Abstract: Apparatus with a pneumatic or hydraulic or mechanical therapeutic catheter. The therapy energy required to treat internal vessels of the patient is transferred by the same fluid or the same elements from the proximal end section to the distal end section of the catheter that transfer information from the distal end section to the proximal end section of the catheter. The information provides understanding of the estate of the vessel and how the therapy fluid of the therapy element of the catheter acts on the vessel.

Abstract: A method, system and apparatus for performing peritoneal dialysis are provided. To this end, in part, a frame of a disposable unit for a medical fluid system is provided. The frame includes a body having a pair of opposing sides and defining a space between the sides, and a number of membranes sealed to the body along the opposing sides. The body and the membranes form at least one medical fluid pathway in the space between the opposing sides, and the opposing sides are bowed.

Abstract: A method of making a catheter balloon, and a balloon catheter formed thereby, in which a layer of a catheter balloon is formed by providing a tubular member to serve as a non porous liner for cooperation with a polymeric tube, and enlarging radially a central or working section of the tubular member such that a first end of the tubular member is smaller in the radial direction with respect to the working section. The tubular member may also have a thickness at the working section that is less than a thickness of the first and second end portions. The first end section of the tubular member is bonded to a catheter shaft having a first outer diameter to form at least a portion of a skirt section of the balloon, and the second end section is bonded to the catheter shaft having a second outer diameter to form a portion of a skirt section, where the skirt sections have an improved high rupture pressure.

Abstract: The invention provides devices and methods for identification of an epidural space. The invention also provides for visually determining when a needle enters the epidural space.

Abstract: Syringes and methods of using are described which protect the syringe barrel cavity from contaminants. A first syringe is formed with a corrugated sheath which encloses the plunger and space between the rearward end face surface of the syringe barrel handle member and the forward face of the plunger handle member. A second syringe is formed with a syringe barrel having a straight segment and a corrugated segment having the forward face of the plunger handle member molded to the rearward terminus of the corrugated segment of the syringe barrel. A third syringe is formed from mating syringe barrel and plunger member walls. The walls of the mating syringe barrel and plunger member are concentric and slide relative to each other while maintaining an enclosure around the plunger shaft. A fourth syringe is formed from inner and outer concentric syringe barrel walls mating with the walls of a plunger member.

Abstract: A protector sheath for winged needle capable of accommodating a winged needle having a needle tube with a sharp blade edge, a hub firmly attached to a proximal end portion of the needle tube, and a wing provided on the hub is provided. The protector sheath has a cylindrical main body, at least one slit is provided in a side wall of the main body, a proximal end portion of the slit is provided so as to be parallel to the axis of the main body, and a distal end portion of the slit is provided so as to extend in a direction which is not parallel to the axial direction of the main body.

Abstract: The present invention relates to medical devices that are inserted or implanted into patients and that have antimicrobial coatings that release free radicals into the vicinity of the device. These devices may have coatings that alter their rate of flow release or elution release of an antibacterial agent from a coating on the device upon external stimulation. The coating should therefore be responsive to external control such as by heating, external RF stimulus, sonic control, visible or ultraviolet light exposure and the like. By having control of the release rate, and in some structures without invasion of the patient by mechanical means in addition to the device itself, the release rate can be in response to need at the implant site. The class of compounds to be released are free radical generating or initiating compounds, or compounds that release free radicals upon immersion or stimulation, the free radicals acting as the antimicrobial agent.

Abstract: A suction limiting device with variable control for use in a surgical system includes a main vent body having a fluid carrying bore extending therethrough and a variable vent mechanism having a main vent opening in selective fluid communication with the fluid carrying bore so as to permit introduction of atmospheric air into the fluid carrying bore. The vent mechanism being adjustable so that the degree of airflow into the fluid carrying bore is variable between a fully open position to a fully closed position where atmospheric air is prevented from entering the fluid carrying bore. The suction limiting device also includes a valve disposed within the main vent body and positionable between an open position when negative pressure and a closed position when positive pressure exists in the main vent body.

Abstract: An absorptive product comprising a front region, a rear region, a crotch region, a waist opening, a pair of leg openings, and a liquid-impermeable back sheet. Disposed interiorly of the back sheet are a front absorber and a rear absorber. An access port is provided for taking out and/or replacing at least one of these absorbers.

