Abstract: The present invention is directed toward an ultrasonography apparatus for measuring and/or monitoring hemodynamic activity, such as blood flow. The present invention comprises a doppler ultrasound unit, one or more transducers, and a portable body.

Abstract: An ultrasonic diagnostic apparatus and method are disclosed that use a contrast echo method, which can obtain an ultrasonic image indicating proper blood flow directions and distinguishably showing blood flow, enhancement in parenchyma and tissues with no enhancement. A method is performed with low mechanical index transmission to create B-mode, velocity and power signals and these signals are compared to determine a value for each pixel. Thus, tissues with no contrast-enhancement can be displayed with the B signal value in gray scale, parenchyma with contrast-enhancement with P and/or V values in dark green, slow blood flow (such as a vein) with P and/or V values in bright green and fast blood flow (such as an artery) with P and/or V values in red or blue according to the direction of the flow.

Abstract: A needle guide system for a medical imaging instrument comprises a needle guide assembly (1, 2) and a mounting assembly (3, 4, optionally 5) for attaching the needle guide assembly to a transducer, the mounting assembly comprising self-destroying means effective on dismounting. The mounting assembly comprises an attaching clip (4) mountable on a transducer directly or via an adapter (5), and a locking clip (3) mountable on the attaching clip from which it can be dismounted easily only by breaking indications of fracture comprised by the attaching clip. The needle guide assembly (1, 2) comprises a revolver (1) capable of receiving needles of varying diameter and a journal clip (2) by which it is mounted on the locking clip (3).

Abstract: An apparatus for evaluating a degree of arteriosclerosis of a living subject, including: a pulse-wave detecting device adapted to be worn on a first portion of the living subject; a pressing device adapted to be worn on a second portion of the subject located on a distal side of the first portion, for pressing the second portion so as to restrict a flow of blood at the second portion; and an arteriosclerosis-related information obtaining device which obtains arteriosclerosis-related information used for evaluating said degree of arteriosclerosis of the subject, based on a peak point of an incident-wave component, and a peak point of a reflected-wave component, of a pulse of a pulse wave that is detected by the pulse-wave detecting device in a state in which the flow of blood is restricted by the pressing device.

Abstract: A skin patch includes first and second layers of material and a telesensor sandwiched between the first and second layers. The first layer has a coating of skin-compatible adhesive material on its face that is remote from the second layer.

Abstract: A blood collection device includes a syringe assembly containing a slidable needle assembly within the cavity of a syringe body. The syringe body has a syringe top for receiving a seal assembly wherein the seal assembly is reversibly locked to the top of the syringe top. Within the insertable tube of the seal assembly is an occluding seal secured within the insertable cylinder with retaining rings. The occluding seal allows blood to flow from on end of a double pointed needle into a fully inserted collection tube. When the collection tube is removed the occluding seal keeps blood from flowing into the cavity of the insertable cylinder.

Abstract: The present invention provides an apparatus and a method for stretching a human body in a substantially horizontal attitude. The apparatus places the body under a predetermined tensile load, uniformly distributed over the length of the body. The apparatus applies the loading force gradually in order avoid shock loads on the body. The apparatus may be operated easily and safely by the user, without assistance from another person.

Abstract: A cushion/backrest including an integrated reading lamp tethered at the end of a flexible member is disclosed for providing the user with a source of light for reading or watching television. The cushion may also include built in massage motors for providing the user with a massaging action to the back. Controls for adjusting the massaging action and the reading lamp may be incorporated in an armrest.

Abstract: A massaging device having a track comprising two rails. The rails comprise a first V-shaped raceway spaced apart from a second raceway. The device includes a carriage that causes a massaging unit comprising a pair of massaging to move back and forth along the rails. Coupled to the carriage are a pair of guide wheels having diamond-shaped cross-section, and engaging the first raceway. A biasing wheel if pivotally coupled to either side of the carriage and spring loaded in a direction away from the guide wheels as to engage the second raceway and maintain the carriage within the rail. The massaging unit comprises a pair of massaging members that are mounted to a rotable shaft in such a fashion as to perform a finger pressure-like massage or a tapping massage.

