Abstract: A steerable intravascular anchor comprises an anchor portion that is steerable to a position and then pinned thereto by an external device protruding through the superficial temporal artery. The pin is steered through the skin into the anchor under, for example, by fluoroscopic guidance. The anchor portion, in one embodiment, may have a figure-eight shape, and that comprises two wires, each wire forming a ring. The rings may be located in the same plane or at an angle with respect to one other. Alternatively, the anchor portion comprises a plurality of wires, each wire forming a ring, each ring being connected to at least one other ring. It will be appreciated that other wire shapes may be used, including loops, triangles, squares, pentagons, hexagons, and the like, and combinations thereof.

Abstract: Tortuosity of vessels at or leading to the site of minimally invasive procedures is a problem for conducting such procedures as they increase the difficulty to guide the procedural catheters through tortuous vessels. Methods and apparatus for stabilization of the sheaths and catheters during access, procedures, and withdrawal in these tortuous vessels are disclosed. The apparatus and method for improving access include application of a pull component to the stabilized procedural catheter using a stabilization catheter/wire in addition to a push component from the percutaneous access to make the access easier while enabling use of more flexible catheters and softer wires. These methods and devices address the problems of trauma to the vessels during access, procedure and removal of catheters and wires, improve pushability of softer catheters and wires, and also substantially reduce substantially the procedure time.

Abstract: Tortuosity of vessels at or leading to the site of minimally invasive procedures is a problem for conducting such procedures as they increase the difficulty to guide the procedural catheters through tortuous vessels. Methods and apparatus for stabilization of the sheaths and catheters during access, procedures, and withdrawal in these tortuous vessels are disclosed. The apparatus and method for improving access include application of a pull component to the stabilized procedural catheter using a stabilization catheter/wire in addition to a push component from the percutaneous access to make the access easier while enabling use of more flexible catheters and softer wires. These methods and devices address the problems of trauma to the vessels during access, procedure and removal of catheters and wires, improve pushability of softer catheters and wires, and also substantially reduce substantially the procedure time.

Abstract: This invention relates to methods of identifying, synthesizing, optimizing and profiling compounds that are inhibitors or activators of proteins, both naturally occurring endogenous proteins as well as certain variant forms of endogenous proteins, and novel methods of identifying such variants. The method accelerates the identification and development of compounds as potential therapeutically effective drugs by simplifying the pharmaceutical discovery and creation process through improvements in hit identification, lead optimization, biological profiling, and rapid elimination of toxic compounds. Implementation results in overall cost reductions in the drug discovery process resulting from the corresponding increases in efficiency.

Abstract: This invention relates to agents that are inhibitors or activators of variant forms of endogenous proteins and novel methods of identifying such variants. Of particular interest are inhibitors and activators of endogenous protein variants, encoded by genes which have mutated, which variants often arise or are at least first identified as having arisen following exposure to a chemical agent which is known to be an inhibitor or activator of the corresponding unmutated endogenous protein.

Abstract: A suture passer comprising: a handle; a first needle mounted to the handle; a retrieving loop selectively extendable out of, and selectively retractable into, the first needle; a second needle mounted to the handle, the second needle being configured to pass suture therethrough; a housing having first and second lumens extending therethrough for receiving the first and second needles therein, respectively; wherein the suture passer is configured so that the first and second needles have (i) a first distance therebetween at the location at which the first and second needles pass through the housing, and (ii) a second distance therebetween at a location remote from the housing, and further wherein the second distance is greater than the first distance.

Abstract: A bifurcated catheter and methods of use are disclosed herein. The bifurcated catheter can include a fixed flat wire that is configurable as a stabilization wire. The bifurcated catheter can be configured to improve the initial access and directability by application of a pull force to the stabilization wire, in addition to a push force from the proximal end of the bifurcated catheter. The stabilization wire is anchored once the bifurcated catheter is positioned. The anchored, bifurcated catheter provides stability and pushability to assist the procedural catheter in traversing the tortuous peripheral vasculature.

Abstract: A guide sheath device with an integrated stabilization wire is provided. The guide sheath device includes an elongate member having a proximal and distal end and a lumen there between and a stabilization wire integrated to the elongate member.

Abstract: The use of bifurcated catheter is disclosed for stabilizing working catheters for carotid percutaneous intervention of vessels originating from a tortuous aortic arch, which uses guide wires that used to enable the catheters accessing the left or right carotid arteries (CA). Also disclosed is the use of two independent catheters or a catheter and snare wire within a single sheath, as well as the implementations, associated problems and corrective solutions to the identified problems. Further additional uses of the bifurcated catheter/dual catheter, for access to and treatment of other exemplary tortuous locations where stability of the procedural catheter would make a difference are also disclosed in the current application.

Abstract: An apparatus includes a syringe body and a plunger. The syringe body defines a volume configured to contain a medicament. A proximal end portion of the syringe body includes an engagement portion, and a distal end portion of the syringe body includes a delivery tip. A side wall of the syringe body includes a transparent window. The plunger has a distal end portion configured to move within the volume of the syringe body to convey the medicament. An engagement portion of the plunger is configured to interface with the engagement portion of the syringe body to limit rotation of the plunger about a longitudinal axis of the plunger. An outer surface of the plunger includes a series of indicia, at least one which is visible through the transparent window.

