Abstract: A catheter and guide wire exchange system including a catheter that has a guide wire lumen with a guide way extending along a length of the proximal shaft. A guide member is slidably disposed about the proximal shaft for directing a guide wire into or out of the guide way and the guide wire lumen. A transition section joins the bilumen proximal shaft to a coaxial distal shaft.

Abstract: An indwelling catheter for insertion into a patient's urinary tract is provided that includes first and second tubular members that enable drainage of physiological fluids. An inflatable balloon is attached to the second tubular member. The first and second tubular members are interconnected by a connecting tube forming a gap between the first and second tubular members. The connecting tube is in fluid communication with the balloon to enable the balloon to be inflated via the connecting tube. When the balloon is anchored within the urinary bladder the second tubular member is located within the prostatic urethra with one end in close proximity to the sphincter and the other end protruding into the urinary bladder. The first tubular member is located within the penile urethra with one end in close proximity to the sphincter so that the connecting tube traverses the sphincter permitting voluntary control of the sphincter.

Abstract: A catheter and guide wire exchange system including a catheter that has a guide wire lumen with a guide way extending along a length of the proximal shaft. A guide member is slidably disposed about the proximal shaft for directing a guide wire into or out of the guide way and the guide wire lumen. A transition section joins the trilumen proximal shaft to a coaxial distal shaft.

Abstract: A balloon catheter, and preferably to a rapid exchange type balloon catheter, having a proximal shaft section, and a distal shaft section with an inner tubular member and an outer tubular member, the outer tubular member having a section which is bonded as by fusing or otherwise bonding. The bonded section extends along a thickened wall portion of the outer tubular member at the rapid exchange junction. A reinforcing member or tube extends within at least a section of the bonded section of the outer tubular member. In one embodiment, the reinforcing tube extends within at least a section of the thickened wall portion of the outer tubular member. The configuration provides a rapid exchange junction with improved kink resistance and flexibility for excellent trackability, and with a minimal decrease in the size of the inflation lumen at the rapid exchange junction for an improved shortened balloon inflation/deflation time.

Abstract: A method of interventional surgery is described. The method may include inserting an actuator within a body of a vascularized organism and positioning the actuator adjacent a target region within a vessel of the body. The actuator is operated to cause a needle thereof to move in a substantially perpendicular direction relative to a wall of the vessel to produce an opening therein. A therapeutic or diagnostic agent may be delivered by the needle to the target region via the opening in the vessel wall.

Abstract: A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue.

Abstract: The multi-component mixing capsule with dispensing device has a container part in which a component can be accommodated. A further component is arranged in a piston which is sealed at one end by a foil disk and a holed disk. At the other end, the piston is sealed by a ram which, in a first operating step, forces the liquid component from the piston into the mixing space of the container part and, in a second operating step, also forces the piston downward so that the mixed compound can emerge from the dispensing device.

Abstract: A needle-less injector suitable for injecting fluid through a surface includes a housing, a driver, an engine and a trigger. The housing contains a fluid and the engine contains a compressed gas. Upon application of sufficient force to the trigger, the compressed gas is released from the engine forcing the driver through the interior of the housing, expelling the fluid from the housing at a speed sufficient to pierce an injection surface. An aerodynamic diffuser maximizes air flow to the driver, allowing greater injection speed and mitigating pain associated with receiving an injection. Use of the injector is both silent and easy to activate, owing to an O-ring included about the circumference of the exterior of a diffuser operating within the engine. Further, the engine has safety features preventing a portion thereof from separating from the device under elevated temperatures and similar conditions. Engine leakage is obviated by the inclusion of a leakage ring therein.

Abstract: This invention is a single, multichannel catheter useful for extracorporeal circulation of blood to a patient undergoing cardiovascular treatments or surgery. The catheter has three independent channels and an expandable balloon at one end of the catheter. The first channel (34) is the largest and is of a size that allows for delivery of blood to a patient in an amount sufficient to maintain the patient's metabolism and perfusion throughout the treatment or surgery. A second channel (36), smaller than the first, is integrated into the wall of the first channel, and is suitable for delivering a biologically active fluid (e.g., for cardioplegia) to the heart and/or venting the left heart. A third channel (38), also smaller than the first, is integrated into the wall of the first channel, and suitable for delivering a fluid to the balloon for its expansion when positioned in the ascending aorta to occlude the flow of blood to the heart.

Abstract: A syringe holding a solvent and a soluble component has a tubular body formed its front and rear ends with a bypass, a plunger axially slidable in the body, and a stem projecting axially rearward out of the body from the plunger. A cover fits over the front end of the body and is so tight that the front compartment can be pressurized to a superatmospheric pressure without leakage out the front end. A free piston slidable in the body forward of the plunger subdivides the body forward of the plunger into a front compartment at the front body end holding the soluble component and a rear compartment between the plunger and the piston and holding the solvent. Stops are provided for arresting the free piston when it is level with the bypass in a position permitting flow through the bypass between the compartments.

Abstract: A safety syringe has a hollow barrel, a plunger, a tube, a needle hub, a spring and a plug. The hollow barrel has an outside surface, a proximal open end and a distal closed end. The plunger is mounted slidably inside the hollow barrel. The tube has a proximal open end and a distal open end and is attached longitudinally to the outside surface of the hollow barrel. The needle hub and the spring are mounted inside the tube, and the needle can extend out of the distal open end of the tube. A first through hole defined in the hollow barrel and a second through hole is defined in the tube align with each other. The needle is extended out from the distal end of the tube to take a blood sample. The used needle is retracted into the tube after use to keep people from getting injured or infected.