Abstract: An ingrown toenail curing kit includes a resiliently compressible material. A liquid adhesive is positioned in a container. An elongated implement has a first end and a second end. The material may be positioned under a toenail with the elongated implement. The material may be secured under the toenail with the adhesive until the toenail has properly grown out.

Abstract: A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue.

Abstract: Systems and methods for creating space within the chest cavity to more easily perform minimally invasive cardiac procedures.

Abstract: Disclosed is an instrument that can be inserted into the human body, this instrument being provided with at least one channel for a fluid and, in particular, a gas which is introduced into the inside of the body. The present invention is distinguished by the instrument being provided with a heating means.

Abstract: Cannulas for surgical and medical use expand along their entire lengths. The cannulas are inserted through tissue when in an unexpanded condition and with a small diameter. The cannulas are then expanded radially outwardly to give a full-size instrument passage. Expansion of the cannulas occurs against the viscoelastic resistance of the surrounding tissue. The expandable cannulas do not require a full depth incision, or at most require only a needle-size entrance opening. In one embodiment of the invention, the cannula has a pointed end portion. In this embodiment of the invention, the cannula includes wires having cores which are enclosed by jackets. The jackets are integrally formed as one piece with a sheath of the cannula. The cannula may be expanded by inserting members or by fluid pressure. The cannula is advantageously utilized to expand a vessel, such as a blood vessel. An expandable chamber may be provided at the distal end of the cannula.

Abstract: A device for externally retaining a gastrostomy feeding tube comprises a clip. In one embodiment, the clip is a generally rectangular, unitary structure shaped to include a first end wall, a second end wall spaced apart from and extending parallel to the first end wall, a lower wall extending perpendicularly between and interconnecting the first end wall and the second end wall, and an upper wall having a first end connected to the first end wall and a second end spaced apart from the second end wall. The first end wall, the second end wall, the lower wall and the upper wall together define a tubing storage cavity, with the space between the upper wall and the second end wall defining an inlet to the tubing storage cavity. The first end wall has a top surface, a bottom surface and a bore extending between said top surface and said bottom surface.

Abstract: A protecting cap structure for the needle of a syringe, wherein, the structure is provided with a protecting sleeve having a receiving space for receiving a needle. The protecting sleeve is comprised of a foldable cover and a cylindrical extendible member connected with each other; the cylindrical extendible member is a hollow cylinder, the shank of the cylindrical extendible member has a compression portion; a pair of foldable portions are provided in neighboring to the compression portion; the foldable cover is in the shape of a semi-cylinder, one end of the foldable cover is connected with the cylindrical extendible member, in order that when the cover is folded to close, it cooperates with the cylindrical extendible member to envelop and fast envelop the needle to prevent the needle from accident stabbing.

Abstract: A dialysis catheter comprising a catheter body having a proximal portion, a distal portion, a first longitudinally extending central lumen configured to deliver blood, and at least three longitudinally extending lumens positioned radially of the central lumen and configured to withdraw blood from a patient. At least one blood delivery opening is formed in the distal portion of the catheter body and in fluid communication with the first lumen and configured for passage of blood therethrough. At least three blood withdrawal openings are formed in the outer wall of the catheter body, wherein each of the openings is in fluid communication with one of the at least three lumens and is configured for passage of blood from a patient.

Abstract: A female urinary system comprises an appliance including a hollow open top urine receiving body having a peripheral rim for fitting under the urethra. The body includes a receiving portion which would be located below the urethra and which merges into a discharge bowl having a discharge opening leading to an integral downwardly extending discharge tube. The discharge tube preferably has a spiral groove in its outer surface to permit the tube to bend without kinking or otherwise cutting off flow through the tube. The appliance also includes a vent located at the highest portion of the appliance. The vent includes a vent hole extending completely through the wall of the appliance and a vent groove leading from the hole to the spiral groove. The central axis of the urine receiving body is at an obtuse angle with respect to the longitudinal axis of the discharge tube.

Abstract: A flange for a medical collecting bag having an aperture allowing bodily fluids or exudates to enter the bag. The flange has an inner rim delimiting the aperture therein, and a central area encircling the aperture, which area has a predetermined weakening line pattern. The force needed for removing the bag flange from the skin or a body side member is smaller than the force needed for breaking the weakening lines which enables a simple gradual enlargement of the aperture of an ostomy device for adaptation of the aperture to the size of the stoma or for adaptation of the aperture to the size of a wound, as well as a complete removal of the bag flange when substituting the bag.

