Abstract: An apparatus for stabilizing a predetermined area on a heart or other organ of a patient to enable a surgical procedure, the apparatus comprising a bifurcated member having two elongated prongs and an elongated handle segment pivotally attached to the bifurcated member. The handle segment can be movably attached to a rib retractor or other surgical device so that a person is not required to hold the handle segment. The apparatus may further comprise an attachment or inlay to prevent lateral movement thereof when being used in the surgical procedure.

Abstract: The present invention is generally directed to a strain relief device which assists in resisting bending and/or torsional forces while at the same time resisting axial pull forces to avoid separation of the strain relief device from the catheter tube during use. By way of example, the strain relief device of the present invention preferably includes an elongate body formed of an elastomeric material having a lumen formed therethrough along its entire length. The strain relief device lumen may be generally divided into proximal, central and distal portions which may each be of varying and/or different diameters. The strain relief device is preferably placed about a selected portion of the catheter tube, and the proximal and distal portions are bonded to the catheter tube.

Abstract: An apparatus for stabilizing a predetermined area on a heart of a patient to enable a surgical procedure, the apparatus comprising a bifurcated member having two elongated prongs and an elongated handle segment attached to the bifurcated member. Selected portions of the apparatus can be constructed from a memory metal alloy, such as nitinol, to allow the surgeon to adapt the apparatus to a particular surgical procedure. The bifurcated member can be either fixably or pivotally attached to the handle segment. The apparatus may further comprise an attachment or inlay to prevent lateral movement thereof when being used in the surgical procedure. The apparatus may additionally include a cleat for securing a portion of the surgical thread used during the surgical process. Another aspect of the present invention is a member slidably attached to a portion of the handle segment that is movable between a position compressing an artery to reduce or stop blood flow and a position spaced apart from the artery.

Abstract: A retractor comprising a rack having a first section and a second section, a first blade fixedly attached to the rack, and a second blade movably attached to the rack. The first and second blades engage two adjacent ribs in a patient. The first section and the second section of the rack form a nonlinear angle therebetween so that when the first section is horizontally disposed, the second section is disposed at an angle relative to a horizontal plane. The present invention also uses an external lifting device disposed above the retractor and that creates an upwardly-directed force on the second blade. The retractor increases the field of vision for the surgeon based on the design of the rack and the use of the external lifting device.

Abstract: A catheter introducer which allows a dilator member and a sheath member to be engaged with and disengaged from each other promptly and smoothly. The catheter introducer includes a sheath member consisting of a sheath portion and a sheath hub and a dilator member consisting of a dilator portion and a dilator hub and a locking mechanism operatively connecting the sheath member and dilator member during the insertion of the catheter introducer into the body of the patient. The dilator hub includes one or more flange members associated therewith and the flange member is rotatable with respect to the sheath hub to selectively engage the sheath hub in a first position and disengage the sheath hub in a second position.

Abstract: A tapered single or multi-lumen catheter having an elongated cylindrical tube for injection and removal of fluid is provided with generally constant or gradually increasing diameter internal lumen or lumens which are connected to a tip portion which may be a conical tapered tip that smoothly merges with the cylindrical surface of the tube so that insertion trauma and the possibility of kinking are minimized. The catheter body is generally formed of proximal and distal portions wherein the proximal portion preferably includes a portion which increases in external diameter in the proximal direction to provide a strain relief for the intersection of the catheter body and the hub member of the catheter.

Abstract: A method and apparatus for retaining a catheter tip in a fixed position within a blood flow and preventing it from contacting a blood vessel wall. The apparatus includes a tip retainer at the distal end of the catheter that stabilizes the tip of the catheter relative to the blood vessel. The catheter tip is retained within the blood vessel spaced from the wall to ensure that it does not contact the wall of the blood vessel. This reduces damage to the blood vessel caused by chronic movement and contact between the catheter tip and the wall of the blood vessel. In one embodiment, the tip retainer includes a prong that penetrates the wall of the blood vessel, thus preventing the catheter tip from moving longitudinally within the blood vessel. In alternative embodiments, the tip retainer contacts the wall but does not penetrate the wall.

Abstract: A linear phase high pass filter is disclosed using a slew rate limiter and a linear phase low pass filter in parallel with a delay for removing baseline wander from an ECG signal. The linear phase low pass filter is preferably a digital Infinite Impulse Response (IIR) filter. The slew rate limiter preferably includes a clipper and a unit delay. An input ECG signal is simultaneously presented to a slew rate limiter and IIR low pass filter combination and an electronic delay. Thereafter, the outputs from the slew rate limiter and IIR low pass filter combination and the delay are passed to a summer where the output from the slew rate limiter and the low pass filter is subtracted from the output of the delay to produce the output ECG signal representation. The combination of the output from the slew rate limiter and the low pass filter being subtracted from a delayed input signal produces a high pass filter. The resulting high pass filter has a relatively high -3 dB cutoff frequency of about 0.

Abstract: A current sensing module for use with a variable speed AC motor control drive system for use with devices such as treadmills and including a module to sense the current of pulse width modulated signals provided to an AC motor wherein the current sensing module includes a fast sense circuit to sense excessive current conditions in the pulse width modulated signals and a slow sense circuit to sense average current values in excess of desired values over a predetermined period of time to protect the AC motor from damage caused by the increased frictional resistance to the rotation of the walk belt on the treadmill deck as the walk belt and treadmill deck wear out.

