Abstract: An apparatus for a catheter valve which can be used to effect selective closure of a catheter lumen in order to control fluid flow through the catheter lumen once the catheter is inserted into a patient's body. The apparatus has a valve body with a hub which is joined to the catheter, and a rotatable cap which is joined to the hub. An elastomeric sleeve is positioned in an opening through the interior of the valve body. One end of the elastomeric sleeve is joined to the rotatable cap while the other end of the elastomeric sleeve is joined to the hub. When the cap is rotated in one direction to a first position, the circular opening of the sleeve is fully opened. When the cap is rotated in the opposite direction to a second position, the elastomeric sleeve is twisted intermediate the two ends so as to ultimately effect closure of the circular opening.

Abstract: A system for delivering oxygen to a gas permeable membrane oxygenator is disclosed. The system may include an integral source of gas under pressure and a source of vacuum. A first mass flow controller is connected to the source of gas upstream in the gas flow from the gas exchange device. A pressure valve is positioned in the gas flow between the first mass flow controller and the membrane oxygenator. An atmospheric vent is positioned between the pressure valve and the first mass flow controller. A second mass flow controller is positioned downstream from the gas exchange device and is connected to the source of vacuum. A central controller commands the pressure valve to maintain the pressure at the inlet of the gas exchange device at a subatmospheric pressure. The second mass flow controller is commanded to maintain a rate of flow which is desired through the gas exchange device.

Abstract: A sheath and obturator is provided for facilitating the insertion of certain medical devices into a patient's vascular system, a vein, or venous system and in particular an in vivo extrapulmonary blood gas exchange device having a bundle comprised of a plurality of elongated gas permeable tubes being potted at each end and enclosed within a respective air tight proximal and distal chamber. The sheath is hollow and substantially tubular with a tapered receiving portion and a nontapered, curved entry portion. The obturator has a tip at the distal end of the obturator and a trip at the proximal end with an elongate member therebetween. The sheath is configured to receive the obturator in sliding engagement such that when the obturator is fully inserted within the sheath, the tip closes the opening at the entry end of the sheath and protrudes slightly therefrom. The obturator has a vent which provides a passage from space exterior to the sheath into the hollow interior of the sheath.

Abstract: A connector for applying to the exterior of an elongated member of circular cross-section circumferentially uniform radially directed compressive forces by which to effect attachment and fluid-tight sealing thereagainst. The connector comprises an attachment fitting having formed therethrough a bore for slidably receiving the elongated member and a coaxially disposed, radially enlarged compression recess communicating therewith. A flexible annular gripping member resides in the compression recess slidably circling the elongated member. A locking hub disposed at the end of the compression recess remote from the bore has a compression face which extends into compression recess.

Abstract: An in vivo extrapulmonary blood gas exchange device is disclosed having a hollow fiber bundle in gaseous communication with a coaxial dual lumen tube and having a furling apparatus for twisting one coaxial lumen relative to the other. The furling apparatus enables the outside diameter of the bundle of gas permeable tubes to be selectively adjusted to provide either a furled, small insertion diameter when inserting the apparatus into the venae cavae of a patient or an unfurled, expanded oxygenation diameter after the apparatus is in place within the venae cavae and the bundle of gas permeable tubes is deployed therein. The oxygenator is inserted into the patient through a single incision at one of the right external iliac, common femoral, or internal jugular veins. A novel distal tip configuration permits the oxygenator to be inserted into the patient utilizing an over-the-guidewire intravascular insertion technique.

Abstract: A closed, air-free blood oxygenator assembly having integrated into one self-supporting unit a rigid-shell blood reservoir having an easily visible, concavity which is closed by an attached expansible, flexible membrane which overlies the concavity and forms a variable volume liquid and air-tight blood reservoir, and an attached blood heater, and a hollow fiber membrane oxygenator. The assembly stores, heats, oxygenates and purifies blood by passing oxygen through the lumens of a mat of small diameter gas-permeable hollow fibers supported on a cylindrical core as blood flows over the outside surfaces of the fibers in a small, easy to use, safe, integrated unit which avoids blood contact with ambient air as blood circulates through the assembly during surgery.

Abstract: A plasmapheresis system in which whole blood is filtered through a microporous membrane to provide a plasma filtrate. The system includes a filter cell assembly having a membrane support member, a treatment membrane spaced from the membrane support member with a plasma treatment agent sandwiched between the treatment membrane and the membrane support member, and a microporous membrane spaced from the treatment membrane to form a plasma chamber between the treatment membrane and the microporous membrane. Whole blood is introduced to the side of the microporous membrane opposite to the plasma chamber, plasma is filtered through the microporous membrane to the plasma chamber and the plasma filtrate contacts the treatment membrane which operates to provide a mass transfer between the treatment agent and the plasma filtrate. The treated plasma is withdrawn from the plasma chamber, is mixed with the plasma-poor whole blood and is returned to the patient.