Abstract: Two embodiments for a stent delivery catheter are disclosed. In the first embodiment, the stent delivery catheter comprises an outer sheath, a peel-away sheath, and an inner sheath. In the second embodiment, the stent delivery catheter comprises an outer sheath and an inner tubular member which distally ends in a tongue having an arcuate cross section.

Abstract: A hydraulic valve arrangement with locking and floating function, with a control valve (9), which, for two operating positions (11, 12) connects one motor connection (A) with a pump connection and a second motor connection (B) with a tank connection and vice versa, in a floating position (13) connects both motor connections (A, B) with the tank connection and in a locking position (10) separates both motor connections (A, B) from the pump and tank connections. Further, there are two closing valves (16, 17), each being connected between the control valve (9) and a motor connection (A, B) and each having a piston loaded by a spring and limiting a spring chamber, the spring chambers being pressure releasable. Characteristic of this valve arrangement is that lifting valves (18, 19) are provided for the pressure release, which valves are operated by a control pressure depending on the position of the control valve (9). This improves the operating reliability.

Abstract: A device for fixing bone sections relative to each other, comprises a support bar for lateral application along the bone sections to be fixed. The support bar includes at least two sliding pieces slidable and fixable on the support bar and each being provided with a spherical part. A bone pin locking block is provided with a cup-shaped portion which is fittingly received on the spherical portion of the sliding piece, in such a way that the bone pin locking block, after having been pivoted into the desired position, can be fixed onto the sliding piece. Each of the two opposite sides of a bone pin locking block is provided with a protruding portion for fastening pivotably adjustable clamping beds cooperating with clamping plates fixable thereon and thus clamping the bone pins in their positions.

Abstract: The present invention relates generally to body tissue fixation systems, including body tissue fixation hardware comprising biocompatible, bioabsorbable (resorbable) thermoplastic plates, and methods of using those systems and hardware.

Abstract: An improved the velocity fuse valve controls communication between first and second brake valves and first and second brake lines. The velocity fuse valve includes a valve housing having a valve bore which slidably receives a valve spool. The spool moves in response to pressure in first and second pilot chambers, each communicated with a corresponding first and second outlet. The first pilot chamber is communicated with the first outlet via a first dashpot passage and a first orifice, and the second pilot chamber is communicated with the second outlet via a second dashpot passage and a second orifice. The orifices reduce or control how fast the spool will move in response to the pressure differential between the pilot chambers.

Abstract: A device for making an incision in skin, having a housing with a slotted opening, and a triggering mechanism disposed within the housing for propelling a blade coupled thereto, through the slotted opening of the housing to make an incision in the skin. The triggering mechanism includes a finger engageable trigger located external to the housing for actuating the triggering mechanism and a spring anchoring assembly for automated machine arming the device after the triggering mechanism has been assembled into the housing.

Abstract: A simplified three-way piezoelectric-actuated valve is described. The valve has a valve body having an internal valve cavity, a pair of generally opposed positioning members integral to the valve body, and first, second, and common ports. At least one of the ports has a valve seat and a passageway in communication with the valve seat, the seat and the passageway being integrally formed in the valve body. A piezoelectric actuator has first and second ends. The first end is secured within the valve cavity by the positioning members and has electrical contacts for providing an electric potential to control the position of the second end. The second end is capable of flexing between a first operating position in which the first port is closed and the second port is open, and a second operating position in which the first port is open and the second port is closed.

Abstract: A suture fastening device for forming a welded suture joint in situ includes a horn 8 and an anvil 16 movable relative to each other in a tubular shaft 3, and a source of energy 6 for actuating the horn and anvil within the shaft and relative to each other. Segments 20a, 20b of a suture to be joined are captured within the anvil and contacted by the horn for transfer of energy thereto during welding. A predetermined condition of the welded joint or of the horn and anvil is detected so as to control the delivery of energy to the segments during welding.

