Abstract: A lead locking device has a lead engaging member with a mandrel extending along a lumen and attached to the distal end of the lead engaging member such that it extends beyond the proximal end of the lead engaging member. The lead locking device also has a loop handle attached to the proximal end of the mandrel. The lead engaging member has a first configuration which is narrower than a second configuration and is sufficiently long to extend along substantially the entire length of a lead to be removed from a patient's body. At the distal end, a spring coil is disposed around a tapered section of the mandrel to improve tracking of the lead locking device through the inner lumen of a pacing or defibrillator lead.

Abstract: A custom laser sequencing system is disclosed. The system may include a laser coupled with a catheter. The catheter may include a fiber optic that directs light from the laser toward unwanted material on a vessel wall. The system may also include a modulator and a controller. The modulator is adapted to modulate the operational parameters of the laser, such as, the repetition rate and/or the fluence. The controller may be electrically coupled with the modulator and adapted to include instruction to cause the modulator to pulse the laser with a first set of operational parameters, and while the laser is pulsing, pulse the laser with a second set of operational parameters.

Abstract: Laser catheter systems include catheters, mandrels, guidewires, and fiber optics configured to reduce or remove occlusions in a lumen or vessel of a patient. Rotation or translation of a mandrel, a guidewire, or a catheter can induce relative rotational or translational movement between the mandrel or guidewire and the catheter body, and can cause the distal end of the catheter body to rotate or traverse off of a central axis, such as a central longitudinal axis of a proximal or unbent portion of the catheter body, so as to cause ablation energy from the optical fibers to move in an arc or path.

Abstract: A method for detaching an object from a patient includes providing a tool having a sheath, and a separating assembly operably coupled to a distal end of the sheath. The separating assembly includes a separator moveably coupled to a tip via a threadable connection. The separating assembly is placed near patient tissue that is attached to the object, the sheath is rotated to move the separator distal to the tip, and the separator is applied to the patient tissue that is attached to the object, so as to separate the tissue. A separating system includes a sheath, and a separator threadably coupled with a distal end of the sheath. The separator is adapted to switch between a first configuration where a separating means is deployed, and a second configuration where the separating means is undeployed.

Abstract: Methods of advancing a laser catheter across an occlusion are described. They may include the steps of advancing a guidewire through a first proximal lumen and a distal lumen of the catheter into a first region of the occlusion, retracting the guidewire from the distal lumen, and advancing a diagnostic device from a second proximal lumen of the catheter to examine the occlusion. The methods may also include retracting the diagnostic device from the distal lumen and advancing the guidewire through the distal lumen. The laser catheter may be activated to create a lumen through the occlusion.

Abstract: Systems and methods for separating an object such as a pacing lead from a patient tissue involve a flexible and torqueable shaft having an internal lumen sized to receive the object, and a hard separating mechanism for separating the object from the tissue. Typically the shaft and separating mechanism are advanced along or toward the object, and the separating mechanism is contacted with the tissue. The shaft is rotated to effect separation between the object and the tissue. The systems and methods are well suited for use in cardiac pacing or defibrillator lead explant procedures.

Abstract: A clip having a main member with a first side, a second side, a first end, and a second end. A first substantially planar member has a first end connected to a first end of a second substantially planar member. The outside of the vertex formed by the substantially planar members is connected to the first side of the main member intermediate the ends of the main member. In use, the substantially planar members contact the rear and outside edge of a frame for a canvas. A short hook is connected to the first end of the main member and, in use, presses against the front of the frame. And a long hook is attached to a second end of the main member and, in use, presses against the inside edge of the frame. A variety of attachments may be made to the second side of the main member.

Abstract: A guide wire for a catheter has a tubular portion with a flexible body fixed to its distal end. The distal end of the body may be composed of a radiopaque material. Optical fibers are disposed within the assembly and terminate in a radiopaque tip at the distal end of the body. The guide wire may have a longitudinal marker wire or mandrel for providing stiffness and radioscopic tracking characteristics, as well as providing torsional control and tip shaping capabilities. The guide wire has a proximal end attached to the tube and a distal end that also terminates in the tip. The wire may be maneuvered in a vascular area like a conventional guide wire and may be used in conjunction with a support catheter to increase its maneuverability. Then, laser energy is conveyed to the vascular area by the optical fibers to ablate an obstruction. The proximal end of the guide wire is then removed and a larger catheter may then be slid over the guide wire to continue the ablation operation.

