Abstract: A catheter system for controlling the body temperature of a patient by modifying the temperature of blood flowing within a blood vessel of the patient. The catheter system comprises a catheter body having a heat exchange region in contact with the blood; and a temperature probe having a distal end that extends from the catheter body, thereby monitoring the temperature of blood flowing within the blood vessel.

Abstract: A system, apparatus and method for harvesting from the eye of a mammilian (e.g., cadaveric) donor a disc-shaped graft or lenticle consisting of corneal tissue and a quantity of scleral or pericorneal tissue wherein limbal stem cells are located. This graft or lenticle is then transplanted onto the eye of a human or veterinary patient to treat a disorder caused by the absence or deficiency of limbal stem cells in the patient's eye. The system of the present invention comprises a) an eye-contacting ring and cutter guide apparatus and b) a cutter apparatus. The eye-contacting ring and cutter guide apparatus is initially placed in contact with the donor eye such that a portion of the cornea and adjacent scleral or pericorneal tissue containing limbal stem cells protrudes upwardly through the center of the ring. The cutter is then engaged with guide member(s) formed on the ring and the cutter is advanced, severing the protruding cornea and stem-cell-containing pericorneal tissue.

Abstract: An oilless air motor assembly useable for driving hydraulic pumps and the like includes a slide valve that moves back and forth relative to a valve sleeve situated about the slide valve. A low friction or lubricious dry seal member is disposed between the slide valve and the valve sleeve, thereby eliminating the need for added oil or lubricant and additionally avoiding the need for precise machining and matching (e.g., honing and lapping) of the slide valve and valve sleeve. Also provided is a kit for converting a previously manufactured air motor assembly that requires oil or added lubricant to an oilless air motor assembly. Such kit comprises the slide valve, valve sleeve and dry seal member as well as other optional parts associated with those elements.

Abstract: A cylindrical blade body of a hole cutter includes blades and grooves. Each of the blades is disposed alternately with a corresponding one of the grooves. A cutting edge of each blade includes an outer cutting edge, an inner cutting edge, and a stepped cutting edge. The outer cutting edge of each blade has a point located at a radial outer position of the outer cutting edge. The inner cutting edge of each blade has a point located between the inner cutting edge and the stepped cutting edge. The heights of the points of the inner cutting edges are substantially equal for all blades. The heights of the points of the outer cutting edges are different among the blades. This hole cutter makes it possible to reduce anti-cutting resistance and obtain an optimal cutting state.

Abstract: The present invention provides catheter apparatus and catheterization methodology for generating an arteriovenous fistula or a veno-venous fistula on-demand between closely associated blood vessels and at a chosen anatomic site in-vivo. The catheter apparatus is preferably employed in pairs, each catheter of the pair being suitable for percutaneous introduction into extension through a blood vessel. The catheterization methodology employs the catheter apparatus preferably in conjunction with conventional radiological techniques in order to place, verify, and confirm a proper alignment, orientation, and positioning for the catheters in-vivo prior to activating the perforation means for generating a fistula.

Abstract: A catheter device that is useable to penetrate from a blood vessel in which the catheter device is positioned to a target location comprises a flexible catheter advanceable into the first blood vessel, a tissue penetrator lumen adapted to receive an operative tissue penetrator which is usable to penetrate from the blood vessel to the target location when properly aimed. Further said catheter including an imaging transducer fixedly mounted on or within the catheter body to provide an imaging signal from which an image of the target location can be obtained. The catheter device may include an imageable marker on the catheter to form on the image obtainable from the imaging signal a penetrator path indication that indicates the path that will be followed by the tissue penetrator when the tissue penetrator exits from the catheter. Alternatively, or addition thereto, the imaging transducer may comprise a plurality of imaging elements which are located so that the penetrator path indication can be obtained.

Abstract: Inverted peristaltic pumps and related apparatus/methods wherein one or more compressible pump tubes are formed or mounted on a core member and one or more tube compressing members move about the core member so as to compress the tube(s) and propel a fluid through the tube(s). The core member may be removable and the pump tube(s) may be pre-mounted on the core member to form a disposable or reusable tubing cartridge. The core member or tubing cartridge may be easily inserted into and removed from the pump. In some embodiments troughs or grooves may be formed on the core member and the tube(s) may be disposed in such troughs or grooves.

Abstract: The present invention provides a method and apparatus for controlling the internal body temperature of a patient. According to the present invention, a catheter is inserted through an incision into a large blood vessel of a patient. By selectively heating or cooling a portion of the catheter lying within the blood vessel, heat may be transferred to or from blood flowing within the vessel and the patient's body temperature may thereby be increased or decreased as desired. The invention will find use in treating undesirable conditions of hypothermia and hyperthermia, or for inducing a condition of artificial hypothermia when desired.

Abstract: Methods, devices, and systems for a) revascularization and/or b) performing other medical procedures at vascular or non-vascular intracorporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the revascularization methods the extravascular passageway is utilized for blood flow. In the medical procedure methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices and systems which are useable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.

Abstract: This invention is methods and apparatus for occluding blood flow within a blood vessel (22). In a first series of embodiments, the present invention comprises a plurality of embolic devices (16) deployable through the lumen (12) of a conventional catheter (10) such that when deployed, said embolic devices (16) remain resident and occlude blood flow at a specific site within the lumen of the blood vessel (22). Such embolic devices (16) comprise either mechanical embolic devices that become embedded within or compress against the lumen of the vessel or chemical vaso occlusive agents that seal off blood flow at a given site. A second embodiment of the present invention comprises utilization of a vacuum/cauterizing device capable of sucking in the lumen of the vessel about the device to maintain the vessel in a closed condition where there is then applied a sufficient amount of energy to cause the tissue collapsed about the device to denature into a closure.