Abstract: The invention relates to an absorbent product with a longitudinal direction and a transverse direction, two side edges (109, 110) extending essentially in the longitudinal direction, a front portion (114), a rear portion (115), a first surface and a second surface, and an absorption body (105) arranged between the first surface and the second surface. The absorption body (105) has a liquid storage area (106), and a secondary absorption area (107), the secondary absorption area (107) comprising portions which completely surround the liquid storage area (106) in the plane of the product, the liquid storage area (106) accounting for at least 75% of the total absorption capacity of the product, and a liquid-impermeable material layer (104) being arranged on the second surface of the product and essentially only within the liquid storage area. The invention also relates to a method of producing the absorbent product.

Abstract: The present invention provides a pre-expanded tampon pledget formed from cellulosic absorbent fibers. The fibers are not tightly compressed, thus, the pledget has a reduced fiber density. As a result, a softer, more pliable pledget is formed that not only increases user comfort during use, but also affords a user with comparable and/or increased leakage protection over conventional tampons or tampon pledgets.

Abstract: A process and system for maintaining a position of a feminine-care treatment (86) includes a providing of an operative quantity of at least one feminine-care treatment material (86), and a depositing of the treatment material into a vulva-vaginal area of a recipient, female user. A maintenance article, such as provided by an interlabial device (40), is placed into an interlabial space of the user. The maintenance article (40) is configured to operatively impede an undesired movement of the treatment material (86) from the vulva-vaginal area when the interlabial device is placed in the interlabial space of the user. In a particular aspect, the maintenance article (40) can include a liquid-permeable topsheet layer (62), and a pliable core (66) which operatively joined to the topsheet layer (62).

Abstract: An apparatus and methods are disclosed for purifying fluid, such as potable water, to quality levels suitable for medical application, particularly to applications involving injection of the fluid into a human body. The apparatus comprises a portable purification pack constructed for a single use. The pack houses depth filtration, activated carbon, mixed bed ion exchange resins and terminal filtration stages in series. The terminal filter comprises a fine (microfiltration or ultrafiltration), permeable membrane, treated with an endotoxin-binding chemistry. In contrast with semi-permeable osmotic membranes, the permeable membrane produces high flow rates at relatively low pressures, while still safely purifying fluid to injection quality.

Abstract: I.V. catheter assembly was a catheter with a distal needle for insertion into a blood vessel a portion of the catheter. An adapter with a self-sealing or self-closing plug is connected to the catheter, proximally of the distal needle. A proximal needle that can couple to the distal needle is in a guard tube on the other side of the plug. In use the proximal needle is pushed through the plug and into coupling engagement with the distal needle so the distal needle can be inserted into a blood vessel. The coupled needles are then withdrawn and shielded in the guard tube. The guard tube is then disconnected from the adapter and the adapter can be used to discharge blood from, or supply fluid to the blood vessel.

Abstract: The present invention relates to a connector element for connecting lengths of tubing, cannulas and catheters to a second connector element. The connector element includes a sealing part that is movable relative to a flow conduit portion of the connector, and which enables the conduit to be sealed with respect to the ambient atmosphere. A sterile connection is therefore ensured.

Abstract: An automatic pullback catheter system (2) includes a disposable catheter assembly (6) mountable to a drive assembly (4). The drive assembly includes a body (8) to which a drive chassis (14) is mounted for movement along a longitudinal path (16) by a motor (20) which rotates a longitudinal drive screw (22) selectively coupled to the drive chassis by a threaded clamp (24). A rotary drive motor (30), mounted to the drive chassis, rotates a first combined connector (34). The catheter assembly includes a hollow sheath (38) housing a rotatable and axially movable cable assembly (44). The sheath includes a proximal hub (42) mountable to the body. The cable assembly includes an elongate imaging cable (46) with a second combined connector (36) at its proximal end. The first and second combined connectors are blind matable connectors and provide for the longitudinal movement coupling, the rotary movement coupling and the data/information connection of the two connectors.

