Abstract: In one aspect, a method for displaying closely proximate cardiac signals is provided and can include the steps of: (a) identifying one or more overlapping portions of a template signal and a data signal; (b) processing the overlapping portion so as to have a first color when displayed on a display; (c) processing the non-overlapping portion of the template signal to have a second color; (d) processing the non-overlapping portion of the data signal to have a third color; and (e) displaying the processed signals.

Abstract: An implantable prosthesis for repairing an anatomical defect, such as a tissue or muscle wall hernia, including an umbilical hernia, and for preventing the occurrence of a hernia at a small opening or weakness in a tissue or muscle wall, such as at a puncture tract opening remaining after completion of a laparoscopic procedure. The prosthesis includes a patch and/or plug having a body portion that is larger than a portion of the opening or weakness so that placement of the body portion against the defect will cover or extend across that portion of the opening or weakness. At least one tether, such as a strap, extends from the patch or plug and may be manipulated by a surgeon to position the patch or plug relative to the repair site and/or to secure the patch or plug relative to the opening or weakness in the tissue or muscle wall. The tether may be configured to extend through the defect and outside a patient's body to allow a surgeon to position and/or manipulate the patch from a location outside the body.

Abstract: A feeding tube device for delivering a substance into a stomach of a patient is disclosed, comprising a feeding tube, an overlapping segment integrally formed with and extending from the distal end of the feeding tube, and an inflation lumen defined within the feeding tube. The overlapping segment may be configured to surround at least a portion of the distal end of the feeding tube to form a balloon structure in communication with the inflation lumen. The overlapping segment may also be sealed against at least a portion of the distal end of the feeding tube device. A second overlapping segment may also be integrally formed with and extend from the proximate end of the feeding tube, with the second overlapping segment configured to surround at least a portion of the proximate end of the feeding tube to form a second balloon structure. A corresponding method of manufacturing is also disclosed.

Abstract: A catheter for a medical apparatus comprising: an inner catheter (100) having a distal end and a proximal end; and a sheath (202) of polymer material, having a distal end and a proximal end, disposed around at least a portion of the inner catheter, said sheath being retractable in a proximal direction relative to the inner catheter to perform an actuating step at the distal end of the system, by the application of an endwise tensile stress to the proximal end of the sheath, characterized in that: the inner catheter resists the associated radially-inward contraction of the sheath which arises from the applied tensile stress during said actuating step.

Abstract: An implantable prosthesis for repairing an anatomical defect, such as a tissue or muscle wall hernia, including an umbilical hernia, and for preventing the occurrence of a hernia at a small opening or weakness in a tissue or muscle wall, such as at a puncture tract opening remaining after completion of a laparoscopic procedure. The prosthesis includes a patch and/or plug having a body portion that is larger than a portion of the opening or weakness so that placement of the body portion against the defect will cover or extend across that portion of the opening or weakness. At least one tether, such as a strap, extends from the patch or plug and may be manipulated by a surgeon to position the patch or plug relative to the repair site and/or to secure the patch or plug relative to the opening or weakness in the tissue or muscle wall. The tether may be configured to extend through the defect and outside a patient's body to allow a surgeon to position and/or manipulate the patch from a location outside the body.

Abstract: An improved irrigation system for removing arthritis causing fragments from a joint in the body includes a handpiece and a tip that is connectible to the handpiece. The tip includes a shaft that forms an irrigation lumen, and a debrider disposed along at least a part of the shaft. The debrider defines a substantially planar debriding surface for debriding the interior surfaces of the joint. The debrider may include a plurality of bristles extending from the shaft to the debriding surface.

Abstract: Catheter for mapping and/or ablation, and methods of using the same. According to one embodiment, catheter includes a metallic cap having a plurality of apertures and at least one electrode disposed in each aperture of the plurality of apertures. According to another embodiment, the catheter includes a non-conductive cap having a plurality of apertures and at least one electrode disposed in each aperture of the plurality of apertures. Electrodes may be paired, arranged along the length of the cap, or circumferentially arranged on the cap, according to various embodiments. According to a further embodiment, a method for treating a condition of a heart includes placing a catheter inside the heart, mapping a region of the heart using mapping electrodes on the catheter, and ablating using an ablation electrode disposed about the mapping electrodes of the catheter.

Abstract: An implantable prosthesis is provided for repairing or augmenting anatomical weaknesses or defects, and is particularly suitable for the repair of soft tissue and muscle wall openings. The prosthesis includes a repair fabric with a generally triangular-shaped body and two tails extending outward from the base of the triangular body. The tails may be rounded to provide the repair fabric with a generally heart-shaped configuration. An opening is provided along the base of the body and between the two tails for receiving a tube-like structure, such as the esophagus. The prosthesis may include a layer of fabric that is constructed and arranged to allow tissue ingrowth and is susceptible to erosion into and the formation of adhesions with tissue and organs. One or more regions of the prosthesis may be configured to inhibit erosion into and/or the formation of adhesions with tissue and organs. The prosthesis may include an edge barrier that is attached to the tails and overlies a portion of the opening.