Abstract: A device for harvesting a tendon for cruciate ligament surgery includes an elongated outer member and an inner member disposed within the outer member, such that the outer and inner members are reciprocally movable relative to one another. The outer member has, at its distal end, a cutting edge for cutting connective tissues about the periphery of the tendon. The inner member is provided with a distal end and pathway into which the tendon is received during the harvesting procedure. The device further includes an actuator for moving the outer member and inner member between a non-actuated position, wherein the distal end of the outer member and the distal end of the inner member are at least in substantially even alignment, and an actuated position, wherein the distal end of the outer member is advanced beyond the distal end of the inner member, so as to expose the cutting edge for separating connective tissues about the periphery of the tendon.

Abstract: A water flow-sensing device includes an assembly with a stationary metering rod with a cylindrical portion and a conical portion and a relatively moveable element in the shape of a hollow cylindrical toroid. The relatively moveable element is biased by a spring to a rest position wherein the cylindrical portion of the stationary metering rod blocks flow through the relatively moveable element. During fluid flow, fluid pressure moves the relatively moveable element so that the conical portion of the stationary metering rod is within the hollow portion of the relatively moveable element thereby creating a flow area and allowing flow therethrough. A toroidal ferrite is biased against the relatively moveable element and moves in unison therewith. The position of the toroidal ferrite is electromagnetically determined thereby allowing for a calculation of the fluid flow therethrough. Low flowrates indicative of a trickle leak and large flowrates indicative of a large leak can be detected.

Abstract: A deployment device for stents and grafts includes a catheter, an expansion framework or cage near the catheter distal end, and a means for controlling expansion from a proximal end of the catheter. The cage is formed of a plurality of elongate strands coupled at opposite ends to the catheter and to the control device. Axial movement of the control device relative to the catheter either elongates the strands to radially collapse the cage, or axially reduces the distance between the strand ends for radial enlargement. In one embodiment the control device is a stylet contained in a lumen of the catheter and extending beyond the catheter distal end. The strands are fixed at their opposite ends to the catheter distal end and the stylet distal end. In another embodiment, the strands are coupled to proximal and distal rings along the catheter, with one of the rings being axially movable by a wire to radially expand and reduce the cage.

Abstract: A cylinder-shaped expandable spinal implant is disclosed. The implant is a hollow housing having a cylinder-shaped wall, with a circular sealed distal end, and an opposite proximal circular open end. The open end of the housing has internal threads for securing a cap to it. A removable cap is threaded on the open end of the housing. The housing has two opposite large rectangular openings located longitudinally in the wall of the housing for receiving two arcuate sections. Each arcuate section is positioned in the rectangular opening in the wall of the implant. A locking means for locking the arcuate section in the rectangular opening in the wall is provided. A plurality of small ports are drilled in the wall for allowing bone growth after implantation of said implant in a patient. The arcuate sections have transverse ribs for locking the implant in position are implantation. Openings between the ribs are provided for allowing bone growth.

Abstract: A method of forming an elongate, flexible drive shaft which has utility as a rotational atherectomy device. In accordance with this method, an inner helical coil having a lumen and a proximal end is formed by winding a plurality of wires about a forming mandrel. An outer helical coil having a lumen and a proximal end is formed by winding a single wire with a mandrel-less coil forming machine. The inner helical coil is positioned within the outer helical coil to define a drive shaft. The inner and outer helical coils are oriented such that the inner helical coil is wound in a direction opposite that in which the outer helical coil is wound.

Abstract: A joint support is attachable to a limb of an animal to limit movement of an associated limb joint substantially about a single axis. The joint support includes a radial element having a longitudinal axis and a transverse element having a longitudinal axis. The transverse element is pivotally connected to the radial element about an axis of rotation. The longitudinal axis of the radial element substantially intersects with the axis of rotation, and radial rotation of the radial element is restricted about the axis of rotation. The longitudinal axis of the transverse element is partially fixed relative to the radial element so that the same is substantially coplanar with the longitudinal axis of the radial element and substantially offset from the axis of rotation.

