Abstract: Graft having a bifurcation for repairing an aneurysm in the vicinity of an aortic bifurcation in a patient comprising a main tubular body and first and second tubular legs joined to said main body in a bifurcation. The main body and the legs are formed of a flexible surgically implantable material. The main body and each of the first and second legs having an opening therein in communication with the other openings. Expandable spring attachments are secured to the main body adjacent the opening in the main body. An additional expandable spring attachment is secured to one of said legs adjacent the opening in said one leg.

Abstract: Graft having a bifurcation for repairing an aneurysm in the vicinity of an aortic bifurcation in a patient comprising a main tubular body and first and second tubular legs joined to said main body in a bifurcation. The main body and the legs are formed of a flexible surgically implantable material. The main body and each of the first and second legs having an opening therein in communication with the other openings. Expandable spring attachments are secured to the main body adjacent the opening in the main body. An additional expandable spring attachment is secured to one of said legs adjacent the opening in said one leg.

Abstract: A large-diameter expandable sheath for use in introducing a catheter or other medical instrument into a vessel in the body of a patient. The expandable sheath comprises an elongate sheath tube formed of a flexible material which has proximal and distal extremities and a passage extending therethrough of a maximum predetermined diameter. The distal extremity of the elongate sheath tube is folded longitudinally to a smaller folded diameter. The sheath tube may be self-expanding or may be reinforced with a self-expanding wire or expandable stents. A backflow adapter is secured to the proximal extremity of the elongate sheath tube. The backflow adapter has a central opening therein in registration with the passage in the sheath tube. A normally closed primary valve is disposed in the central opening of the backflow adapter and is movable to an open position.

Abstract: A system is disclosed for locating positions in the vasculature of a human patient for the purpose of rendering treatment or making a diagnosis therein during a catheterization procedure, such as a procedure to implant an intraluminal arterial graft. The system includes a board which rests under the patient during the procedure which has two markers that can be detected under fluoroscopy. The markers can be moved backwards and forwards along a track in the board to pinpoint various locations in the blood vessel of interest, for example, the points of attachment for the ends of an arterial graft. One of the markers also can be pivoted about the track to represent the angle at which a particular blood vessel is disposed in the patient. The markers can be locked into position with brakes for the duration of the procedure.

Abstract: An intraluminal grafting system includes a hollow graft which has a proximal staple positioned proximate its proximal end and a distal staple adapted proximate its distal end. The system includes a capsule for transporting the graft through the lumen and for positioning the proximal end of the graft upstream in a lumen which may be a blood vessel or artery. A tube is connected to the capsule and extends to exterior the vessel for manipulation by the user. A catheter is positioned within the tube to extend from the cavity and through the graft to exterior the body. The catheter has an inflatable membrane or balloon proximate the distal end thereof which is in communication via a channel with inflation and deflation means located exterior the vessel. With the inflatable membrane deflated, the capsule is positioned in the lumen and manipulated to a desired location. The inflatable membrane is manipulated by the rod away from the graft.

Abstract: A large-diameter expandable sheath for use in introducing a catheter or other medical instrument into a vessel in the body of a patient. The expandable sheath comprises an elongate sheath tube formed of a flexible material which has proximal and distal extremities and a passage extending therethrough of a maximum predetermined diameter. The distal extremity of the elongate sheath tube is folded longitudinally to a smaller folded diameter. The sheath tube may be self-expanding or may be reinforced with a self-expanding wire or expandable stents. A backflow adapter is secured to the proximal extremity of the elongate sheath tube. The backflow adapter has a central opening therein in registration with the passage in the sheath tube. A normally closed primary valve is disposed in the central opening of the backflow adapter and is movable to an open position.

Abstract: A large-diameter expandable sheath for use in introducing a catheter into a vessel in the body of a patient comprising an elongate sheath tube formed of a flexible material which has proximal and distal extremities and a passage extending therethrough of a maximum predetermined diameter. The distal extremity of the elongate sheath tube is folded longitudinally to a smaller folded diameter. A backflow adapter is secured to the proximal extremity of the elongate sheath tube. The backflow adapter has a central opening therein in registration with the passage in the sheath tube. A valve is disposed in the central opening of the backflow adapter and is movable between open and closed positions. The valve when open permits the catheter to be inserted into the sheath, and when closed serves to form a hemostatic seal about the catheter.

Abstract: Hand-held gun for inflating and deflating large volume balloons by the use of a syringe having a barrel and a syringe plunger having a head and slidably mounted in the barrel. The gun is provided with a handle adapted to be grasped by the hand. A housing is carried by the handle and is adapted to receive and retain the barrel of the syringe. A plunger rod is provided which has proximal and distal extremities and is slidably mounted in the handle for movement in a direction parallel to the movement of the syringe plunger between forward and rearward positions. A sleeve is secured to the proximal extremity of the plunger rod and extends coaxially for at least a portion of the plunger rod. A coil spring is mounted on the plunger rod for yieldably urging the plunger rod in a direction axially of the plunger rod toward the rearward position. A plate is secured to the sleeve and is adapted to be removably secured to the head of the syringe plunger.

Abstract: An intraluminal grafting system includes a hollow graft which has a proximal staple positioned proximate its proximal end and a distal staple adapted proximate its distal end. The system includes a capsule for transporting the graft through the lumen and for positioning the proximal end of the graft upstream in a lumen which may be a blood vessel or artery. A tube is connected to the capsule and extends to exterior the vessel for manipulation by the user. A catheter is positioned within the tube to extend from the cavity and through the graft to exterior the body. The catheter has an inflatable membrane or balloon proximate the distal end thereof which is in communication via a channel with inflation and deflation means located exterior the vessel. With the inflatable membrane deflated, the capsule is positioned in the lumen and manipulated to a desired location. The inflatable membrane is manipulated by the rod away from the graft.