Abstract: An intravascular membrane lung is adapted for percutaneous venous insertion into a living body and comprises an elongated multi lumen catheter and elongated gas exchange members in the form of a large number of microporous fibers tethered at one end to the catheter and extending away from the catheter in all directions. The microporous fibers are in communication with the lumina of the catheter which includes one conduit for delivery of 100% oxygen to the fibers and another conduit for flushing away carbon dioxide from the fibers. The catheter extends between a proximal end and a distal end being a leading end for insertion into the body. The distal end includes a selectively inflatable balloon having an enlarged size larger than a nominal transverse dimension of said catheter and smaller than the inner nominal dimensions of any of the body cavities into which it extends.

Abstract: A surgical instrument for the treatment of simple inferior or superior retinal detachments and a method of using the same. The surgical instrument has an elongated probe with an outer tube and an inner tube slidably engaged in the outer tube. Generally, the instrument has a cutting edge and an aspiration port connected to a vacuum. A non-expanding gas delivery channel, having an outer diameter approximately that of a 36 gauge needle (0.13 mm) is adjacent the outer tube. The overall outer diameter of the probe is less than that of a 23 gauge needle (0.635 mm). In use, the probe is inserted in the vitreous cavity through a small sclerotomy incision. The inner tube oscillates within the outer tube and vitreal material is drawn into the suction port, excised by the cutting edge, and removed by vacuum. Simultaneously, non-expanding gas is introduced through the gas channel to equalize intraocular pressure.

Abstract: An intraperitoneal therapy apparatus for cauterizing tissues in a peritoneal cavity, which comprises a pneumoperitoneal device for introducing gas into the peritoneal cavity, thereby to inflate the cavity, a cautery device for cauterizing diseased tissues in the peritoneal cavity inflated by the pneumoperitoneal device, a suction device for removing fume from the peritoneal cavity, and a control circuit for controlling the pneumoperitoneal device and the suction device in accordance with an operation of the cautery device.

Abstract: A method and apparatus for treating patients suffering from one or more of the conditions of cardiac arrest, shock, respiratory failure, hypothermia, hyperthermia and head injury. Chest tubes are inserted through respective holes in each hemithorax of the patient and attached to a gas source and an exhaust pump with connections and valves for alternately inflating and deflating a patient's thoracic cavity with a gas. A gas regulator, including heat exchanger, is interposed between the gas source and the tubes for warming or cooling the gas, and an electrode is mounted on the tubes and connected through a wire to electronic medical equipment. Collapsed seals are formed annularly around the chest tube and expanded after insertion to form a gas seal between the tube and the chest wall. The seal may be a bladder expanded by filling with a fluid or a wire mesh receptacle which is mechanically expanded and can also serve as the electrode.

Abstract: Insufflation gas is introduced into a body cavity to be inflated. The gas flow is stopped, and the pressure in the body cavity is measured at plural, discrete intervals of time. Pressure reading values are stored in memory for a predetermined number n of the most recent pressure reading values. These stored pressure reading values are compared to one another to determine the pressure differential between the highest and lowest pressure values. New pressure readings are continually made at the time intervals, and the new pressure reading values replace the oldest pressure readings such that the most recent pressure reading values are stored in memory. Pressure measurements are continued if the maximum pressure differential in the predetermined number n of the most recent stored pressure reading values is less than the predetermined pressure differential.

Abstract: A device is provided for controlling flow and pressure of a gas for insufflating the abdomen during laparoscopic surgery. Compressed gas from a tank passes through the device and is stepped down through multiple stages to a pressure under 25 psi. The resultant average pressure is then reduced to a desired pressure by passing the gas through a solenoid valve and manifold in a pulsating manner. Pressure and flow are constantly monitored with signals being sent to a microprocessor which adjusts the pulse width of the gas supply to compensate for any changes in pressure.