Abstract: The present invention provides a peelable seal for a multi-chambered container including a first edge and a second edge. At least one of the first edge or second edge includes a stress bearing portion and a non-stress bearing portion.

Abstract: An intravenous drug access system. In one embodiment of the invention, the drug access system includes an IV bag having an inlet port and outlet port, whereby the inlet port is a female luer integral therewith. The integral female luer fitting may be fitted with a sealed end cap comprising a male luer insert with a closed end. An alternative embodiment of the present invention comprises a discrete pre-molded connector made with one spike at one end and a female luer fitting at the opposing end. The spike is used to penetrate a standard IV bag through a conventional inlet port.

Abstract: An array of disposable absorbent articles which have a first absorbent article and a second absorbent article. The first absorbent article has i.) an outer surface wherein the outer surface has an outer surface area and ii.) a first identifier having a first surface area. The first identifier is disposed on the first absorbent article and corresponds to a first absorbency. The second absorbent article has i.) an outer surface wherein the outer surface has an outer surface area and ii.) a second identifier having a second surface area. The second identifier is disposed on the second absorbent article and corresponds to a second absorbency. The first surface area of the first absorbent article is different than the second surface area of the second absorbent article.

Abstract: A hand held device generates a predetermined number of pulses of light having a predetermined electromagnetic spectrum, a predetermined duration, a predetermined inter-pulse interval, and a predetermined total energy. The pulse sequence is delivered to a skin surface to temporarily remove hair. A period of time for reappearance of hair on the selected skin surface after the using of the device to remove hair from the selected skin surface is determined by counting the days to hair reappearance after a test light application. Subsequently, the device is used periodically to apply the pulses of light to the selected skin surface at intervals of shorter length than the determined period of hair regeneration, thereby temporarily maintaining the selected skin surface free of visible hair.

Abstract: A high frequency electrosurgical power generator configured to produce electrical power at a frequency of about 1 to about 14 MHz and preferably having an essentially sinusoidal waveform with a voltage level up to 1,000 Vrms, and a current level up to 5 Amps. The output of the high frequency electrosurgical power generator is connected to an electrosurgical tool configured to receive the voltage and current produced by the electrosurgical power generator and deliver the voltage and current to an electrosurgical site. The output of the electrosurgical generator preferably is an essentially sinusoid waveform with a frequency between about 3 MHz and about 8 MHz, up to about 700 volts rms, up to about 2 amps, with a total power of up to 1,000 watts.

Abstract: Loop structures for positioning diagnostic an therapeutic elements on the epicardium or other organ surface.

Abstract: A surgical system that applies electrical energy to obtain predetermined surgical effects while improving the control of the application of the energy that is supplied by electrosurgical generators. In one embodiment, a surgical assembly interfaces with and receives power from an electrosurgical generator for executing a first electrosurgical procedure. This surgical assembly may employ a shunt circuit between its power and return lines for providing in effect a voltage limitation and/or to allow a constant power electrosurgical generator to execute an at least substantially constant voltage electrosurgical technique. The electrosurgical assembly may also include a return coupler for directing energy from the patient back to the electrosurgical generator, which in turn may include a dielectric material which interfaces with the patient and which at least initially conveys the return energy via one or more electric fields versus conduction.

Abstract: A spinal rod system includes a first rod and a second rod engaged to one another in end-to-end fashion. A coupling mechanism allows the spinal rod system to be assembled with rod portions having the desired characteristics while minimizing the footprint of the coupling arrangement between the first and second rods.

Abstract: The present invention provides a cervical plate with backout protection. In particular, a bushing residing in each of a plurality of through holes has a bottom edge that aligns with a protrusion on a screw head. The bottom edge aligning with the protrusion inhibits reverse threading or backing out of the bone screw.

Abstract: Bone screws and bone plates are provided that offer the surgeon the ability to either assemble the screws to the plate, or the plate to the screws, depending on the surgeon's preference and the patient's circumstances. The bone screws and bone plates of the present invention include a combination of geometric configurations that allow the screws and plates to fit together from different assembly directions. Additionally, the bone screws and bone plates can include material resilience features to allow expansion/contraction during assembly to allow bi-directional attachment to one another.

