Abstract: A device for transluminal implantation of a substantially tubular, radially expansible stent. The device includes a central tube surrounded by an outer tube axially displaceable relative to the central tube, with the radial dimensions of the tubes being such as to form an annular space therebetween capable of accommodating the stent in an unexpanded state. The outer tube is axially displaceable relative to the central tube. In one embodiment of the device, the central tube, at a distal end thereof, is provided with a section of reduced diameter at the proximal end of which there is an undercut groove forming a circumferential flange within which a proximal end of the stent rests until release of the stent by rearward displacement of the outer tube. In a modification of the device, the central tube, at its distal end, includes a sleeve slidably positioned therearound for capturing at least a proximal portion of the stent restraining the proximal portion against movement until stent deployment.

Abstract: An articulation element for the relative positioning of fixation bars or bone pins of an external fixator includes a plurality of pairs of jaws. The jaws have on their adjacent faces grooves which form a passage intended to receive a bar or a pin. A spring is interposed between the pairs of jaws. The grooves which form the passage are positioned and arranged so as to have an external opening allowing the bar or bone pin to be snapped in by pressure on it, from the opening of the jaw into the passage, against the spring force which presses the adjacent faces of the jaws against one another. This force holds the articulation element on the bars or pins before locking of the articulation by the tightening of a clamping shaft.

Abstract: An aspiration catheter arrangement for aspiration of thrombi and emboli from blood vessels has a central catheter (2) and an outside catheter (1) surrounding it coaxially. A guide wire (4) and a dilator (3) are provided for inserting the catheter arrangement into a vessel and for dilating same. A blood clot is removed by means of a vacuum applied to the central catheter (2). If the central catheter (2) becomes clogged by the blood clot during the aspiration procedure, the central catheter (2) can be extracted out of the outside catheter (1) and replaced by a new central catheter (2). This new central catheter (2) can be connected to the aspiration device and the process is then continued. Instead of inserting a new central catheter (2), the aspiration process can also be continued through the outside catheter (1) by connecting the latter to the aspiration device after removing the central catheter (2).

Abstract: A medical device such as a catheter is described having a stiff, preferably metallic, proximal tube. The distal portion of the proximal tube may have a plurality of perforations or slots formed therein to increase its flexibility. This provides a smooth transition between the relatively stiff proximal tube and a more flexible distal polymeric tube.

Abstract: A valve and irrigator used with a suction tube has an elongate funnel with an axis through an enlarged entrance and an opposed extended exit duct of a flexible elastomer. A flow passage through the elongate funnel connects the entrance to the exit permitting fluid communication. A web across and near the enlarged entrance sealingly separates that from the exit. The web and the elongate funnel are made of silicone elastomer and are adhesively adhered to together. A portal in the web passes therethrough along the axis and is circular in shape to surround in fluid tight engagement the suction tube. A lid, proximally of the web on the enlarged entrance, has an inlet for irrigation and a pass through for the tube; the lid closes the enlarged entrance forming a chamber between the web and the lid. A slit within the web, near the portal and spaced from the axis is in the form of a closed mouth composed of a pair of sealing lips.

Abstract: A stent delivery system for a balloon expandable stent includes a balloon catheter with a tubular shaft and an elongated dilatation balloon. The tubular shaft has a guidewire lumen with an entry for the guidewire distal of the balloon and an exit for the guidewire proximal of the balloon. A sleeve for preventing expansion of balloon segments is mounted on the tubular shaft with a distal end surrounding a portion of the proximal end of the balloon and a proximal end removably attached to a portion of the tubular shaft.

Abstract: The appliance comprises a core wire on which is mounted a coil of radioactive material. A first proximal radiopaque coil configuration and a second distal radiopaque coil configuration maintain and locate the radioactive radiation coil on the core wire thereby assuring positioning thereof on the core wire and accurate visualization via X-ray fluoroscopy.

Abstract: A medical implant made of polymeric material having an increased oxidation resistance is formed by a method including the steps of placing a resin powder in a sealed container. A substantial portion of the oxygen is removed from the sealed container by either a vacuum, an oxygen absorbent or by flushing with inert gas. The container is then repressurized with a gas such as nitrogen, argon, helium or neon so that long term storage may be possible. On use, the resin is transferred to a forming device which both melts and forms the resin in an oxygen reduced atmosphere to produce a polymeric raw material such as a rod or bar stock. The medical implant is then formed from this raw material annealed and sealed in an air-tight package in an oxygen reduced atmosphere. The implant is then radiation sterilized and thereafter annealed in the package for a predetermined time and temperature sufficient to form cross-links between any free radicals in neighboring polymeric chains.

Abstract: A diagnostic catheter comprises an inner layer of substantially unmodified polyamide over which is a reinforcing means and an outer layer of polymer having a hardness of 50 Shore D to 70 Shore D, along with a suitable radiopaque filler. Affixed either directly to the end of the above tubular body or to a stem member secured to that tubular body is a soft-tip formed from a blend of PEBA whose hardness is such that the catheter can be considered as having an atraumatic tip. The resulting catheter exhibits excellent torque and column strength characteristics while providing a relatively large diameter lumen for a given outside diameter.

Abstract: A catheter with a self-expanding stent of a permeable mesh of stiff intersecting fibers is provided. A tubular outer catheter shaft holds the stent under tension at its distal end and from which the stent can be released for placement. A displaceable inner catheter inside the tubular outer catheter shaft supports the stent axially at its proximal end. In order to release the stent, the outer catheter shaft is retracted with respect to the inner catheter. A process for producing this catheter is also described. The stent is secured by gripping it at its proximal end in such a way that it forms a permeable mesh cone that expands automatically together with the stent and has a radius that increases gradually to the radius of the relaxed stent. The stent is securely anchored on the inner catheter with the help of the mesh cone.