Abstract: A surgical fastener and method for attachment of a soft tissue graft to a bone tunnel is disclosed. The surgical fastener comprises a screw and collar. The screw having a conical head and blunt threads. The collar having a conical shape so as to fit over the conical screw head and containing side wall openings. Secure fixation of a soft tissue graft within a bone tunnel may then be achieve by passing the end(s) of the graft through the side wall openings in the collar and then holding tension on the graft while the screw is driven through the collar into the bone tunnel. With seating of the screw head in the collar the soft tissue graft is be firmly held in place as the screw threads and collar compress the graft into the side walls of the tunnel and the graft tails are captured securely by the interface of the screw head and collar.

Abstract: A plurality of embodiments of a distal perfusion device are disclosed, which device facilitates anastomosis constructions by maintaining a dry anastomosis site while simultaneously maintaining blood flow distally in the blood vessel to prevent ischemia and reduce overall patient trauma. The perfusion device is configured for installation into a blood vessel such as a left anterior descending coronary artery through an incision therein, to which is to be grafted a distal end of a blood vessel such as an internal mammary artery. The device includes a central member of selected configuration and material, terminating at either end thereof in respective selectively tapered end members. A lumen extending through the central member and end members, and selected perforations in the end members, maintain blood flow through the perfusion device.

Abstract: A self-centering blood clot filter is provided. The filter includes an anchoring portion including a generally cylindrical radially expandable body including an axial lumen extending therethrough. The filter further includes a filtering portion including a conical body concentrically aligned within the axial lumen of the anchoring portion. The conical body of the filtering portion is tapered to form a distal tip. As such, the blood clot filter can be properly centered within the lumen of a vessel for effective lysing of blood clots.

Abstract: This invention is a vertebral triplaner alignment facilitator to enable a surgeon to make minute vertebrae adjustments during spinal surgery. The vertebral triplaner alignment facilitator includes a support device which is adapted to support a tensioning device. The support device includes a support structure and a gurney. The gurney is adapted to support the tensioning device, while the support structure supports the gurney above a patient. The support structure typically includes a support rod, a sacral bridge, and adjustment rods. The support rod may be adapted to connect to a retractor. The sacral bridge may be adapted to sit on the iliac spines or crests of the pelvis. The adjustment rods movably engage the support rod and the sacral bridge such that the adjustment rods can move laterally over the patient and longitudinally relative to the retractor. A plurality of gurneys engage the adjustment rods such that they may move along the adjustment rods and may pivot about the adjustment rods.

Abstract: Improved bone cutting guides enable a surgeon to better gauge required resection characteristics. In one embodiment at least a portion of the guide is transparent, thereby enabling the user to optimize cut estimates and to visualize the resection as it is being performed. In another embodiment, at least a portion of the outer surface of the body is shaped to interact with another bone or prosthetic element associated with a joint, thereby enabling the device to function both as a trial and as a cutting guide. In this embodiment as well the guide may be at least partially transparent to improve visualization. Although primarily intended for use in femoral-side knee arthroplasty, the invention is applicable to any procedure which might benefit from improved bone-cutting accuracy.

Abstract: A corkscrew suture anchor has a continuous thread spiralling around a tapering central core. At the distal end, the suture anchor terminates in a rounded point. At the proximal end of the suture anchor is an eye for receiving suture. The suture anchor has a large thread surface per turn of thread. Anti-backout ridges can be formed on the front and/or back faces of the threads. A driver for the suture anchor is provided, the driver including a shaft having a central axis, a length, a distal end, and a proximal end. The shaft is provided at its distal end with an opening aligned with the central axis of the shaft, for receiving the hexagonal proximal end of the suture anchor. One or more sutures threaded through the suture eye are threaded through the hollow tubular shaft. The suture is pulled into and captured by V-shaped notches on the proximal end of the handle to hold the suture anchor in place on the distal end of the driver under the tension of the captured sutures.