Abstract: The guidewire attachment assembly comprises a tubing affixed to the proximal end of a guidewire. Inside the tubing is a shoulder and a ramp for directing and positioning a bolt arranged at the end of a resilient shaft affixed to the distal end of the extension wire. The assembly provides a positive locking action for the guidewire and extension wire and direct unlocking thereof.

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 power control apparatus for an electrosurgical generator is used for controlling output power from the generator to the tissue or bodily fluids of a patient. The control apparatus rapidly determines the range of impedance of the load on the electrosurgical generator and adjusts the output power accordingly. Output current and output voltage from the electrosurgical generator are monitored and sent to a microprocessor. The microprocessor runs an algorithm that determines the impedance range of the load on the generator. The algorithm uses computational techniques, such as comparisons and bit shifting, that avoid long division and other time-consuming operations. The microprocessor can then adjust a high voltage power supply that effects the radio frequency amplifier stage. A method for controlling the power of the electrosurgical generator, including steps in the algorithm, is also disclosed.

Abstract: A multi-parameter catheter comprising sensors enveloped in a sheath made from a biphasic material comprising a layer of microporous hydrophobic substance having micropores which are filled with a hydrophilic substance which when hydrated forms a gel and allows the passage of water-bound ions, and an apparatus for introducing the catheter into a patient's blood vessel.

Abstract: A femoral hip component for use in hip arthroplasty has a stem portion for contact with bone cement. The stem portion is formed from a biocompatible material having a surface finish of less than about four microinches. This surface is coated with a uniform layer of material selected from the group consisting of diamond-like carbon, chromium carbide, titanium nitride, titanium carbo-nitride, chromium and zirconium and a combination thereof.

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: A device for dilating at least an obstructed portion of the urethra, includes a urinary catheter having a proximal portion and a distal portion; a dilation balloon capable of expanding radially outwardly disposed between the proximal and distal portion of the catheter; and a pressure source capable of sequentially contracting under pressure. The pressure source and dilation balloon are in fluid communication through a conduit which enables fluid to flow from the pressure source to the dilation balloon at a predetermined gradual rate when the pressure source is contracting, whereby the balloon expands gradually radially outwardly to effect the slow dilation of the urethra. A method for dilating the obstructed portion of the urethra and for treating prostatic hyperplasia is also provided.

Abstract: A surgical safety apparatus for use in connection with an energizable surgical device prevents inadvertent activation of a surgical tool. The energizable surgical device may include an electrosurgical system, a laser scalpel, an ultrasonic aspirator, and combinations thereof. An activation circuit is in connection with the source of energy and in connection with the handpiece. The activation circuit has two states: the first state disconnects the source of energy from the handpiece, the second state connects the source of energy to the handpiece. A sensing element is connected to the activation circuit. The sensing element signals the activation circuit to convert the activation circuit from the first state to the second state. The activation circuit may remain in the second state for a preestablished period of time followed by a reversion to the first state. The activation circuit may include a relay which may be connected to operate accessories including smoke evacuators, lights, videos or irrigators.

Abstract: A process for preparing coating compositions of a commingled hydrogel of a polyurethane-polyurea polymer hydrogel and at least one other polymer hydrogel of a polymer different from polyurethane-polyurea; a process for making materials composed of a polymeric plastic or rubber substrate or a metallic substrate, with a coating of the commingled hydrogel thereon; and a process for making medical devices with a coating of the commingled hydrogel thereon, are disclosed. The coating compositions tenaciously adhere to the substrate materials and medical devices to which they are applied due to bonding of a tie coat to a reactive substrate surface and due to the commingling of the two hydrogel components. The coating compositions and coated materials and medical devices are non-toxic and biocompatible, making them ideally suited for use in applications such as for catheters, catheter balloons and stents.