Abstract: A tubular treatment tool for an endoscope includes a flexible tubular member. A groove traversing the flexible tubular member in a direction of a diameter thereof is formed on the flexible tubular member. An operation wire is inserted in the flexible tubular member. The operation wire is movable relative to the flexible tube along an axis of the flexible tube. The distal end of the operation wire is secured to the flexible tube at a position on a distal end side with respect to the groove.

Abstract: A device readable medium for use in controlling a laser vision correction system includes a storage structure having stored therein a pre-programmed first, readable, corrective instruction reference that corresponds to an encoded customized corrective instruction determined by a calculation module external to the medium. The encoded customized corrective instruction is executable by a laser vision correction laser platform for correction of a refractive defect when the corrective instruction reference is properly recognized. A laser vision correction system including the device readable medium is described. A remunerative model relating to the device readable medium is disclosed.

Abstract: Balloon catheters according to the present invention have surface contours with protrusions and grooves to make non-continuous lesions. There is a heating element inside the balloon. The balloon will be filled with a fluid before ablation to expand the balloon for tissue contact, and to transfer heating energy from the heating element to the tissue in contact with the balloon. Since the balloon surface has contours with grooves and protrusions, the tissue contact will not be continuous along the balloon surfaces, and therefore the ablation on the tissue will not be continuous. The energy transmitter can be ultrasound transducer, electrical resistant heater, and microwave antenna.

Abstract: A method of preparing and ablating heart tissue includes a pre-treatment step of delivering a jet of conductive fluid to a portion of heart tissue. The conductive fluid is delivered using an injection device such as a hand-held jet injector, probe, or catheter. After injecting the heart tissue with the conductive fluid, RF energy is delivered to the site of the injection to form a lesion. The method enables a physician to produce large and accurately placed lesions within the treated tissue.

Abstract: An intravascular device for the formation of linear lesions which has particular utility in the treatment of atrial fibrillation and flutter. The intravascular device has an outer delivery member with a distal section which has an elongated opening and a support element coextending with the opening. An EP device having a plurality of electrodes on its distal section is slidably disposed within the inner lumen of the delivery member but it is secured by its distal end within the distal extremity of the delivery member at least while in operation. In this manner an axial force in the proximal direction on the proximal extremity of the EP device, which extends out of the patient during the procedure, will cause the distal shaft section of the EP device to arch outwardly out of and away from the distal section of the delivery shaft along an inner side of the curved distal section and engage the surface of the patient's heart chamber.

Abstract: A catheter introduction apparatus provides a radially expandable helical coil as a radiofrequency emitter. In one application the emitter is introduced percutaneously, and transseptally advanced to the ostium of a pulmonary vein. The emitter is radially expanded, which can be accomplished by inflating an anchoring balloon about which the emitter is wrapped, in order to cause the emitter to make circumferential contact with the inner wall of the pulmonary vein. The coil is energized by a radiofrequency generator, and a circumferential ablation lesion is produced in the myocardial sleeve of the pulmonary vein, which effectively blocks electrical propagation between the pulmonary vein and the left atrium.

Abstract: A surgical instrument and method for forming a passage in bone having an enlarged cross-sectional portion is provided. The instrument includes an elongate member and a cutting element engaged thereto and transitionable between a retracted configuration for extending through a first portion of the passage and an expanded configuration for forming a second portion of the passage having an enlarged cross-section. In one embodiment, the cutting element is transitioned between the retracted and expanded configurations by axially displacing the cutting element relative to the elongate member. In another embodiment, the elongate member includes a tapping thread configured to cut threads along the first portion of the passage, and the cutting element is a blade configured to form the enlarged cross-section when transitioned to the expanded configuration.

Abstract: A device for aligning a guide template used in resecting a distal femur in a one-compartment joint replacement. The device includes first and second support members (12;5), at least one rod-like transverse coupler (10;12), and a guide template (20). The support members each include a support surface (3;6) that is adjustable to lie in one plane (1) and designed to bear against one condyle (24;25) of a femur (21). The transverse coupler is arranged parallel to a transverse axis (2), which, in its end portion, is connected to the first support member (12) and is releasably connectable to the second support member (5). The transverse axis (2) extends parallel to a plane (1). The guide template (20) is displaceable parallel to the plane (1) relative to the second support member (5) and releasably lockable thereon.

