Abstract: An apparatus and method are disclosed for measuring the desired length of a prosthetic device which is to be implanted in a body cavity of a patient. The apparatus generally includes a helically coiled stent formed of a resiliently-deformable material, a plunger which is connected to the proximal end of the stent, a sheath which slides over the plunger and stent when the plunger and sheath are used to insert and removably deploy the stent into the body cavity, and a scale for measuring an indication of the length of the stent once removably deployed in the body cavity. Proximal movement of the sheath to partially deploy the stent causes a length to be indicated on the scale. According to the method of the invention, the helically coiled stent of the apparatus is placed and partially deployed within the body cavity by use of the plunger and sheath of the apparatus. Once the stent bridges the body cavity, the scale of the apparatus is used to determine the length of the deployed stent.

Abstract: A blood clot filter comprising: an anchoring portion comprising a generally cylindrical self-expanding body formed from resilient material, the generally cylindrical body having proximal and distal ends and defining an axial direction and having a structure of variable size diameter expandable from a low-profile compressed condition to a larger profile expanded condition, wherein the resilient material urges the generally cylindrical body to radially expand and to thereby apply anchoring radial force against the inner wall surface of the blood vessel; and a generally conical filtering portion axially aligned with the generally cylindrical body having an open proximal end coupled to the distal end of the anchoring portion and having an apical distal end. Also disclosed is a blood clot filter having one or more hooks fixedly coupled to the anchoring portion and formed from compliant material having an original shape that bends under stress yet returns to its original shape when unstressed.

Abstract: A balloon formed of a single layer of polybutylene terephthalate and polytetramethylene ether glycol terephthalate copolymer in a substantially unblended form. The copolymer has a flexural modulus of greater than about 150,000 psi. The presently preferred copolymer is Hytrel® 8238 by DuPont. The balloon would be substantially unblended, defined as greater than about 60% by weight to about 100% by weight of the copolymer. The balloon is formed in a series of molds. The balloon exhibits high rupture pressure and low compliance coupled with good lesion cross and recross ability.

Abstract: An ablation burr has a body provided with an inner circumferential rim and an outer circumferential rim that are concentric and spaced longitudinally by a selected distance along the length of the burr. The outer circumferential rim has a generally smooth convex outer surface that reduces damage to a vessel wall or stent. A leading surface of the burr extends between the inner and outer circumferential rims in a substantially uniform, concave manner. An abrasive, for example, diamond grit, is provided on the leading surface. The burr is selectively rotated by a drive shaft, causing the abrasive leading surface of the burr to ablate unwanted deposits. If desired, a wire extends co-axially thorough the body such that a distal end of the wire extends out of the distal end of the burr. An abrasive tip may be coupled to the distal end of the wire, and is selectively rotated, to ablate unwanted deposits.

Abstract: A radial impacting technique involves using a set of progressively larger radial impactors to pack a medullary canal in a radial direction toward the cortex. For revision cases, graft material, which may be either synthetic or bone graft material, is added into the medullary canal after the previously installed implant has been removed. Packing the medullary canal in the radial direction, as opposed to the conventional approach of packing in a distal direction, provides superior results. The radial impactors are preferably cannulated and may also have holes to assist in the removal of fluids from within the medullary canal. The profile impactors may be either cannulated or non-cannulated and prepare the medullary canal for receipt of the implant.

Abstract: Apparatus used for manipulation of a gripped element employed in surgery, which includes two elongated arms, each of which has a distal first zone, a second zone or zones rearward of the distal first zones, and a handle from which the arms extend forwardly, the arms extending so that the first distal zones are yieldably urged toward one another by the arms to hold the gripped element therebetween, at least one of the arm second zones configured to move relative to the other arm in response to controllable force exertion between and along the arms, thereby to cause the first zones to relatively separate, enabling gripping or release of the element.

