Abstract: Methods and apparatus are disclosed for treating body tissue whereby a section of tissue is drawn into contact with the open distal end of the first passageway of the apparatus. A tissue treatment fluid is introduced into the second passageway for treating the desired section of tissue retained within the first passageway. Methods and apparatus are also disclosed for positioning a medical device at a desired location within the heart. A portion of the apparatus is retained at a desired location of the heart and a medical device is extended through a passageway of the apparatus for contacting the heart at the desired location.

Abstract: A tapping adaptor assembly for direct connection to a gate valve. The assembly includes a tapping adaptor attached to a main pipe. An outlet conduit formed integrally with and extend outwardly from the tapping adaptor terminates in a distal end outlet. A adaptor for mounting on the tapping adaptor includes an integral flange, a shoulder and a spout. The adaptor may be attached to the tapping adaptor by welding or glueing depending upon the material of the tapping adaptor or may be formed integrally with the outlet conduit. The flange of the adaptor has an annular face positioned to engage the gasket of the gate valve. The annular face may be recessed and an annular rim may be formed radially outwardly of the annular face. The spout of the mounting adaptor extends into the socket of the gate valve to help support the tapping sleeve. In an embodiment, a tapping sleeve semi-cylindrical section is formed integrally with the outlet conduit.