Abstract: An adapter for an introducer comprises a medical device having a tubular port on a proximal end such as a splittable hemostatic valve. A tubular fitting is provided on a proximal end of the introducer. An elastomeric member is disposed between the port of the medical device and the tubular fitting of the introducer for providing a fluid tight and mechanically secure connection therebetween. The introducer and valve are manually connectable and reconnectable with each other while maintaining the fluid tight connection between them. A side port may communicate with the hemostatic valve, the side port having a controllable valve ending. In the preferred embodiment the introducer comprises a splittable introducer. In the illustrated embodiment the elastomeric member provides a slip fit between the medical device and the tubular fitting of the introducer. A tab extends from the tubular fitting of the introducer to facilitate manual manipulation of the tubular fitting.

Abstract: A balloon catheter, for use with an introducer, includes an outer catheter, a telescopically disposed resilient inner catheter and a high-aspect, distal, inflatable balloon having one end of the balloon coupled to the inner catheter and an opposing end of the balloon coupled to the outer catheter. The balloon is joined at its corresponding ends to the corresponding inner and outer catheters, so that the balloon, when inflated, buckles and twists the inner catheter inside the outer catheter. This creates forces which automatically return the balloon to the wrapped configuration when deflated. The balloon diameter to length aspect ratio is equal to or greater than 1. The balloon is wrapped around the self adjusting inner catheter extended from the outer catheter when the balloon is deflated so that the outer and inner catheters with the deflated balloon fit and are disposable through the introducer.

Abstract: A method comprises the steps of inserting a microneedle or micropuncture device into a body cavity to achieve a micropuncture into the cavity while reducing tissue trauma at a puncture site. A stepped or tapered guidewire having a reduced diameter distal portion is telescopically disposed through the inner diameter of the microneedle or Micropuncture device. A proximal portion of the guidewire has a diameter larger than the inner diameter of the microneedle or Micropuncture device and extends to a proximal end of the guidewire. The proximal portion is adapted for guiding a larger diameter instrument into and through the vascular system. The microneedle or micropuncture device is withdrawn from the micropuncture while leaving the distal portion of the guidewire extending through the micropuncture. The microneedle or micropuncture device is removed from the guidewire without removing the microneedle or Micropuncture device over the proximal end of the guidewire.

Abstract: The illustrated embodiment of the invention is directed to a sterile battery operated LED surgical light configured to be operated and manipulated during surgery attached to a surface which enters or is within a sterile field. The surgical light includes a sterile housing with a bottom surface and a front face adjacent to the bottom surface. A battery is disposed in the housing. An LED driver circuit is coupled to the battery and is disposed in the housing. At least one LED is disposed in the housing for transmitting light from the front face and is coupled to the LED circuit. A mechanism for powering the LED is disposed in the housing and is in circuit with the LED. A sterile self-adhesive backing is provided for releasably adhering to the surface within the sterile field. The backing is coupled to the housing.

Abstract: A class of introducers is comprised of a plurality of straight sections and at least two curved sections with a pre-determined sense of curvature preceded, separated and followed by the straight sections, which introducer is adapted by its shape to access the septal wall or apex of a heart. One of the plurality of straight sections is a distal-most straight section. The straight and curved sections define a predetermined three dimensional shape by means of the distal straight section lying out of plane with respect to the remaining curved and straight sections.

Abstract: A guidewire is positioned within the coronary venous system and a pacemaker implantation catheter is arranged and configured to track the guidewire without substantially altering the position of the guidewire. A balloon catheter is deployed to temporarily and selectively secure the balloon catheter within the coronary venous system. The balloon temporarily and selectively secures or wedges the guidewire and the balloon catheter within the coronary venous system. The anchored guidewire is free along its proximal length to serve as a guide for a pacemaker lead implantation catheter. In the illustrated embodiment the movable coupling of the guidewire and catheter comprises a distally located low friction slideable coupling. The invention also includes methods for using and deploying the above apparatus in the coronary venous system.

Abstract: A conductive guidewire having at least an exposed distal tip is endovascularly steered into an epicardial surface of a heart via the venous tributaries of the coronary sinus. A selected site is contacted by the tip of the guidewire and tested by means of the guidewire to determine suitability for permanent lead implantation. Implantation of the lead at the contacted site is contingent on the determination of the adequacy of all electrophysiological parameters. Testing includes the steps of determining the amplitude and slew rate of the local electrogram, generating an electrical stimulus, communicating the stimulus to the contacted site by means of the guidewire, sensing an electrophysiological response to the stimulus through the guidewire and determining that the pacing threshold parameters are appropriate. A permanent pacing lead is then chosen and guided by means of the guidewire to the contacted site and implanted.

