摘要:
A double acting piston blood pump having distal and proximal manifolds that are connected by a cylinder having a piston reciprocating therein and dividing the cylinder into a proximal and distal chambers. The manifolds have chambers that are in fluid communication with the distal and proximal chambers of the cylinder and one way valves for controlling fluid flow from and to the cylinder chambers.
摘要:
A balloon catheter which has an elongate shaft with an inflatable balloon connected to its distal end and a manifold connected to its proximal end. The manifold may be fixedly or removably attached to the shaft and includes a barrel with a plunger movably disposed inside it. The manifold may be held with one hand and the plunger may be actuated with one finger or thumb on the same hand. The barrel may have an internal volume of less than 5 cc and an internal diameter of less than 0.25 inches. The catheter also has a prep port which may be connected at or near the proximal end of the catheter. The prep port facilitates prepping of the catheter system. A seal (e.g. a releasable cap or a valve) may be connected to the prep port for sealing off the prep port during use. A pressure transducer may be mounted to the catheter (e.g. on the shaft, the manifold, the prep port, or the seal) to permit measurement of the pressure within the inflation lumen and the balloon. The pressure transducer may be operably connected to a pressure display and the display may be connected to the proximal end of the catheter or may be remotely located from the catheter. Data may be transmitted to the remote display by wire or wireless transmission (e.g. infrared, radio frequency, or magnetic transmission). Alternate embodiments and methods of use are also disclosed.
摘要:
A percutaneous transluminal device for sensing the mechanical vibrations imparted to it inside a patient's vascular system. The preferred embodiments include a transducer attached to the distal end of a flexible guide wire. The transducer senses mechanical vibrations imparted to the guide wire in vivo and generates a corresponding electronic signal. Devices are provided for generating an audio or visual representation of the electronic signal.
摘要:
A balloon catheter which has an elongate shaft with an inflatable balloon connected to its distal end and a manifold connected to its proximal end. The manifold may be fixedly or removably attached to the shaft and includes a barrel with a plunger movably disposed inside it. The barrel has an internal volume of less than 5 cc and an internal diameter of less than 0.25 inches. A pressure transducer may be mounted to the manifold to permit measurement via a sensor tube. A pressure source for a balloon catheter including a barrel with a plunger inside it. The barrel is in fluid communication with the inflation lumen of the catheter and has an internal volume less than 5 cc and an internal diameter of less than 0.25 inches. A pressure sensor may be connected to the barrel with a sensor tube defining a fluid path from the interior of the barrel to the pressure sensor. A lock mechanism may be connected to the barrel to control longitudinal movement of the plunger. Pressure sources for balloon catheters with an adjusted P/&Dgr;V of 4000 atm/cu.in. or more and preferably 6000 atm/cu.in. or more over a pressure range of 5 to 15 atm. Connection tubes for connecting a pressure source to a balloon catheter with an adjusted P/&Dgr;V of 6000 atm/cu.in. or more (or an adjusted P/&Dgr;V by unit length of 90×103 atm/sq.in. or more) and preferably 8000 atm/cu.in. or more (or an adjusted P/&Dgr;V by unit length of 110×103 atm/sq.in. or more) over a pressure range of 5 to 15 atm.
摘要:
An inflation device includes a syringe forming a cylindrical chamber containing a plunger carrying a stopper or piston arrangement. The chamber is designed to contain an inflation fluid and is in fluid communication with the lumen of a balloon catheter. Movement of the plunger within the chamber will increase or decrease the pressure of the fluid within the chamber and lumen, thereby inflating or deflating the balloon at the distal end of the catheter. A pressure sensor is mounted to the housing in fluid communication with the lumen and is electrically connected to a battery-operated transmitter. The transmitter broadcasts signals representing pressure within the lumen and balloon to a remote receiver. The receiver includes a microprocessor containing a clock and operable to display time and pressure data. A flexible insulator strip is interposed between the battery and the transmitter circuit to prevent operation of the transmitter until desired by the cardiologist. The housing of the inflation device may be opened to remove the batteries for separate disposal and to render the circuit inoperative to prevent reuse. A look-up table associated with the microprocessor permits display of balloon diameter during the procedure.
摘要:
Catheters, assemblies, and methods for delivering and recovering embolic protection devices. Catheters are provided that can be advanced over single length guide wires and which can be retracted over single length wire shafts of distal embolic protection devices. One catheter is a two-port catheter having two sidewall ports, a distal end port, and a proximal end port. The two-port catheter can be advanced over a guide wire threaded between the distal end port and the distal sidewall port. An embolic protection device wire shaft can be back loaded into the distal end port and out the proximal sidewall port. A three-port catheter includes a distal end port, and distal, intermediate, and proximal sidewall ports.
摘要:
Branched braided stent or graft devices and processes for fabrication of the devices are disclosed in which a trunk portion and two hinge leg portions are fabricated in one piece braided from a single plurality of filaments, whereby the legs contain the full plurality of filaments and the trunk portion contains a subset of the same plurality of filaments. The fabrication process involves braiding the hinged legs on a mandrel while retaining loops of filament between the hinged leg portions for subsequent braiding of the trunk portion of the stent or graft.
摘要:
In some embodiments, a medical device may include one or more of the following features: (a) a metal fabric formed of braided metal strands, (b) the medical device having a collapsed configuration for delivery through a channel in a patient's body and having a generally dumbbell-shaped expanded configuration with two expanded diameter portions separated by a reduced diameter portion formed between opposed ends of the device and unsecured metal strand ends at the opposed ends, and (d) a thrombogenic agent located on the metal fabric.
摘要:
Branched braided stent or graft devices and processes for fabrication of the devices are disclosed in which a trunk portion and two hinge leg portions are fabricated in one piece braided from a single plurality of filaments, whereby the legs contain the full plurality of filaments and the trunk portion contains a subset of the same plurality of filaments. The fabrication process involves braiding the hinged legs on a mandrel while retaining loops of filament between the hinged leg portions for subsequent braiding of the trunk portion of the stent or graft.
摘要:
An embolic protection device or system for use in a lumen of a vessel in a patient's vascular system. The device filters debris and blood clots in a body lumen and/or prevents them from moving distally from a treatment site in a vessel and causing emboli. The device may include a filter placed distally of the treatment site. The device may include an occlusive element placed either distally or proximally of the treatment site.