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 access port for subcutaneous implantation is disclosed. Such an access port may comprise a body for capturing a septum for repeatedly inserting a needle therethrough into a cavity defined within the body. Further, the access port may include at least one feature structured and configured for identification of the access port subsequent to subcutaneous implantation. Methods of identifying a subcutaneously implanted access port are also disclosed. For example, a subcutaneously implanted access port may be provided and at least one feature of the subcutaneously implanted access port may be perceived. Further, the subcutaneously implanted access port may be identified in response to perceiving the at least one feature.

Abstract: A stent includes a stent body having a circumference and struts disposed helically about the circumference. Each of the struts has a strut length and a ratio of a number of the struts around the circumference to the strut length is greater than 800 per inch, in particular, over 1000 per inch. A method for manufacturing a helical stent includes the steps of providing a stent body with struts disposed about the circumference thereof in turns and with bridges connecting the struts in adjacent turns. The stent body is expanded and, thereafter, some of the bridges, in particular, sacrificial bridges, are removed.

Abstract: A stent formed by slitting a tube to create a matrix of struts, the slitted tube being radially expandable to a stenting disposition in which the struts exhibit a zig-zag pattern in successive loops around the circumference of the stent, the zig-zag pattern exhibiting a cusp between any two adjacent struts, with selected tied cusps of any one loop being connected by a bridge to a facing cusp of the adjacent loop and with intervening free cusps, characterised by lengthwise staggering of circumferentially adjacent said slits within said loops, wherein any two struts that are contiguous with a said tied cusp are of different lengths and any strut that extends from one free cusp to another free cusp has the same length as any other such strut such that, in the said stenting disposition, the free cusps of adjacent loops are circumferentially displaced from each other.

Abstract: An access port for subcutaneous implantation is disclosed. Such an access port may comprise a body for capturing a septum for repeatedly inserting a needle therethrough into a cavity defined within the body. Further, the access port may include at least one feature structured and configured for identification of the access port subsequent to subcutaneous implantation. Methods of identifying a subcutaneously implanted access port are also disclosed. For example, a subcutaneously implanted access port may be provided and at least one feature of the subcutaneously implanted access port may be perceived. Further, the subcutaneously implanted access port may be identified in response to perceiving the at least one feature.

Abstract: A safety enclosure which is designed for a hypodermic needle that is located in the shape of an approximate right angle (Huber needle). A safety enclosure has a needle housing within which the Huber needle is mounted. The needle housing is mounted in conjunction with a panel unit. The panel unit is composed of a series of planar panels which are edge connected together defining an enclosed area. The panel unit can be movable from a basically transverse position to an elongated position. When in the transverse position, the panel unit is to be mounted with adhesive tape onto the skin of a patient with the sharp end of the needle being inserted within the body of the patient. When the panel unit is in the elongated position, the needle is withdrawn from the body of the patient and the sharpened end of the needle is covered by the panels thereby preventing undesired needlestick injury to the medical practitioner that is installing and removing the enclosure.

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 unit for temporary placement on the patient's chest, and an ultrasound probe. The tip location sensor senses a field produced by 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 to enable guidance of the catheter tip to a desired position with respect to a node of the patient's heart. The stylet includes an electromagnetic coil that can be operably connected to the sensor unit and/or console through a sterile barrier without compromising the barrier. The stylet can also be wirelessly connected to the sensor unit and/or console.

Abstract: The microbial scrub brush in one embodiment employs an insert of foam material that is impregnated with an anti-bacterial disinfectant that is housed within a housing of alcohol compatible material and sealed over by a removable lid. The insert is maintained in sterile condition until ready for use. After the removal of the lid, the insert of foam material is moved over the end of a female luer or other portion of a medical device and rotated in order to clean the exterior surface as well as the interior luminal surface of the device. In one embodiment, the insert includes a plurality of resilient fingers that substantially occupy a cross sectional area of the cavity to enable the cleansing of both the exterior surface and an interior luminal surface of the medical device.

Abstract: Embodiments of the invention relate to methods for assessing and/or improving contact between an electrophysiology catheter and tissue, and catheters for performing the methods. One embodiment relates to a catheter comprising a braided conductive member coupled to the distal end of a shaft, wherein the braided conductive member comprises a plurality of pressure sensitive wires. Another embodiment relates to a catheter comprising a braided conductive member having a plurality of sectors and coupled to the distal end of a shaft, and a balloon assembly constructed and arranged to selectively apply distal pressure to one or more sectors of the braided conductive member.

Abstract: A urinary catheter (30, 100) for indwelling introduction into a patient's urethra. The catheter includes an elongated flexible body portion (12) formed of a polymer. The elongated flexible body portion (12) includes a flexible introducing member. The flexible introducing member (32) has a longitudinal bore. The bore can slideably position the introducing member (32) along the flexible body portion. A flexible polymeric sleeve (40) is affixed to the flexible introducing member. The flexible polymeric sleeve (40) can cover a substantial portion of the flexible body portion (12). The method and apparatus can minimize the likelihood of infection by proving a sterile sleeve barrier on the catheter.