Abstract: A soft tissue anchor device and methods of installing the soft tissue anchor device are disclosed. The device has an elongate body having a proximal end and a distal end. There is a helical anchor on the distal end. A retention structure is provided on the body, proximal to the anchor. The device also includes a proximal anchor, moveably carried by the body. The device includes an adjustable flange that is configured to receive the proximal anchor. The proximal anchor is configured to be rotational with respect to the flange. The adjustable flange is configured to be positioned at a variable angle with respect to the body. The proximal anchor is moveable in the distal direction with respect to the body and the retention structure resists proximal movement of the proximal anchor with respect to the body.

Abstract: A bone screw has a spring section to allow the screw to elongate while it is being installed. The screw has a cavity with a proximal drive surface and a distal drive surface. The drive surfaces are located on opposite sides of the spring section. A drive tool that has proximal and distal drive members fits within the cavity. Rotating the drive tool transmits torque to both the proximal and distal drive sockets simultaneously.

Abstract: An extractable device is used to insert a medicinal filling into an animal tissue. The device comprises a filling member and a pasty medicine. The filling member is made of a flexible and permeable wall and is provided with a holding portion and an injection port via which the pasty medicine is injected into the holding portion after the filling member is inserted into the animal tissue. The holding portion is provided with an opening which is releasably lashed by one end of one or more threads so as to make the opening leakproof. Upon completion of solidification of the pasty medicine in the holding portion of the filling member, other end of the thread is pulled to unlash the opening of the holding portion, thereby enabling the filling member to be extracted from the animal tissue so as to leave only the medicine in the animal tissue.

Abstract: An extractable device is used to insert a medicinal filling into an animal tissue. The device comprises a filling member and a pasty medicine. The filling member is made of a flexible and hermetic wall and is provided with a holding portion and an injection port via which the pasty medicine is injected into the holding portion after the filling member is inserted into the animal tissue. The holding portion is provided with an opening which is releasably lashed by one end of one or more threads so as to make the opening leakproof. Upon completion of solidification of the pasty medicine in the holding portion of the filling member, other end of the thread is pulled to unlash the opening of the holding portion, thereby enabling the filling member to be extracted from the animal tissue so as to leave only the medicine in the animal tissue.

Abstract: An extractable device is used to insert a medicinal filling into a vertebral body. The device comprises a filling member and a pasty medicine. The filling member is made of a flexible and permeable wall and is provided with a holding portion and an injection port via which the pasty medicine is injected into the holding portion after the filling member is inserted into the vertebral body. The holding portion is provided with an opening which is releasably lashed by one end of one or more threads so as to make the opening leakproof. Upon completion of solidification of the pasty medicine in the holding portion of the filling member, other end of the thread is pulled to unlash the opening of the holding portion, thereby enabling the filling member to be extracted from the vertebral body so as to leave only the medicine in the vertebral body.

Abstract: The present invention comprises a set of instruments and a method for their use in preparing a knee joint to receive knee implants. The inventive instruments and method are generally suitable for knee joint surgery. Furthermore, they include features that make them suitable for performing a minimally invasive knee surgery in which a smaller than normal incision is made and oriented. An illustrative set of instruments including an A/P sizer and femoral finishing guide for total knee arthroplasty and an associated minimally invasive technique are described.

Abstract: The present invention is directed to a radiolucent aiming guide for locating and drilling through the holes in the distal end of an implanted intramedullary nail. The aiming guide comprises an elongate handle constructed substantially of a radiolucent material, which does not cast a strong image on a monitor when exposed to radiation. The radiolucent handle is used in conjunction with a protection sleeve, trocar, drill sleeve, and drill bit, which are used to locate and drill through the hole in the nail. Radiopaque components in the distal end of the protection sleeve, trocar, and drill bit are used to align the drill over the nail hole. A pair of radiopaque pins, located within the handle and lying parallel to its longitudinal axis, aid in ensuring the proper rotational alignment of the aiming guide over the nail hole. The aiming guide may also include a structure to facilitate its alignment over a second hole in the distal end of the intramedullary nail.

