Abstract: A method and system of bending medical device components for customization to a particular medical procedure and patient while generally maintaining the ideal performance of the component. A medical professional embeds the medical device component into a bending tool. The medical professional then aligns an intended curve region of the medical device component within a bending region of the bending tool and imparts a curve in the bending region. Finally, the medical professional withdraws the medical device component from the bending tool, and utilizes the bent medical device component in the medical procedure. The system may be a kit comprising various medical device components for a particular medical procedure and a suitable bending tool for those components.

Abstract: A disposable thrombectomy maceration and aspiration system for macerating and aspirating thrombus or other obstructive material in a lumen of a vascular graft or vessel. The system includes three major components: a disposable integrated aspiration pump and fluid collection device for generating aspiration vacuum pressure and collecting macerated particulate, a disposable integrated thrombectomy and aspiration apparatus removably coupled to the device configured to macerate the thrombus with a motor powered maceration wire while including an aspiration pathway for aspirating the macerated particulate into the device, and a catheter removably coupled to the apparatus and covering a portion of the maceration wire for insertion into the patient to the thrombus site. The catheter is of sufficient size to allow the macerated particulate to be aspirated from a distal opening through the catheter and apparatus before being deposited into the fluid collection compartment of the device.

Abstract: A core-severing cannula for use with tissue biopsy devices, comprising a plurality of flexible fingers for severing a tissue core. The core-severing cannula is positioned coaxially outside of a core-cutting cannula, and is slidable relative to the core-cutting cannula. As the device is activated, the core cutting cannula and core-severing cannula advance together to cut a core of tissue. Subsequently, the core-severing cannula is advanced relative to the core cutting cannula, and the fingers of the core-severing cannula assume a closed position to sever the core from the target site.

Abstract: A method and system of bending medical device components for customization to a particular medical procedure and patient while generally maintaining the ideal performance of the component. A medical professional embeds the medical device component into a bending tool. The medical professional then aligns an intended curve region of the medical device component within a bending region of the bending tool and imparts a curve in the bending region. Finally, the medical professional withdraws the medical device component from the bending tool, and utilizes the bent medical device component in the medical procedure. The system may be a kit comprising various medical device components for a particular medical procedure and a suitable bending tool for those components.

Abstract: A biopsy device handle having a biased firing mechanism activated by side and rear triggers. The firing mechanism has a longitudinally sliding deflecting portion including a post. The post is disposed within a channel and retained by a catch. The deflecting portion deflects transversely when transverse force is applied to a transverse face by the side trigger or when a longitudinal force is applied to an inclined face by the rear trigger to release the post from the catch.

Abstract: A vessel filter having a first region and a second region, the filter movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. The first region has a filter portion having a converging region to direct particles toward the center of the filter and includes a plurality of spaced apart filter struts. The struts each have a strut height defined as a distance between a first wall and a second wall. A plurality of hooks are at the second region, the hooks having a vessel penetrating tip and a width greater than the width of the strut from which it extends such that the penetrating tip portion of the hook extends beyond the first wall.

Abstract: A method of implanting a vessel filter by a femoral approach comprising the steps of providing a delivery sheath with a substantially straight distal tip and inserting a curved device into the sheath to move the sheath to a second configuration. In the second position, the distal tip of the sheath is curved at an angle to a longitudinal axis of the sheath. The method further comprises the step of rotating the sheath and pusher so a distal opening of the sheath has a more centered position within the vessel.

Abstract: A method of implanting a vessel filter by a femoral approach comprising the steps of providing a sheath with a pusher and the vessel filter positioned therein and providing a sheath centering structure movable within the sheath. The centering structure has a distal portion expandable from a collapsed position within the sheath to an expanded position outside the sheath. The steps further include inserting the sheath into the vessel, moving the centering structure with respect to the sheath to enable the centering structure to move from the collapsed position to the expanded position to move a distal tip of the sheath away from a vessel wall and to a more centered position, and subsequently exposing the vessel filter from the sheath to enable the filter to move from a collapsed position to an expanded position. An implantation system is also provided.

Abstract: A rotatable thrombectomy wire for breaking up thrombus or other obstructive material comprising an inner core composed of a flexible material and an outer wire surrounding at least a portion of the inner core. The outer wire has a sinuous shaped portion at a distal region. The inner core limits the compressibility of the outer wire. The outer wire is operatively connectable at a proximal end to a motor for rotating the wire to macerate thrombus.

