Abstract: A coupler includes a saddle, a channel, a tissue clamp, and a flange. The channel has a first end of substantially elliptical cross-section connected to the saddle and a second end of substantially circular cross-section. The tissue clamp is positioned around the channel. The flange is formed adjacent to the second end of the channel. A conduit coupling device is formed by securing flanges of two couplers together with a clamping ring.

Abstract: An apparatus for automatically fixing sutures used in the surgical replacement of a heart valve, includes a first cylinder having a first end and a second end and an interior surface and an exterior surface and a valve sleeve including an annular cuff surrounding the exterior surface adjacent to the first end of the first cylinder. An annular lip is formed on the exterior surface adjacent to the second end of the first cylinder, and a replacement heart valve is positioned within the valve sleeve. The apparatus further includes a second cylinder having second securing means formed on an interior surface of the second cylinder, such that the second securing means corresponds to and are adapted to fixedly engage the first securing means. The invention further includes a method for automatically fixing sutures to secure a valve sleeve including an annular cuff and a replacement heart valve to an annulus formed in a patient's heart.

Abstract: There is disclosed a method and apparatus for effecting cardio-valve replacement surgery. A clamp adapted to be fastened to an ether screen has multiple arms. These arms are linked together by a double clamp having two parts which are pivotable with respect to each other and within which the arms are both rotatable and slidable and which arms are simultaneously clamped in whatever position they may have been set. The clamping is effected by a draw bolt passing through both parts of the double clamp. At the free end of the arms is a clamp adapted to hold a replacement cardio-valve holder. The clamps and the arms are adjusted to present a replacement valve in a position such that it can be sutured into the heart of the patient without the surgeon having concern about the possibility of malalignment of the valve or suturing.

Abstract: There is disclosed a method for effecting cardio-valve replacement surgery. A clamp adapted to be fastened to an ether screen has multiple arms. These arms are linked together by a double clamp having two parts which are pivotable with respect to each other and within which the arms are both rotatable and slidable and which arms are simultaneously clamped in whatever position they may have been set. The clamping is effected by a draw bolt passing through both parts of the double clamp. At the free end of the arms is a clamp adapted to hold a replacement cardio-valve holder. The clamps and the arms are adjusted to present a replacement valve in a position such that it can be sutured into the heart of the patient without the surgeon having concern about the possibility of malalignment of the valve or suturing.

Abstract: An implanted device for determining the patentcy of a transplanted vein directly connecting the aorta to transfer blood to a coronary artery has a physiologically inert bulb of flexible material disposed and retained in pressure transferring relationship to the distal region of the transplanted vein. A cuff or non-expansible sleeve surrounds the bulb and the vein and is held in position. The bulb has a single opening leading into one end of an implanted catheter. The other end of the catheter opens through a single opening in a thick-walled reservoir implanted in a subcutaneous location convenient for piercing by a hypodermic needle. At least a part of the reservoir wall is able to close upon withdrawal of the needle. The bulb, catheter and reservoir are completely filled, without distention, by an appropriate, usually isotonic, liquid. There may be a break-away connection in the catheter and various radio-opaque indicia for X-ray monitoring.

Abstract: A catheter anchor for holding a catheter in position in a patient has a base in the form of a disc with a flat surface normal to a central axis. There is a transverse, resilient bar extending across the disc on the side opposite the flat surface. The bar has at least one reentrant groove in it to receive and grasp the catheter. There may be an additional reentrant groove in the bar expandable by a plug to constrict the catheter groove. Also, there may be a pawl sheet adapted to grip the catheter and abut the bar to inhibit unwanted insertion of the catheter into the patient. From the flat surface of the disc a number of needles extend approximately helically and symmetrically with the axis and with their exposed points engageable with the patient's tissue by rotation. There may also be a central guide needle extending from the flat surface along the axis.

Abstract: A vein preparation and testing device has a rimmed base forming a shallow basin upstanding from which are a head block and a tail block. In the head block is a removable hollow chuck rotatable about an axis and connected to a liquid reservoir on the base and to a pump. The hollow chuck communicates with a hollow head grip having a tube adapted to lie inside a vein. A fastener holds the vein in place on the tube. In the tail block is a removable tail grip mounted to rotate about the same axis. The tail block is movable along the same axis.