Abstract: A verres needle system and method having a tube with an open distal end shaped for insertion through tissue into a body cavity, and a obturator slidably disposed within the tube and being resiliently biased to protrude from the distal end of the tube, and a negative pressure sensor positioned to detect negative pressure at a proximal end of the needle. The negative pressure sensor is connected to a circuit that the sensor closes a switch to eliminate a light when the pressure within the tube in obturator reaches a predetermined value, which indicates that the tip of the needle and obturator are positioned within a body cavity as supposed to body tissue or an organ. The method of utilizing the needle system is to insert the needle into the body cavity while at the same time pulling the tissues surrounding the body cavity away from the cavity to create the negative pressure, which is detected by the pressure sensor and circuit when the tip is properly positioned within the cavity.

Abstract: An apparatus for equalizing pressure in a middle ear including a compressor, activating means coupled to the compressor, the activating means having a closed state and an open state, the open state providing a continuous flow of air from the compressor at a predetermined pressure, and a tapered nostril plug in communication with the compressor, the nostril plug having a distal opening for delivering the continuous flow of air, the predetermined pressure being in the range of approximately 0.5 p.s.i. to approximately 3.0 p.s.i.

Abstract: The present invention provides an apparatus for treating gas prior to its use in a medical procedure comprising a housing that receives gas from an insufflator, a chamber within the housing having a humidification means, a heating means disposed within the humidification means, a filtering means within the humidification means, a means for sensing the temperature of the heated and humidified gas, and a controlling means connected to the sensing means to maintain the temperature of the gas to a predetermined temperature. Additionally provided are methods of providing heated, humidified and filtered gas to a patient at a predetermined temperature.

Abstract: A trocar system for assisting in the generation of endosurgical ports is disclosed in which a trocar facilitator is used to place the peritoneum in counter-traction to facilitate the penetration of the trocar. Peritoneal counter-traction results in increased surface tension which reduces the force and downward momentum necessary to achieve trocar penetration, thereby eliminating the risk of excess penetration and injury to internal organs. The facilitator is of a corkscrew-like design, with an attached support ring and a removable guide piece having a hollow, cylindrical passageway which aids in the insertion and support of the trocar, cannula, and other endoscopic surgical instruments. In another embodiment, the facilitator is configured to aid in the introduction of carbon dioxide gas into the abdominal cavity of the patient. An improved curved tip of the blade of the trocar facilitator is also disclosed.

Abstract: A hand-held apparatus and method for insufflating an abdominal cavity includes a compact gas supply unit comprised of a gas cartridge which has a pair of tandem piercable seals positioned inside the cartridge neck and which contains a predetermined mass of compressed gas. A cap having a puncture stem is engaged with the gas supply unit, causing the puncture stem to penetrate the piercable seals and release gas through the puncture tube and into a hollow needle positioned inside the abdomen. The tandem piercable seals are arranged such that as the gas supply unit is engaged with the cap, the puncture stem punctures the first piercable seal and the first piercable seal seals around it before the puncture stem punctures the second piercable seal, thereby preventing accidental loss of gas and preserving the entire mass of gas for insufflation.

Abstract: A diagnostic method is described for determining the treatment modality for neoplastic (cancer) tissue within the peritoneal cavity of a patient. The method utilizes a laparoscope with a visual display output as well as a radiation responsive instrument. These instruments are employed first to carry out a visual survey of the colon and then a radionuclide survey of the colon to locate concentrations of radiolabeled locator. A next survey is carried out with the radiation responsive instrument to determine the location of lymph node involvement in the cancer as well as other metastatic disease. Should the latter involvement be found, open laparotomy is indicated as the treatment modality. On the other hand, where no lymph node involvement is determined and the region of locator concentration can additionally be visualized, then conventional laparoscopic resection procedure is the determined treatment modality.

