摘要:
A method and system is provided for passing a suture anchor through a soft tissue and into a bone. The method includes the steps of locating a desired anchor receiving site on the bone; passing a locating wire through the soft tissue and into the bone at the anchor receiving site and passing over the locating wire an inner/outer cannula system which includes an inner cannula having a sharp distal tip, and an axial lumen therethrough sized to accommodate the positioning wire and an outer cannula having a distal end, and an axial lumen therethrough sized to accommodate the inner cannula and coaxially receiving the inner cannula, the distal end being tapered wherein to present a gradually increasing profile and wherein the distal tip of the inner cannula extends distally beyond the end of the distal end of the outer cannula. The sharp distal tip of the inner cannula passes through the soft tissue to create an opening therethrough and the tapered distal end of the outer cannula passes through the opening to expand the opening and minimize removal, cutting and disturbance of the tissue as it passes therethrough. The suture anchor passes through the outer cannula and is driven into the bone at the anchor site.
摘要:
A self-expanding endoluminal device comprising a tubular filamentary member having a hollow core for receiving a guidewire, the tubular member having a straightened configuration with the guidewire in the hollow core, a shape memory configuration without the guidewire in the hollow core, and an extension, optionally severable, accessible from outside of the body. The hollow core may be adapted to contain and elute or permanently contain a substance, which may be injected through the extension. A delivery system includes the guidewire, and a deployment method includes deployment with a proximal end of the extension accessible from outside of the body.
摘要:
Methods and device for extracting and collecting tissue, which can be used for example in tissue engineering and grafting applications, are disclosed. In one embodiment, a device can include an outer tube. A rotatable shaft can be disposed within the outer tube can have a tissue harvesting tip formed on its distal end, the tissue harvesting tip being effective to excise tissue upon rotation thereof A tissue collection device can be included to receive and collected excised tissue, and the tissue collection device can indicate the amount of tissue collected therein. For example, the tissue collection device can include a straining element which collects excised tissue and an indicator by which to assess the amount of collected tissue. In some embodiments, the tissue collection device can translate to indicate the amount of collected tissue. In many cases, devices disclosed herein can include driving mechanisms that are adapted to drive a tissue harvesting tip such that the tip excises soft tissue, but stops when contacting bone (or soon after contacting bone). In some embodiments, the tissue harvesting tip can be effective to excise viable tissue samples, such that the samples can exhibit desirable proportions of viable cells. Further, in some embodiments, the tissue harvesting tips can excise a tissue sample with tissue particles falling in certain size ranges.
摘要:
A stent-graft endoprosthesis is provided. The graft is a non-textile graft made from biocompatible polymers. The biocompatible compatible polymers include poly-para-xylylene polymeric material. The stent is also coated with a poly-para-xylylene polymeric material. The graft is formed by vacuum vapor deposition of diradicals forming the poly-para-xylylene material. The stent is also coated with the poly-para-xylylene material by vacuum vapor deposition.
摘要:
Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.
摘要:
A stent is provided that includes at least two stent segments which mate with one another. At least one of the stent segments includes a hollow member, and at least one of the stent segments includes a solid member. At least one of the solid members is secured to at least one of the hollow members.
摘要:
A graft system for intraluminal delivery in a vessel in need of repair comprising a graft, anchoring means, and a strippable sheath around at least part of the graft. A preferred anchoring means is a balloon-expandable stent. Also included in the invention is a method of using the device to treat a body lumen. The strippable sheath is removable by pulling on a drawstring to remove it which permits expansion of the graft. The positioning of the device may then be adjusted prior to stent dilation. A preferred embodiment of the invention includes a bifurcated graft system for intraluminal delivery in an aortic aneurysm comprising a bifurcated graft having a distal region and two legs, an expandable stent disposed in part of the distal region, and a strippable crocheted sheath around the distal region and one of the two legs. The strippable crocheted sheath is removable by untying it to permit expansion of the graft after initial placement within the aneurysm.
摘要:
A connector for placement between an injector of contrast media and a venous catheter is described. The connector is adapted to protect the body of the catheter and the valve closing the catheter from excessive pressure and flow rate of the fluid being injected. The connector includes a valve bypass element to open the valve and pass the fluid beyond the valve, and a pressure control element to maintain the flow pressure below a selected value.
摘要:
Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.
摘要:
A thrombosis filter which can be securely affixed at a selected location in the vascular system of a patient and removed when no longer required. An embodiment of the thrombosis filter includes a plurality of struts formed of a shape memory material. A change in temperature can cause the struts to extend and engage a wall of a blood vessel.