Abstract: Balloon dilatation catheter adapted to be utilized in connection with a guiding catheter and a guide wire. The catheter comprises a flexible elongate tubular member having proximal and distal extremities and having a lumen extending therethrough. An inflatable balloon is mounted on the distal extremity of the tubular member. The interior of the inflatable balloon is in communication with the lumen. A sleeve extends through the balloon and extends rearwardly from the balloon and alongside the lumen. The sleeve has a guidewire lumen extending therethrough. The guidewire lumen is adapted to receive a guide wire extending therethrough and extending rearwardly of the flexible elongate element into a region adjacent the proximal extremity of the proximal elongate element. The sleeve has a slit extending longitudinally of the same from the proximal extremity of the sleeve to a region adjacent the balloon permitting the guide wire to be removed therethrough.

Abstract: A surgical instrument for treatment in the body cavity, in which an open-close member for treatment is rockably mounted by of a pivot pin on the distal end portion of a sheath to be inserted into the body cavity, and is connected to the distal end of a rod passed through the sheath, by a cam mechanism including a cam groove and a cam pin in engagement therewith. As the rod is moved by an operating handle, the cam mechanism is activated to open and close the open-close member for treatment. The component members of the cam mechanism have external shapes such that those portions on the proximal end side of the position near the pivot pin do not project from the sheath in every operating state.

Abstract: A combination guarded surgical scalpel and blade stripper (200, 300) uses the sliding guard (202, 301) in cooperation with an ejector button (238, 311) to strip a (used) blade (224, 314) from the scalpel (200, 300) thereby avoiding manual contact with the blade (224, 314) and the problems associated therewith.

Abstract: A surgical device for altering the curvature of an eye includes a base which carries a transparent insert, a drive device, a knife edge coupled to the drive device and movable to a plane immediately adjacent the under surface of the transparent insert. The transparent insert includes a face having a surface portion shaped according to a predetermined correction. The base further includes a suction ring which forms a vacuum chamber with the eye. The suction ring is placed against the eye. Application of vacuum results in the cornea of the eye being urged into engagement with the shaped surface portion. Actuation of the drive device moves the knife edge whereby the cornea is cut. Only the knife edge traverses the insert.

Abstract: An intravascular occlusion material removal device for removing vascular occlusion material in a vascular lumen comprises an expandable material removal element movable between an expanded position and a contracted position. The material removal element has a distal end and a proximal end. A drive shaft is operatively connected to the distal end of the expandable material removal element for rotating the removal element. A catheter surrounds a portion of the drive shaft. The catheter has a distal end for operatively variably contacting the proximal end of the material removal element such that the removal element is rotatable with respect to the catheter. The catheter is shiftable with respect to the drive shaft for moving the material removal element between the expanded position and the contracted position. A number of novel methods for removing vascular occlusion material are also provided.

Abstract: An end effector assembly for use with an endoscopic instrument includes a clevis and first and second end effectors. The clevis has curved channels extending from a distal portion of the clevis towards the proximal portion of the clevis means. Each channel has first and second inner curved walls. The end effectors each have proximally extending tangs with first and second curved surfaces. The tangs of the end effectors are respectively disposed in the channels of the clevis, and are guided by the channels such that when they are moved forward by a control member of the endoscopic instrument first curved surfaces of the tangs engage said first inner curved walls of the clevis to cause the end effectors to open. When the control member moves the end effectors back, the second curved surfaces of the tang engage the second inner curved walls of the clevis which cause the end effector to close.

Abstract: An apparatus for removing tissue from a surgical site during a surgical procedure. The apparatus includes an abrading element for abrading the tissue during the surgical procedure. The abrading element has an abrading surface and at least one aperture disposed on the abrading surface. The apparatus also includes a shaft for supporting the abrading element during the surgical procedure as well as to permit rotation of the abrading element.

Abstract: An incision guide instrument for radial keratotomy has a lens positionable over a cornea, containing an incision guide slot adjacent to which is disposed two mirror surfaces within the lens. The mirrors are angled to allow a surgeon to observe and control the blade depth penetration into the cornea. The slotted, mirrored lens is rotatable and has clip and notch means to locate any of sixteen different radial incision positions. Transverse arcuate cuts are also allowed by the rotatable lens, and a stop means prevents the transverse cuts from contacting the radial cuts. An annular cone disposed over the sclera defines a vacuum chamber for holding the eye in position relative to the lens.

Abstract: A safety trocar is provided in which the cannula is reciprocally mounted to the cannula housing and reciprocates into the cannula housing when a proximally directed force is applied thereto. The piercing tip is maintained in the exposed position by a latching mechanism associated with the obturator shaft, and is automatically withdrawn into the cannula under the force of a spring when the proximal force is removed from the cannula, the cannula thus advancing distally and releasing the latching mechanism. Penetration force is maintained at a minimum, and safe and efficacious trocar entry is facilitated.

