Abstract: A breath system appliance includes a planar thin elongate body having an applicator head at one end and a scraper head at the other end. The applicator head includes a sponge impregnated with a dorsal conditioning medium. The medium may include an antibacterial agent, an antiseptic agent, a flavoring agent, an oxidizing agent and an anesthetizing agent. The conditioning medium is applied as a coating to dorsal surfaces of a user. The scraper head is thereafter applied against dorsal surfaces of the user to dislodge food debris and other odor generating matter from the dorsum of the user. The appliance may be carried in a liquid impervious sealed packet.

Abstract: According to the invention, a novelly improved ablation device includes releasably joinable drive and catheter assemblies. The drive assembly includes a tachometer assembly and a regulator for monitoring and controlling ablating burr speed. A bifurcated drive shaft includes a coiled distal portion and a tubular proximal portion for facilitating force transfer from the proximal portion to the distal portion. A dilating member is provided in addition to an ablating burr on the catheter assembly. The catheter tube may have multiple independent lumens having axes of elongation offset parallelly in the tube. Additionally, the ablating burr may be operatively connected to the catheter tube by drive gears or releasable threads. A radiopaque member is included on the distal end of the catheter tube, thereby rendering it visible to an observer. Novel, improved methods of ablating intravascular deposits are also provided.

Abstract: An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens.

Abstract: A luminal stent is a tubular body formed by knitting a sole yarn of a bioresorbable polymer fiber, such as fiber of polylactic acid, polyglycol acid or a polylactic acid--polyglycol acid copolymer. When introduced into and attached to the inside of the vessel by a catheter fitted with a balloon, the tubular member may retain its shape for several weeks to several months after attachment and subsequently disappears by being absorbed into the living tissue. In this manner, the luminal stent is not left as a foreign matter semi-permanently in the living body without producing inflammation or hypertrophy in the vessel. There is also provided a method for attaching the luminal stent in the vessel.

Abstract: An endoscopic instrument having a ball and socket connection for releasably attaching a front end assembly to an actuating handle assembly comprising of a base having a downwardly extending stationary handle and a pivoting handle. The socket comprising a plurality of resilient prongs to create a friction fit that can be disengaged by the surgeon retracting the pivoting thumb handle. The socket disposed in the base and linkage provided for actuating the instrument.

Abstract: A stent loading apparatus for loading a deformable stent onto a deployment device. The stent loading apparatus includes an elastic member defining a passage therein formed for longitudinal receipt of the deformable stent in an uncrimped condition. A first member includes a first compression region; and a second member includes a second compression region positioned substantially adjacent the first compression region at a first position. At this first position, the elastic member and the deformable stent in the uncrimped condition may be received between the opposed first and second compression regions. The first compression region and the second compression region are further configured to provide rolling support and compression of the elastic member during relative movement between the first position and a second position for rolling radial compression of the deformable stent onto the deployment device.

Abstract: A method and devices are provided for performing end-to-side anastomoses between the severed end of a first hollow organ and the side-wall of a second hollow organ utilizing transluminal approach with endoscopic assistance, wherein the first and second hollow organs can be secured utilizing a biocompatible glue, clips or by suturing. In an alternative embodiment, the method utilizes a modified cutter catheter which is introduced into the first hollow organ in combination with a receiver catheter which is introduced into the second hollow organ. The distal end of the receiver catheter includes a receiver cavity and a selectively activatable magnetic material.

Abstract: Method and apparatus for utilizing the vascular system as a conduit to reach other vascular and extravascular locations within the body. Included are methods for revascularization wherein the extravascular passageways are formed to permit blood flow between vascular locations. Also included are methods for performing transvascular interstitial surgery (TVIS) wherein extravascular passageways are formed from a blood vessel to another vascular or non-vascular intracorporeal location. Also disclosed are devices usable for forming extravascular passageways in accordance with the invention, or for modifying, valving, maintaining or closing such passageways.

Abstract: A device and method for enabling substantially uniform and tight crimping of an intravascular stent onto a balloon catheter assembly. The device has a base portion having an intermediate portion and pivoting arm portions attached thereto. A loop portion is attached at its end portions to the pivoting handle portions. The loop portion has a compressible and generally cylindrical opening which is substantially uniformly compressible radially inwardly upon pivoting the arm portions downwardly from the intermediate portion. This substantially uniformly and tightly crimps the stent onto the catheter portion which is inserted therein.

Abstract: An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. Selective articulational positioning of the end-effector is achieved by the provision of an articulating mechanism incorporated into the clamp coagulator apparatus. The arrangement permits an elongated portion of the apparatus to be selectively articulatably positioned with respect to an apparatus housing.

Abstract: The object of the present invention is a system for the treatment of a body duct, such as a blood vessel in particular, of the type comprising a stent forming element comprising a frame made from a material having a low elastic recovery capacity, which is intended, in the position of use, to restore and/or to maintain the normal passage cross-section of said duct to be treated, and an inflatable expanding element disposed in the interior relative to said stent forming element.

