Abstract: An apparatus and method for exchanging a first intravascular catheter of the over-the-wire type, such as an angioplasty balloon dilation catheter, with a second intravascular catheter of the over-the-wire type while leaving a guide wire in position in a desired vascular site. The apparatus is used in conjunction with a conventional guide catheter, a guide wire, and an interventional catheter that can be positioned intravascularly through a lumen of the guide catheter over the guide wire and past a distal end of the guide catheter to a desired vascular site. The apparatus includes an elongate shaft that can be removably positioned in the lumen of the guide catheter and has an actuation capability therein. A trapping member is located at a distal portion of the elongate shaft for releasably fixing the relative position of the guide wire with respect to the guide catheter.

Abstract: A check valve for controlling flow between a low-pressure reservoir and a source reservoir has a pin and an associated diaphragm. The pin has a shaft portion which is attached adjacent to the low-pressure reservoir and a closed head portion. The shaft of the pin has a central channel which opens into the low-pressure reservoir and is connected to the outer surface of the pin by at least one opening in the pin. The diaphragm is made of an elastomeric material and is disposed to tightly fit around, and bias against the surface of the pin. The diaphragm seals around the opening in the pin and is elastically deformable by a predetermined positive pressure to define a pathway from the high-pressure source into the opening in the pin and ultimately into the low-pressure reservoir.

Abstract: The present invention relates to a guide catheter system for guiding an angioplasty balloon catheter into a patient's vascular system. The guide catheter system includes a guide catheter and a distal guide catheter extension tube. The guide catheter constitutes an elongated tube, while the guide catheter extension constitutes a distal, smaller diameter extension for the guide catheter. The guide catheter extension is adapted to extend from the guide catheter to an extent possibly sufficient to reach the stenosis in a coronary artery. A fixed wire angioplasty balloon catheter is advanced through the guide catheter and guide catheter extension to the stenosis for treatment thereof. Efficient and easy exchange of the balloon catheter is achieved because the guide catheter extension remains in place when the balloon catheter is withdrawn proximally, so that a path remains to guide another balloon catheter to the stenosis for treatment thereof.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A Y-adaptor manifold assembly includes a main tubular segment adapted to be coupled to an intravascular catheter. A first, tubular side port is joined to the main tubular segment so as to be in fluid communication with a through passage of the main tubular member. The first side port forms an infusion port for radiopaque dye. A second, tubular side port is joined to the main tubular segment so as to be in fluid communication with a through passage of the main tubular member. The second side port and main tubular segment are adapted to receive dilatation catheters. To prevent backbleeding, the second side port and main tubular segment include passive hemostatic valve mechanisms. Each valve mechanism includes a valve member and a disk valve. The valve member has a normally closed, sealed state, an open state and an in-use sealed state. The valve member has an inherent tendency to move to its normally closed, sealed state or its in-use state (wherein the valve member conforms about the dilatation catheter).

Abstract: The present invention relates to a guide catheter system for guiding an angioplasty balloon catheter into a patient's vascular system. The guide catheter system includes a guide catheter and a distal guide catheter extension tube. The guide catheter constitutes an elongated tube, while the guide catheter extension constitutes a distal, smaller diameter extension for the guide catheter. The guide catheter extension is adapted to extend from the guide catheter to an extent possibly sufficient to reach the stenosis in a coronary artery. A fixed wire angioplasty balloon catheter is advanced through the guide catheter and guide catheter extension to the stenosis for treatment thereof. Efficient and easy exchange of the balloon catheter is achieved because the guide catheter extension remains in place when the balloon catheter is withdrawn proximally, so that a path remains to guide another balloon catheter to the stenosis for treatment thereof.

Abstract: An inflation device includes a syringe forming a cylindrical chamber containing a plunger carrying a stopper or piston arrangement. The chamber is designed to contain an inflation fluid and is in fluid communication with the lumen of a balloon catheter. Movement of the plunger within the chamber will increase or decrease the pressure of the fluid within the chamber and lumen, thereby inflating or deflating the balloon at the distal end of the catheter. A pressure sensor is mounted to the housing in fluid communication with the lumen and is electrically connected to a battery-operated transmitter. The transmitter broadcasts signals representing pressure within the lumen and balloon to a remote receiver. The receiver includes a microprocessor containing a clock and operable to display time and pressure data. A flexible insulator strip is interposed between the battery and the transmitter circuit to prevent operation of the transmitter until desired by the cardiologist.

Abstract: A guide catheter in which the components of the hub include a ratchet mechanism that is operative to lock the hub components together and compress an integral flange of the catheter shaft therebetween to form a seal between the hub and catheter shaft without the use of bonding agents that will not become loosened accidently or inadvertently.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A pressure device for use with a balloon angioplasty catheter includes a housing, a syringe body, rubber stopper and a pressure gauge. The rubber stopper is connected to a threaded plunger leading to a handle. The threaded plunger is engaged by a half nut. The half nut may also be disengaged. A forward located thumb button controls the engagement of the half nut with the threaded plunger. The initial operation of the thumb button also irreversibly illuminates the pressure gauge.

Abstract: A method for cleaning the interior surface of a Bourdon Tube-type pressure gauge including the steps of inserting a guide tool in a bore of the gauge stem, aligning the guide tool with a port connecting the Bourdon Tube with the bore, inserting a flexible tube through the guide tool and the port and into the Bourdon Tube, and dispensing a fluid to flush the interior surface of the Bourdon Tube.

Abstract: A manifold for a double lumen angioplasty balloon catheter has a first chamber connecting the balloon lumen to a first port, a second chamber connecting the guide wire lumen to a second port and a guide wire entry port, an adjustable guide wire seal and a mounting system for an alternative elastic diaphragm guide wire feeding device. An override system for the adjustable guide wire seal is also disclosed.

Abstract: A plastic stent for a prosthetic trileaflet heart valve consisting of a cylindrical body portion terminating at one end in three apical, spaced commissure posts, and at the other end, in a skirt comprising three arcuate extensions, each extension being provided with an interrupted channel adjacent the outer edge thereof. An optional metal ring may be mounted over the skirt adjacent the body portion. A cloth cover is secured to the stent by stitching directly through the skirt in the area of reduced thickness resulting from the interrupted channel.

Abstract: A system for storing a dry powdered drug component and a liquid in separate containers and mixing them immediately prior to injection. The system has a hypodermic syringe with an axially slidable stopper, and the syringe is coupled to a rigid tubular housing with a low friction vacuum movable piston. Simple reciprocation of the syringe stopper with an attached plunger having a laterally extending thumb pad or other graspable slip resistant surface automatically reciprocates the housing's low friction piston and causes quick and complete turbulent mixing. There is no need to turn the device over and over in the operator's hands to alternately squeeze or push opposite ends of the device.

Abstract: A system for storing a dry powdered drug component and a liquid in separate containers and mixing them immediately prior to injection. The system has a hypodermic syringe with an axially slidable stopper, and the syringe is coupled to a rigid tubular housing with a low friction vacuum movable piston. Simple reciprocation of the syringe stopper with an attached plunger having a laterally extending thumb pad or other graspable slip resistant surface automatically reciprocates the housing's low friction piston and causes quick and complete turbulent mixing. There is no need to turn the device over and over in the operator's hands to alternately squeeze or push opposite ends of the device.