Abstract: Systems and methods for determining the coronary sinus vein branch location of a left ventricle electrode are disclosed. The systems and methods involve detecting the occurrence of electrical events within the patient's heart including sensing one or more of the electrical events with the electrode and then analyzing the electrical events to determine the electrode's position. The determination of electrode position may be used to automatically adjust operating parameters of a VRT device. Furthermore, the determination of electrode position may be made in real-time during installation of the electrode and a visual indication of the electrode position may be provided on a display screen.

Abstract: A system for locally stabilizing an anastomotic site of a vessel of a beating heart during a surgical procedure is disclosed. The system includes bonding a pad to the myocardium and attaching a control arm to the pad, all by use of a bioabsorbable adhesive. The control arm is grasped and manipulated by a retractor thereby stabilizing the anastomotic area during the surgical procedure. The pad is optional and can be ommitted in one embodiment where the control arm has feet that are directly bonded to tissue. The pad may also have barbs or can include suction cups. The pad can include a helix-shaped fastener or a mechanical fastener that can be easily linked or hooked to a surgical instrument for manipulation.

Abstract: A catheter device for use in a biological conduit includes a catheter body having a proximal end and a distal end, a housing connected to the distal end of the catheter body, the housing including a window for invaginating biological tissue and a work element movably attached to operate within the housing, the window exposing the work element. A cage member is attached to the housing and partially covers the window, the cage member permitting a selective invagination of biological tissue therethrough into the window. When the catheter device is inserted in the biological conduit, the cage member selectively controls an invagination of tissue within the catheter device while preventing invagination of any stent material or invagination of walls of the biological conduit.

Abstract: A compact cartridge for an afterloader includes a housing containing a radioactive sourcewire and a dummy test wire, each accommodated in a helical groove on the periphery of a wire storage drum. The wires are contained in the grooves by low friction bearings, such as rollers, so that advancement of the wire from the drum is under very low friction conditions. The cartridge is removably inserted in the head of an afterloader apparatus and engages a primary drive system and an emergency retract mechanism mounted in the head. The cartridge also contains an electronics board with software for updating the software in the control electronics for the afterloader.

Abstract: A heart retractor links lifting of the heart and regional immobilization which stops one part of the heart from moving to allow expeditious suturing while permitting other parts of the heart to continue to function whereby coronary surgery can be performed on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the heart retractor of the present invention. The retractor includes a plurality of flexible arms and a plurality of rigid arms as well as a surgery target immobilizing element. One form of the retractor can be used in minimally invasive surgery, while other forms of the retractor can accommodate variations in heart size and paracardial spacing.

Abstract: An endoscopic cardioplegic infusion cannula and its method of use is provided for occluding the ascending aorta and infusing cardioplegic fluid into the coronary arteries. A cannula is inserted suprasternally and the distal end of the cannula is inserted into the ascending aorta. An occlusion balloon on the distal end of the cannula is inflated and occludes the ascending aorta. Cardioplegic fluid is infused through the cannula proximal to the occlusion balloon and perfused into the coronary arteries. In order to effect a better seal where the distal end of the cannula is inserted into the ascending aorta, an outer sheath having a flange is advanced over the cannula into contact with the ascending aorta to compress a portion of the ascending aorta between the flange and the occlusion balloon. Cardiopulmonary bypass is effected in a known manner to supply the patient with oxygenated blood. The cannula and its method of use can be used in a closed or open chest procedure.

Abstract: A device and method for immobilizing a portion of the epicardium without interrupting the beating of the heart, which includes a frame that can be temporarily anchored to the epicardium and one or more expandable members attached to the frame which, upon inflation, temporarily occlude the passage of blood through the vessel or vessels in the operational field defined by the frame.