Abstract: An inflatable percutaneous oxygenator has an inflatable balloon suitable for insertion into a blood vessel. Oxygen is circulated through a number of gas-permeable passageways (such as hollow gas-permeable fibers) adjacent to the balloon surface to permit diffusion of oxygen and carbon dioxide between the blood vessel and the passageways. Pulsatile flow can be used to increase the rate of cross-diffusion of gases. A pump is used to alternately expand and contract the balloon. This causes movement of the passageways within the blood vessel to minimize streaming or channeling of the blood flow around the oxygenator, maximizes turbulence in the bloodstream, and therefore maximizes diffusion of gases. In one alternative embodiment, the balloon is made of a gas-permeable material and is inflated with oxygen to supplement cross-diffusion of gases with the bloodstream.

Abstract: A trocar is formed from a cannula and an interfitting obturator for penetrating body cavity walls in laparoscopic and endoscopic surgery. The obturator is provided with an improved piercing tip having a pointed blade and an improved locking shield design. The locking mechanism must be actuated before the shield will retract to expose the piercing tip. The shield is located inside the obturator sheath and provides faster coverage of the piercing tip after the body cavity wall has been penetrated. The cannula has an improved thread design to more easily and securely hold the cannula in the incision of the body cavity wall. A one piece inner housing is used in the cannula to reduce the need for welding to prevent gas leakage. The cannula also has improved seals to maintain insufflation of the body cavity and an automatic insufflation valve to facilitate connection to an external gas supply.

Abstract: The invention relates to a heating apparatus, which, in conjunction with insufflators for introducing gas into a biological body, for avoiding catarrh to the peritoneum, pleura, etc., heats the greatly pressure-reduced gas to a temperature roughly corresponding to the body temperature. Use is made of a heating hose provided with a heating wire coil.

Abstract: The flow of insufflating gas is adjustable and regulated to prevent excessive pressure in the body cavity. A filter removes particulate matter from the gas entering the body and removes bacterial and viral matter from the gas leaving the body cavity.

Abstract: An apparatus is provided for use with a contrast media injector. The injector is of the type including a gas source and a liquid source. The apparatus includes a gas delivery channel connected to the gas source and a liquid delivery channel connected to the liquid source. Two normally closed valves are provided to control flow from the gas and liquid channel. The valves insure that gas and liquid do not simultaneously exit from the channel. The valves minimize inadvertent mixing of the gas and saline downstream of the valves. The gas channel is connected to a gas source using a fitting which also connects electro-conductive wires in the apparatus to a power source. The liquid channel connects to a source of liquid.

Abstract: The invention relates to a gas connection device for insufflation equipment, in particular for mini-invasive surgery as well as laparoscopy and hysteroscopy. The invention includes a connection port 3 for the gas supply, a pressure reducer 4, a safety valve 5, a gas outlet port 7 provided with a solenoid vane 6, and a manometer 8.In order to have an economic assembly of all components of the gas connection device pre-assembled in an insufflation device, it is provided, according to the invention, that the connection port 3, the pressure reducer 4, the safety valve 5, the solenoid valve 6, with the gas outlet port 7, and the manometer 8 are connected to a common metal main body 1, and are connected to a common metal main body 1, and are connected with main body 1.

Abstract: One of the aspects of the present invention relates to a method for the treatment of retinal detachments utilizing a transparent liquid or gel retina reattachment enhancing material preferably perfluorotri-n-propylamine for long-term but not permanent replacement in the eye for effecting a retinal reattachment of a retinal tear. A sufficient amount of a gas is first injected into the vitreous cavity of a patient's eye having a first gel or liquid material therein and a retinal tear so that the gas expands, compresses, and displaces an amount of the first gel or liquid to provide a space for receipt of a sufficient amount of the retina reattachment enhancing material. Once sufficient space is provided in the vitreous cavity, the retina reattachment enhancing material is injected into the eye. Once the retinal tear is visible and lies flat upon the underlying tissue, the retina is tacked down around the retinal tear so as to form a retinal scar.

