Abstract: A self adjusting hydrocephalus valve that continuously drains cerebrospinal fluid at a rate which is proportional to the average pressure difference across the valve. The valve employs a ball-in-cone mechanism having an associated biasing element that is insensitive to high frequency pressure variations for regulating the opening of the valve mechanism. The biasing element includes flexible bellows having a preset tension.

Abstract: A paracorporeal respiratory assist lung is configured with an annular cylindrical hollow fiber membrane (fiber bundle) that is rotated at rapidly varying speeds. Fluid (for example, blood) is introduced to the center of the device and is passed radially through the fiber bundle. The bundle is rotated at rapidly changing velocities with a rotational actuator (for example, a motor or magnetic coupling). The rotation of the fiber bundle provides centrifugal kinetic energy to the fluid giving the device pumping capabilities and may create Taylor vortexes to increase mass transfer. Rotation of the fiber bundle increases the relative velocity between the fluid and the hollow fibers and increases the mass transfer. The porosity of the fiber bundle may be varied to enhance gas exchange with the blood. Alternatively, a rotating core may be used with a stationary fiber bundle.

Abstract: An implantable fluid management device includes a catheter with an elongate proximal portion, a flexible distal portion, and a fluid passageway flowing therethrough. The distal portion includes a coil-shaped portion that defines a spiral having at least one turn. The distal portion of the catheter includes at least one pore in fluid communication with the fluid passageway of the catheter, which is located on an internal portion of the spiral. The positioning of the pore(s) on the internal portion of the spiral protects the pore(s) from obstruction or occlusion caused by tissue growing into or around the catheter.

Abstract: A spine prosthesis is provided and in particular, related to the facet joint of a spine.

Abstract: A spine implant, in particular a stabilization or distraction device, is provided with an adjustable length.

Abstract: An anti-siphon shunt device is provided that is insensitive to body postural changes. The shunt device has a housing having a chamber, an inlet port, and an outlet port. A valve mechanism disposed within the housing manages fluid movement into and out of the chamber over a pressure gradient. The valve mechanism includes a blocking element configured to seat against an opening in a barrier mounted within the chamber for preventing fluid flow therethrough. A pressure sensor having a conformable membrane detects the external pressure surrounding the chamber and communicates with a biasing element to exert a biasing force against a first surface of the blocking element, while a second surface of the blocking element is acted upon by a countervailing pressure in a direction opposite the biasing force. The conformable membrane can be enclosed within a housing to protect the device from shutting off when a patient inadvertently lies on the valve mechanism.

Abstract: A valve that is adapted to control the flow rate of fluid flow from an implantable pump or other fluid delivery device is provided. In general, the valve includes a multi-lumen member that is adapted to receive fluid-flow therethrough, and a restrictor member that is coupled to the multi-lumen member such that the restrictor member is effective to selectively restrict at least a portion of one or more lumens in the multi-lumen member to thereby adjust the flow rate of fluid flowing through the multi-lumen member. The valve can be built into an implantable drug pump to control fluid flow exiting the pump, or alternatively the valve can disposed within a catheter or otherwise coupled to an outlet port in an implantable drug pump to control the flow rate of fluid exiting the drug pump.

Abstract: An adjustable drainage system for regulating cerebrospinal fluid flow in a hydrocephalus patient where the drainage rate is adjusted in response to ventricular volume variations in the patient. The system includes an adjustable valve and a volume sensor that can be periodically energized with an external system controller device by the patient or attending physician to determine when, or if, a change in the ventricular volume has occurred. The system enables the user to adjust the valve's resistance in response to changes in the ventricular volume using the controller device so that a target ventricular volume can be achieved. Also provided is a method of continuously draining cerebrospinal fluid from the cranial cavity of the patient using the system of the present invention.

Abstract: An intra-ventricular pressure sensor device is provided that includes a catheter having a first lumen for receiving fluid flow therethrough, and a second, separate, fluid-filled, fluid-impermeable lumen extending between a pressure-sensitive component that is adapted to be exposed to an external pressure source, and a pressure sensor that is effective to measure pressure of the external pressure source in response to displacement of the pressure-sensitive component. The intra-ventricular pressure sensor device is particularly advantageous in that it allows a direct measurement of a patient's ventricular pressure to be obtained.

Abstract: An implantable fluid management device is provided that includes a catheter having at least one wire running therethrough and coupled to a sensor disposed at a distal portion of the catheter. At least a portion of the wire is removably coupled to the catheter to allow a length of the catheter to be selectively adjusted, thereby providing a trimmable sensing catheter. The device can be used for a variety of medical procedures, but in an exemplary embodiment the device is a ventricular catheter that is used to drain CSF from a patient's ventricles.