Abstract: A signal management system is disclosed which integrates a patient switching box and an amplification unit into a single compact enclosure sufficiently small to reside by the patient table in an operating unit set up for electrophysiology procedures. The system includes a front panel designed to accept standard ECG leads, a plurality of intracardiac leads, including leads available for stimulation and/or lesion generation, and a plurality of pressure channels. The front panel also includes a touch screen display to allow quick assignments of labels to each of the ECG or intracardiac leads and the pressure channels. The system includes an onboard microprocessor which allows any operation performed on the System to be automatically updated on a remote computer processing unit if attached, and vice-versa. Digital signal processors are used in the system to perform switching operations on the electrical signals received, and to perform gain, limiting and/or filtering processes thereon.

Abstract: A device and method of closing an incision or puncture in a patient by inserting a vessel plug into the incision or puncture until the distal end of the vessel plug is adjacent to the outer lumen of the blood vessel or target organ so that the vessel plug does not obstruct the flow of fluid through the blood vessel or target organ. The precise positioning of the vessel plug in the incision or puncture is accomplished through the use of a balloon catheter or a cylindrical insertion assembly having a proximal plunger member associated therewith.

Abstract: A versatile electrophysiology system including an amplification system, an ablation machine, a filter box, a display monitor and a chart recorder as well as an optional data management and analysis system wherein the amplification system receives endocardial signals from an ablation catheter during both the electrophysiology study and the ablation procedure and wherein the amplification system, ablation machine and ablation catheter are interconnected with the filter box such that the endocardial signals and the high energy ablation signal pass therethrough and are filtered thereby.

Abstract: A catheter introducer (31) which allows a dilator section (33) and a sheath section (32) to be engaged with and disengaged from each other promptly and smoothly. The catheter introducer (31) is composed of a sheath section (32) consisting of a sheath (35) and a sheath hub (34) and a dilator section (33) consisting of a dilator (38) and a dilator hub (36). The dilator hub (36) includes a flange (37) to cover the end of said sheath hub 34) in the state of engagement formed at the distal end of the dilator hub (36), a circular groove (40) formed in the internal circular portion of the flange (37) or in the external circular portion of the sheath hub (34), and a protrusion (39) to be engaged with said groove wherein the protrusion is formed on the external circular portion of the sheath hub or on the internal circular portion of the flange.

Abstract: A variable speed AC motor control drive system for use in devices such as treadmills and including a module to sense the voltage of the line voltage provided to the system and adjusting the pulse width modulated signals provided to the AC motor in response thereto as well as providing a module for sensing the load placed on the AC motor by monitoring the bus voltage of the system and providing a signal representative of the load such that the duty cycles of the pulse width modulated signals are varied in accordance with the line voltage of the system and the load on the AC motor to maintain the desired motor speed.

Abstract: A bioabsorbable assembly for sealing an incision or puncture in the body of the patient including a first member which is positioned generally along the wall of the blood vessel, duct, body cavity or lumen of the patient and a gelatinous material which is injected into the incision or puncture around a filament or clip member which is associated with the first member to seal the incision or puncture from the flow of fluids through the blood vessel, duct or lumen of the patient and the method therefore.

Abstract: A medical electrode and skin preparation device is adapted to be secured to the skin of a patient and is designed to allow the user to acquire physiological signals for use by a plurality of signal acquisition devices and optionally to also reliably prepare the skin of the patient by abrasion or penetration of the epidermal layer of the skin which is in conductive contact with the conductive member of the electrode assembly. The electrode assembly includes a plurality of post members capable of conducting physiological signals received from the skin of the patient for acquisition, recording and/or analysis by one or more external devices.

Abstract: A versatile electrophysiology study monitoring system including an amplification system, a real time display monitor and a chart recorder as well as an optional data management and analysis system wherein the display monitor and chart recorder are controllable directly from the amplification system which may be positioned at the bedside of the patient to provide a portable system which may be used at the bedside of the patient or in the electrophysiology laboratory and which also includes a 32 channel display of physiological data and user settable filter settings for high and low pass filters.

Abstract: A device for sealing incisions in the body of a patient wherein the device includes a bioabsorbable sealing member having an elongate shaft member and an elastomeric and flexible balloon member. The device may also include a preformed or injectable collagenous material associated therewith to hemostatically seal the incision in the body of the patient. The shaft member may include one or more lumens extending therethrough in flow communication with one or more balloon members thereon to provide a relatively simple device which effectively seals an incision in the body of a patient.

Abstract: A system for the transmission of physiological signals from a patient to a display analysis and/or recording device using a spread spectrum transmission technique to reduce interference with the detection of the transmitted physiological signal wherein multiple channels of the physiological signals are transmitted over a bandwidth of approximately 3 MHz.

Abstract: A device and method of closing an incision or puncture in a patient by inserting a vessel plug into the incision or puncture until the distal end of the vessel plug is adjacent to the outer lumen of the blood vessel or target organ so that the vessel plug does not obstruct the flow of fluid through the blood vessel or target organ. The precise positioning of the vessel plug in the incision or puncture is accomplished through the use of a balloon catheter or a cylindrical insertion assembly having a proximal plunger member associated therewith.