Abstract: A thumb wheel mechanism includes a thumb wheel with upper and lower surfaces, the lower surface including a bore with a ball connected to it, and an handle half with upper and lower surfaces, the upper surface including a divot, the thumb wheel lower surface being aligned with the handle half upper surface so that the ball rests in the divot of the handle half upper surface when the thumb wheel mechanism is in the neutral position, thereby minimizing the compression load on the thumb wheel mechanism.

Abstract: Embodiments of the invention relate to electrophysiology catheters and methods of using the same. According to one embodiment, a method of treating a cardiac arrhythmia comprises forming a first lesion about a source of an electrical signal in the heart, the first lesion having an open first perimeter, and forming a second lesion about the source of the electrical signal in the heart. The second lesion has an open second perimeter and is located closer to the source of the electrical signal than the first lesion. The first lesion is discontinuous from the second lesion, and at least the first and second lesions together form a closed, at least substantially complete conduction block. According to other embodiments, catheters are provided for performing this and other methods.

Abstract: An integrated catheter placement system for accurately placing a catheter within a patient's vasculature is disclosed. In one embodiment, the integrated system comprises a system console, a tip location sensor for temporary placement on the patient's chest, and an ultrasound probe. The tip location sensor senses a magnetic field of a stylet disposed in a lumen of the catheter when the catheter is disposed in the vasculature. The ultrasound probe ultrasonically images a portion of the vasculature prior to introduction of the catheter. ECG signal-based catheter tip guidance is included in the integrated system to enable guidance of the catheter tip to a desired position with respect to a node of the patient's heart. Various means for establishing a conductive pathway between a sterile field of the patient and a non-sterile field to enable passage of ECG signals from the catheter to the tip location sensor are also disclosed.

Abstract: A waste management system includes a waste transport device and a waste collection device. The waste transport device includes a collection member with a distal end opening having a first cross-sectional area and a proximal end opening having a second cross-sectional area less than the first cross-sectional area, a retention cuff disposed about an outer surface of the collection member, a first section having a lumen in fluid communication with a lumen of the collection member, and a second section having a distal end connected to a proximal end of the first section, the second section including a flush lumen disposed along a length thereof.

Abstract: The present invention provides for exemplary embodiments of a single-insertion, multiple sampling biopsy device. Exemplary embodiments of a single-insertion, multiple sampling device with integrated marker release.

Abstract: Described herein are devices, systems, kits and methods for measuring intra-abdominal pressure (IAP) from a patient catheterized with a urinary catheter system. Devices may include a bypass lumen configured to connect to a pressure transducer, a sampling port connector connected to the bypass lumen, a drain tube housing configured to at least partially enclose a portion of the drain tube of a urinary catheter system, and a clamp mechanism. The sampling port connector may be configured for removable attachment to the sampling port of the urinary catheter system to form a fluid connection between the urinary catheter system and the bypass lumen of the IAP device. The clamp mechanism may be configured to controllably occlude the lumen of the urinary catheter system drain tube.

Abstract: A removable blood clot filter includes anchor members with a sharp edge configured so that when the filter is removed the sharp edge aids in passing the anchor members through endothelial tissue. The filter may also include a sharp edge on locator members configured to aid pulling the locator members away from the endothelial tissue.

Abstract: An expandable access sheath. In one embodiment, the sheath includes a lumen defining an inner passage and an outer surface, and a balloon that is provided on the lumen outer surface, wherein when the balloon is inflated the balloon expands the lumen to increase the size of the inner passage.

Abstract: A method of cutting, polishing and then welding together two metallic components (10, 18), in which the respective components (10, 18) are cut to define respective cut surfaces (14, 16) that are to be polished and fitted together, both to define the relative positions of the two components (10, 18) to be fixed by the welding and to provide facing weld surfaces at which the two components (10, 18) can be welded together.

Abstract: Systems and methods to assist in locating the focus of an atrial fibrillation include the association of atrial fibrillation cycle length values and statistics relating thereto with temporal locations on an electrogram of a given electrode, and/or the coordination of electrode locations with respective the spectral analyses of electrogram signals and further parameters and statistics relating thereto. Ablation therapy can proceed under guidance of such information.

Abstract: A biopsy device is disclosed. The biopsy device includes a chamber having a body having a distal end and a proximal end, wherein the proximal end includes an inlet. The biopsy device further includes a vacuum generator for generating negative and positive pressure and at least one first recessed area and at least one second recessed area. The first recessed area extends along an inner wall of the body, proximate the proximal end of the body of the chamber. The first recessed area is configured to release pressure within the chamber. The second recessed area extends along the inner wall of the body, proximate the distal end of the body of the chamber. The second recessed area is configured to release pressure within the chamber.