Abstract: A surgical smoke evacuator synchronizing system includes a smoke evacuator system; a smoke or debris generating surgical device having a power cord with a plug for connection to a power source; and a monitoring system including a first receptacle for receiving the plug of the power cord; a cable connected to the first receptacle having a number of lines and having a second plug for connection to a power source receptacle; a current sensing loop for receiving at least one line of the cable; a detector circuit for sensing the current level in the cable; and a control device, responsive to a level of current in the cable, representing that the surgical device is operating, for enabling the smoke evacuator system and responsive to a level of current in the cable representing that the surgical device has completed operating for disabling the smoke evacuator system.

Abstract: An intravascular membrane lung is adapted for percutaneous venous insertion into a living body and comprises an elongated multi lumen catheter and elongated gas exchange members in the form of a large number of microporous fibers tethered at one end to the catheter and extending away from the catheter in all directions. The microporous fibers are in communication with the lumina of the catheter which includes one conduit for delivery of 100% oxygen to the fibers and another conduit for flushing away carbon dioxide from the fibers. The catheter extends between a proximal end and a distal end being a leading end for insertion into the body. The distal end includes a selectively inflatable balloon having an enlarged size larger than a nominal transverse dimension of said catheter and smaller than the inner nominal dimensions of any of the body cavities into which it extends.

Abstract: An insufflation apparatus intended to insufflate gas supplied from a gas supply source into a cavity of the human body through a gas insufflating pipe, comprising a switch valve for opening and closing a gas supply pipe extending from the gas supply source to the gas insufflating pipe, a cavity pressure measuring unit arranged in the gas supply pipe to measure the pressure in the body cavity, a pressure setting section for setting an intended pressure in the body cavity, an arithmetic unit for calculating the difference of a value measured by the cavity pressure measuring unit relative to the value of pressure set by the pressure setting section, and a changeover control unit for changing over the timings at which the switch valve is opened and closed on the basis of values thus calculated by the arithmetic unit.

Abstract: An improved enema insufflation system includes a source of barium sulfate suspension connected, by tubing, to a multi-lumen enema tip and a source of carbon dioxide, connected to the enema tip. The carbon dioxide source contains compressed carbon dioxide. The source is connected to a carbon dioxide reservoir capable of holding a pre-determined volume of carbon dioxide at a relatively low pressure. A hand actuated insufflation bulb is connected to the carbon dioxide reservoir. The insufflation bulb can draw carbon dioxide from the reservoir for delivery, through the enema tip, to a patient. The compressed, high-pressure carbon dioxide is functionally isolated from the patient to ensure patient safety.

Abstract: A pressure controlling system for an insufflator includes a plurality of parallel connected, solenoid controlled valves. Each valve has in series therewith a gas flow limiter with the limiters arranged in digital succession. The valves are in parallel with one another and in series with the gas flow line so that solenoid opening of one or more of the valves controls gas flow in an on-off fashion with gas flow continuing through the respective flow limiting means to determine total flow rate in a digital manner.

Abstract: A percutaneous intravenous oxygenator includes a plurality of hollow gas permeable fibers formed into a plurality of loops with one end of the fiber loops being connected to a source of oxygen while the opposite end is connected to a vacuum source. The oxygenator is insertable into a blood vessel such that when oxygen is drawn into the fiber loops, it will diffuse through the walls of the fibers into oxygen deficient blood passing thereby while excess carbon dioxide in the blood will pass in a reverse or cross diffusion pattern through the walls of the fibers into the interior thereof for removal from the fiber loops by the vacuum source. Two separate embodiments for moving the fibers to prevent streaming of blood past the oxygenator are disclosed for optimal cross diffusion of the gases.

Abstract: An apparatus is provided to deliver carbon dioxide to an animal in a manner which allows the carbon dioxide to totally displace blood in an area of interest and to thus serve as a contrast media for angiographic procedures, or blood displacement media for angioscopic or laser procedures. The apparatus enables the carbon dioxide to flow at varied flow rates, the varied flow rates correlated to the varied flow rate of blood in the animal's vascular system. The flow rate of the carbon dioxide is variable during the course of a single injection.