Abstract: Devices and associated methods for removing scored edge strips from computer printout sheets. A base member of one device carries an open ended, outwardly opening, channel through which the edge strips and sheets are pulled together to separate the strips by drawing the score line against a tearing plate outstanding centrally within the channel. The tearing plate includes a blunt V-shaped portion to facilitate tearing. The device may be employed to simultaneously remove the edge strips from a single sheet or from a stack of several.

Abstract: A guide wire for a catheter has a tubular portion with a flexible body fixed to its distal end. The distal end of the body may be composed of a radiopaque material. Optical fibers are disposed within the assembly and terminate in a radiopaque tip at the distal end of the body. The guide wire may have a longitudinal marker wire or mandrel for providing stiffness and radioscopic tracking characteristics, as well as providing torsional control and tip shaping capabilities. The guide wire has a proximal end attached to the tube and a distal end that also terminates in the tip. The wire may be maneuvered in a vascular area like a conventional guide wire and may be used in conjunction with a support catheter to increase its maneuverability. Then, laser energy is conveyed to the vascular area by the optical fibers to ablate an obstruction. The proximal end of the guide wire is then removed and a larger catheter may then be slid over the guide wire to continue the ablation operation.

Abstract: An apparatus for ablating biological tissue having a deflectable ablation area including an elongated catheter having a distal end, a proximal end, and an elongated body portion. A plurality of optical fibers extend between the proximal and distal ends of the catheter. The distal ends of all of the plurality of optical fibers define an ablation area at the distal end of the catheter. The catheter includes a device for selectively deflecting the distal ends of all of the optical fibers so that at least a portion of the ablation area extends beyond an area defined by the cross-sectional area of the catheter while the amount of light energy over the entire ablation area remains constant.

Abstract: A fiber optic catheter has a short guide wire lumen (less than 10 cm) extending in a proximal direction from its distal end and an intermediate portion reinforced with a tapered mandrel which provides optimal steerability and trackability characteristics. The distal end of the mandrel is coextensive with a proximal portion of the guide wire lumen. The intermediate portion of the catheter may have a marker for visual identification, and the tip of the catheter may include a radiopaque tip marker band for fluoroscopic identification. The short guide wire lumen catheter provides superior flexibility, a low profile, and low-friction engagement with the guide wire.

Abstract: A catheter having an outer wall of tubular shape, a cylindrical marker attached to the distal end of the catheter. The marker band includes markings for identifying the axial, rotational and yaw position of the catheter distal end when it is located in a body and viewed fluoroscopically.

Abstract: The present invention is a turn limiter for a catheter with a twistable tip. The catheter having a flexible wall for use in complex twisting anatomy contains a torque wire or a torquable guide wire lumen. The torque wire or torquable guide wire lumen extends through the length of the catheter and is attached to the catheter at or near the distal end thereof. The proximal end of the torque wire protrudes from the proximal end of the catheter and is attached to a turn limiter. Rotation of the turn limiter imparts a torque to the torque wire or torquable guide wire lumen. The turn limiter allows limited rotation of the proximal end of the torque wire or torquable guide wire lumen without axial dislocation. The turn limiter may have a feature for indicating the amount of torque applied to the torque element.

Abstract: This invention is directed to an intraluminal catheter, such as a dilatation catheter for angioplasty procedures, having a inner lumen which is adapted to receive a guidewire therein and to deliver inflation liquid to an inflatable member and which is provided with sealing means to prevent the loss of inflation fluid through the guidewire port in the distal end of the catheter. The sealing means is actuated by inflation fluid under pressure which is introduced into the interior of the guidewire receiving inner lumen.

Abstract: A device for holding artists' brushes and the like having two pairs of opposed rows of reeds with their tips in close proximity, the reeds deflecting to support the handle of the brush at spaced apart points. The device permits the brushes to be stored horizontally to prevent draining of wet paint onto the handles, or in other attitudes that may be preferred by the user.

Abstract: A face and nose wiper holder for skiers, adapted for attachment to the lower arm of the skier and having a retractable cover exposing the wiper for use by the skier without removal from the holder. The holder is adapted for use of facial tissue sheet wipers or of pre-packaged absorbent pad wipers. According to another aspect of the invention, the wiper holder may be adapted for use upon the wrist of one of the skier's gloves.

Abstract: A diaper for use upon an infant, comprising a sealed chamber for retaining excess liquids, formed between two moisture impervious sheets spaced apart by absorbent wadding, the innermost sheet having an opening therethrough for entry of the liquids into the reservoir. The diaper may further comprise a layer of conventional diaper wadding on the inside face of the innermost impervious sheet. The liquid capacity of the chamber is substantially greater than that of conventional wadding alone, so that diaper changes are needed less frequently. The infant is substantially protected from wetness by the barrier sheet.