Abstract: A two piece graft fixation arrangement includes a graft block engageable with a graft and a transverse member engageable with the graft block to fix the graft block in a bone tunnel. Instruments and methods are presented for installing a graft in a bone tunnel and anchoring the graft with a transverse member placed through a transverse bore intersecting the bone tunnel.

Abstract: Orthopedic implant insertion instruments for precision guiding of a fracture fixation implant into fractured bone to promote healing are disclosed. The implant insertion instruments comprise an insertion handle for implantation of a first fixation implant, an aiming arm for precise guiding of a second fixation implant into bone, a guide sleeve for protection of soft tissue and for translational and rotational control of the second fixation implant, and a drive shaft with coupling screw for attachment to the second fixation implant and for driving the second fixation element through the aiming arm and guide sleeve into the fractured bone. The implant insertion instruments also include a soft tissue clearance device to aid the surgeon in inserting the first fixation implant into the fractured bone. Also disclosed is a measuring device that reduces measuring errors made by a user and a measuring device that determines implant length, diameter, and angle of insertion.

Abstract: A uterine manipulator device for injecting a visualisation fluid into the uterine cavity of a female via the cervix. The device comprises an elongate body, a tanaculum for gripping the cervix and an inflatable bladder for forming a fluid-resistant seal with the cervix. The elongate body has a conduit along which visualisation fluid can be conveyed to the uterus and a conduit for air, having an outlet opening, which is connectable to a pressurized air supply. The bladder is mounted on the elongate body over the outlet opening, surrounding the elongate body and sealed to the elongate body at opposite ends of the bladder. The bladder includes an outer sealing element which, upon inflation, forms a fluid-tight seal with the cervix, and an inner sleeve which fits over the opening preventing a return flow of air, yet allowing pressurized air into the bladder for inflating it.

Abstract: The invention relates to a medical device, with a guide for the mounting of a needle, in particular, a puncture needle and a drive unit for a needle in the guide canal. The guide is divided into two sections and, arranged between the sections, is a drive unit for the, preferably friction, drive of the needle.

Abstract: An endoscopic suturing instrument is equipped with a needle mounted at the distal end of the suturing instrument for the purpose of living-tissue punctures. An engaging mechanism is provided at least at the distal end of the needle for the purpose of connecting the thread while allowing it to move freely, and the suturing instrument includes a needle-driving mechanism to drive the needle. A loop-creating mechanism is used to create a first loop in the thread, by loosening the thread connected to the engaging mechanism. A catching mechanism is provided at the distal end of the suturing instrument to be inserted through the first loop to catch the thread. The thread caught by the catching mechanism can be moved freely. The needle-driving mechanism and the catching mechanism are mechanically coupled.

Abstract: An anastomosis device is a one piece device for connecting a graft vessel to a target vessel without the use of conventional sutures. The anastomosis device includes an expandable tube configured to have a graft vessel secured to the tube. The device has an expandable linkage positioned at one end of the device and expansion of this linkage causes a first radially extending flange to fold outward. This first flange abuts an interior wall of a target vessel and a second flange is formed which abuts an exterior wall of the target vessel trapping the target vessel between the two flanges and secures the end of the graft vessel into an opening in the wall of the target vessel. The device greatly increases the speed with which anastomosis can be performed over known suturing methods and allows anastomosis to be performed in tight spaces.

Abstract: Methods and devices for partitioning or plicating a region of a hollow body organ are described herein. These methods and devices relate generally to medical apparatus and methods and more particularly to devices and methods for affecting a change in the function of a hollow body organ, particularly a stomach, intestine or gastrointestinal tract. These changes can include reducing the volume capacity of the hollow body organ, disrupting or altering the normal function of the organ, functionally excluding certain sections of the organ either by affixing adjacent tissue or excising certain regions, or affecting or correcting the response of the organ to naturally occurring stimuli, such as ingestion.

Abstract: A cutting blade assembly for microkeratome includes a blade (8) with a rectilinear cutting edge (9), the blade being integral with a support (10) with substantially constant profile (11) along one longitudinal dimension parallel to the cutting edge (9) and delimited by an outer surface (12) having a notch (14) substantially orthogonal to the cutting edge (9) of the blade (8), wherein the outer surface (12) has a clearance (15, 17) parallel to the cutting edge of the blade extending from one end (10a) of the support up to a specific distance of the notch (14).