Abstract: An acoustic monitoring system that is able to verify the success or failure of the positional adjustment of a valve without the need for additional energy during non-invasive reprogramming is provided. The acoustic monitoring system includes a programmer for generating a sequence of commands to adjust the valve mechanism, and for receiving acoustic signals for analysis, a transmitter to implement the command and adjust the valve, and a sensor for detecting an acoustic signal generated from the valve during execution of the commands. A method for using the acoustic monitoring system is also provided.

Abstract: A self adjusting hydrocephalus valve that continuously drains cerebrospinal fluid at a rate which is proportional to the average pressure difference across the valve. The valve employs a ball-in-cone mechanism having an associated biasing element that is insensitive to high frequency pressure variations for regulating the opening of the valve mechanism. The biasing element includes flexible bellows having a preset tension.

Abstract: An acoustic monitoring system that is able to verify the success or failure of the positional adjustment of a valve without the need for additional energy during non-invasive reprogramming is provided. The acoustic monitoring system includes a programmer for generating a sequence of commands to adjust the valve mechanism, and for receiving acoustic signals for analysis, a transmitter to implement the command and adjust the valve, and a sensor for detecting an acoustic signal generated from the valve during execution of the commands. A method for using the acoustic monitoring system is also provided.

Abstract: An anti-siphon shunt device is provided that is insensitive to body postural changes. The shunt device has a housing having a chamber, an inlet port, and an outlet port. A valve mechanism disposed within the housing manages fluid movement into and out of the chamber over a pressure gradient. The valve mechanism includes a blocking element configured to seat against an opening in a barrier mounted within the chamber for preventing fluid flow therethrough. A pressure sensor having a conformable membrane detects the external pressure surrounding the chamber and communicates with a biasing element to exert a biasing force against a first surface of the blocking element, while a second surface of the blocking element is acted upon by a countervailing pressure in a direction opposite the biasing force. The conformable membrane can be enclosed within a housing to protect the device from shutting off when a patient inadvertently lies on the valve mechanism.

Abstract: An implantable fluid management device includes a catheter with an elongate proximal portion, a flexible distal portion, and a fluid passageway flowing therethrough. The distal portion includes a coil-shaped portion that defines a spiral having at least one turn. The distal portion of the catheter includes at least one pore in fluid communication with the fluid passageway of the catheter, which is located on an internal portion of the spiral. The positioning of the pore(s) on the internal portion of the spiral protects the pore(s) from obstruction or occlusion caused by tissue growing into or around the catheter.

Abstract: Artificial implantable active and passive girdles include a heart assist system with an artificial myocardium employing a number of flexible, non-distensible tubes with the walls along their long axes connected in series to form a cuff and a passive girdle is wrapped around a heart muscle which has dilatation of a ventricle to conform to the size and shape of the heart and to constrain the dilatation during diastole. The passive girdle is formed of a material and structure that does not expand away from the heart but may, over an extended period of time be decreased in size as dilatation decreases.

Abstract: Artificial implantable active and passive girdles include a heart assist system with an artificial myocardium employing a number of flexible, non-distensible tubes with the walls along their long axes connected in series to form a cuff and a passive girdle is wrapped around a heart muscle which has dilatation of a ventricle to conform to the size and shape of the heart and to constrain the dilatation during diastole. The passive girdle is formed of a material and structure that does not expand away from the heart but may, over an extended period of time be decreased in size as dilatation decreases.

Abstract: A system for controlling end diastolic volume of the heart is disclosed. The system includes an EDV sensor constructed and arranged to measure a parameter related to the end diastolic volume of the heart, and a heart stimulator, responsive to the EDV sensor, constructed and arranged to invoke systole when the measured parameter reaches a predetermined level, the parameter reaching that level prior to termination of diastole. Preferably, the heart stimulator may be a pacemaker. The EDV sensor may be any sensor constructed to measure a parameter related to the end diastolic volume of the heart, or another selected physiological or patho-physiological condition of the heart, including a strain sensor, a stress sensor, a dimension sensor, an impedance sensor, an optical sensor, a microwave sensor, or another sensor constructed to measure a parameter related to the end diastolic volume of the heart, or another selected physiological or patho-physiological condition of the heart.

Abstract: A material is provided that uses controlled electrical current derived from dissimilar galvanic materials to drive oligodynamic metal ions into solution.

Abstract: An artificial implantable heart assist system with an artificial myocardium employs a number of flexible, non-distensible tubes with the walls along their long axes connected in series to form a cuff. The tubes are sealed for purposes of inflation and deflation with either hydraulic fluid or pneumatic fluid. The cuff is placed around the natural heart. The inflation of the tubular segments provides that they have a circular cross-section, while in the deflated, or collapsed position without being fluid filled, they are essentially flat sheets. The difference in the perimeter length of the cuff in the plane of the tube short axis, arising from the fact that, inflated, each tube has a length along its perimeter equal to the diameter of the inflated tube, while deflated it has a length equal to the perimeter of the tube divided by two, provides for a contractile force.