摘要:
A hollow fiber blood oxygenator is provided having a plurality of enclosed, coaxial heat exchanger coils, having a common header to insure uniform temperature in the coils. An enclosed fiber bundle is concentrically positioned inside the heat exchanger coils to define a flow path around the coils and through the fiber bundle. The heat exchanger coils and the outside of the fiber bundle are tapered to provide a close fit. Gas manifolds direct gas flow to and from the hollow fibers.
摘要:
An arterial cannula is formed with an angled shoulder that limits the degree of insertion of cannula tip into an artery. The shoulder also forms a seal with the artery. Suture flaps are formed on the cannula to attach the cannula to the patient's skin. A stylet for the cannula has a stop on its exterior that prevents blood flow between the cannula and the stylet, and permits clamping of the cannula with the stylet partially withdrawn. A removable anti-backflow ring seals the cannula and provides a convenient initial movement limit for the stylet stop.
摘要:
An extracorporeal blood circuit comprises a generally cylindrically shaped blood reservoir; a generally cylindrically shaped oxygenator arranged coaxially and adjacently below said reservoir; and a generally cylindrically shaped heat exchanger attached coaxially and adjacently below said oxygenator. The reservoir encloses an upper defoamer and multiple filter element adapted to receive cardiotomy blood within the interior of said upper element and to discharge treated blood to said reservoir; and a lower defoamer and filter element adapted to receive arterial blood within the interior of said lower element and to discharge treated blood to said reservoir; and has a lower blood outlet. The oxygenator has an inlet adapted to integrally receive blood directly from the outlet of said heat exchanger and an outlet adapted to return the oxygenated blood to the patient.
摘要:
PTFE vascular tubing is guided on to a tapered ultrasonic horn as the horn is oscillating at a high frequency. This action causes the end of the tubing moved onto the horn to expand. The expanded tubing is then positioned on a mandrel having a desired shape, such as tapered, and resintered. The finished tubing with an expanded diameter on one end and a non-expanded diameter on the other end is then removed from the mandrel, and is ready for use. Untapered tubing can also be radially expanded by this method to provide a thinner wall.
摘要:
A unitary device for the treatment and collection of blood from two different sources during a surgical procedure comprises a hollow housing made of a rigid, preferably transparent, material, first and second blood inlets in the housing, a first blood treatment element inside the housing comprising a layer of porous defoaming material and a layer of non-woven depth filter material, and a second blood treatment element inside the housing comprising a layer of porous defoaming material and free of any depth filter material. The novel device also includes internal walls for providing two blood flow paths therein, one through the first inlet, the first blood treatment element, a blood collection reservoir defined within the device and a treated blood outlet in the bottom wall of the housing, and the other through the second inlet, the second blood treatment element, the blood collection reservoir and the blood outlet. The latter blood flow path bypasses at least the depth filter material layer of the first blood treatment element. In typical use in an extracorporeal flow circuit, cardiotomy blood is introduced to the first inlet, venous return blood is introduced to the second inlet and the common blood outlet is connected to an extracorporeal blood pump. As a result, passage of the relatively clean venous return blood through a depth filter material is avoided.
摘要:
A device for transferring high energy electromagnetic radiation from a laser to an optical fiber, which comprises a cone-shaped coupler having a wide proximal end and a narrow distal end, wherein the proximal end is in the form of a convex surface which acts as a focussing lens adapted to receive radiation from a laser and to transmit said radiation into and through said optical fiber and the distal end is attached to the input end of the optical fiber to form an integral assembly therewith, said cone-shaped coupler having a taper angle .theta. defined by the equation ##EQU1## wherein N.A. is the numerical aperture of the fiber material and .mu. is the refractive index of the material of the coupler at the wavelength of the incident radiation. A process for removing an obstruction by laser surgery using said device is also disclosed.
摘要:
A device for conveying high energy electromagnetic radiation from a laser source to an optical fiber which comprises a sleeve having a proximal end and a distal end and being adapted to enclose a liquid which is transparent to said radiation, the distal end of said sleeve being adapted to be attached to the input end of the optical fiber; and a focussing lens attached to the proximal end of said sleeve said liquid having a refractive index which substantially matches the refractive index of the lens and of the optical fiber. A process for removing an obstruction by laser surgery using said device is also disclosed.
摘要:
A method of dielectrically joining the mated ends of tubular members is, specifically, used in the formation of a cannula for insertion into a body cavity, duct, or vessel of a patient. The cannula preferably includes a parent cannula member and an integrally joined tip. The method comprises the steps of joining the mated ends of the tubular members to form a common joint, passing a high frequency electrical current between the electrodes of a dielectric heating device and through the mated ends of the tubular members to heat and fuse them together at said joint, concentrating the heat at the joint to form an integral cannula, permitting the hot air surrounding the joint to escape in order to prevent the burning or scorching of said cannula, pressurizing the joint to facilitate the escape of the hot air and to eliminate dimensional differences in the mated ends, and forming the mated ends of the tubular members while in a heated condition to provide smooth surfaces on the cannula.
摘要:
This invention relates to the electrochemical machining of integrally formed prosthetic heart valve structures in which both the structural integrity of the valve and the blood flow through the valve is improved as a result of the integral formation of the valve structure. In particular, such heart valves comprise a ring and a pendant structure, such as a strut, for supporting the opening and closing of a discoid valve occluder. Integral formation of the strut with the ring permits the cross-sectional shape of the strut to be machined without overheating and distortion to conform to a teardrop shape having favorable fluid-dynamic characteristics thereby improving the flow of blood through the valve across the strut. The integral formation of the strut with the ring further results in the elimination of the weld fillet between the strut and the ring, thereby permitting the height of the ring to be reduced, which further improves the fluid dynamic characteristics of the valve. The overall structural integrity of the heart valve structure is also improved by the shape of the strut which permits the increase in the total cross-sectional area of the strut while retaining the favorable fluid flow characteristics of the valve. Thus, this invention provides for improved structural integrity of the valve and at the same time, improved flow characteristics through the valve.