Abstract:
A surgical apparatus and a method to restore blood flow capacity to occluded and partially occluded arterial vessels is disclosed. More particularly, the invention is an endarterectomy instrument and a method associated with its use. The instrument combines a separation ring with a wire loop at the distal end of a resilient, flexible catheter. The separation ring separates the plaque and the inner wall from a segment of an occluded artery. The wire loop is then constricted around the undesired material. IN a preferred embodiment the wire loop of the endarterectomy instrument is used to sever, snare and remove the separated inner arterial wall with the occlusion. In an alternative embodiment, the wire loop of the endarterectomy instrument is heated by passing a current therethrough in order to sever the undesired material from the arterial wall. The undesired occlusion is removed along with the inner layers of the artery by snaring the material with the wire loop and removing the instrument from the vessel in a single step.
Abstract:
The device for blocking (e.g., embolizing) the side branches of an anatomical passageway under endoscopic guidance. The device comprises an elongate catheter body having a side branch blocking apparatus, such as an embolization catheter, disposed therein and further incorporating an endoscope (e.g., an angioscope). The incorporated endoscope is useable to A) visually locate side branches which emanate from the anatomical passageway and b) visually observe the operation of the side branch blocking apparatus. Also disclosed are methods for utilizing a device of the forgoing character, including methods for performing in situ embolization of the side branches of a vein, under angioscopic visualization. The endoscopic component of the device may also be utilized to visually observe the use and/or effect of one or more separate device, such as valvulotome(s) used for cutting venous valves located within the lumen of a vein.
Abstract:
A radioactive suture for inhibiting an intimal hyperplastic response comprises a needle and a suture material having a radioactive beta-emitting element. This radioactive element is preferably chemically bonded to an organic substrate of the suture material. It is preferred that the radioactive suture material generates a beta radiation greater than 0.0002 uCi/cm. A first preferred method for producing the radioactive suture comprises the steps of placing the suture needle and the suture material in a sealed reaction chamber. Once the suture is in the reaction chamber, an ionized beta radiation emitting element, preferably ionized tritium, is introduced into the chamber. While in the chamber, an entropic exchange process begins wherein the beta radiation emitting element is exchanged for hydrogen molecules in the organic suture material. Once the desired level of tritium or other beta radiation emitting element is incorporated in the suture material, the reaction chamber is flushed. The suture is then rinsed, dried, removed from the reaction chamber, and packaged. In another aspect, a radioactive suture may be fabricated from an organic polypropylene material. A beta radiation emitting element, preferably tritium, is incorporated directly into a backbone of the organic polypropylene material. The now radioactive polypropylene material is extruded into a suture thread, which is attached to a suture needle and packaged for shipment and later use. Although not required by the present inventive method, the preferred embodiment of the organic polypropylene material comprises carbon 12.
Abstract:
A circuit, whose operating potential includes complementary pulsating signals, functions to produce quasi-static output signals which are virtually independent of the pulsations. An inverter circuit includes a first transistor connected between a first, fixed, operating voltage level and an output terminal and second and third transistors whose conduction paths are connected between the output terminal and, respectively, first and second sources of complementary pulsating signals whose voltages vary, in amplitude, between the first level and a second level. The same input signal is applied to the control electrodes of the second and third transistors whereby one of them always can, when turned on, clamp the output terminal to the second voltage level. The first transistor, when turned on, clamps the output to the first voltage level.
Abstract:
A cascade amplifier embodying the present invention includes a plurality of amplifier stages in direct-coupled cascade connection. During specified intervals interspersed with normal amplification equal potentials are imposed on the inverting and non-inverting terminals of the first amplifier stage. A direct-coupled feedback connection from the output port of the final amplifier stage to the input port of one of the amplifier stages succeeding the first includes a sample-and-hold circuit. This sample-and-hold circuit samples the signal level appearing at the output port of the final amplifier stage during said specified intervals and holds that level for the feedback connection during the intervening periods of normal amplification to provide continuing compensation against input offset potential error.
Abstract:
A current subtractor circuit utilizing a current mirror amplifier (CMA) as the subtracting element. An operational amplifier converts the difference current to an output voltage proportional to this difference. The operational amplifier additionally may be utilized to equalize the voltage drop across the conduction paths of the transistors comprising the CMA and to maintain the CMA output transistor in its constant current region of operation.
Abstract:
A first field-effect transistorized constant current supply provides a first relatively constant output current. A second field-effect transistorized constant current supply is cascaded with, and driven by, the first current to provide a more highly regulated second constant output current. The system is self-starting and latch free. The second output current may be employed to drive a current mirror with a plurality of output current paths.
Abstract:
Circuits for generating pulsating potentials and voltage levels outside the range of, and/or of greater magnitude than, the operating potential applied to the circuits. Each circuit includes first and second transistors for applying a first voltage to one plate of a capacitor and a second voltage to the other plate of the capacitor, during one time interval. During a subsequent time interval, the first and second transistors are turned off and a third transistor applies the second potential to the one plate of the capacitor. The change in the potential at the one plate of the capacitor is coupled to the other plate of the capacitor at which is produced an output potential outside the range of the first and second voltages. The potential difference between the first voltage and the output potential is greater in amplitude than the potential difference between the first and second voltages. The circuit may also include means alternately applying the first voltage and then the output potential to an output point for generating pulsating signals of greater amplitude than the magnitude of the applied potential. The outputs of two or more circuits may be combined to produce direct current (d.c.) levels. Also included are circuits which operate from a pulsating source of operating potential.
Abstract:
This disclosure describes techniques of dynamically assembling and utilizing a pedigree of a resource. A pedigree of a resource is a set of statements that describe a provenance of the resource. As described herein, a set of one or more servers may host context objects that contain the statements that make up the pedigree of the resource. In order to obtain the pedigree of the resource, a context assembly device may send queries to the servers for context objects that are likely to contain statements in the pedigree of the resource. After receiving context objects from the servers in response to the queries, the context assembly device may query the statements in the received context objects in order to identify, among the statements in the context objects, the statements that constitute the pedigree of the resource. The dynamically assembled pedigree may then be used in a variety of ways.