Abstract: A surgical scalpel includes an elongate handle defining a longitudinal axis and having a proximal end and a distal end. The scalpel has a cartridge removably mounted to the handle that has a blade holder with a proximal end and a distal end. There is a blade fixedly attached to blade holder disposed so that the blade projects distally outwardly when the cartridge is mounted on the handle. The cartridge also has a shield with a proximal end, a distal end and a bottom mounted onto the blade holder. The shield is slidably movable between a distal position where the shield substantially prevents inadvertent access to the blade and a proximal position where the shield substantially surrounds a portion of the handle and the blade is exposed for use. The cartridge is releasably mountable to the handle and has elements for substantially preventing movement of the shield with respect to the blade holder unless the cartridge is mounted on the handle.

Abstract: Apparatus and method for expanding a perivascular cavity at a surgical site includes an elongated retractor having a tip at the distal end for convenient insertion into a perivascular cavity, and having a slidable coupler near the proximal end for convenient coupling to an elevator element supported in a retractor frame. The elongated retractor supports an endoscope thereon to facilitate visualization of surrounding tissue during insertion into the perivascular cavity. With the retractor inserted in the cavity, the retractor frame is positioned on the skin in alignment with and straddling the cavity, and the elevator element is selectively coupled to the retractor to elevate the retractor relative to the base of the retractor frame, thereby to expand or distend the cavity to provide ample access to tissues and vessels for surgical manipulations within the cavity.

Abstract: Apparatus and methods for performing surgery within an organ or vessel are provided. A catheter is provided having a longitudinal axis and an end region carrying an end effector, the end region movable to a series of positions along the longitudinal axis and with an selectable orientation relative to the longitudinal axis. The catheter includes elements for stabilizing the end region of the apparatus within an organ or vessel, and for counteracting reaction forces developed during actuation of the end effector.

Abstract: A disposable lancing element is adapted for use in a lancing device for making an incision through a user's skin. The lancing element includes a body which defines a longitudinal axis, and has a skin-lancing member projecting from a front end thereof. A capillary tube is mounted in the body in laterally spaced relationship to the skin-lancing member and is slidable longitudinally relative to the body so as to be extended forwardly past the skin-lancing member. The body includes a plurality of circumferentially spaced, radially outwardly projecting bosses formed thereon for guiding the disposable element installation in a carrier element. The skin-lancing member may comprise a plurality of needles or barbs arranged in parallel side-by-side relationship. In lieu of a skin-lancing member, the disposable element may possess a longitudinal through-hole for conducting a skin-piercing laser light beam or pressurized fluid. A capillary tube may have an outwardly flared lower (inlet) end.

Abstract: A whole body stereotaxis apparatus comprising a base plate (2) to accommoe a patient, two side strips (4, 6) which are attached to the base plate (2) at the marginal or side edges thereof and laterally delimit the base plate (2) and to which arches (10, 12) extending over the base plate (2) can be attached, characterized in that a central strip (8) is mounted on the base plate (2) and comprises bores (22) to accommodate accessories.

Abstract: An artificial chamber for a corneo-scleral disk for the purpose of taking a graft therefrom, the chamber comprising a stand, a cornea support carried by the stand, having a vertical axis, and possessing a head having a supporting top face into which there opens out at least one feed orifice, and a clamping ring for clamping the corneo-scleral disk on the cornea support. The clamping ring is fixed and carried by the stand, while the cornea support is mounted on the stand so as to slide along the vertical axis of the cornea support under drive from actuator means.

Abstract: A luminal stent is a tubular body formed by knitting a sole yarn of a bioresorbable polymer fiber, such as fiber of polylactic acid, polyglycol acid or a polylactic acid--polyglycol acid copolymer. When introduced into and attached to the inside of the vessel by a catheter fitted with a balloon, the tubular member may retain its shape for several weeks to several months after attachment and subsequently disappears by being absorbed into the living tissue. In this manner, the luminal stent is not left as a foreign matter semi-permanently in the living body without producing inflammation or hypertrophy in the vessel. There is also provided a method for attaching the luminal stent in the vessel.

Abstract: A microsurgical instrument with opposing jaws rotatable relative to one another using a pivot integral to a frame comprising one jaw for rotating the other jaw and a linkage to push one jaw rotatably towards the other jaw wherein a distal-most surface of that jaw pushes against a surface of jaw to be moved.

Abstract: A device for removing obstructions from vessels or small openings in the body, comprising a rotatable ablator tip which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The variably expandable abrasive tip coil in one embodiment of the invention is actuated by a piston means disposed within the coil. A pair of collars is attached to the ends of the coil, and the piston effects relative longitudinal axial movement of the collars and, hence, the respective ends of the coil tip. When the ends of the coil tip are so moved with respect to one another, expansion and contraction of the diameter of the coil tip results. In another embodiment of the invention, the expansion tip coil is actuated by an expandable and contractible bellows means disposed within the coil, instead of the piston means.