Abstract: A tube body includes an interior bore to carry a material flow into bone. The tube body includes a dispensing end having an opening communicating with the bore to dispense the material flow. One embodiment provides a cutting element, which extends in the opening to permit passage of the material flow and to sever the material flow in response to rotation of the tube body. Another embodiment deflects the dispensing end from the main axis of the tube body, to facilitate targeted introduction of flowable material, even when the access path does not align the tube body along the natural geometric axes of the treatment site. Another embodiment provides a connector having a rotating fitting, which releasably connects the tube body to a cement injecting tool. The rotating fitting allows the physician to rotate the injection nozzle assembly to control orientation and position in the treatment site, without rotating the associated injection tool itself.

Abstract: A spinal implant insertion instrument for intervertebral implant surgery formed from a hollow first element of various external diameters, including a channel to accommodate and incorporate a vertebral pedicle, and a second element joined by a hinge to the first element, allowing reduction of the external diameter of the leading edge of the spinal implant insertion element sufficient to allow the passage of the spinal implant insertion instrument into the intervertebral disc space in a safe fashion, as the first maneuver, to be followed by activation of the second element upon the first, restoring the internal diameter of the spinal implant insertion instrument to a sufficient radius to allow successive passage of cutting, reaming, tapping instruments, and subsequent implantation of a spinal interbody implant device.

Abstract: A force applying surgical system is provided for use to assist in the insertion and/or removal of a surgical tool or a device attached thereto from an orthopedic structure. This surgical system comprises a medical impacting device that mates with a surgical tool such that the impacting device can be manually reciprocated along an axis of the tool to forcefully impact the impacting device on a portion of the tool. The impacting device can generate a distally directed force for inserting the tool (and/or an attached device) into an orthopedic structure, or it can generate a proximally directed force to remove the tool (and/or attached device) from an orthopedic structure.

Abstract: An endoscopic surgical device for retrieving severed tissue or foreign bodies from within a subject is disclosed. The device comprises a support unit and a tissue retrieving net system. The net system is carried by the support unit and may be inserted into the subject through an orifice or small incision and operated to retrieve tissue that has been severed by a conventional method. The net system comprises a net, a net actuator, a net deployment and retrieval assembly for transmitting motion between the net and its actuator. The net system further comprises at least one net connector disposed such that only one connector is within an articulation zone, defined by locations of severe bending of the device during operation.

Abstract: A medical retrieval device for retrieving foreign objects from a patient and the method of constructing the device are disclosed. The device incorporates a wire cable composed of a precursor alloy to a superelastic material to improve durability of the device. Because precursor alloys exhibit a linear stress-strain relationship and a yield point associated with a relatively high stress level, the device transfers greater stresses before experiencing deformation. Thus, greater crushing forces can be achieved using a device of this type. These crushing forces may be needed when the foreign object is too large to remove intact. This property also facilitates the device in dilating ducts to retrieve foreign objects. Using the precursor alloy additionally eliminates the need for heat treatment of the cables used in constructing the device. A retrieval device made of precursor alloy cable also is less susceptible to permanent deformation and unwinding during use.

Abstract: A suture buttress comprises a hollow tube having an outer surface and opposed ends. The suture buttress may further include an external securing element, such as a securing tab suitable to retain the suture buttress within a bone tunnel. The suture buttress may also include a resilient flange disposed on one end of the suture buttress.

Abstract: A clipping apparatus comprises a clip capable of being arbitrarily opened/closed, a stop tube for closing the clip, a link member capable of being inserted into the stop tube, and engaged with the clip, a sheath section capable of housing the clip and the stop tube therein, and a manipulating wire inserted into the sheath section. This clipping apparatus further comprises a hook section for, when the clip and the stop tube is protruded frontally of the sheath section, causing the sheath section and the stop tube to be engaged with each other, and disabling the stop tube from being housed in the sheath section again.