Abstract: Pushing a self-expanding stent from one of its ends, during release of the stent at a stenting site in a bodily lumen, by proximal withdrawal of a surrounding sheath, can impose unacceptably high stresses on parts of the strut network of the stent. For location of stents in a bodily lumen, it is customary to equip the end annulus of a stent with radiopaque markers. The present invention involves arranging the markers so that they share with non-marker portions of the end annulus the stresses imposed in the stent by the end pushing, whereby the high stresses are shared more equally by all the struts of the stent in the end annulus.

Abstract: A medical instrument includes a channel, a first interacting structure, a slider, and a control member. The first interacting structure can extend along at least a portion of the channel. At least a portion of the slider can also be disposed in the channel, so as to move in the channel. The slider can additionally have a first attraction portion. The control member can be rotatably coupled to the slider, and have a second interacting structure and a second attraction portion. The second interacting structure can engage the first interacting structure so as to move the slider in the channel when the control member is rotated. The second attraction portion can be disposed such that a distance between the second attraction portion and the first attraction portion changes as the control member is rotated relative to the slider.

Abstract: A stent includes a stent body having a circumference, a diameter of between approximately 4 mm and approximately 12 mm, in particular, 8 mm, and a length of between approximately 10 mm and approximately 250 mm, in particular, 150 mm, and struts disposed helically about the circumference in turns. Substantially circumferentially oriented connecting bridges connect respectively adjacent ones of the turns. A method for manufacturing a helical stent includes the steps of providing a stent body with struts disposed about the circumference thereof in turns and with bridges connecting the struts in adjacent turns. The stent body is expanded and, thereafter, some of the bridges, in particular, sacrificial bridges, are removed.

Abstract: The invention relates to pressure generating units, in particular to pressure generating unit arranged in the hand piece of a vacuum biopsy device in the form of a sirynge (2). In said units, air intake is open by a piston when said piston (5) is in the rear position thereof in the space of a vacuumed cylinder (11) which is switched for generating a superpressure, thereby initiating the outflow of a tissue liquid by the air introduced into the space of the vacuumed cylinder. For this purpose, the space of the vacuumed cylinder is connected to the space of an atmosphere pressure cylinder (12) arranged behind the piston, by means of a connection line (15), and an absorbing element (14) is placed on the piston axis.

Abstract: A safety needle device and method of supplying fluid to a vascular access port is described. The device may include a base member, a handle member, and a compressible member positioned between the handle member and a compression plate. The compressible member is coupled to a proximal end of a needle. Following the delivery of fluid to a vascular access port, the needle is removed by moving the handle member away from the base member, which collapses the compressible member, flushing fluid into the vascular access port to substantially replace a volume of the needle.

Abstract: Disclosed is a system for delivering self-expanding stents to stenting sites within the body, which minimizes trauma to the affected tissue of the patient yet, at the same time, offers the medical practitioner a robust and simple system for stent placement. These technical effects are achieved by providing a catheter which receives the stent at its proximal end and guides it to the stenting site. The catheter serves as a guide catheter and has a tapered distal tip from which the stent emerges at the site of stenting. A stent pusher can be used which abuts the proximal end of the stent inside the guide catheter. The tapered tip can be molded and can be integral with the catheter shaft or bonded to it. The guide catheter can include a figurated portion towards its distal tip. The system has particular application to stenting the carotid artery.

Abstract: A self-sealing vascular graft with kink resistance is described. The vascular graft includes a substrate that can be a PTFE, having a self-sealing region that may include several layers of material. The central section of the vascular graft may be constructed differently from surrounding self-sealing regions, in order to provide kink resistance following the clamping of the graft. Also described is a graft with a flared cuff attached to one or both ends, the attachment or transition region including reinforcement beading.

Abstract: A device for trans-luminal delivery of a self-expanding stent or other surgical device and which is designed for rapid exchange over a guidewire has a guidewire lumen that adjacent its proximal exit port lies side-by-side with the line of the shaft of the device. A sleeve which surrounds and confines the stent has a proximal end that is shaped around the guidewire exit port to show in profile a shape reminiscent of the nose of a dolphin. In preferred embodiments, the sleeve also has a tapered distal tip that is withdrawn proximally over the length of the stent to release it, progressively, from its distal end. The configuration delivers simplicity of design, enhanced performance and reliability in use.

Abstract: An implantable vessel filter including an elongated body coupled proximally to a hub, and including a grooved distal section. A first set of legs coupled proximally to the hub have a first length, each of the first set of legs translating from a collapsed state in a filter compressed configuration to an extended state in a filter expanded configuration. A second set of legs coupled proximally to the hub have a second length longer than the first length, each of the second set of legs including a hook positioned at a distal end thereof, each of the second set of legs translating from a collapsed state in the filter compressed configuration to an extended state in the filter expanded configuration, each hook received in the grooved distal section in the filter compressed configuration and penetrating a wall of a vessel in the filter expanded configuration.

Abstract: A delivery device for delivering a stent device that is expandable from a radially reduced, delivery configuration to a radially expanded, deployed configuration. A retaining sheath is disposed over the stent device for maintaining the stent device in the delivery configuration. A pull line to be pulled upon is provided to retract the retaining sheath in a rolling manner such that the retaining sheath is folded back on itself to provide a radially inner sheath of the retaining sheath, a radially outer sheath of the retaining sheath and a fold portion therebetween. The retaining sheath may be made of a cold drawn plastic at least along the path of travel of the fold portion in retracting the retaining sheath from over the stent device.