Abstract: A nose compression device for treating a nosebleed of a person. The device includes a wire frame having a straight middle section and two end sections angled with respect to the middle section. The device also has a body attached to the wire frame, and two nasal sponges attached to the body for insertion into the person's nasal passages. The end sections are wider than the user's nose, and the device is slid upward on the user's face so that the nasal sponges enter the user's nasal passages. The end sections are then bent inward to a pinch position where they pinch the upper lateral side surfaces of the user's nose. The nasal sponges can be pre-treated with medication to further stop the nosebleed. Ice pack may also be provided that extends over the compression device. The combination of compression, medication, and cooling facilitate treatment of the nosebleed.

Abstract: A suturer may include a base mechanism. The base mechanism may include a first arm having a first driving member. The base mechanism may include a second arm having a second driving member. The suturer may be configured to selectively pass a needle from an enclosed position within the first arm to an enclosed position within the second arm.

Abstract: This invention relates to methods of identifying, synthesizing, optimizing and profiling compounds that are inhibitors or activators of proteins, both naturally occurring endogenous proteins as well as certain variant forms of endogenous proteins, and novel methods of identifying such variants. The method accelerates the identification and development of compounds as potential therapeutically effective drugs by simplifying the pharmaceutical discovery and creation process through improvements in hit identification, lead optimization, biological profiling, and rapid elimination of toxic compounds. Implementation results in overall cost reductions in the drug discovery process resulting from the corresponding increases in efficiency.

Abstract: Systems and methods for addressing the percutaneous intervention related trauma to the vessels that arise from type-III hostile aortic arches, from uncontrolled prolapse of sheaths, embolic protection devices and stent delivery systems, by stabilizing the systems while stenting of the left and right carotid arteries. Guide wires to stabilize catheters used to access the left or right carotid arteries (CA) for carotid percutaneous intervention of the vessels originating from a tortuous aortic arch are disclosed. A bifurcated catheter for stabilizing the catheters is also disclosed. The bifurcated catheter has a main catheter that divides into two separate catheters forming a “Y” shape. One leg of the catheter has a smaller diameter with a smaller working lumen (inner diameter) to carry the stabilizing wire and the other leg of the catheter has a larger working lumen for arterial stenting operations.

Abstract: Endoscopic cannulas and methods of their use are disclosed. In some embodiments, an endoscopic cannula may include an elongated body having a proximal end and a distal end. A viewing channel and a working channel may extend through the elongated body. The viewing channel can be configured for passing therethrough an endoscope to the distal end of the elongated body for viewing outside the elongated body, while the working channel can be configured for passing therethrough an injection needle distally of the elongated body. The cannula may also include a suction pod disposed on a bottom surface of the elongated member, the suction pod being in communication with a suction channel extending through the elongated body to create suction between the suction pod and a tissue surface to temporary attach the elongated body to the tissue surface.

Abstract: A biocompatible electronic device incorporating a point-of-use-activated microbattery, the biocompatible electronic device comprising: a housing; a sealed control electronics chamber formed within the housing; control electronics contained within the sealed control electronics chamber for controlling the operation of the biocompatible electronic device; a sealed electrode chamber formed within the housing; a plurality of electrodes contained within the sealed electrode chamber and connected to the control electronics; an access port formed within the housing for providing fluid access to the interior of the sealed electrode chamber; and a removable tab for selectively sealing the access port; such that, upon removal of the removable tab, a contacting fluid can contact the electrodes and act as an electrolyte for activating the microbattery, whereby to enable the microbattery to power the control electronics for the biocompatible electronic device.

Abstract: An apparatus includes a syringe body, a plunger, a cap, and a dose gauge. The syringe body defines a volume configured to contain a medicament. The dose gauge is disposed about at least a portion of a side wall of the syringe body, and defines a window. The cap is coupled to a proximal end portion of the syringe body, and includes an engagement portion. The plunger has a distal end portion configured to move within the volume to convey the medicament. An engagement portion of the plunger is configured to interface with the engagement portion of the cap to prevent rotation of the plunger about a longitudinal axis of the plunger. An outer surface of the plunger includes a series of indicia. At least one of the indicium is visible through the window when the plunger is in a first position within the volume.

Abstract: A nasal bulb aspirator that can be sized to fit the needs of infants through adults and is designed to ensure that the tip remains hygienically intact by a one-way valve and a counterbalance system that prevents the tip from touching surrounding surfaces, thereby limiting cross contamination from possibly resistant pathogens.

Abstract: A surgical fastening assembly has a fastener delivery sub-assembly with a plurality of elongated tubular needle members rigidly affixed to one another about a longitudinal axis of the subassembly. The tubular needle members are positionable around an elongate trocar movably positionable inside a cannula. The cannula is coupled to the fastener delivery sub-assembly. Anchors or fasteners are disposed in the needle members and ejected at the same time by a pusher member.