摘要:
A trocar useful for forming an incision in a target vessel for placement of an anastomosis device which may have an inner flange formed by radial expansion of the device and an outer flange formed by axial compression of the device. The trocar can have a smaller size during formation of the incision and a larger size when retracted over a deployment tool used to deploy the anastomosis device.
摘要:
A tissue punch for creating a hole in the wall of a target blood vessel for receiving an anastomosis device includes a piercing element for penetrating the tissue and a cutting element for cutting a plug of tissue around the pierced hole. The tissue punch includes a trocar for inserting the piercing element. After punching is complete, the piercing element is removed from the trocar through a side wall of the trocar so that a medical device can be deployed through the trocar lumen. The tissue punch may also include a tissue trap for trapping the plug of tissue.
摘要:
Disclosed herein is a catheter device for treatment of disease in biological conduits. The device has inner and outer coaxial catheter members, each having an inflatable balloon attached near its distal end. When the balloons are inflated, a sealed treatment chamber is created between the balloons. The length of the treatment chamber is adjustable by sliding the coaxial catheter members with respect to each other to obtain a desired separation between the attached balloons before inflation. Biological debris is trapped within the chamber and removed by infusion and aspiration of a flushing fluid, reducing the risk of myocardial infarction. Adjunctive treatment devices can be inserted into the sealed treatment chamber through a lumen of the outer coaxial member.
摘要:
The intravascular multi-anchor stent includes a plurality of cylindrical elements that are independently expandable in the radial direction and that are interconnected so as to be generally aligned on a common longitudinal axis, and a plurality of barbs along the entire circumference of the stent that face outwardly when the stent is in an expanded condition. A plurality of connecting elements are provided for interconnecting only the cylindrical elements that are adjacent to each other so that the stent, when expanded in the radial direction, retains its overall length without appreciable shortening.
摘要:
The device is used to remove tissue from a patient and to also place a marker in the patient. The device has an opening through which tissue enters the device. The tissue, which enters the opening is cut and the tissue is removed. The device may be used a number of times to remove a number of tissue masses. The device also includes a marker, which the user may release in the patient at the desired time.
摘要:
Devices and methods for collecting or cutting and collecting a specimen from a mass of tissue within a patient. The device may include a specimen collection assembly including a flexible membrane that isolates collected specimen from the surrounding tissue. The collection device may also include structures that draw the collected specimen toward the shaft and/or otherwise ease the insertion and retraction of the device and the collected specimen from the patient through a small incision.
摘要:
An integrated anastomosis tool both creates an opening in a side wall of a target blood vessel and performs an anastomosis procedure to connect a graft vessel to a side of the target blood vessel with a single integrated tool. The integrated anastomosis tool includes a cutting device, a graft vessel attachment device, an introducer, and a tool body. In each of the embodiments of the anastomosis tool, the advancement paths of a cutting device and a graft vessel attachment device cross, intersect, or align so that both the cutting device and the graft vessel attachment device can be operated by a single tool at the same intended anastomosis site in a sequential manner. The anastomosis procedure can be performed on a pressurized vessel since there is no need to interchange tools during the procedure.
摘要:
A suction sleeve is configured to couple to the shaft of an RF device to evacuate hot gasses, fluids and/or other aspirates. The suction sleeve may be configured to be disposed coaxially around the shaft between the first end of the shaft and the work element (e.g., an RF cutting element) thereof. The suction sleeve defines a suction port and a plurality of openings near the work element, and is configured to enable suction in through the plurality of openings and out through the suction port.
摘要:
A tissue punch for creating a hole in the wall of a target blood vessel for receiving an anastomosis device includes a piercing element for penetrating the tissue and a cutting element for cutting a plug of tissue around the pierced hole. The tissue punch includes a trocar for inserting the piercing element. After punching is complete, the piercing element is removed from the trocar through a side wall of the trocar so that a medical device can be deployed through the trocar lumen. The tissue punch may also include a tissue trap for trapping the plug of tissue.
摘要:
A war game apparatus includes a game board which includes a map. The map depicts an area known as the Middle East and includes land areas and water areas, and a plurality of color coded three-dimensional game pieces which include ships placed on the water areas and which includes a plurality of color coded pieces placed on the land areas. The color coded land area pieces include a plurality of airplanes, a plurality of soldiers, a plurality of free men, a plurality of Scud missiles, a plurality of Scud missiles launchers, a plurality of Tomahawk missiles, and a plurality of Patriot missiles capable of being placed on the land areas. A pair of chance selection devices are provided for determining order of play among players. A plurality of instruction cards are provided for directing play action when a player takes a turn and selects instruction cards. A plurality of color coded territory cards are provided which correspond to color codes of the color coded game pieces. The land areas are designated as States. A Scud missile is capable of symbolically killing twenty percent of the soldiers on a land area it lands upon. A Patriot missile is capable of symbolically defending against a Scud missile and a Tomahawk missile. A Tomahawk missile can be symbolically fired from a ship and is capable of symbolically killing thirty percent of the soldiers on a land area it lands upon. An airplane can be placed on any land area owned by a player.