Abstract: An ultrasonic balloon catheter and stent assembly including ultrasonic acoustical oscillating energy for low pressure balloon inflation and expansion of implantable devices including stents. The ultrasonic balloon catheter may also be used in low pressure angioplasty procedures.

Abstract: An apparatus for delivering fluid to a site at a controlled rate and pressure, which comprises a housing enveloping three interconnected chambers comprising a first end chamber, a connecting chamber and a second end chamber, an inlet port and an outlet port each located in a side wall of the connecting chamber, each of the inlet port and the outlet port being associated with a valve for opening and closing the respective port; a first piston positioned within the first end chamber and a second piston positioned within the second end chamber, each of said pistons having a head with an inwardly facing surface having a periphery which fits snugly within the corresponding end chamber to form a fluid-tight seal with the at least one side wall of the end chamber, wherein at least a portion of a side wall of the connecting chamber intrudes inwardly to provide a stop for the head of each piston; and a closure to close the open end of each end chamber.

Abstract: A control system and method for the operation of neurosurgical bipolar electrodes for application to the tissue and bodily fluids of a patient provides a source of high frequency energy connected to bipolar electrodes. Contacting surfaces are on the bipolar electrodes of highly electrically conductive material with resistance per unit area substantially less than the impedance of the tissue and bodily fluids. A current transducer attached to the source of high frequency energy responds to the RMS current applied through the tissue and bodily fluids between the contact surfaces as a measure relative to the instantaneous values of the RMS current. A current transducer attached to the source of high frequency energy responds to the RMS current through a capacitor applied across the contact surfaces to provide a signal correlated to the instantaneous values of the RMS voltage between the contacts and across the tissue and bodily fluids.

Abstract: A patella milling instrument has a planar base with a fixed patellar clamping element formed thereon. A movable patellar milling element is slidably mounted on the base and is movable towards and away from the fixed clamping element. A drive element is operable between the base and the movable element for moving the movable clamping element. The drive element is actuated by a drive mechanism fixed in a handle of the device found at one end thereof and connected to a drive element which is also in the form of a ratchet element. A movable end mill type cutting element is mounted on a support arm supported by the base. The support arm is capable of movement in directions parallel to the plane of the base and is adjustable in a direction perpendicular to the base. The end mill has a drive shaft rotatably mounted in a bushing in an end of the support arm which drive shaft is rotatable by a power tool and capable of movement in a direction perpendicular to the plane of the base.

Abstract: A partially coated electrosurgical electrode has a portion of a medical grade metallic material as a substrate for energy application. Conductive of sites of metallic material or alloys thereof pass energy through peaks that define valleys nearby. A partial coating in the valleys has a low surface free energy. A treated surface across the peaks and generally over the filled valleys is relatively smooth for non stick characteristics during application of electrosurgery to tissue and bodily fluids. Openings in the treated surface through the partial coating are at the peaks of conductive sites to expose the metallic material or alloys thereof. The partial coating is a fluorinated polymer. The treated surface is a relatively even level that is not flat. The metallic material substrate is an alloy of stainless steel or nickel chrome. A mechanically deformed surface finish, plasma or vapor deposition on the substrate forms the conductive sites.

Abstract: A method of making a return pad for an electrosurgical system comprises the following steps. A first step includes die cutting an electrically conductive foil on a backing using a rotary press to create a foil blank. A second step includes peeling the conductive foil from around the blank, and leaving the blank on its backing. A third step includes layering electrically conductive gel together with the die cut foil to form a layered sheet. A fourth step includes blanking the return pad from the layered sheet using a rotary die. The rotary die has cutting edges and a die packing material adjacent to at least a portion of the edges. The die packing material compresses the gel prior to cutting. The compression is preferably sufficient to cause elastic deformation in the gel so that the gel retracts after being cut. The retraction of the gel leaves a border around the edge of the pad. The border region helps prevent the possibility of the gel coming into electrical contact with an unintended object.

Abstract: The stent delivery device has an elongated sheath with a self-expandable stent placed in contracted condition within the distal area of the sheath. An elongated core is arranged in the sheath for relative longitudinal motion between core and sheath, and drive means are arranged between the core and the stent. Scratch protection tubular means comprise a reinforcement ring secured in the sheath and surrounding the distal end portion of the stent when the stent is in contracted condition in the sheath and a tube of thermoformable material heat shrunk over the proximal end portion of the stent and over the core.

Abstract: A repositioning tool for handling pedicle screws which have annular heads with parallel clamping faces is provided. The tool has a tongue-shaped portion connected to a handle, which tongue-shaped portion is brought into engagement with the head of a pedicle screw in the axial direction thereof. The tool can apply a tilting moment perpendicular to the length axis of the pedicle screw and can apply a torque. The tool comprises pliers with jaws (22, 24) including inwardly extending projections (28, 30) to engage opposite indentations (70, 72) provided along the periphery of the annular head (64) of the pedicle screw (60).

Abstract: The guide wire comprises an elongated flexible shaft which is tubular. A helical coil assembly of radiopaque material comprises a first coil having a proximal portion threadedly force fitted into the tubular portion of shaft. A second coil has a proximal portion surrounding and threadingly engaging the distal portion of the first coil, and a distal portion terminating into a tip.