Abstract: A venous anchor device operably coupled by graft material to form an anastomotic connector is provided. The venous anchor device includes a tubular main body having a metal frame structure and including a distal end and a proximal end, the distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end. The venous anchor device is fluidly connected by a graft to form an anastomotic connector.

Abstract: An arterial anchor device and a venous anchor device operably coupled by graft material to form an anastomotic convector is provided. The arterial anchor device comprises a generally tubular main body including a distal end and a proximal end, the distal end defining a plurality of flanges integrally formed with the tubular main body and being movable from a first loaded position to a second expanded position. The venous anchor device includes a tubular main body having a metal frame structure and including a distal end and a proximal end, the distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end. The arterial anchor device and venous devices are fluidly connected by a graft to form an anastomotic connector.

Abstract: An arterial anchor device operably coupled by graft material to form an anastomotic connector is provided. The arterial anchor device comprises a generally tubular main body including a distal end and a proximal end, the distal end defining a plurality of flanges integrally formed with the tubular main body and being movable from a first loaded position to a second expanded position. The arterial anchor device is fluidly connected by a graft to form an anastomotic connector.

Abstract: A venous anchor device operably coupled by graft material to form an anastomotic connector is provided. The venous anchor device includes a tubular main body having a metal frame structure and including a distal end and a proximal end, the distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end. The venous anchor device is fluidly connected by a graft to form an anastomotic connector.

Abstract: An arterial anchor device operably coupled by graft material to form an anastomotic connector is provided. The arterial anchor device comprises a generally tubular main body including a distal end and a proximal end, the distal end defining a plurality of flanges integrally formed with the tubular main body and being movable from a first loaded position to a second expanded position. The arterial anchor device is fluidly connected by a graft to form an anastomotic connector.

Abstract: An arterial anchor device and a venous anchor device operably coupled by graft material to form an anastomotic convector is provided. The arterial anchor device comprises a generally tubular main body including a distal end and a proximal end, the distal end defining a plurality of flanges integrally formed with the tubular main body and being movable from a first loaded position to a second expanded position. The venous anchor device includes a tubular main body having a metal frame structure and including a distal end and a proximal end, the distal end including a plurality of barbs thereon wherein said distal end has an outer diameter greater than the proximal end. The arterial anchor device and venous devices are fluidly connected by a graft to form an anastomotic connector.

Abstract: There is disclosed a manipulation and storage tool for receiving and manipulating a partially dehydrated intervertebral disk. Manipulation and storage tool is configured to receive the disk and manipulate it into a smaller overall size and subsequently insert it into a temporary storage or sleeve device for later use. Manipulation and storage tool generally includes a manipulation assembly which is movably mounted with respect to a guide assembly. The guide assembly includes a throughbore and a slot for receiving the disk into the throughbore as well as a sleeve holder mounted at a distal end designed to retain a storage device or sleeve into which the manipulated disk is inserted. The manipulation assembly generally includes a drive member having an elongated shaft movably mounted within the bore of the guide assembly and at least one manipulation member for pin positioned adjacent the slot to manipulate the implant in response to movement of the drive member relative to the guide assembly.

Abstract: Vascular access systems for performing hemodialysis are disclosed. Some embodiments relate to vascular access grafts comprising an instant access or self-sealing material reinforced with expanded PTFE to resist stretching of the instant access material and thereby resist leakage associated with stretching or bending. The graft may comprise two end segments comprising ePTFE without the instant access material to allow easier anastomosis of the graft to veins and arteries. The graft may have a unibody design or have modular components that may be joined together to create a graft with customized length or other features. One or more sections of the graft may also be cut or trimmed to a custom length.

Abstract: Vascular access systems for performing hemodialysis are disclosed. The vascular access system contemplates a catheter section adapted for insertion into a vein and a graft section adapted for attachment to an artery. The catheter section may have metal or polymer wall reinforcements that allow the use of thin-walled, small outer diameter conduits for the vascular access system. One or more of the adhered, embedded or bonded conduit reinforcement structures may be removable without significant damage to the conduit sections to facilitate attachment of the sections, or to a connector between the sections. Various self-sealing materials are provided for use in the vascular access system, as well as temporary access sites and flow control/sensor systems.

Abstract: Disclosed are compositions for site specific delivery in the body including diseased vasculature (e.g., aneurysmal sacs, arteriovenous malformations, etc.), body lumens such as the vas deferens and fallopian tubes, cavities created in vivo for the purpose of tissue bulking, and the like. Also disclosed are methods employing such compositions as well as kits comprising such compositions.

Abstract: Disclosed are compositions for site specific delivery in the body including diseased vasculature (e.g., aneurysmal sacs, arteriovenous malformations, etc.), body lumens such as the vas deferens and fallopian tubes, cavities created in vivo for the purpose of tissue bulking, and the like. Also disclosed are methods employing such compositions as well as kits comprising such compositions.

Abstract: Improved catheters for clot removal. A catheter-containing light guide may be passed through a clot. Light may emanating from the light guide as the light guide is passed forward through the clot and/or is drawn back through the clot in order to ablate the clot. In one set of embodiments, the invention provides for methods and systems for delivering the light guide through the clot and for drawing it back through the clot to irradiate and/or ablate the clot. The invention provides, in another set of embodiments, methods and systems to deliver the light energy or radiation to the clot to perform ablation, for example during a single pass. The invention also provides, in yet another set of embodiments, methods and systems to increase the efficiency of the ablation, for example, by increasing the spot size.

Abstract: This invention provides a light delivery catheter having a proximal shaft with two lumens and a distal shaft connected to the proximal shaft, which distal shaft has only a single lumen. A guidewire and a light guide are received in the first and second lumens resectively, of the proximal shaft, either of which may be extended into the single lumen of the distal shaft, the distal shaft being sufficiently flexible to facilitate movement of the catheter through tortuous paths. A hub is provided having ports through which appropriate fluids may be applied to the lumens. When used to remove a blood clot in a blood vessel of the brain or other part of the body, the guidewire is extended through the single lumen in the distal shaft and is utilized to guide the catheter adjacent the clot, at least one guidewire/light guide exchange being performed to ablate the clot.

Abstract: Non-occluding catheters and methods for delivering energy to a vessel wall without occluding blood flow through the vessel wall are disclosed. In particular, the invention uses an energy distributor connected to an expansion mechanism and a waveguide. The expansion mechanism causes the distributor to come into close proximity with a target region in the vessel wall, while maintaining at least one fluid passageway for blood flow throughout the instrument.

Abstract: An optical switch is disclosed including a first and second array of optical fibers held in axial alignment and relatively rotatable about an axis of rotation to effect optical coupling and decoupling of fibers of the opposing arrays. Terminal ends of fibers of the first array are set at a predetermined non-orthogonal angle relative to the axis of rotation. Terminal ends of fibers of the second array are set at an angle which is complementary to the non-orthogonal angle.