Abstract: A multi-sheath delivery catheter and method for introducing a prosthesis into a body lumen involving use of (a) an outer sheath adapted to contain a portion of the prosthesis and having an inner surface with a non-round cross-section; (b) a middle sheath slideably disposed at least partly within the outer sheath and adapted to contain another portion of the prosthesis, the middle sheath having a distal end with a first handle attached to it that has a non-round cross-section corresponding to and engaging the non-round cross-section of the inner surface of the outer sheath; and (c) a pusher slideably disposed at least partly within the middle sheath and adapted to engage the prosthesis, relative rotational movement between the outer sheath and the middle sheath is prevented by virtue of the engagement of the non-round cross-section of the first handle with the non-round cross-section of the inner surface of the outer sheath.

Abstract: A multi-sheath delivery catheter and method for introducing a prosthesis into a body lumen involving use of (a) an outer sheath adapted to contain a portion of the prosthesis and having an inner surface with a non-round cross-section; (b) a middle sheath slideably disposed at least partly within the outer sheath and adapted to contain another portion of the prosthesis, the middle sheath having a distal end with a first handle attached to it that has a non-round cross-section corresponding to and engaging the non-round cross-section of the inner surface of the outer sheath; and (c) a pusher slideably disposed at least partly within the middle sheath and adapted to engage the prosthesis, whereby relative rotational movement between the outer sheath and the middle sheath is prevented by virtue of the engagement of the non-round cross-section of the first handle with the non-round cross-section of the inner surface of the outer sheath.

Abstract: A multi-sheath delivery catheter for introducing a prosthesis into a body lumen involving use of (a) an outer sheath containing a portion of the prosthesis and having an inner surface with a non-round cross-section; (b) a middle sheath slideably disposed within the outer sheath and containing another portion of the prosthesis, the middle sheath having a first handle with a non-round cross-section engaging the non-round cross-section of the outer sheath; and (c) a pusher within the middle sheath for engaging the prosthesis, whereby relative rotational movement between the outer sheath and the middle sheath is prevented by virtue of the engagement of the first handle with the non-round cross-section of the outer sheath. In another aspect, the invention provides a delivery catheter having a mechanism for sequentially retracting concentric tubes to deploy the prosthesis. In another aspect, the invention provides a mechanism for preventing relative axial movement of concentric tubes.

Abstract: A multi-sheath delivery catheter and method for introducing a prosthesis into a body lumen involving use of (a) an outer sheath adapted to contain a portion of the prosthesis and having an inner surface with a non-round cross-section; (b) a middle sheath slideably disposed at least partly within the outer sheath and adapted to contain another portion of the prosthesis, the middle sheath having a distal end with a first handle attached to it that has a non-round cross-section corresponding to and engaging the non-round cross-section of the inner surface of the outer sheath; and (c) a pusher slideably disposed at least partly within the middle sheath and adapted to engage the prosthesis, whereby relative rotational movement between the outer sheath and the middle sheath is prevented by virtue of the engagement of the non-round cross-section of the first handle with the non-round cross-section of the inner surface of the outer sheath.

Abstract: A ratcheting screwdriver is operable in reverse ratcheting, forward ratcheting and locked non-ratcheting modes. The screwdriver includes a rotatable handle having along an end thereof a substantially cylindrical interior wall defining an annular base surface and an axial bore. The base surface includes two substantially arcuate grooves formed therein which communicate with the bore. An insert is received in the bore and includes longitudinally extending teeth equiangularly spaced around the outer periphery thereof. First and second balls are respectively positioned in the arcuate grooves and urged against the insert by first and second compression springs, respectively. In the locked mode, the first and second balls are wedged against teeth on the insert to prevent ratcheting of the handle relative to a bit regardless of direction of handle rotation.