Abstract: Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting a fluid-impervious sealing element with a lateral flange and central stem into the vessel through the puncture. An anastomosis of a graft vessel over the puncture is partially completed with the central stem of the sealing element protruding through the partial anastomosis. A removal instrument attaches to the central stem and retrieves the sealing element that disassembles in helical disassociation of the flange and stem into a continuous strand that is withdrawn from the partial anastomosis prior to completion of the procedure.

Abstract: A distal tip for a catheter which is defined by a matrix and at least one stripe. The matrix is defined by at least one matrix material, and the at least one stripe is defined by at one stripe material. The predetermined hardness of the at least one stripe material has a greater durometer value than the predetermined hardness of the at least one matrix material.

Abstract: A surgical instrument has a tool located at the distal instrument end, a stationary first grip part at the proximal instrument end, a second grip part adjustable in an axially guided manner in the form of a reel, and an actuation element for the tool. The actuation element in connection with the second grip part is axially adjustable on adjustment of the second grip part. For improving the handling of the instrument, it is envisaged that, by way of a lever system linked onto the second grip part and a stationary part of the instrument, the adjustment path of the second grip part is geared down and the force exerted onto the second grip part is transmittable, geared up, to the actuation element.

Abstract: An implant delivery system is disclosed. The delivery system includes an elongated member having an implant mounting location. A self-expandable implant is mounted at the implant mounting location. The implant is held in a compressed orientation by a retractable sheath. An interlock structure prevents the implant from deploying prematurely as the sheath is retracted. The interlock structure includes radio-opaque markers that identify the position of the implant.

Abstract: A tubular graft/stent comprises a tubular sheath having at intervals along its length a plurality of ring-like rigid members, which are attached to the sheath around their respective circumferences and are made of a shape memory material, so that when the members change shape the sheath adopts a new cross section in conformity with the members along the sheath's whole length. The members may be discontinuous to allow the adoption of a contracted shape in the martensitic phase and an expanded shape in the austenitic phase. A graft may also have a branched side tube which can be inverted so as to be housed within the sheath.

Abstract: An intraluminal grafting system having a delivery catheter comprising a flexible elongate tubular member having proximal and distal extremities and a capsule mounted on the distal extremity of the tubular member and including a graft disposed within the capsule. The graft is comprised of a tubular body configured to be secured to a blood vessel by a self expanding attachment system. The attachment system comprises a generally sinusoidal wire frame having apices which extend longitudinally outward from the end of the tubular body apices which are secured within the tubular body. Both the protruding apices and the base apices are formed with helices which bias the attachment system radially outward. The attachment system further includes a plurality of lumen piercing members that are oriented in a responsive relationship to the radially outward bias of the attachment system.

Abstract: Stent designs for use in peripheral vessels, such as the carotid arteries, are disclosed. The stents consist of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting members placed so that the stent is flexible in a longitudinal direction. The cylindrical elements are generally serpentine wave pattern transverse to the longitudinal axis between alternating valley portion and peak portions, the valley portion including alternating double-curved portions and U-shaped portions. The interconnecting members are attached to the double-curved portions to connect a cylindrical element to an adjacent cylindrical element and interconnecting members are attached to the U-shaped portions to connect the cylindrical element to the other adjacent cylindrical element. The designs include an eight crown and six crown stent which exhibit flexibility and sufficient radial strength to support the vessel.

Abstract: A prosthetic device for sustaining a vessel or hollow organ lumen (a stent) having a tubular wire frame (1) with rows of elongate cells (2) each having a larger axis and a smaller axis. The cells are arranged with the larger axis in the circumferential direction of the frame (2) and the smaller axis parallel to the axial direction thereof. Each cell is formed by two U-shaped wire sections, and in a plane perpendicular to the longitudinal axis one of the branches of the U-shaped wire sections in one row form together a closed ring shape (4) which provides the frame (1) with large radial stiffness. In the axial direction the frame (1) has only low stiffness so that it easily conforms to the vascular wall even if this deforms due to external loads. The interconnection between the cells (2) may be flexible.

Abstract: Graft delivery systems and methods for performing a cardiac by-pass procedure using a graft or a mammary artery are described. A combination of catheters and guide devices through the aorta, coronary artery, and the thoracic region can be used to accomplish these procedures.