Abstract: A split dilator aspiration system is disclosed. The system includes a catheter, having an elongate, flexible tubular body with a proximal end, a distal end, a side wall defining a central lumen, and a handle on the proximal end. A dilator is advanceable through the central lumen, the dilator having an elongate body, cannulated to receive a guidewire, and an axially extending split along at least a portion of the elongate body, configured to allow removal of a portion of the dilator laterally from the guidewire.

Abstract: A centrifugal pendulum for damping rotational irregularities of a driveshaft of an internal combustion engine, having a carrier flange element connectable indirectly or directly to the driveshaft, and having multiple pendulum elements displaceable in relation to the carrier flange element, and guided via rollers in pendulum paths. Each pendulum element is displaceable in relation to the carrier flange element in the circumferential direction between a first and a second stop position. At least one friction element having defined thermal expansion properties, which are different in particular from the carrier flange element and/or the pendulum elements, is associated with the carrier flange element, and is designed and arranged in such a way that in a defined temperature range of the centrifugal pendulum, upon a movement of at least one pendulum element corresponding to the friction element in the direction of a stop position.

Abstract: An aspiration system exhibits an accelerated drop in negative pressure at the distal end of an aspiration catheter from the time of opening a valve. The system includes an aspiration pump in communication with a first chamber, and an aspiration catheter configured for placement into fluid communication with the first chamber by way of an elongate aspiration tube. A second chamber is provided between the aspiration tube and the catheter, and a valve is provided between the second chamber and the aspiration catheter. Upon opening of the valve with negative pressure at equilibrium in the first and second chambers, resistance to fluid flow between the second chamber and the distal end of the catheter is less than the resistance to fluid flow between the second chamber and the first chamber, causing a rapid aspiration into the second chamber.

Abstract: A system for accessing a central pulmonary artery includes an elongate, flexible tubular catheter, having a proximal end, a distal end and a catheter hub on the proximal end. An elongate, flexible rail has a proximal end, a distal end and a rail hub on the proximal end. The rail has a distal advance segment which extends at least about 10 cm beyond the distal end of the catheter when the catheter hub is adjacent the rail hub.

Abstract: A hemostasis valve may be used with a catheter such as an aspiration catheter. The hemostasis valve comprises a support, and at least a first lever, pivotably carried with respect to the support. A collapsible tubular sidewall defining a valve lumen is carried by the support. A filament is formed into a loop around the tubular sidewall, the filament having at least a first tail portion extending away from the loop to the first lever. A first spring may be configured to move the first lever in a direction that pulls the first tail portion away from the tubular sidewall, reducing the diameter of the valve lumen in response to reducing the diameter of the loop. A second tail portion may extend away from the loop to a second lever. Each tail portion may be attached to its respective lever, or may be slidably advanceable around a fulcrum on the lever and attached with respect to the support.

Abstract: A methods of placing large bore aspiration catheters is disclosed. The method of removing a vascular obstruction includes the steps of transvascularly advancing a distal end of an aspiration catheter into proximity with an obstruction, activating a low flow, detection mode of aspiration through the catheter, and thereafter activating a momentary control to activate a high flow, aspiration mode of operation and draw obstructive material into the distal end of the access catheter.

Abstract: A vacuum aspiration system may be used to treat thromboembolic disease, such as deep vein thrombosis or pulmonary embolism. The system includes a housing, and a fluid flow path extending through the housing. A first catheter is in fluid communication with the flow path, and a connector is configured to place a source of aspiration in communication with the flow path. A clot container is carried by the housing. A hemostasis valve is provided in the housing, and configured to receive a second catheter and direct the second catheter through the first catheter.

Abstract: An aspiration system exhibits an accelerated drop in negative pressure at the distal end of an aspiration catheter from the time of opening a valve. The system includes an aspiration pump in communication with a first chamber, and an aspiration catheter configured for placement into fluid communication with the first chamber by way of an elongate aspiration tube. A second chamber is provided between the aspiration tube and the catheter, and a valve is provided between the second chamber and the aspiration catheter. Upon opening of the valve with negative pressure at equilibrium in the first and second chambers, resistance to fluid flow between the second chamber and the distal end of the catheter is less than the resistance to fluid flow between the second chamber and the first chamber, causing a rapid aspiration into the second chamber.

Abstract: A split dilator aspiration system is disclosed. The system includes a catheter, having an elongate, flexible tubular body with a proximal end, a distal end, a side wall defining a central lumen, and a handle on the proximal end. A dilator is advanceable through the central lumen, the dilator having an elongate body, cannulated to receive a guidewire, and an axially extending split along at least a portion of the elongate body, configured to allow removal of a portion of the dilator laterally from the guidewire.

Abstract: A catheter has a cannulated guiding rail extending therethrough, an advance segment of the rail extending at least about 10 cm beyond the distal end of the catheter. The catheter and rail are advanced over a guidewire until the distal end of the advance segment is at a target vascular site. The catheter is thereafter advanced along the rail to the target vascular site.