Abstract: The present invention provides a method and apparatus for controlling the internal body temperature of a patient. According to the present invention, a catheter is inserted through an incision into a large blood vessel of a patient. By selectively heating or cooling a portion of the catheter lying within the blood vessel, heat may be transferred to or from blood flowing within the vessel and the patient's body temperature may thereby be increased or decreased as desired. The invention will find use in treating undesirable conditions of hypothermia and hyperthermia, or for inducing a condition of artificial hypothermia when desired. The method and system further provide for the cooling of initially hypothermic patients whose blood or body temperature has been warmed above the desired target level and the warming of initially hyperthermic patients whose blood or body temperature has been cooled below the desired target temperature.

Abstract: Methods and apparatus for temperature modification of selected body regions including an induced state of local hypothermia of the brain region for neuroprotection. A heat exchange catheter is provided with heat transfer fins projecting or extending outward from the catheter which may be inserted into selected blood vessels or body regions to transfer heat with blood or fluid in the selected blood vessels or body regions. Another aspect of the invention further provides methods and apparatus for controlling the internal body temperature of a patient. By selectively heating or cooling a portion of the catheter lying within a blood vessel, heat may be transferred to or from blood flowing within the vessel to increase or decrease whole body temperature or the temperature of a target region.

Abstract: The invention provides systems and methods for infusing a fluid into a patient. In one exemplary embodiment, a system comprises a volume of fluid and a temperature altering device in close proximity to the volume of fluid. The temperature altering device is employed to heat or cool the volume of fluid to a desired temperature. A positive pressure device is provided to place the volume of fluid under positive pressure while at the desired temperature. A transfer member is further provided to transfer at least some of the fluid into the patient while at the desired temperature.

Abstract: Anastomotic connectors and apparatus for forming and/or maintaining connections between openings formed in anatomical structures, such as blood vessels. The apparatus is initially deployed in a first configuration which is sufficiently compact to be delivered through the lumen of a catheter or cannula. Thereafter, the device is expanded to a second configuration whereby it engages the anatomical structures and forms or maintains the desired connection between openings in the anatomical structures.

Abstract: Catheter devices and methods for intravascular heating and/or cooling of human or veterinary patients. The catheter devices generally comprise catheters having inflow and outflow lumens and at least one curvilinear balloon connected to the inflow and outflow lumens such that heat exchange fluid may be circulated through the balloon(s). The catheter is inserted into the vasculature and heated or cooled fluid is circulated through the balloon(s) to heat or cool blood flowing in heat-exchange proximity to the balloon(s), thereby effecting heating or cooling of all or a portion of the patient's body.

Abstract: A wiper device is located between a rear door and a rear window, which is opened independently from the door. An actuator having an output shaft is attached to the rear door. A power transmission unit includes a shaft holder attached to the rear window and a pivot shaft supported by the shaft holder. Before the shaft holder is attached to the rear window, a positioning mechanism fixes the position of the power transmission unit relative to the actuator such that the axis of the pivot shaft is aligned with the axis of the output shaft. Thus, the axes of the output shaft and the pivot shaft are fixed during the installation process. Therefore, no adjustment of these axis is required during installation.

Abstract: A method for treating cardiac failure such as congestive heart failure by application of hypothermia. Hypothermia may be applied by endovascular cooling using a heat exchange catheter circulating heat exchange fluid between an external heat exchanger controlled using temperature feedback from a temperature probe on or in the patient to cool the heart to a sufficiently low temperature for a sufficient length of time to increase cardiac output and improve the vascular condition of the patient. The patient may be maintained in the hypothermic condition for a period of time and is then re-warmed slowly and controllably. The endovascular temperature management may be controlled automatically in response to a temperature probe on the patient, and shivering while the patient is cool may be combated using surface warming and anti-shivering drugs.

Abstract: A fibre detector assembly comprising: (i) a scattering chamber body; (ii) means for drawing airborne particles through said body chamber, said means being adapted such the the particles tend to travel in single file with the longitudinal axis of particles with elongate shape substantially aligned with the direction of the air flow; (iii) means for illuminating the particle stream within the chamber body; (iv) an optical detector adapted to intercept and collect a portion of the light scattered by particles passing through the illuminating beam; (v) data processing means adapted to capture and process the signals from the optical detector; characterised in that the optical detector comprises a photodiode array consisting of a central opaque area surrounded by two or more annular rings of detector elements.

Abstract: Methods and apparatus for delivery of substances or apparatus to target sites located outside blood vessels within the body of a human or animal patient. A vessel wall penetrating catheter is inserted into the vasculature, positioned and oriented within a blood vessel near the target extravascular site and a penetrator is advanced from the catheter so as to penetrate outwardly through the wall of the blood vessel in the direction of the target site. Thereafter, a delivery catheter is passed through a lumen of the penetrator to the target site. A desired substance or apparatus is then delivered to or obtained from the target site. In some applications, the penetrator may be retracted into the vessel wall penetrating catheter and the vessel wall penetrating catheter may be removed, leaving the delivery catheter in place for chronic or continuous delivery of substance(s) to and/or obtaining of information or samples from the target site.