Abstract: A retractor is configured to manipulate for vascular structures during minimally invasive surgical procedures such as mitral valve repair. A long wire has a spring loop at one end surrounded by a helical spring coil forming a toroidal ring. The spring maintains a circular shape while expanding and shrinking under manual control to a desired size for initiating and maintaining the retraction. The looping end of the spring wire is enclosed by the helical coil spring. The other end of the long wire is mounted through a frame with two hollow support arms carrying separate sides of the long wire and guiding them through a long support tube to a proximal end of the tube where each separate portion of the long wire attaches to a coupler. The coupler includes a handle or other push/pull mechanism to adjust the size of toroidal ring.

Abstract: A heart rotator tool uses a malleable guide rail with a distal end adapted to conform to a desired shape along a surface of a heart tissue. A suction cup is adapted for grasping the heart tissue. A slider is slidably mounted on the guide rail which is flexible to conform to the shape of the guide rail while sliding, the slider having a distal end connected to the suction cup and having a proximal end for providing a handgrip. A vacuum tube is joined to the suction cup and carried by the slider. The vacuum tube is adapted to selectively (i.e., selectably couple a vacuum source to the suction cup. After arranging the guide rail around the heart and sliding the suction cup to a desired position, the vacuum is activated and subsequent sliding of the suction cup via movement of the handgrip rotates the heart as desired.

Abstract: A mounting device holds a sensor, such as an ultrasonic fluid level sensor, against a side of a reservoir, such as a blood reservoir in an extracorporeal blood circulation system. Flexible foot pads in a base sheet carry an adhesive coating for attaching the footpads to an arbitrarily shaped outer wall of the reservoir. A rigid bayonet-type locking connector which receives the sensor is suspended from the base sheet by a tubular coupling member which preferably includes a resilient section that flexes to maintain the sensor in an orthogonal relationship with the reservoir wall. The resilient section preferably includes helical arms which are under tension when the sensor is locked into place in order to create a desirable amount of preload force between the sensor and the wall.

Abstract: A device prepares leaflets for cardiovascular valve reconstruction from a pericardial tissue sheet harvested from a patient. A cutting tool is adapted to cut a predetermined pattern having a selected leaflet size. The device is continuously adjustable using a plurality of slidable blade segments forming a closed periphery. Radially-slidable links are slidably attached to respective blade segments. An adjustment disc is coupled to the links, wherein rotation of the adjustment disc varies a radial position of the links to modify an overlapping of the blade segments in order to select a corresponding size of the closed periphery.

Abstract: A stabilization tool supports a blood vessel for suturing during cardiovascular surgery. The support vessel may typically be part of an artificial graft used in replacing an aortic arch. The stabilization tool has a central shaft with a mounting element at a first end. A plurality of retractable arms have their distal ends affixed to a second end of the central shaft. The retractable arms are movable between a nested position flanking the central shaft and a range of extended positions wherein proximal ends of the retractable arms are spaced away from the central shaft. A closing ring is slidable over the retractable arms from a deployed position adjacent the second end of the central shaft to a retracted position spaced away from the second end to move the retractable arms.

Abstract: A device prepares leaflets for cardiovascular valve reconstruction from a pericardial tissue sheet harvested from a patient. A cutter is adapted to cut a predetermined pattern having a selected leaflet size. A tissue marker automatically aligned with the predetermined cutting pattern is configured to mark suture positions on the leaflet in response to placement of the cutter. Cutting of a leaflet from the tissue sheet and marking of suture positions on the leaflet are obtained concurrently. A set of such devices spanning a variety of leaflet sizes may be provided in a kit that results in an ability to quickly obtain a properly sized and marked leaflet for reconstruction.

Abstract: Extracorporeal circuit devices can be used for on-pump open-heart surgery to support surgical procedures such as coronary artery bypass grafting. In some cases, a centrifugal pump is used as part of an extracorporeal circuit. Centrifugal pump heads are described herein that induce flow on two sides of an impeller plate, and that can be conveniently mechanically assembled.

Abstract: A marking/drying tool applies ink to biological tissue using a single handheld device. A cylindrical body retains a felt tip movable between a retracted position within the body and an extended position outside the body for marking the tissue. A gas source has a manual valve to selectably dispensing a drying gas onto the tissue. In a preferred embodiment, an interlock prevents dispensing of drying gas when the tip is in the extended position and prevents the tip moving to the extended position when the manual valve is dispensing the drying gas.

Abstract: Fluid coupling devices for connecting to and disconnecting from a male barbed fitting to provide a continuous flow path or a flow termination point, include a frame and an elastomeric sealing material disposed about and at least partially encapsulating the frame. The frame can have a first end including a connecting element. The frame can also have a second end including a ring that has two inwardly directed, radial locking tabs. At least a portion of the sealing material can define a thru lumen. At least a portion of the thru lumen can include a tapered, inner portion configured to create a sealed connection with a male barbed fitting. The second end of the fluid coupling device, when compressed, can deflect the locking tabs in a radially outward direction for releasing the male barbed fitting.