Abstract: A vascular incision apparatus is composed in part of a needle for puncturing a blood vessel and a cutter for making an incision in the blood vessel. The apparatus easily, rapidly and reliably creates a vascular incision of the desired length by employing an incision length controlling means to control the length of penetration by the needle into the blood vessel, or by controlling the distance between the respective needle points on first and second needles which face each other across a given distance, one of which needles is movable relative to the other.

Abstract: Lancet device having an adjustable penetration depth. The lancet device includes a housing, a cap for covering the housing and for positioning the lancet device relative to a skin surface, a needle holding member for holding a lancet which needle holding member is at least partially contained within the housing, a biasing element for biasing the needle holding member toward an extended position, and a trigger for releasing the needle holding member from a retracted position. The lancet device further includes a mechanism for adjusting a penetration depth of a lancet. The penetration depth adjustment mechanism may involve adjusting a travel distance of the needle holding member, wherein the mechanism is positioned within at least one of the housing and the cap during at least a portion of length of travel of the needle holding member. The penetration depth adjustment mechanism may involve adjusting a travel distance of the needle holding member by adjusting a length of the needle holding member.

Abstract: A lancet driver is provided wherein the driver exerts a driving force on a lancet during a lancing cycle and is used on a tissue site. The driver comprises of a drive force generator for advancing the lancet along a path into the tissue site, and a sensor configured to detect lancet position along said path during the lancing cycle.

Abstract: A one time use disposable blood sampling device comprises a case defining a shoot chamber with a lancet-exiting hole, and a lancet disposed slidably in the shoot chamber with a puncturing tip pointed to the lancet-exiting hole. The sampling device further comprises a locking and shooting structure formed of an elastic arm button and an elastic arm. The button engaging end of the elastic arm button faces a locking hole on a side wall of the case. A free end of the elastic arm engages with the locking hole in a locking state. Upon pressing of the elastic arm button, the elastic arm disengages from the locking hole, and the lancet moves under spring action inside the shoot chamber causing the elastic arm to contact a bevel. A root portion of the elastic arm is notched or has a shrink neck which causes the elastic arm to automatically self-break upon contact with the bevel.

Abstract: The devices and methods of placement of such devices disclosed herein are directed to altering gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having Chronic Obstructive Pulmonary Disease. More particularly, these devices produce and maintain collateral openings or channels through the airway wall so that oxygen depleted/carbon dioxide rich air is able to pass directly out of the lung tissue to facilitate both the exchange of oxygen ultimately into the blood and/or to decompress hyper-inflated lungs. The medical kits disclosed herein are also directed to produce and maintain collateral openings through airway walls.

Abstract: The present disclosure provides a device and method for facilitating air flow in the nasal passage of a domestic animal. The nasal support device (NSD) disclosed herein is useful for facilitating air flow during rest, physical exertion, respiratory ailment, etc. The NSD secures to the nose of a domestic animal to support the unsupported lateral vestibular walls of the nasal passages by lifting or stenting.

Abstract: A device for promoting hemostasis in a blood vessel puncture is employed with an introducer that accesses the puncture through an incision. The introducer has an open distal end positionable at the puncture, an external portion with an open proximal end, and an axial channel therebetween. The device includes a hollow catheter, dimensioned to pass through the introducer channel, having a distal end to which is attached an expansible compression element, which may be an inflatable balloon, a collapsible prong assembly, or a resilient foam pad. The compression element is collapsed when the distal end of the catheter is enclosed within the introducer. When the catheter and the introducer are located at the desired distance from the puncture, the introducer is displaced axially relative to the catheter to expose the compression element to the subcutaneous tissue, whereupon the compression element is expanded.

Abstract: The present invention provides compositions and methods for use in treatment of premature rupture of membranes. The compositions of the invention include a therapeutic amount of an avian thick egg white composition. Preferably, the compositions include the purified thick egg white protein, ovomucin. The methods of the invention involve injecting an effective amount of the compositions into the prematurely ruptured amniotic sac of a patient in order to seal the rupture.