Abstract: A vessel filter movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel, and having a filter portion having a converging region to direct particles toward the center. The filter portion converges into a tubular portion. The second region is flared in the expanded position to have a transverse dimension increasing in a direction away from the filter portion and includes a vessel engaging portion. The first region has a spacer to keep the filter more toward a center of a vessel, wherein in the collapsed position the spacer extends axially in an elongated position cranially of the cranial end of the filter and in the expanded position the spacer forms a looped region extending radially with respect to a longitudinal axis of the filter. The spacer has a first end attached to the internal surface of the tubular portion and extends within the tubular portion and emerges cranially from the tubular region to form the looped region.

Abstract: A biopsy device handle having a biased firing mechanism activated by side and rear triggers. The firing mechanism has a longitudinally sliding deflecting portion including a post. The post is disposed within a channel and retained by a catch. The deflecting portion deflects transversely when transverse force is applied to a transverse face by the side trigger or when a longitudinal force is applied to an inclined face by the rear trigger to release the post from the catch.

Abstract: A dialysis catheter including a first portion having a first diameter, an elongated distal portion having a second smaller diameter, and a transition portion The first portion includes first and second independent blood withdrawal lumens extending in the first portion, the first withdrawal lumen terminating in the transition portion in a first terminal opening and the second withdrawal lumen terminating in a second terminal opening, the first and second terminal openings being radially spaced and axially adjacent. A longitudinally extending blood delivery lumen extends in the first portion and terminates in a delivery opening in the distal portion of the catheter, the first and second terminal openings positioned proximally of the delivery opening and each of the first and second terminal openings having a curved wall surrounding a portion of the terminal opening.

Abstract: A retractable centesis needle comprises a hollow, sharp tipped outer cannula extending from a housing. The outer cannula is generally tube-like and open at both ends to form a channel into a cavity in the housing. A blunt tipped inner cannula is disposed within the channel and capable of sliding away from the housing to an extended state and toward the housing to a refracted state. The inner cannula is biased toward the extended state by a first spring disposed in the housing. A second spring also disposed in the housing acts in the same direction as the first spring when the inner cannula is in a fully retracted state. However, the second spring does not bias the inner cannula in any direction when the inner cannula is in a fully extended state.

Abstract: A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel. The apparatus includes a wire having a first configuration and a second deployed configuration, the wire having a straighter configuration in the first configuration. The wire is operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material. A blocking device at a distal portion of the apparatus is movable between a collapsed configuration and an expanded configuration, and is configured in the expanded configuration to block thrombus dislodged by rotation of the wire.

Abstract: A dialysis catheter including a first portion having a first diameter, an elongated distal portion having a second smaller diameter, and a transition portion The first portion includes first and second independent blood withdrawal lumens extending in the first portion, the first withdrawal lumen terminating in the transition portion in a first terminal opening and the second withdrawal lumen terminating in a second terminal opening, the first and second terminal openings being radially spaced and axially adjacent. A longitudinally extending blood delivery lumen extends in the first portion and terminates in a delivery opening in the distal portion of the catheter, the first and second terminal openings positioned proximally of the delivery opening and each of the first and second terminal openings having a curved wall surrounding a portion of the terminal opening.

Abstract: A vessel filter comprising a first region and a second region wherein the filter is movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. A first region has a filter portion having a converging region to direct particles toward the center of the filter and the second region is flared in the expanded position to have a transverse dimension increasing toward a second end portion opposite the first end portion. The second region includes a vessel engaging portion at the second end portion. The first region includes a plurality of spaced apart elongated struts with adjacent struts being joined.

Abstract: A method of implanting a vessel filter by a femoral approach comprising the steps of providing a delivery sheath with a substantially straight distal tip and inserting a curved device into the sheath to move the sheath to a second configuration. In the second position, the distal tip of the sheath is curved at an angle to a longitudinal axis of the sheath. The method further comprises the step of rotating the sheath and pusher so a distal opening of the sheath has a more centered position within the vessel.

Abstract: A method of implanting a vessel filter by a femoral approach comprising the steps of providing a delivery sheath with a substantially straight distal tip and inserting a curved device into the sheath to move the sheath to a second configuration. In the second position, the distal tip of the sheath is curved at an angle to a longitudinal axis of the sheath. The method further comprises the step of rotating the sheath and pusher so a distal opening of the sheath has a more centered position within the vessel.

Abstract: A retractable centesis needle comprises a hollow, sharp tipped outer cannula extending from a housing. The outer cannula is generally tube-like and open at both ends to form a channel into a cavity in the housing. A blunt tipped inner cannula is disposed within the channel and capable of sliding away from the housing to an extended state and toward the housing to a refracted state. The inner cannula is biased toward the extended state by a first spring disposed in the housing. A second spring also disposed in the housing acts in the same direction as the first spring when the inner cannula is in a fully retracted state. However, the second spring does not bias the inner cannula in any direction when the inner cannula is in a fully extended state.