Abstract: A device for closing off a septal defect including a polymeric self-hardening material in a specific conformation which is delivered by a catheter means to the area of defect either directly on the cardiac tissue or into a balloon which spans both surfaces of the defect, and hardened in-situ by change in pH or ionic concentration, organic solvents, by permeation of a secondary material capable of precipitation, or by exposure to heat, light or laser energy. In blood, the device may be hardened through photopolymerization or a cooperative effect of coagulation, precipitation or ionization. The device can be made of biodegradable material impregnated with growth factors, mitogenic factors or other determinants which can improve tissue growth such that tissue ingrowth can occur over a period of time. The catheter itself may be an ultrasonic imaging catheter.

Abstract: A surgical spring clip includes a first molded component having a first jaw and a first finger tab. A second component having a second jaw and a second finger tab comprises the only other molded component. The first component has a telescoping relationship with the second component and is moveable by operation of the finger tab between a first position wherein the jaws are generally closed and a second position wherein the jaws are generally open. A spring disposed between the tabs and the jaws biases the first and second components toward the first position. The clip has a telescoping barrel with the general shape of a polygon in radial cross-section. An increased guidance link provides the clip with a guidance ratio of about 1.5 ratio. Alignment of the components is further enhanced by the provision of ramped projections and the accommodation of tolerances only along one side of the telescoping barrel.

Abstract: An apparatus for facilitating fusion of adjacent vertebrae, In one preferred embodiment, the apparatus for facilitating fusion of adjacent vertebrae includes a retractor and a retractor introducer. The retractor includes a retractor sleeve having proximal and distal ends and defines a longitudinal passageway for reception of surgical instrumentation. The retractor sleeve has first and second retractor arms extending distally therefrom in a general longitudinal direction. Each retractor arm has first and second opposed supporting surfaces for engaging respective adjacent opposed vertebrae. Each retractor arm defines a dimension between the first and second supporting surfaces sufficient to distract the opposed vertebrae upon insertion thereof. The retractor introducer is positionable within the longitudinal passageway of the retractor sleeve. The retractor introducer includes an elongated member defining proximal and distal ends and having a distal introducer head.

Abstract: A kit is for removing a spacer having a surface and ends from a spine. The kit includes an osteotome, a threaded extractor, and a trephine, each for releasing spacer from spine. Osteotome includes a cutting portion having a surface formed to engage surface of spacer and a tip formed to cut bone surrounding surface of spacer. Extractor includes a side wall having threads formed to cut one of the ends of spacer and pull spacer away from spine when side wall rotates relative to spacer. Trephine includes a blade having a sleeve defining a passageway and including an edge formed to cut material surrounding surface of spacer.

Abstract: A cannula includes a tubular body having a proximal end and distal blunt end, at least one lumen extending the length of the body, an endoscope having a lighted, viewing end disposed in the lumen near the distal end of the body, and a transparent, tissue-separating tip substantially covering the distal end of the body. The tissue-separating tip is slightly blunted to inhibit avulsion of tissue and lateral vessels along the dissected cavity formed thereby. Endoscopic viewing through the tip is enhanced by tapering the inner walls thereof to a cusp adjacent the blunt tip in order to reduce visual distortion. Alternatively, a cannula includes a dissection probe and a removable or deflectable tip for exposing the probe and endoscope to facilitate viewing and the dissection of connective tissue and lateral vessels along the dissected cavity. Methods of using such cannulas produce an elongated cavity along the course of a blood vessel for subsequent harvesting or other treatment of the isolated blood vessel.

Abstract: An improved balloon catheter which includes bumpers located adjacent to the proximal and distal ends of the catheter balloon. The bumpers form a recessed pocket into which a stent crimped onto the catheter balloon is mounted. The recessed pocket formed by the bumpers securely retains the stent on the balloon and minimizes undesired contact between the stent and arterial walls and lesions during advancement of the stent within a patient's vasculature.

Abstract: A deformable sheath is attached to a catheter and introduced intravascularly to be expanded against an arterial wall and entrap plaque therebetween. A stent is subsequently deployed within the expanded sheath and the sheath is then withdrawn from within the vasculature to leave the stent expanded against the arterial wall with the plaque entrapped therebetween.