Abstract: An endoscopic staple and related stapling device that can be used in conjunction with flexible or rigid endoscopy. The staple can also be used for other surgical procedures. The invention relates to performing a stapling operation on internal body tissues as part of a surgical procedure, diagnostic procedure or therapeutic procedure. This invention includes a surgical staple, an associated staple holder, and an associated staple delivery and deployment device. The staple holder and delivery system have a design iteration whereby the holder can be reloaded with additional staples to be used on the same patient. There is another design iteration whereby the staple holder and stapler are reusable after appropriate cleaning and sterilization.

Abstract: Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including an induced state of hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory flow lines of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. The control units include a heater/cooler device, a user input device, and a processor connected to receive input from various sensors around the body and the system. The heater/cooler device may be thermoelectric to enable both heating and cooling based on polarity. A temperature control scheme for ramping the body temperature up or down without overshoot is provided.

Abstract: A stent delivery system delivers a self-expanding stent to a predetermined location in a body lumen. The delivery system has a catheter body, a retractable outer sheath and a proximal retraction handle connected to a proximal end of the catheter body. The catheter body carries the stent near a distal end of the catheter body for transporting the stent for deployment. The sheath surrounds and contains the stent in a delivery configuration where the stent has a reduced radius along its entire axial length. The sheath has an outer tube a separate inner tube. The outer tube has a distal end portion surrounding the stent along its entire length and a proximal end portion connected to the retraction handle. The inner tube is disposed concentrically within the outer tube and has a distal end portion surrounding the stent only along a part of its entire length.

Abstract: A stent/graft assembly includes a tubular graft having an upstream end, a downstream end and a tubular passage between the ends. The assembly also includes a tubular stent having an upstream end, a downstream end and a tubular passage. The upstream end of the tubular graft is affixed in substantially end-to-end relationship with the downstream end of the tubular stent. The affixation may employ sutures, bonding, hooks or the like. The end-to-end connection may also require a slight overlapping to ensure an adequate affixation. The end-to-end disposition of the tubular graft and tubular stent reduces the cross-sectional profile of the stent/graft assembly. One or more wires may extend from the tubular stent through the tubular graft for anchoring near the downstream end of the tubular graft. The wire prevents axial collapsing of the tubular graft and provide radial support for the tubular graft.

Abstract: Disclosed is a stent graft prosthesis comprising a graft portion that includes a main body portion and an cuff portion, the cuff portion generally located at or near the proximal end of the main body portion and extending circumferentially therealong. Stents comprising the graft supporting structure are also attached to graft portion about the proximal end. In one embodiment, the cuff portion comprises material that is folded over the outside surface of the main body portion with an anchoring stent being attached over the cuff and main body portions, extending proximally therefrom. In another series of embodiments, the cuff portion comprises an external sealing zone that extends around the outer main body portion to help prevent leakage of fluids. In one example, the material of the second edge of the cuff portion is frayed to better engage the vessel walls and promote thrombus and/or tissue growth.

Abstract: A stent including a plurality of loops, each of the loops includes an arcuately formed wire with a first end and a second end, the first end being attached to an inner elongate member and the second end being attached to an outer elongate member, the inner and the outer elongate members being arranged to slide with respect to each other along a common longitudinal axis, wherein sliding of the inner and the outer elongate members with respect to each other changes a cross-sectional area of each of the loops, characterized in that the inner and outer elongate members are attached to inner and outer coupler tubes, and are selectively releasable from the inner and outer coupler tubes, the inner coupler tube being nested inside the outer coupler tube.

Abstract: A stent or other intraluminal medical device may be constructed utilizing multiple, individual, independent, self-expanding stent segments which are designed to interlock when constrained within a delivery sheath and uncouple upon deployment. The individual segments are releasably connected by a series of bridging elements and receptacles.

Abstract: A process for assembling a medical device made from a nickel-titanium alloy for use in a mammalian body while avoiding the formation of stress-induced martensite and a medical device used in combination with a delivery system for deployment into the mammalian body are disclosed. By heating the nickel-titanium alloy of the medical device to a temperature above Md, and deforming and installing the device into a delivery system or holding capsule, it is possible to avoid the formation of stress-induced martensite in the stent, which stays in the austenitic phase throughout.