Abstract: The present invention relates to a stiffening member, which is a stylet, that helps increase the fluid flow area within a catheter. In a preferred embodiment, the stylet is made of a single piece of flat rectangular stock that can be twisted to provide equal rigidity in all directions. A cross-section of the stylet reveals that the substantially flat rectangular shape of the stylet permits maximum fluid flow between the stylet and the catheter. This results in increased ease in manipulating and removing the stylet from the catheter. In addition, because the preferred embodiment of the stylet comprises a single element, it is easier to manufacture and should result in lower manufacturing costs. Moreover, the use of the present invention should also result in lower overall health-care costs.

Abstract: The present invention provides an injection system including a disposable lower part and a reusable upper part wherein the lower part includes an ampoule holder for accommodating a container containing a liquid medicament and having an axially movable plug having a cross-section F for ejecting the liquid medicament from the container and a kinematic device for axially driving the plug forward by a number N of individual steps x, N being a natural number, and the reusable upper part includes a casing detachably connectable to the ampoule holder, and a dosing button for selecting the number N of individual steps x and for actuating the kinematic device of the lower part which thereby effects selectable ejection of a Volume V=NxF of the liquid medicament from the container.

Abstract: This invention is directed to novel methods for gynecologic embolotherapy. The methods directly access the blood vessels to be embolized transcervically rather than arterially. The methods provide precise directed delivery of embolizing compositions, and are particularly suited for treating uterine fibroids. Kits containing one or more devices for transcervical injection and an embolizing composition are also provided. In a preferred embodiment, fluid embolizing compositions are used. In a more preferred embodiment, these fluid embolic compositions comprise a biocompatible polymer, a biocompatible solvent and a biocompatible water insoluble contrast agent. In a most preferred embodiment, the contrast agent is characterized by having an average particle size of about 10 .mu.m or less.

Abstract: The invention provides a nested tubing cannula which comprises outer and inner elongate tubular members, each having a proximal end, a distal end, and a lumen therebetween. The inner tubular member is sealed at its distal end and is nested substantially coaxially within the lumen of the outer tubular member, so that the gap between the inner and the outer tubular member defines a second lumen whereas the first lumen is the lumen of the inner tubular member. A tubular sleeve is disposed coaxially between the inner and outer tubular members. A balloon is mounted on a distal region of the outer tubular member and is in communication with the first lumen. The cannula further comprises a port proximal or distal the balloon occluder and is in communication with the second lumen. Methods for making the devices herein are disclosed.

Abstract: An aortic occlusion catheter has a blood return lumen for returning oxygenated blood to a patient and an occluding member for occluding the patient's ascending aorta. The blood return lumen has openings on both sides of the occluding member for infusing oxygenated blood on both sides of the occluding member.

Abstract: The method for automatic dosing of drugs utilizes a microdelivery device which may be implanted in or otherwise administered to an animal or human. A microdelivery device is configured to have at least one compartment containing at least one drug so that a plurality of doses of the drug(s) are held within the device. In accordance with the present invention, the microdelivery device selectively actuates a compartment to selectively release doses of the drug(s) to provide an efficacious dosing pattern. One primary function of the present invention is to release two or more pesticides in such a pattern that parasites are effectively controlled while preventing the development of tolerance to the drugs within the parasites. Preferably, the microdelivery device is programmable to effectuate the release of the drug(s) at a desired time to maintain efficacious levels of the drug while minimizing the amount of drug which must be used.

Abstract: A balloon catheter device for treating an obstructing material within a vascular conduit or other body passageway. The device comprises an elongate catheter body extending between a proximal end and a distal end. A high compliance balloon and a spaced apart angioplasty balloon are coaxially disposed along the distal end. The catheter device includes a plurality of longitudinal lumens which extend along the catheter body from the proximal end. At least one of the lumens has a cross section which is non circular and is configured, in conjunction with the other lumens to provide a maximum total lumen cross sectional area within a minimum diameter catheter body.

Abstract: A method and apparatus for treating Alzheimer's disease is disclosed. The method comprises delivering indomethacin or nonsteroidal anti-inflammatory agents having cyclooxygenase inhibitor action directly to the hippocampus or the lateral ventricle through an implanted catheter. The catheter has a flexible distal end that is implanted directly in the hippocampus or lateral ventricle as the preferred embodiment. The distal end has either a porous tip or a closed end. Where the distal end is closed, or a plurality of elution holes are present indomethacin is delivered to the hippocampus or lateral ventricle through either the porous tip or the elution holes.

Abstract: A convertible catheter assembly for performing an intravascular procedure incorporates a guide wire lumen having at least a proximal segment thereof manufactured from a collapsible tubular member. The catheter assembly includes a full length guide wire lumen and an intermediate guide wire port therein so that the catheter may be utilized in a single operator exchange or an over-the-wire mode. The collapsible proximal segment of the guide wire lumen decreases the overall profile of the catheter by collapsing radially inward when not in use during a single operator exchange procedure.