Abstract: The present invention consists of an apparatus for supplying insufflation gas at high flow rates during laparoscopic surgery including some or all of the following features: at least two gas delivery tubes; a pressure-sensing transducer independent of the gas flow in any gas delivery tube, said pressure sensor being connected to the gas delivery system to decrease gas flow automatically if over pressurization occurs and to increase flow rates if under pressurization occurs; an automatic valve to switch at least one of said gas delivery tubes to a suction tube if serious over pressurization is sensed; manual controls for suction and flow rates to allow the operator manually to flush rapidly with insufflation gas upon direction of the surgeon; gas quality control devices including filtration means, humidification means, temperature controlling means, and means for adding medication or other chemicals to the insufflation gas stream, typically with a nebulizer.

Abstract: An apparatus, for resuscitating the brain as a result of ischemic and anoxic injury where the patient survives neurologically intact, includes an oxygen source, a fluid reservoir, a heat exchanger, a pump, and removable catheter lines. The fluid solution may be delivered into the patient's circulatory system and ultimately to the brain by pumping, sufficient pressure from the oxygen source, or by a combination of pumping and oxygen pressure. Embodiments employing preoxygenated solution are also disclosed.

Abstract: Operating channel/insufflation port assemblies are disclosed herein which facilitate the operation of percutaneous surgical procedures with remotely operable instrumentation. In one of the disclosed assemblies, an operating channel/insufflation port member defines an operating channel sized to receive remotely operable instrumentation, and an insufflation lumen. The port assembly is anchorable in place, extending percutaneously into the stomach with remotely operable instrumentation being advanceable through the operating channel and into the stomach, and with CO.sub.2 being passable into the stomach through the insufflation lumen. An insufflation valve member, connectable to said insufflation port, provides means for variably controlling the supply of CO.sub.2 into the stomach while a sealing member prevents gas leakage through the operating channel during operation/insufflation by providing a seal between the port member and the remotely operable instrumentation received therethrough.

Abstract: An inflatable percutaneous oxygenator has an inflatable balloon suitable for insertion into a blood vessel. Oxygen is circulated through a number of gas-permeable passageways (such as hollow gas-permeable fibers) adjacent to the balloon surface to permit diffusion of oxygen and carbon dioxide between the blood vessel and the passageways. Pulsatile flow can be used to increase the rate of cross-diffusion of gases. A pump is used to alternately expand and contract the balloon. This causes movement of the passageways within the blood vessel to minimize streaming or channeling of the blood flow around the oxygenator, maximizes turbulence in the blood stream, and therefore maximizes diffusion of gases. In one alternative embodiment, the balloon is made of a gas-permeable material and is inflated with oxygen to supplement cross-diffusion of gases with the bloodstream.

Abstract: A device for use in laparoscopic surgical operations comprises a Veress needle assembly including a Veress needle, and a pressure sensor or an ultrasound sensor operatively connected to the needle assembly for monitoring pressure. In using the device to insufflate or pressurize a patient's abdomen with carbon dioxide, the needle is connected to a pressure source upon the detection of a drop in pressure or in response to an ultrasonic image or other indication as to the locations of internal organs and tissues of the patient.

Abstract: A smoke evacuator system for use during laser surgery is disclosed. In the case of a laser laparoscope, the laparoscope is provided with a conduit and fitting to provide CO.sub.2 gas through the laparoscope for distension purposes. The laser laparoscope is coupled to a special trocar that has exhaust holes near the tip (inside the body cavity) that are connected via conduit to an external fitting (outside the body cavity) to allow a vacuum source to draw smoke and CO.sub.2 gas out of the body cavity. The smoke evacuator system can use either a built-in vacuum pump or an external vacuum source such as that typically provided in an operating room. Electronics are provided which detect the activation of the cutting laser beam of the laser laparoscope, and activate the smoke evacuator system accordingly. In this manner the smoke evacuator system is turned on automatically each time the surgeon activates the cutting laser beam of the laser laparoscope.

