Abstract: The cardiac assist device includes a sealed tubular housing for externally applying positive and negative relative pressure to a limb in counterpulsation with heart function. The applicator is assembled, in situ, to provide customized fit. It includes a fabric or sponge-like inner layer cut to size and situated around the limb. Initially deformable material is sized, sealed around the inner fabric layer and then secured by straps or the like to form a relatively rigid, non-expandable tubular shell. The shell may include an interior wall composed of a sheet of hard plastic or articulated sections of hard plastic or metal. The interior wall has a plurality of openings to the sealed shell interior. The exterior shell wall is positioned around the interior wall. The shell walls are spaced apart by radially and/or longitudinally extending spacer elements defining a multi-section air flow chamber between the walls. The interior shell wall and spacer elements may be integral.

Abstract: The handle has a blade mounting portion with a raised boss forming a slot. The blade has a boss receiving recess with a portion defined by an edge. The cartridge removeably retains the blade. It has an opening into which the blade mounting portion of the handle can be inserted. A normally arcuate spring is mounted in cantilever fashion within the enclosure. The tip of the blade abuts a stop surface proximate the unattached end of the spring. In its arcuate state, the spring retains the blade in a position where the edge of the blade can enter the slot in the handle. As the blade is moved by insertion of the handle, against the urging of the spring, the spring straightens allowing the blade to assume a position where the boss can be fully seated within the recess, mounting the blade on the handle. The blade is then removed from the cartridge by withdrawing the handle. After use, the blade is reinserted into the cartridge.