Abstract: An apparatus for fixing the spine, and particularly to a spine fixing apparatus for fixing an unstable spine, caused by a fracture or a disease, to be properly collaborated together such that the spine can recover its stable state. The spine fixing apparatus comprising a plurality of spine screw members combined to the spine with a certain distance; a pair of rods detachably combined to the spine screw members, the rods connecting and supporting the spine screw members; pressing members detachably combined to the spine screw members, the pressing member pressing the rod toward the spine screw member; and a connecting device integrally combined to the pressing member, the connecting device flexibly connecting the spine screw members.

Abstract: An acupressure device for use on a selected skin surface portion of a human body. The device comprises a thin flexible base sheet having a first side, a second side and a margin. The margin has at least a portion of its length shaped as an orienting margin, wherein the orienting margin is shaped to correspond to a shape on, or adjacent to, the selected skin surface portion when the base sheet is placed on the selected body surface. An adhesive layer is on the first side of the base sheet that is suitable for attaching the base sheet to the selected skin surface portion. There is at least one bead on the adhesive layer suitable for positioning against the selected body surface that will provide acupressure to at least a portion of the selected body surface when the acupressure patch is placed against the selected body surface.

Abstract: An endoluminal repair of abdominal aortic aneurysms at the aortic and iliac bifurcation. In particular, a deployment system and graft are disclosed for deploying the bifurcated graft within both iliac branches, as well as the aortic trunk, from a single vascular access. The disclosed deployment system includes a delivery catheter having a releasable restraint for the main body section of the graft and separate releasable restraints for each of the first and second branch sections of the graft.

Abstract: A blood clot filter which is collapsible toward a central longitudinal axis into a collapsed configuration for insertion into a blood vessel and which is radially expandable outwardly from the longitudinal axis to an expanded configuration for contact with the inner wall of the blood vessel at two longitudinal spaced locations. A first plurality of spaced, elongate arms, in the expanded configuration of the filter, curve outwardly away from the longitudinal axis toward the leading end of the filter to form a first filter basket and to center a hub at the trailing end of the filter within the vessel. A second plurality of spaced elongate legs angle outwardly away from the longitudinal axis toward the leading edge of the filter in the expanded configuration thereof to form a second filter basket opening toward the leading end.

Abstract: An endoscopic clip applier for the temporary as well as permanent occlusion of vessels and the clipping of other tissues. The clip applier includes an elongated outer body having a proximal end attached to an actuating mechanism and a distal end. An elongated inner member is slidably positioned within the outer body and has a proximal end coupled to the actuating mechanism and a distal end coupled to a pair of generally opposing jaws. Movement of the inner member relative to the outer body pivots the jaws open and closed. The jaws are configured for receiving and supporting a malleable surgical clip which is insertable within an internal retention groove within each jaw. Each groove has an undercut portion at its distal end which is configured to mate with an outwardly tapering portion at the distal end of each clip. When forced distally in the grooves, the distal ends of the clip are moved into the undercut portion and the clip retained within the groove.

Abstract: A bone member fastener for closing a craniotomy includes a cap and a base interconnected by a narrow cylindrical collar. The cap has an externally threaded stud that screws into an internally threaded bore of the collar, thereby allowing the cap and base to be brought into clamping engagement against the internal and external faces of a bone plate and surrounding bone. In a particularly disclosed embodiment, the base of the fastener is placed below a craniotomy hole with the collar projecting into the hole, and the stud of the cap is screwed into the bore of the base from above the hole to clamp a bone flap against the surrounding cranium. This device provides a method of quickly and securely replacing a bone cover into a craniotomy. The distance between the cap and base can be selected by how far the threaded stud of the cap is advanced into the internally threaded collar. The fastener is therefore adaptable for use in several regions of the skull having various thicknesses.

Abstract: System for opening and temporarily supporting a section of a generally tubular organ, the system comprising a dilation catheter, and an inflatable balloon, the dilation catheter includes an integrally connected shape memory catheter tip, the shape memory catheter tip, is made of a shape memory alloy, the balloon being inserted within said shape memory catheter tip, wherein the balloon is operative to inflate, thereby moving the shape memory catheter tip from a first shape into a second shape, and wherein the shape memory catheter tip changes from the second shape to the first shape when heated from a first temperature to a second temperature.