Abstract: A device for joining individual leaflets for repairing a cardiac valve of a patient has a base and projection fingers rising from the base to support adjacent leaflets for tacking together by sewing overlapping edges of adjacent leaflets prior to emplacement into the patient. The invention provides a cutting tool for excising leaflets from a pericardial tissue sheet according to predetermined sizes and shapes. A leaflet having a desired contour and size is obtained by pressing the tool formed as a cutter block against the tissue sheet. A set of blocks can be provided wherein each cutter block has an outer edge following a respective contour and size for a leaflet, and wherein the outer edge includes a raised cutting edge for pressing through the pericardial tissue sheet. The blocks can be held in a press for assisting in pushing the cutting edge through the tissue.

Abstract: Extracorporeal circuit devices can be used for on-pump open-heart surgery to support surgical procedures such as coronary artery bypass grafting. In some cases, a centrifugal pump is used as part of an extracorporeal circuit. Centrifugal pump heads are described herein that induce flow on two sides of an impeller plate, and that can be conveniently mechanically assembled.

Abstract: Extracorporeal circuit devices that can be used for on-pump open-heart surgery to support surgical procedures such as coronary artery bypass grafting are described. In some embodiments, an oxygenator can include an integral pump. Such an integrated arrangement can advantageously provide an extracorporeal circuit with a lower overall volume than other conventional extracorporeal circuits.

Abstract: A surgical device provides a retractor tool or rake with integral lighting. The device includes a retractor body having a rake finger at one end and a handle at its other end. A light source is embedded in the rake finger. A power unit supplies a current to the light source, and a cable interconnects the retractor body and the power unit. Sterile packaging is adapted to contain the surgical device, wherein the sterile packaging has a deactivation feature for preventing the supplying of current from the power unit to the light source while the device is stored within the sterile packaging, and wherein removal of the device from the sterile packaging results in automatically supplying the current to the light source.

Abstract: A vessel dissector for harvesting a target vessel has a tubular member carrying a blunt transparent tip with a terminus for blunt dissection of tissue and a base affixed to the tubular member. An active ring set has first and second ring segments mounted to distal ends of respective manipulator bars in the tubular member. The ring segments juxtapose to define a closed loop with an inner diameter larger than the outside diameter of the tip base. The ring segments are movable between a retracted position nested at the base and respective extended positions distally forward of the terminus. At least one of the ring segments is energizable to cut and cauterize a cylindrical pedicle including the target vessel. The ring segments independently extend longitudinally to provide a variable gap between the ring segments to capture, cut, and cauterize side branches to the target vessel between the ring segments.

Abstract: Devices and methods for enhancing the operations of fluid systems are provided. For example, this document provides variable-elevation drop tubes that are well suited for use with medical fluid reservoirs. While the variable-elevation drop tubes provided herein are described in the context of a medical fluid system, such as an extracorporeal blood flow circuit, it should be understood that the devices and methods provided herein are not limited to such contexts.

Abstract: One-way valve devices can be used within fluid systems. For example, this document provides one-way valves that can be installed within a lumen of a tube, a fitting, and other types of tubular members. In some embodiments, the one-way valve includes a unitary frame and a ball member that is loosely constrained within the confines of the frame.

Abstract: An endoscopic harvesting device removes a vessel from a body. The vessel has an anterior side closest to the skin. A sheath extends in a longitudinal direction with a dissector tip for advancing along the vessel substantially along the anterior side to create a flanking tunnel spaced away from the vessel. A ring-shaped blade is mounted to the sheath and is disposed in a plane substantially perpendicular to the longitudinal direction and proximal of the dissector tip. The blade forms a lateral loop to encircle the vessel from the flanking tunnel. The blade comprises an inductively-heated ferromagnetic member configured to make a vasiform cut including a pedicle around the vessel as the sheath advances.

Abstract: A vessel dissector for harvesting a target vessel from a donor has a generally cylindrical tip body with a sloping channel formed along a longitudinal side. A channel bottom provides a channel depth that decreases from a distal channel end to a proximal channel end. The tip body has a crescent-shaped forward lip extending distally from the channel. An arcuate collar is slidably disposed in an arcuate recess within the tip body to selectably bridge the channel at the distal end of the channel to form a ring profile with the forward lip. A first ferromagnetic heating element is disposed along a radially outward surface of the forward lip. A second ferromagnetic heating element is disposed on a distal edge of the arcuate collar. The first and second ferromagnetic heating elements are adapted to be energized simultaneously to make a vasiform cut including a pedicle around the target vessel.

Abstract: A perfusion system apparatus includes a subject simulator for simulating a subject. The subject simulator includes a circulatory system having an inlet line for receiving fluid from the perfusion system, an outlet line for transferring fluid to the perfusion system, at least one sensor for sensing at least one fluid property and at least one control device coupled to at least one of the inlet line and the outlet line. The control device manipulates the at least on fluid property based at least partially on signals from the at least one sensor, to thereby simulate a least one of compliance and resistance of the simulated subject.