Abstract: An adapter for an introducer comprises a medical device having a tubular port on a proximal end such as a splittable hemostatic valve. A tubular fitting is provided on a proximal end of the introducer. An elastomeric member is disposed between the port of the medical device and the tubular fitting of the introducer for providing a fluid tight and mechanically secure connection therebetween. The introducer and valve are manually connectable and reconnectable with each other while maintaining the fluid tight connection between them. A side port may communicate with the hemostatic valve, the side port having a controllable valve ending. In the preferred embodiment the introducer comprises a splittable introducer. In the illustrated embodiment the elastomeric member provides a slip fit between the medical device and the tubular fitting of the introducer. A tab extends from the tubular fitting of the introducer to facilitate manual manipulation of the tubular fitting.

Abstract: A universal pressure pad for femoral clamps capable of coupling with two or more clamps of different design is provided by a generally disc-shaped pad with a central joint or boss which has a cavity with an upper spherical ball socket and a lower conical socket. Therefore, an insertion element from a clamp having a ball socket snaps into the upper ball socket cavity to form a swiveling ball and socket combination. Similarly, an insertion element from an artery clamp which has a rigid conical pin is disposed through the spherical ball socket in the upper portion of the joint and extends into the lower frustoconical section of the cavity to provide a force fit with the pin.

Abstract: An permanent indwelling catheter is provided with a selectively inflatable exterior balloon valve to to seal one or more orifices defined in the catheter wall or tip. The longitudinal lumen may either comprise a single central axial lumen or a plurality of subdivided lumens within the catheter body. The orifices may be defined through the side wall of the catheter at variable points along its length and/or may be defined in the tip of the catheter. In embodiment, the expansible membrane is disposed in the proximity of a distal tip orifice and is inflated to completely fill the space of the tip and extend into the tip orifice to seal it. In yet another embodiment, the membrane valve, is comprised of two or more separate membrane portions which are simultaneously inflated against each other and adjacent surfaces within the catheter to provide a sealing wall and means for sealing the orifice.

Abstract: Soft tissue injury in a recuperating patient who has an implanted object or guide tube in a femoral incision is avoided or substantially reduced by preventing or reducing hip flexure. Hip flexure is avoided or reduced by immobilizing the knee of the leg in which the femoral incision has been made. The knee is immobilized by a device which prevents flexure of the knee. The knee is further immobilized by positionally fixing the knee, thereby preventing medial, anterior and posterior movements. An orthopedic knee immobilizer is utilized to prevent knee flexure. The orthopedic knee immobilizer is connected to a strap which in turn is fixed to the bed or surface upon which the recuperating patient lies. In this manner, unconscious or involuntary movements made during sleep which might otherwise cause severe hematomas in the groin or near the femoral incision are substantially avoided.

Abstract: An improved femoral arterial or venous compressive device includes a flexible pelvic apron positioned over the femoral vessels within the human pelvis. The pelvic apron is placed in position by means of a hip strap. The hip straps are led from the pelvic apron upwardly over the hip points, around the small of the back and down over the opposing hip point back to the pelvic apron. The pelvic apron thus hangs from the hip points of the pelvis much like an apron. A shaped mass or pellet is attached to the under side of the pelvic apron over the incision site of the femoral vessel. An elastically extensible groin strap is then attached to the pelvic apron in the proximity of the shaped mass and drawn tighly through the groin, around the back of the leg, under the buttocks and back upwardly to the pelvic apron in the proximity of the shaped mass. As a result, the tensile force is applied by the groin strap across the pelvic apron up to the hip point and also around the leg.

Abstract: An improved femoral aterial or venous compressive device is comprised of a flexible pelvic apron positioned over the femoral vessels within the human pelvis. The pelvic apron is placed in position by means of a hip strap. The hip straps are led from the pelvic apron upwardly over the hip points, around the small of the back and down over the opposing hip point back to the pelvic apron. The pelvic apron thus hangs from the hip points of the pelvis much like an apron. A shaped mass or pellet is attached to the under side of the pelvic apron over the incision site of the femoral vessel. An elastically extensible groin strap is then attached to the pelvic apron in the proximity of the shaped mass and drawn tightly through the groin, around the back of the leg, under the buttocks and back upwardly to the pelvic apron in the proximity of the shaped mass. As a result, the tensile force is applied by the groin strap across the pelvic apron up to the hip point and also around the leg.