Abstract: An actuating mechanism for rapidly and selectively moving a threaded screw and nut member combination into or out of threaded engagement, particularly for use to pressurize angioplasty balloon catheters, or the like. The mechanism includes a housing and a threaded screw structure slidably displaceable through the housing. A nut member having partial threads is selectively engageable and disengageable with the threaded screw structure. The mechanism includes a carrier member and is designed to be assembled from the rear. The carrier member is preferably configured to be retainably engaged with the housing via a bayonet arrangement, such as a quarter-turn bayonet arrangement, and is configured to provide an audible indication when it is, in fact, properly and fully installed. Preferably, the housing is configured to receive a pressure gauge directly into a threaded bore on the housing. An improved method of assembling an actuating mechanism is also provided.

Abstract: Methods are provided for partial aortic occlusion for cerebral perfusion augmentation in patients suffering from global or focal cerebral ischemia. A catheter is advanced into the descending aorta, the catheter having a proximal region, a distal region, and an expandable member mounted on the distal region. The expandable member is located downstream from the takeoff of a carotid artery. The expandable member is expanded to at least partially obstruct blood flow in the aorta. A physiologic parameter is measured that indicates adequacy of cerebral perfusion. The expansion of the expandable member is adjusted based on the measured physiologic parameter. Other medical devices, such as an atherectomy catheter, can be inserted distal the occluder to provide therapeutic intervention.

Abstract: A power injector 10 that includes a solenoid 23 that moves a piston to cause a liquid to be injected via the needle 13. A shroud 27 engages a switch 28 to cause electric energy to be delivered to the solenoid 24 to cause actuation thereof.

Abstract: Devices and methods for personal hygiene. The devices of the present invention include a connector that can connect to an output of a shower head to deliver a flow of fluid through a fluid conduit to an applicator for delivery of a fluid flow and/or cleaning agent to a target area, such as the vagina. Optionally, a valve assembly and reservoir for medicant or a cleaning solution can be disposed adjacent the applicator.

Abstract: A method for increasing renal and/or coronary blood flow. A catheter is inserted into the descending aorta. An expandable member on a distal region of the catheter is positioned in the aorta downstream from the takeoff of a renal artery or downstream from a coronary ostium. The expandable member is expanded to partially occlude blood flow in the aorta. Blood pressure in the proximal aorta increases, blood pressure in the distal aorta decreases, and renal and/or coronary blood flow increases by this technique. Blood pressure in the proximal aorta may be measured to monitor the effects of the procedure. The expansion of the expandable member may be adjusted based on the measured blood pressure.

Abstract: A catheter system includes a catheter having a proximal end, a distal end, and a lumen extending therein. An administering portion is disposed at the distal end of the catheter and is configured to administer a bolus of liquid in response to positive pressure in a distal portion of the lumen. The catheter system of the present invention has a dead space of less 0.32 cc and preferably less than 0.15 cc in which residual therapeutic agents remain after delivery. The present invention also includes a method of administering a liquid to a treatment site. The distal end of the catheter is transluminally positioned proximate the treatment site. The catheter is charged by placing a bolus of the liquid in the lumen A positive pressure is created to drive the bolus to the administering tip to express the bolus from the distal end of the catheter.

Abstract: A plastic needle guard is mounted on a hub in which a needle is secured. In order to cover the end of the needle, the needle guard is slid manually off the hub and over the end of the needle to position the needle end within the guard. A washer that is loosely mounted within the guard and through which the needle passes drops off the end of the needle to block any return movement of the needle out of the guard. Other embodiments use lock-type washers to prevent a return movement of the needle.

Abstract: A balloon catheter, and preferably to a rapid exchange type balloon catheter, having a proximal shaft section, and a distal shaft section with an inner tubular member and an outer tubular member, the outer tubular member having a section which is bonded as by fusing or otherwise bonding. The bonded section extends along a thickened wall portion of the outer tubular member at the rapid exchange junction. A reinforcing member or tube extends within at least a section of the bonded section of the outer tubular member. In one embodiment, the reinforcing tube extends within at least a section of the thickened wall portion of the outer tubular member. The configuration provides a rapid exchange junction with improved kink resistance and flexibility for excellent trackability, and with a minimal decrease in the size of the inflation lumen at the rapid exchange junction for an improved shortened balloon inflation/deflation time.

Abstract: The present invention is directed to a non-compliant medical balloon suitable for angioplasty and other medical procedures and which integrally includes very thin inelastic fibers having high tensile strength, and methods for manufacturing the balloon. More particularly, the invention is directed to a fiber-reinforced medical balloon having a long axis, wherein the balloon comprises an inner polymeric wall capable of sustaining pressure when inflated or expanded and a fiber/polymeric matrix outer wall surrounding and reinforcing the inner polymeric wall. The fiber/polymeric matrix outer wall is formed from at least two layers of fibers and a polymer layer. The fibers of the first fiber layer are substantially equal in length to the length of the long axis of the balloon and run along the length of the long axis. The fiber of the second fiber layer runs radially around the circumference of the long axis of the balloon substantially over the entire length of the long axis.