Abstract: An intravascular microaxial pump has an integrated configuration that enables both the drive unit as well as the pumping segment to be advanced through a patient's vasculature. The device includes elements that enhance pumping efficiency and performance while minimizing shear and cavitation. Cost reduction is achieved in the reusability of certain components while a manufacturing method reduces the labor involved in the pump's assembly.

Abstract: An apparatus and method of use is provided for locally stabilizing an anastomotic site during a beating heart surgical procedure which includes occluding a section of the artery receiving the bypass graft vessel. An apparatus is provided to stabilize the epicardium and the operational field, and includes a platform that can be compressed onto the epicardium or tensioned by pulling the epicardium upwardly, thereby providing a stabilized operational field. At least one occluding member provides means to occlude the section of artery receiving the bypass graft vessel. An adjustable stabilizing arm can be used in conjunction with the platform to further provide stability to the epicardium during the beating heart bypass graft procedure.

Abstract: A system for locally stabilizing an anastomotic site of a vessel of a beating heart during a surgical procedure is disclosed. The system includes bonding a pad to the myocardium and attaching a control arm to the pad, all by use of a bioabsorbable adhesive. The control arm is grasped and manipulated by a retractor thereby stabilizing the anastomotic area during the surgical procedure. The pad is optional and can be ommitted in one embodiment where the control arm has feet that are directly bonded to tissue. The pad may also have barbs or can include suction cups. The pad can include a helix-shaped fastener or a mechanical fastener that can be easily linked or hooked to a surgical instrument for manipulation.

Abstract: An intravascular microaxial pump has an integrated configuration that enables both the drive unit as well as the pumping segment to be advanced through a patient's vasculature. The device includes elements that enhance pumping efficiency and performance while minimizing shear and cavitation. Cost reduction is achieved in the reusability of certain components while a manufacturing method reduces the labor involved in the pump's assembly.

Abstract: An intravascular microaxial pump has an integrated configuration that enables both the drive unit as well as the pumping segment to be advanced through a patient's vasculature. The device includes elements that enhance pumping efficiency and performance while minimizing shear and cavitation. Cost reduction is achieved in the reusability of certain components while a manufacturing method reduces the labor involved in the pump's assembly.

Abstract: An anastomosis is performed using a mounting structure mounted on the outside of at least one vessel. The mounting structure includes a flexible mounting structure that is attached to the vessel by a special instrument. A graft vessel is attached to the mounting structure either directly or by means of another mounting structure attached to the graft vessel. Tools for attaching a mounting structure to a vessel are disclosed, and a tool for attaching two mounting structures together is also disclosed. Methods for carrying out the anastomosis according to the invention are also disclosed.

Abstract: Disclosed herein is a catheter device for use in a biological conduit having an encoder structure for indicating linear movement of the work element. The work element includes an ultrasonic transducer along a linear axis of the catheter. The catheter has a housing for insertion in the biological conduit. The transducer transmits ultrasonic pulses and receives echoes in response thereto for imaging an inside wall of the conduit. The housing has a window formed therein to image the conduit inside wall. An encoder structure adjacent an area of the window determines distal movement and travel direction of the transducer through the window area along a linear axis of the catheter housing.

Abstract: A dilation catheter and expandable balloon. The catheter includes a catheter tube, a proximal end, a distal end and an axis which extends between the proximal and distal ends. A balloon has two ends, at least one end mounts on the distal end of the catheter. The balloon inflates and deflates between a collapsed configuration and an expanded configuration. The balloon has a tapered portion and a working length. The tapered portion extends from the catheter tube at an angle .alpha. within the range of 7.degree. to 20.degree. and attaches the working length of the balloon to the catheter tube. Accordingly, the angle .alpha. between the tapered portion and the catheter tube is optimized to enable the balloon to slide when the balloon is in the collapsed configuration.

Abstract: Apparatus and method of harvesting a vessel of interest use a thin-walled, dark-colored sheath inserted within the vessel with the aid of an inner, slidable support member that is removed following placement of the sheath within the length of the vessel of interest.