Abstract: A cannula for extension through a tissue into a cavity and having: a cylindrical sleeve defining a hollow passageway through which a surgical instrument can be directed, with the sleeve having a) a proximal end to be manipulated by a user in directing the sleeve into an operative position through the body tissue into the body cavity, b) a distal end which projects into the body cavity with the sleeve in its operative position, and c) a cylindrical outer surface; expandable structure at the distal end of the sleeve for preventing withdrawal of the sleeve from the tissue with the expandable structure in an expanded state, the expandable structure being collapsible from its expanded state, wherein it projects radially beyond the outer surface of the sleeve sufficiently to prevent passage of the distal end of the sleeve and expandable structure thereon through an incision having a diameter approximately equal to the diameter of the outer cylindrical surface of the sleeve, to a collapsed state in which the expanda

Abstract: By means of the invention, the pressure in a cavity can be measured, without ever reducing the gas flow to zero. This is achieved by bleeding an intermediate vessel slightly with its inlet valve closed and its outlet valve open and then being able to extrapolate from the pressure decrease whether the desired pressure has been reached. If the result of the extrapolation indicates that the desired pressure has not been reached, then pumping is repeated, measuring is repeated and so on and so forth until the extrapolation indicates that the desired pressure has been reached. Thus extrapolations are made instead of allowing the intermediate vessel to empty completely.

Abstract: An insufflation system which provides continuous insufflation at a pre-set, limited low insufflation gas pressure and a high insufflation gas flow, thereby avoiding the necessity of measuring the intra-abdominal pressure while insuring that a determined pre-adjustable maximum insufflation gas pressure cannot be exceeded. The system comprises a gas delivery line having an inlet end coupled to a source of insufflation gas and an outlet end for connecting to the gas inlet of a surgical laser-equipped endoscope. A pressure adjustment device is connected into the gas delivery line for establishing a maximum insufflation gas flow pressure in the gas delivery line, and a gas exhaust tube that can be introduced into the body cavity provides for exhausting of insufflation gas delivered to the body cavity solely by the gas delivery line via the endoscope.

Abstract: A Verress-type needle which has a sharpened outer needle and allows passage of a blunt inner needle within the outer needle. The Verress needle also contains a position indicator to indicate the position of the inner needle within the outer needle, so that the user knows whether the inner needle is in a protective or non-protective position. Further, a liquid level indicator demonstrates the path of liquid flow within the Verress-type needle. Finally, there is an acoustical enhancement mechanism, which allows the user to know whether the blunt inner needle has sprung forward within the abdominal cavity, to its most forward, protective position.

Abstract: A surgical insufflation instrument is disclosed. In one embodiment, the instrument has concentrically disposed cylindrical members with the distal end of one of the members having its outer surface contourly sloped to a closing end and having a fluid transmission passageway therethrough. In another embodiment, the insufflation instrument provides an enhanced visual indicator for determining relative telescopic expansion and contraction positions of the cylindrical members. In another embodiment, a snap and groove configuration are provided for insertion of a cap member onto the proximal end of a housing securing the concentric members.

Abstract: An inflatable percutaneous oxygenator has an inflatable balloon suitable for insertion into a blood vessel. Oxygen is circulated through a number of gas-permeable passageways (such as hollow gas-permeable fibers) adjacent to the balloon surface to permit diffusion of oxygen and carbon dioxide between the blood vessel and the passageways. A pump is used to alternately expand and contract the balloon. This causes movement of the passageways within the blood vessel to minimize streaming or channeling of the blood flow around the oxygenator, maximizes turbulence in the blood stream, and therefore maximizes diffusion of gases. An external connector has lumens that supply a flow of oxygen to the passageways, exhaust gas from the passageways, and allow inflation and deflation of the balloon by the pump.

