NY

A61M 100

604540

A minimally invasive medical device comprises a tubular member with a large-diameter distal end portion and a smaller-diameter proximal portion. A clot-intake port is disposed in the distal end portion of the tubular member, while a cutter element is movably disposed in the distal end portion for severing material sucked in through the intake port and for temporarily closing the intake port during an extraction of the severed material from the device. A hollow drive rod extends through the tubular member to the cutter element for shifting the cutter element, while an outlet port is disposed in the tubular member proximally of the intake port and distally of the proximal portion of the tubular member. The tubular member extends through a catheter so that the intake port is disposed outside the catheter and the outlet port is disposed inside the catheter. The maximum transverse dimension of the proximal portion of the tubular member is substantially narrower than the lumen of the catheter, thereby providing flexibility to the combination of catheter and tubular drive element.

6019350, Feb 1, 2000

Mar 5, 1997

8/811937

Gary A. Gelbfish - Brooklyn NY

F16K 3144

251321

A manually operated flow control device has a frame with a first part and a second part connected to one another for relative motion alternately towards and away from one another along a line of action. A flow guide is connected to the frame, while a flow modification component is mounted to the frame and is operatively connected to the flow guide for changing a state of flow through the flow guide in accordance with relative positions of the first part and the second part along the line of action. A structure is provided on the frame for enabling a user to hold the frame by exerting a first compressive force on the frame along the line of action between a selected finger of the user, on one side, and a palm surface of the user, on another side, and for further enabling the user to actuate the flow actuation component by exerting a second compressive force on the frame along the line of action between the selected finger and the palm surface, the second compressive force being larger than the first compressive force. The structure for enabling the holding of the frame and the actuation of the flow modification component includes a seat on the frame for receiving or engaging the selected finger so as to resist sliding of the frame off of the selected finger.