Abstract: The present invention preferably includes a balloon catheter for use with a guidewire. The catheter has a body with a balloon located thereon, preferably at the distal end. A lumen within the catheter body communicates with the interior of the balloon which can be inflated by known methods with saline solution. A series of sleeve members of predetermined lengths and sizes are coupled to and positioned along the length of the catheter body. One or more of the sleeve members can span the length of the balloon. Each sleeve member has a passageway and both an exit and entry port so that the guidewire can pass therethrough. Instead of a balloon, the catheter can include a device member that forms a chamber which can store medicine until discharged at the desired site within the blood vessel. Apertures or pores on the catheter body allow for the perfusion of blood or the delivery of medicine to the site of the blood vessel. A method of operation is also disclosed.

Abstract: A needleless jet injection device including a barrel fitted with a cap at one of the ends thereof. Relative motion of the cap component actuates a setting device operably connected to a precussive member. A cartridge arranged at the other end of the barrel comprises two elements, i.e., a first element forming a container for the active principle, and a second element consisting of a plastic shell enclosing the first element.

Abstract: A method and apparatus for abrading tissue during arthroscopic surgery includes a first rotatable tube assembly and a second tube assembly. The first rotatably tube assembly has a first proximal end and a first distal end with an abrading head at the first distal end. The second tube assembly has a second proximal end and a second distal end with an external aspiration port passing through a sidewall of the second tube assembly. The apparatus further includes a self-cleaning mechanism which is operable to self-clean the aspiration port in the apparatus to pass fluid and debris.

Abstract: An apparatus for maintaining the patency of urine flow through the human urethra, having an intra-urethral catheter (IUC), which has a potential through flow for the urine that extends over its length. The length of the IUC is shorter than the length of the urethra, and the IUC does not protrude from the urethral orifice at either of its ends. A transport means for the insertion of the IUC into the urethra is also associated with the apparatus. Devices are further provided on the ends of the IUC for producing a detachable connection between the IUC and the transport means. The IUC is disposed in the region of the urethra which passes through the prostate gland and the inner sphincter.

Abstract: A medicinal syringe includes a cylinder with a proximal and distal end, and an outlet. The syringe contains, or is adapted to receive, a medicine or a diagnostic agent, and includes a plug. The surfaces of plug which touch the inside wall of the cylinder are preferably made of polytetrafluoroethylene. The material for the cylinder inside wall directly adjoins the surfaces of the plug, which touch the inside wall of the cylinder. The plug has at least one sealing lip and the mass-resultant of the sealing lip forms an acute angle with the axis of the syringe in that distal direction.

Abstract: A sample delivery module for use in conjunction with a particle acceleration apparatus includes a fitting for connecting the sample delivery module to the apparatus. The sample delivery module provides a particle acceleration path which includes a portion adapted to receive a sample of particles coated with a biological material, a particle acceleration chamber coaxial with, and in fluid communication, with the cartridge chamber, and a substantially conical exit nozzle coaxial with and in fluid communication with the particle acceleration chamber. In use, a gas stream causes sample particles to be entrained therein and accelerated through the particle acceleration chamber and the exit nozzle toward a target.

Abstract: A catheter with valve for implantation in a vascular structure of a living being. The catheter is in the general shape of a "T" with the top of the "T" implanted within the lumen of a vascular structure, and the leg of the "T" extending out of the vascular structure through an incision in the vascular structure. The lumen of the implanted portion of the catheter completely occupies the lumen of the vascular structure, causing all blood flow through the vascular structure to be directed through the implanted portion of the catheter. A valve is placed in the wall of the implanted portion of the catheter which opens into the lumen of the leg of the "T" of the catheter upon application of sufficient differential pressure between the lumens of the two portions of the catheter.

Abstract: A method and apparatus for in vivo electroporation therapy. Using electroporation therapy (EPT) as described in the invention, tumors treated by a combination of electroporation using the apparatus of the invention and a chemotherapeutic agent caused regression of tumors in vivo. In one embodiment, the invention provides a method of EPT utilizing low voltage and long pulse length for inducing cell death. One embodiment of the invention includes a system for clinical electroporation that includes a needle array electrode having a "keying" element that determines the set point of the therapy voltage pulse and/or selectable array switching patterns. A number of electrode applicator designs permit access to and treatment of a variety of tissue sites. Another embodiment provides a laparoscopic needle applicator that is preferably combined with an endoscope for minimally invasive EPT.

Abstract: The instant invention is directed to a left ventricle valve for use in a left ventricle drain line. The left ventricle valve includes a unidirectional check valve having duckbill valve portion and a flange portion to movably cover vacuum vent openings. The vacuum vent openings are parallel to the flow passage of the left ventricle valve. The valve also has a pressure relief opening. The invention further contemplates the valve in an extracorporeal circuit for draining the left ventricle of a heart.

Abstract: A needleless valve connector is disclosed. The needleless valve connector includes a movable diaphragm assembly and an internal central cannula. The proximal portion of the internal cannula has a tapered configuration or is slotted to allow it to be radially compressed to form a tapered configuration. The diaphragm is slit and includes cams formed therein to engage the slotted portion of the internal cannula during downward movement of the diaphragm. The engagement of the cams and the proximal portion of the internal cannula facilitates movement of the diaphragm past the proximal portion of the internal cannula.

Abstract: Antithrombotic agents having reactional functional groups are reacted with a base polymer also having reactive functional groups to form a surface coating for a medical material. The medical materials are used in medical devices in contact with blood or blood products such as artificial hearts, heart lung machines, pacemakers, vascular graft tubing, intra-aortic balloons, blood bags, soft or hard tissue prostheses, catheters, sutures, artificial organs, and the like.