Abstract: An integrated catheter placement system for accurately placing a catheter within a patient'vasculature is disclosed. In one embodiment, the integrated system comprises a system console, a tip location sensor for temporary placement on the patient's chest, and an ultrasound probe. The tip location sensor senses a magnetic field of a stylet disposed in a lumen of the catheter when the catheter is disposed in the vasculature. The ultrasound probe ultrasonically images a portion of the vasculature prior to intravascular introduction of the catheter. The ultrasound probe includes user input controls for controlling use of the ultrasound probe in an ultrasound mode and use of the tip location sensor in a tip location mode. In another embodiment, ECG signal-based catheter tip guidance is included in the integrated system to enable guidance of the catheter tip to a desired position with respect to a node of the patient's heart.

Abstract: A support device or clamp connects to a soft, flexible tube, such as a medical line, to hold the tube in an open condition. The device includes a flexible body with interengaging structure that biases the body into a desired shape when in a closed position or condition. The desired shape generally matches the outer shape of the medical line. An adhesive is disposed on the support device so as to contact the secured portion of the medical line to inhibit the walls of the line from collapsing or creasing. The support device may include base structure that has an adhesive lower surface for attaching the support device to a patient's skin.

Abstract: A securement system for anchoring a medical article to a patient includes a pliant holding device. The device has a body and a plurality of tentacles extending from the body. The tentacles compress and may conform around at least a portion of the medical article to form a secure mount. The holding device may also cushion the medical article and protect the site of attachment on the patient while promoting air circulation. The holding device may include a support and a hinge so that the holding device may be swung away from the medical article to provide easy access for a medical provider.

Abstract: An anchoring system includes a securement device having an anchor pad with a flexible retainer opening that receives a portion of a medical article, such as a catheter, to hold it securely in place. A locating mechanism in the form of posts positions and holds the catheter in position and limits rotational movement of the catheter. The anchor pad is secured to a patient's skin by adhesive.

Abstract: A gel pad for use with a retainer for securing a medical article. The gel pad is formed from a soft, tacky elastomer. A first surface of the gel pad is placed in contact with a patient's skin. A second surface that faces in an opposite direction away from the first surface receives the retainer. The retainer has a channel configured to retain at least a portion of the medical article. In some embodiments, a securement member is employed to affix the retainer relative to the patient. A securement system including the gel pad and retainer is further disclosed along with a method of securing a medical article to a patient.

Abstract: A blood filter delivery system for delivering a filter into a vein includes an introducer (16) and a push rod (12C) with a spline (12E) member disposed along the push rod (12C). The spline member (12E) has a main body, first (12D) and second (12A) boss portions spaced apart along the longitudinal axis to provide a gap for retaining anchor member (14A1) of the filter (14) during delivery via the introducer (16).

Abstract: Guidance to an operator to more accurately position electrodes upon a segmented heart model (SGM). The SGM is included in a map panel on a display screen. A catheter advanced into a beating heart supports one or more electrodes. During a single beat of the heart, an image is obtained with darkened portions corresponding to locations of the electrodes. The image is presented in the same map panel as the SGM. The current location of the electrodes is confirmed relative to the SGM, either manually or through automated software algorithms. EP data is captured that represents electrophysiological signals of the beating heart at the current location for each of the electrodes. A signal processing algorithm is applied to the captured EP data in view of the confirmed current location of the electrodes to result in a calculation that is mapped at the confirmed location of the electrodes.

Abstract: A method for making an encapsulated stent includes providing a first seamless unsintered ePTFE tube, providing a second seamless sintered ePTFE tube, positioning a self-expanding stent between the first and second ePTFE tubes to form an assembly, and joining the first ePTFE tube to the second ePTFE tube through openings in a wall of the stent by applying first pressure, and then heat, to the assembly.

Abstract: A split-tip catheter for placement within the vasculature of a patient and for use in hemodialysis or other suitable procedures is disclosed. In one embodiment, the split-tip catheter includes a catheter body that defines a first lumen and a second lumen. The catheter body further comprises a split distal region, including a venous segment that defines a distal portion of the first lumen and an arterial segment that defines a distal portion of the second lumen. The venous segment includes a recess extending proximally of a nose portion; and a lateral opening in fluid communication with the first lumen. The arterial segment is separate from the venous segment and is removably seatable in the recess provided by the venous segment such that it “nests” therein. The arterial segment also includes a lateral opening in fluid communication with the second lumen.