Abstract: An improved pneumoneedle wherein the stylet forms part of an assembly removably received within the needle housing. The assembly carries a valve to selectively open or close the needle to fluid flow. The stylet is slidably carried by the assembly and resiliently biased to extend through the needle. Removal of the assembly opens the needle. A septum is engagable with the housing to seal the needle when the assembly is removed. A viewable indicator carried by the stylet signals when the needle has completed penetration.

Abstract: An in vivo extrapulmonary blood gas exchange device is disclosed having a hollow fiber bundle in gaseous communication with a coaxial dual lumen tube and having a furling apparatus for twisting one coaxial lumen relative to the other. The furling apparatus enables the outside diameter of the bundle of gas permeable tubes to be selectively adjusted to provide either a furled, small insertion diameter when inserting the apparatus into the venae cavae of a patient or an unfurled, expanded oxygenation diameter after the apparatus is in place within the venae cavae and the bundle of gas permeable tubes is deployed therein. The oxygenator is inserted into the patient through a single incision at one of the right external iliac, common femoral, or internal jugular veins. A novel distal tip configuration permits the oxygenator to be inserted into the patient utilizing an over-the-guidewire intravascular insertion technique.

Abstract: A insufflation unit for distending a body cavity such as a uterus which is to be examined or treated endoscopically has a gas control circuit which connects a gas supply unit to the endoscope via a flowmeter, a shut-off valve and a filter. Associated with this gas control circuit is an extractor circuit which comprises a pump whose suction end is coupled up to the output of the flowmeter. A pressure-measuring transducer logs the pressure at the suction end of the pump and its measurements, together with those from the flowmeter, are made use of in analyzer electronics by switching off the pump before a pressure likely to put the patient at risk occurs should there be a fault in the extractor circuit.

Abstract: A technique for invaginating the esophagus at the gastroesophageal junction is disclosed, as well as an invagination device useful in the described technique. The invagination device includes an introducer guide which has an outside diameter approximating that of the esophagus and a plurality of needle-receiving lumens extending to its outer diametric surface. The invagination device also has an engagement assembly which includes 10 needles, each having a retracted position in which they lie within the needle-receiving lumens of the introducer guide, and an extended position in which they extend out of the lumens and project radially from the guide for engagement with the esophagus at the gastroesophageal junction.

Abstract: A low-pressure, low blood trauma hemodynamic support system is disclosed. The system may operate as a relatively static-volume, gravity-fed, extracorporeal blood circulation and oxygenation system that consists essentially of (1) a membrane-type blood oxygenator, (2) a non-occlusive roller pump, and (3) connecting tubes. The tubes connect the system components to create a compact system capable of supporting a patient in circulatory dysfunction who is to undergo a transplant operation, and is awaiting a donor organ.

Abstract: A system for the air reduction of intussusception in infants and children. The system comprises a main tube terminating of its distal end in an enema tip. The proximal end of the main tube is connected to an in-line filter which stops reflux of aerosol and liquid/solid contaminants therebeyond. The filter is connected to a three-way, lever-actuated stopcock which, in turn, is connected to a hand-operated insufflator bulb. The air reduction system is provided with an aneroid gauge. The guage and bulb may constitute a reusable, integral assembly, the remainder of the system being disposable. The entire system may be disposable with a disposable gauge connected ahead of the in-line filter. A reusable gauge may be remotely located and connected to the air reduction system via a branch tube and a T-fitting located between the filter and the three-way valve, all of the system save the remote gauge being disposable.