Abstract: The invention relates to scalpels. By their nature, scalpels are exceedingly sharp, and there is the growing requirement of the provision of a guard over the blade at its point of manufacture to eliminate risk to the operative removing the scalpel from its packaging. With guards known hitherto, it is common practice to replace the guard over the blade after use. However, this introduces the risk of a used scalpel being mistaken for an unused scalpel. The objective of the invention is to avoid this possibility, an objective met by a construction comprising a handle and a blade secured to one end of the handle, and there being a blade guard attached to the scalpel by a frangible tether, the guard having a further means to engage a co-operating part of the scalpel, said further means in conjunction with said frangible tether serving to hold the guard in place over the blade.

Abstract: An actuator mechanism for an endoscopic instrument includes a stationary handle having a stepped throughbore with a relatively smaller diameter at the distal end and a relatively larger diameter at the proximal end. A cylindrical rack member is slidably disposed in the larger diameter portion of the throughbore. The larger diameter portion of the throughbore has a lower slot opening, and a movable lever is pivotally coupled to the stationary handle and is provided with a toothed upper pinion which enters the slot in the larger diameter portion of the throughbore and engages the rack member. The proximal end of the tube member is coupled to the distal smaller diameter portion of the throughbore and the proximal end of the control member is coupled to the distal end of the rack member.

Abstract: A lancet actuator device and mechanism for sequentially advancing and retracting a lancet blade include a housing having an opening for operating projection of the lancet blade. The actuator mechanism includes a drive spring structure insertably mounted in the housing and arranged to drive pivotal motion of the lancet blade including sequential thrusting of the blade from the housing aperture followed by immediate pivotally reverse retracting of the blade from the aperture into the housing as the spring deengerizes.

Abstract: A temporary stent for supporting a region of a vessel in a body comprising a composite stent portion and an actuator portion and methods for the use and manufacture thereof. The composite stent portion is comprised of an elongate perfusable vessel supporting portion adapted to be configurable between a reduced size for placement in the vessel and removal therefrom and an expanded size for structurally supporting the vessel and perfusable end portions connected to and forming ends of the vessel supporting portion and adapted to allow fluid flow therethrough. The composite stent portion is comprised of a plurality of resilient metallic wires coated with a polymeric material to provide stability for both lifting and maintaining a vessel. A method is disclosed for deployment of the composite stent to maintain vessel patency during occurrence of an intimal flap, vasoconstriction or vasospasm.

Abstract: A compound motion cutting device for cutting a work piece includes a tubular member having first and second ends, a pair of operating members and a drive rod having first and second ends and extending longitudinally into the tubular member. One of the operating members is secured to the first end of the tubular member and the first end of the drive rod is secured to the other of the operating members. An anvil is supported proximate the second end of the tubular member and includes a surface for supporting the work piece and a slot extending through the support surface. A cutting member includes a first end pivotally attached to the second end of the drive rod and a cam slot extending laterally therethrough. A pin is supported proximate the second end of the tubular member an extends through the cam slot in the cutting member.

Abstract: A surgical scalpel having a handle with a blade carrying carriage that can be slid from an intermediate position where the blade is within the handle to an extended position where the blade extends beyond the distal end of the handle and is exposed for use. After use, the blade can then be slid back to the intermediate position to cover the blade when being passed between operating room personnel or can be slid to a permanently locked position where the blade is permanently covered permitting the scalpel to be disposed of. In addition, means are provided for securely latching the blade in the extended position and the intermediate position to prevent inadvertent movement of the blade and means are provided for indicating that the blade is in the permanently locked position for disposal.

Abstract: An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens.

Abstract: The present invention provides a novel tissue cutting device for autologous tissue heart valves which accurately cuts the tissue to a predetermined configuration in a minimal amount of time. The disposable tissue cutting die of the present invention is comprised of a cover, a base member, a continuous blade enclosing a desired spatial configuration and an actuator for forcing said tissue against the entire perimeter of the blade.

Abstract: The present invention provides an apparatus and method for subjecting a body part to a vacuum, engorging blood veins and reducing neurophatic pain. The body part is inserted through a donut like inflatable seal which is attached to an opening in the cylindrical rigid hypobaric chamber. The seal is inflated and the chamber evacuated utilizing a single air pump. The seal pressure and chamber vacuum are controlled and adjusted using preset or adjustable pressure release valves.

Abstract: The present invention is directed toward a method for performing an internal fixation of fractures of tubular bones using a balloon catheter fixation device which is guided and transported through the medullary canal and fracture site of the bone by a plurality of guide wires mounted in said balloon catheter fixation device and once placed in position in the bone inflated inside the bone and tightened by applying pressure on the catheter outside of the bone to apply a compression force across the fracture site enhancing the stability of the fractured bone and promoting osseous healing.

Abstract: A method and apparatus for affixing an endoluminal device to the walls of tubular structures within the body is disclosed which utilizes incremental inflation of a balloon cuff to deploy radially projecting barbs attached to the cuff within a plurality of recesses. At lower levels of cuff pressure, the engagement of the outer surface of the cuff with the tubular structure temporarily holds the device in place without tissue damage because the outer extremity of the barbs do not extend beyond the cuff's outer surface. If the device requires repositioning, then the cuff is easily deflated and moved to a new location and is again partially inflated. Once the location of the device has been found to be optimal, the cuff is fully inflated so as to deploy the barbs to permanently fix the device in place.