Abstract: A locking nail for treating femoral fractures has a generally cylindrical proximal portion to be positioned in the medullary canal. The proximal portion has an oblique bore for positioning and guiding a femoral neck screw. The nail has a distal portion provided with at least one cross bore for receiving a bone screw. The distal portion has an annular cross-sectional profile including an axial slot. The annular profile may be in the form of a clover leaf. A transition portion of said nail is located between the proximal and distal nail portions. The longitudinal slot extends from the transition portion to the distal tip of the distal portion.

Abstract: A device for bending a plate with an offset distance L and two angles simultaneously is provided, the device comprising special jaws which are replaceably attachable to the jaws of a pliers. A kit of a plurality of sets of bending jaws having a variety of offset lengths is provided.

Abstract: This invention relates to a drug delivery device having a hollow tube which is configured to serve as a guide wire for intraluminal procedures. The distal portion of the tube has at least one opening which has a diameter suitable for the infusion of a drug formulation therethrough. The tube is preferably formed from a superelastic material such as nickel-titanium alloy. This invention also relates to various methods of using this drug delivery device in thrombolytic and other intraluminal procedures.

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: An awl suitable for both opening up a bone canal and for sizing that bone canal so as to obviate the use of a Charnley awl and the use of 4 to 5 distal reamers comprises (a) a tapered distal cutting head having a pointed first end, and a second end; and (b) a shaft attached to the second end, such that the shaft has a multiplicity of grooves calibrated so as to indicate the diameter of the isthmus of the bone canal. Also provided is a method of opening up a bone canal and of measuring the diameter of the isthmus of the bone canal with a single instrument.

Abstract: A malleable penile prosthesis adapted to be implanted in a corpus cavemosum of a penis comprising an elongated core which is bendable about its longitudinal axis with the capability of holding the configuration to which it is bent and is substantially rigid when in the unbent straight configuration, a sleeve of braided biocompatible material, having an inner surface and an outer surface, enveloping the core with the inner surface of the sleeve in contact with the core and the sleeve and core being accommodated within an outer tube of elastomeric material, which tube has a substantially rounded smooth outer surface and an inner surface having a profile formed of alternate grooves and ribs in a substantially helical arrangement. A method of forming a malleable prosthesis is also disclosed.

Abstract: A device for the non-invasive measurement of the concentration of a specific analyte, particularly glucose, in arterial blood flowing in a patient's body part, which device comprises a solid first portion having a surface profile adapted to be held against the selected body part, a source of near infrared radiation mounted in a second portion associated with said first portion such that near infrared radiation is transmitted through or reflected from said body part, a third portion containing a detector and filters to receive radiation transmitted through or reflected from said body part, to select signals generated by the pulsatile component of the absorption spectrum and to provide a ratio representative of the desired concentration. A method for the determination of glucose concentration in arterial blood is also disclosed.

Abstract: An intravascular catheter having an elongated tubular body with a proximal portion, a distal portion and a lumen extending therebetween. The tubular body is formed with: (a) an inner layer of a blend of (i) about 10-25 weight percent of a polyester-polyurethane having a durometer of from about 45D-55D, and (ii) about 38-53 weight percent of a polyester polyurethane having a durometer of from about 65D-75D; (b) a reinforcing means at least partially surrounding the inner layer; and (c) an outer layer comprising a blend of (i) about 10-25 weight percent of a polyester-polyurethane having a durometer of from about 45D-55D and (ii) about 38-53 weight percent of a polyester-polyurethane having a durometer of from about 659D-75D.

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: An insulating switch base with a top, bottom and an edge has openings through the top and one edge for a conductor. A conductive switch lead frame has proximal ends with insulation displacement connectors bent in the openings. A resilient member on the frame has a moveable contact and is conductively associated with a connector. A contoured arm on the frame is distal of, but conductive with, another connector. The arm is spaced from the resilient member as an open contact capable of momentary engagement. A frangible area on each frame is between the resilient member and the arm. Recesses in the top support retain the frame. A slot and barbs on each connector receive one conductor securely in an opening after aligned installation in an opening, seating of the frame in its recess and severing the area over a passage in the base. A membrane attaches over the frame and a molding is applied about the membrane leaving the resilient member open.