Abstract:
A perfusion catheter for use in open heart surgery having an inflatable cuff adjacent the distal end in communication with the lumen of the catheter to self-inflate when perfusion liquid is introduced into the lumen. A plug in the lumen within the cuff causes lumen flow to by-pass from the proximal end of the cuff to the distal end of the cuff through transverse parts in the lumen. A flow restriction at the distal end of the lumen causes pressure build-up to inflate the cuff. A pressure monitoring lumen splices to the catheter tube to parallel the tube down to the distal end where it is in communication with the end of the catheter and also with the distal end of the cuff to register cuff pressure. An introducer shaft is provided to be inserted into the lumen to abut the plug to stiffen the catheter, thus facilitating insertion, and a stiffener spine at the cuff area of the catheter also provides rigidity to compensate for the weakening of the lumen resulting from the transverse ports. A cross-port between the pressure monitoring lumen and the main lumen distally of the cuff will register lumen pressure if both the main lumen and the monitoring lumen become occluded at the distal end of the catheter.
Abstract:
A needle hub for use with a syringe in obtaining biopsy specimens. A needle is inserted into the area from which a specimen is to be taken. A vacuum is pulled on the needle lumen to cause tissue to be drawn into the lumen. A special vacuum release is provided on the needle hub so that a surgeon can roll back an O-ring in the hub to expose the interior of the hub to atmosphere, thus releasing the vacuum pull on the needle lumen and allowing the needle to be withdrawn without dilution of the specimen, or contamination by material from other sites.
Abstract:
A prepackaged, self-contained fluid circuit module is selectively movable by an operator into and out of operative association with one or more pump rotors. The module includes a housing which supports two or more flexible conduits, which together define a prearranged fluid circuit. Portions of the flexible fluid conduits are outwardly disposed from the housing in upright, freestanding positions, even when the module is out of operative association with the pump rotors. The upright portions are purposely arranged relative to each other to facilitate only a particular operative relationship between the fluid circuit and the pump rotors when the module is subsequently moved into operative association therewith.
Abstract:
A perfusion catheter for use in open heart surgery having an inflatable cuff adjacent the distal end in communication with the lumen of the catheter to self-inflate when perfusion liquid is introduced into the lumen. A plug in the lumen within the cuff causes lumen flow to by-pass from the proximal end of the cuff to the distal end of the cuff through transverse parts in the lumen. A flow restriction at the distal end of the lumen causes pressure build-up to inflate the cuff. A pressure monitoring lumen splices to the catheter tube to parallel the tube down to the distal end where it is in communication with the end of the catheter and also with the distal end of the cuff to register cuff pressure. An introducer shaft is provided to be inserted into the lumen to abut the plug to stiffen the catheter, thus facilitating insertion, and a stiffener spine at the cuff area of the catheter also provides rigidity to compensate for the weakening of the lumen resulting from the transverse ports. A cross-port between the pressure monitoring lumen and the main lumen distally of the cuff will register lumen pressure if both the main lumen and the monitoring lumen become occluded at the distal end of the catheter.
Abstract:
An apparatus and system for administering cardioplegic solution to a heart during open heart surgery. A source of solution is delivered to a control switch from a single tube source and the tube is divided at a "Y" connector into two tubes, one for antegrade delivery and one for retrograde delivery. The control switch has a prime position with both divided tubes open. Movement from prime position to an operative position is irreversible. In the operative position, there is an "off" position with both tubes closed, an antegrade position with the antegrade tube open and the retrograde tube closed, and a retrograde position with the retrograde tube open and the antegrade tube closed. Movement from one position to the other requires movement through the "off" position so there can be no cross-flow from antegrade to retrograde. Pressure monitoring tubes are incorporated into the switch to be opened and closed with the respective tubes.
Abstract:
The blood processing method, and the apparatus for performing the steps of the method are utilized in separating whole blood into its components and include the steps of, or component parts of the apparatus for carrying out these steps of: pumping whole blood from a donor; passing the whole blood through a first chamber in a centrifuge device: centrifuging the whole blood in the centrifuge device to cause sedimentation of red blood cells from the whole blood in, and separation of platelet rich plasma from the whole blood in, the first chamber; pumping the separated platelet rich plasma from the first chamber and out of the centrifuge device where it is monitored and then back into the centrifuge device and through a second chamber in the centrifuge device where the platelet rich plasma is centrifuged to cause sedimentation of the platelets therein while passing the remaining blood fluid though the first chamber and back to the donor; recombining the plasma passed through the second chamber with the blood fluid passed through the first chamber for return to the donor; monitoring the platelet rich plasma outisde of the centrifuge device and sensing the presence of red blood cells in the platelet rich plasma; stopping and then reversing movement of the platelet rich plasma mixed with red blood cells when a mixture is sensed to return the mixture of platelet rich plasma mixed with red blood cells to the first chamber for separation of the blood components; adjusting the difference in volumetric flow rates of the pump for the whole blood pump and the pump for platelet rich plasma in response to the sensing of red blood cells; repeating the above steps until a desired volume of whole blood has been processed, and stopping operation of the centrifuge device and removing the second chamber with platelets therein from the apparatus.
Abstract:
A suction retractor that provides support to and positions an organ for surgery is provided. This retractor includes a support surface, a plurality of suction elements disposed adjacent the support surface, at least one leash operatively attached to the support surface; and at least one suction tube operatively connected with the suction elements. A method for using the retractor to manipulate an organ during surgery is also provided.
Abstract:
A two-staged venous cannula is disclosed having an angled bend near the distal end. In a preferred embodiment, the angle is a right angle. The angle bend allows the cannulation to take place near the junction of the inferior vena cava and the right atrium instead of higher in the right atrium. The cannula has a drainage hole at the apex of the angled bend to act as a blood collection port and a drainage hole at the distal end of the cannula to drain the inferior vena cava. The two-stage venous cannula is made of a rigid material at its distal end so that the distal end of the cannula may be easily inserted into the patient's heart through the right atrium. The disclosed cannula keeps the cannula away from the aorta, allows the cannula to exit the superior vena cava at an angle more perpendicular to the axis of the superior vena cave and allows the cannula to be used in minimally invasive surgical procedures where size and access restrictions often make it difficult to place and maintain such devices.
Abstract:
A catheter for retrograde perfusion of the heart through the coronary sinus, which has an infusion lumen for introducing perfusion liquid into the heart, a retention means such as an inflatable balloon, and can have retention enhancements such as proximally sloping spikes, or barbed protuberances on the surface of the retention means to keep it firmly in place.