Abstract: Equipment is disclosed for the controlled insufflation of a fluid into a body cavity through a probe inserted thereinto, particularly for insufflating gas through the conduit of an endoscope partly inserted into the body cavity. The equipment comprises a supply device for delivering the fluid and on which a selected nominal value for the pressure in the body cavity can be set and the relevant actual value of the body cavity pressure can be displayed by means of a measuring instrument. The inlet side of a circulating pump, is connected by way of a filter to the body caviy. During an operation the pump draws off fluid from the body cavity and circulates it back to the body cavity. Part of the circuit on the delivery side of the pump and part of the circuit leading to the measuring instrument have a common portion leading to the body cavity. When the pump is running, therefore, a retroactive dynamic pressure is applied to the measuring instrument.

Abstract: An elongated, radially-expandable, intravascular lung assist device is formed by first stretching an elastomeric tubular core, then arranging a plurality of axially-spaced bundles of straight, flexible, hollow fibers formed of gas-permeable material around said core and securing the end portions of each bundle to the core while it is in stretched condition, and then relieving the stretching forces on said core to cause said fibers of each bundle to flex outwardly and form a rosette of outwardly-arched fibers. The core has at least two longitudinal gas-flow passages with lateral openings located at spaced intervals which communicate through manifold chambers at the ends of the bundles for the circulation of gases through the fibers. In use of the device, the core is stretched longitudinally to straighten the bowed fibers and, following insertion of the device into the lumen of a blood vessel, such stretching forces are relieved to allow the bundles to expand radially in situ.

Abstract: An insufflation device for filling a body cavity, such as an abdominal cavity, with a gas from a gas bottle via an expansion valve and a feed pipe leading to the body cavity characterized by the feed pipe being formed along in length by two channels with the first of the two channels having an expansion valve for setting an overpressure for rapid filling of the body cavity during an initial period and the second channel having an expansion valve to adjust the pressure to the pressure desired in the body cavity. The pressure of the second flow is monitored and compared by an electronic evaluator system, which will interrupt the flow and sound alarms if the pressure exceeds a predetermined amount over the desired value and also if the pressure exceeds a predetermined maximum amount.

Abstract: A system for administering gas to a patient during an endoscopic or medical procedure includes elements for regulating the temperature, pressure, and volumetric flow rate of the gas. A gas source operating with a heated pressure regulator and filter provide a smoothly regulated flow of any medically necessary gas, such as CO.sub.2, to a main body of the gas delivery system. The main body comprises a primary heater for control of the temperature of the gas administered to the patient, a fine pressure regulator for controlling its pressure in a safe manner, and a flow regulator for controlling its volumetric flow rate. Temperature, pressure, and volumetric flow rate indicators allow the physician continuous monitoring of the quantitative status of each of these important physiologic parameters; this data may also be recorded for documentation purposes.

Abstract: A laparoscopic cannula is provided having a sleeve defining a hollow passageway through which a surgical instrument can be directed and having a proximal end and a distal end which projects into a cavity with the sleeve in its operative position, expandable structure at the distal end of the sleeve which is selectively expandable and collapsible and which prevents withdrawal of the sleeve in its expanded state, structure for selectively expanding and collapsing the expandable structure, a retaining collar with a tapered surface, and cooperating structure on the sleeve and collar for permitting movement of the collar relative to the sleeve towards the sleeve distal end whereby body tissue through which the sleeve is directed can be captured between the tapered collar surface and expandable structure to maintain the sleeve in its operative position.

Abstract: A percutaneous oxygenator has a Y-shaped tubular connector and a number of hollow, gas-permeable fibers. One end of each fiber is located in the first upper arm of the connector. The other end of each fiber is located in the other upper arm of the connector, with each fiber forming a loop extending out of the lower opening of the connector. To guide insertion of the device into a patient's vein, and to provide structural support for the fiber loops, a support member extends downward from the connector with an aperture at is distal end. Each of the fiber loops pass through this aperture. The device is inserted through a single small incision into the patient's venous system. An oxygen supply is attached to one of the upper arms of the connector and flows through the length of the fiber loops. Oxygen and carbon dioxide diffuse across the fiber walls between the blood and the interior of the fiber tubes.