Abstract: A torsional vibration damper in the form of a two-mass flywheel for a motor vehicle, the dual-mass flywheel having a primary mass that is connected to the drive shaft of a drive engine in a torsionally rigid manner and revolves therewith, at least one energy storage element, and a secondary mass which is driven in a torsionally flexible manner by the primary mass via the energy storage element. The torque fed into the primary mass via the drive shaft is transmitted to at least one further link of the motor vehicle drive train arranged in a housing via an output shaft of the secondary mass. The primary mass is designed as a rotationally symmetrical hollow body that is concentric to its axis of rotation, open at least on one side, surrounds the secondary mass.

Abstract: A catheter has a cannulated guiding rail extending therethrough, an advance segment of the rail extending at least about 10 cm beyond the distal end of the catheter. The catheter and rail are advanced over a guidewire until the distal end of the advance segment is at a target vascular site. The catheter is thereafter advanced along the rail to the target vascular site.

Abstract: A large bore catheter has a guiding rail extending therethrough and an advance segment of the rail extends at least about 10 cm beyond the distal end of the catheter. The advance segment is advanced from the vena cava through the tricuspid and pulmonary valves of the heart into the central pulmonary artery while the distal end of the large bore catheter remains in the vena cava. The large bore catheter is thereafter distally advanced over the rail until the large bore catheter distal end is at least as far as the central pulmonary artery. The rail is thereafter proximally removed from the large bore catheter, and at least a portion of a clot is drawn from a pulmonary artery into the large bore catheter.

Abstract: A system for accessing a central pulmonary artery includes an elongate, flexible tubular catheter, having a proximal end, a distal end and a catheter hub on the proximal end. An elongate, flexible rail has a proximal end, a distal end and a rail hub on the proximal end. The rail has a distal advance segment which extends at least about 10 cm beyond the distal end of the catheter when the catheter hub is adjacent the rail hub.

Abstract: The distal tip of a sensing catheter is placed in proximity to a target intravascular foreign material. A signal is propagated from the sensing catheter, a return signal is received, and at least a portion of the foreign material is captured and removed when the return signal is indicative of a foreign material located within a capture zone.

Abstract: A centrifugal pendulum for damping rotational irregularities of a driveshaft of an internal combustion engine, having a carrier flange element connectable indirectly or directly to the driveshaft, and having multiple pendulum elements displaceable in relation to the carrier flange element, and guided via rollers in pendulum paths. Each pendulum element is displaceable in relation to the carrier flange element in the circumferential direction between a first and a second stop position. At least one friction element having defined thermal expansion properties, which are different in particular from the carrier flange element and/or the pendulum elements, is associated with the carrier flange element, and is designed and arranged in such a way that in a defined temperature range of the centrifugal pendulum, upon a movement of at least one pendulum element corresponding to the friction element in the direction of a stop position.

Abstract: A torque transmission arrangement in a motor vehicle drive train, having a radially inner shaft and a radially outer hub, which are joined together in torque-transmitting manner by a plug-in toothed gearing with play, in which the plug-in gearing, and shaft outer teeth cooperate with hub inner teeth. In order to avoid gear teeth clattering, and to provide a freedom from play in the plug-in gearing, a spring element is provided, with which the shaft and can be braced against each other. In order to produce the freedom from play, the hub includes a support portion against which the spring element is supported with a spring force, building up a tilting moment by which the hub can tilt with respect to the shaft in the axial direction.

Abstract: An apparatus for smoothing an inner toothing and/or an outer toothing of a component part. At least two radially adjustable smoothing gears, which engage in the inner toothing and/or outer toothing, are rotatably arranged inside the inner toothing and/or outside of the outer toothing. During smoothing, the component part is not firmly clamped but rather only rests loosely on a support. A thrust ring is provided at least at one of the smoothing gears for limiting axial movements of the component part, which occur during smoothing.

Abstract: A torque transmission arrangement in a motor vehicle drive train, having a radially inner shaft and a radially outer hub, which are joined together in torque-transmitting manner by a plug-in toothed gearing with play, in which the plug-in gearing, and shaft outer teeth cooperate with hub inner teeth. In order to avoid gear teeth clattering, and to provide a freedom from play in the plug-in gearing, a spring element is provided, with which the shaft and can be braced against each other. In order to produce the freedom from play, the hub includes a support portion against which the spring element is supported with a spring force, building up a tilting moment by which the hub can tilt with respect to the shaft in the axial direction.

Abstract: Hinge pins for use in a method of accessing a crankshaft within an internal combustion engine that includes: A) inserting a first hinge pivot of a first hinge pin into a first bore on a front side of the internal combustion engine and locking in place; B) inserting a second hinge pivot of a second hinge pin into a second bore on a rear side opposite from the front side of the internal combustion engine and locking in place; and C) rotating the upper block upward around an axis of rotation running through the first bore and the second bore to expose a cavity between the upper block and the lower block to allow access to the crankshaft.