Abstract: An apparatus in one example comprises a radiation shielding container for one or more radioactive sources. One or more of the one or more radioactive sources are containable within one or more cartridges. The radiation shielding container comprises a support component that restrains movement within the radiation shielding container of one or more of the one or more cartridges. The radiation shielding container comprises one or more vents for movement of a sterilant therethrough.

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: An ablation catheter comprises a shaft and at least one ablation electrode which may be fixed or movable relative to the shaft. An insulating cap is placed over portions of the electrode which are susceptible to high current concentrations when RF energy is applied to the electrode. Typically, such portions occur in the region of abrupt surface transitions such as the edges of the electrode.

Abstract: A subcutaneous infusion device, including an infusion set and conduit, the infusion set including a cannula and a hub. The cannula may include a coil component that is helically arranged around a longitudinal axis to define a lumen and a tubing component that is associated with the coil component and may take on the shape of the outer surface thereof. The cannula may include a proximal guide to assist in the insertion of a needle therethrough. Both integral and attachable infusion set and conduit combinations are described, as well as a sterile package and insertion mechanism.

Abstract: Computer implemented methods and associated systems are disclosed for processing electrical signals recorded from the heart and, more particularly, for objectively deriving sub-components and comparing signals and their sub-components.

Abstract: The present invention relates to antimicrobial compositions, methods for the production of these compositions, and use of these compositions with medical devices, such as catheters, and implants. The compositions of the present invention advantageously provide varying release kinetics for the active ions in the compositions due to the different water solubilities of the ions, allowing antimicrobial release profiles to be tailored for a given application and providing for sustained antimicrobial activity over time. More particularly, the invention relates to polymer compositions containing colloids comprised of salts of one or more oligodynamic metal, such as silver. The process of the invention includes mixing a solution of one or more oligodynamic metal salts with a polymer solution or dispersion and precipitating a colloid of the salts by addition of other salts to the solution which react with some or all of the first metal salts.

Abstract: Computer implemented methods and associated systems are disclosed for processing electrical signals recorded from the heart and, more particularly, for objectively deriving sub-components and comparing signals and their sub-components.

Abstract: Methods for conducting an electrophysiology procedure using a programmed machine are described, including methods for managing discrete data capture requests received throughout the course of an electrophysiology procedure and for discretizing the display of independent data capture events that occur during the course of the electrophysiology procedure. These methods enable an operator to review location maps of sites visited during the course of a procedure and to review data from discrete moments in the procedure and to play back data over a sequence of times throughout the procedure, one moment at a time. The invention further includes software constructs that enable data management.

Abstract: A vascular filter guide wire is disclosed for directing precision placement of a catheter proximate a blood vessel lesion and filtering particulate matter dislodged by treatment of the vessel. The guide wire includes an actuating mechanism, an elongated flexible core wire having a proximal end mounted to the actuating mechanism and a distal end for insertion through a vasculature to a position downstream of the restriction. A tubular flexible shaft is slidably disposed telescopically along the core wire and includes a proximal portion affixed to the actuating mechanism in movable relation to the core wire. The guide wire includes a collapsible filter at its proximal end to the distal portion of the shaft and, at its distal end, to the core wire. The filter deploys radially in response to axial movement of the core wire relative to the shaft so that it can trap particulate matter arising from treatment of the lesion.

Abstract: An implantable prosthesis and device and method for loading and delivering the implantable prosthesis to a trocar cannula. The implantable prosthesis includes a body portion sufficient to extend across and occlude a defect opening and a semi-rigid ring for supporting the body portion. The implantable prosthesis may be provided with a sufficient hoop strength to prevent the body portion from collapsing into the defect opening. A loading and delivery tool includes a main body with a lumen sized to collapse the implantable prosthesis. An elongated shaft is rotatable to wind the implant into a slender configuration and axially moveable to advance the rolled-up implant into the trocar cannula. A cartridge extends from the main body and holds the implant in a normal expanded configuration.

Abstract: A method of treating cardiac arrhythmia, including guiding a distal end portion of a catheter, the distal end portion having a distal tip and accommodating an elongated configuration of ablation electrodes, from the inferior vena cava into the right atrium of a human heart, guiding the distal end portion from the right atrium into the right ventricle of the heart, deflecting the distal tip into a hook configuration, pulling the catheter towards the inferior vena cava until the hook configuration engages the tricuspid annulus of the heart and the configuration of electrodes engages the isthmus of tissue between the tricuspid annulus and the inferior vena cava of the heart, and activating the configuration of electrodes to produce a substantially continuous lesion on the isthmus of tissue.

Abstract: The invention is drawn to silane copolymers prepared from the reaction of one or more polyisocyanates with one or more lubricious polymers having at least two functional groups, which may be the same or different, that are reactive with an isocyanate functional group and with one or more organo-functional silanes having at least two functional groups, which may be the same or different, that are reactive with an isocyanate functional group and at least one functional group reactive with a silicone rubber substrate. The silane copolymer coatings of the invention are elastic, lubricious, and resist wet abrasion. They are useful as coatings for polysiloxane (rubber) and other difficult to coat substrates, especially for medical devices, such catheters.