Abstract:
A cannula assembly including a tube cannula and a hollow introducer needle. At the proximal end of the cannula are three fittings: first, a first luer fitting affixed to the proximal end of the tube cannula; second, a luer fitting removably attached to the first luer fitting, this second luer fitting having a first air porous water locking plug at a proximal end penetrated by the needle; and, third, a needle handle removably attachable to the second luer fitting. The proximal end of the needle handle is blocked also by a second air porous water blocking plug. The second plug prevents escape of blood from the hollow needle upon penetration of the arterial wall. The first plug controls the rate of flow of blood to the cannula tube and allows clamping of the tube after withdrawal of the introducer needle and prior to connection to a cardioplegia supply line.
Abstract:
A single stage catheter which is used in open heart surgery to by-pass blood from the heart to a life support machine. The single stage catheter has a spiral lead flute for insertion into the inferior vena cava of the heart and a root section with multiple openings to be positioned in the right atrium of the heart. The flutes of the spiral lead to small quadrant openings in the end of the root section which also has long and short axial slot openings leading to the interior of the catheter. An obturator is designed to block the long and short axial slots during insertion to allow flow only through the quadrant openings to the interior of the obturator.
Abstract:
A cannula assembly having a hollow elongate cannula with a proximal end, a distal end, and a central axis. A coiled reinforcing member is disposed along a portion of the hollow elongate cannula and is adapted to provide structural support to the elongate cannula. An intermediate reinforcing band is disposed on the elongate cannula between the proximal end and the distal end to reinforce a perforated section in the wall of the cannula and includes a forward edge, a rearward edge, at least one rib and at least one protrusion extending orthogonally from the forward edge and at least one protrusion extending from the rearward edge. A distal reinforcing band is disposed at the distal end of the elongate cannula and has a plurality of fingers that taper slightly inwardly toward the central axis of the hollow elongate cannula.
Abstract:
The present invention provides an apparatus and method for occluding tributary blood vessels inside a principal blood vessel while still allowing blood to flow through the principal vessel. The apparatus has a support structure and associated membrane that can be collapsed for insertion into the principal vessel. Once inserted at the desired location the support is allowed to expand, forcing the membrane to contact the inner walls of the vessel with sufficient force to occlude the openings of the tributary vessels.
Abstract:
An improved aortic cannula is formed from a cannula body and a tip provided on the distal end of the cannula body wherein the tip is designed to accommodate the fluid flow requirements of an extracorporeal bypass system while simultaneously minimizing any possible adverse impact of the cannula and fluid flow on the vessel in which the cannula is received. The tip has an axial fluid discharge aperture provided at the distal end thereof through which a portion of the fluid exiting the cannula flows. In addition, at least one lateral fluid discharge aperture is provided in the sidewall of the tip. A scoop or other diverting member is formed in the sidewall to direct a portion of the fluid flowing through the tip to exit the cannula through the lateral fluid discharge apertures.
Abstract:
A two-staged venous cannula is disclosed. The cannula includes an expandable reinforcing member around the atrial basket that prevents the cannula from kinking or collapsing in the area where the reinforcing member is applied. The reinforcing member preferably consists of an even number of rigid discrete beams of the same length equally spaced about the circumference of a cylinder. In an alternate embodiment, the beams may be equally spaced on the surface of a cone. Alternate spaces between the beams are formed. The alternate spaces between the beams are equally spaced around the circumference of the cannula. The alternate spaces between the beams remain equally spaced around the circumference of the cannula as the reinforcing member is expanded over a larger diameter. This design for the reinforcing member provides space between the beams where holes of the preferred shape, size and orientation can be placed through the cannula without requiring cutting through the material of the reinforcing member.
Abstract:
A transseptal left atrial cannulation system which provides drainage of left atrial blood without the need for thoracotomy. A guide wire and a long needle assembly are inserted into a catheter. A cannula rides over the exterior of this catheter. The guide wire may be advanced past the needle assembly and through a catheter through the distal end of the catheter to assist in directing the system to the right atrium. The cannulation system is inserted in a femoral vein located in the groin. Both the guide wire and needle assembly are long enough to allow a substantial length to extend out of the body at the groin for manipulation even when the distal ends of the guide wire and needle assembly are positioned in the heart. When the catheter distal end is positioned adjacent the septum in the right atrium, the guide wire is withdrawn from the catheter orifice and the needle assembly moves past the guide wire and through the catheter orifice to a position adjacent to the septum. The needle pierces the septum and the catheter moves over the needle assembly to further dilate the septal hole. The cannula attached to the catheter also moves through the septal hole, further dilating it, and resting with the holes in the left atrium. The guide wire, the needle assembly, and the catheter are withdrawn from the cannula. Oxygenated blood from the left atrium drains through the cannula to the extracorporeal pump and back to the body through an arterial cannula.
Abstract:
A vessel occluder is disposed inside a principal blood vessel for occluding tributary blood vessels inside the principal blood vessel while still allowing blood to flow through the principal vessel. The vessel occluder includes a support structure and associated membrane that can be collapsed for insertion into the principal vessel. Once inserted at the desired location the support structure is allowed to expand, forcing the membrane to contact the inner walls of the vessel with sufficient force to occlude the openings of the tributary vessels.
Abstract:
An electro-stimulation device includes a pair of electrodes for connection to at least one location in the body that affects or regulates the heartbeat. The electro-stimulation device both electrically arrests the heartbeat and stimulates the heartbeat. A pair of electrodes are provided for connection to at least one location in the body that affects or regulates the heartbeat. The pair of electrodes may be connected to an intravenous catheter for transvenous stimulation of the appropriate nerve. A first switch is connected between a power supply and the electrodes for selectively supplying current from the power supply to the electrodes to augment any natural stimuli to the heart and thereby stop the heart from beating. A second switch is connected between the power supply and the electrodes for selectively supplying current from the power supply to the electrodes to provide an artificial stimulus to initiate heartbeating. In another aspect, the invention is directed to a method for arresting the beat of a heart in a living body comprising the steps of connecting the pair of electrodes to at least one location in the body that affects or regulates the heartbeat and supplying an electrical current to the electrodes of sufficient amplitude and duration to arrest the heartbeat. The device may also serve to still the lungs by input to a respirator or by stimulation of the phrenic nerve during surgical procedures.
Abstract:
A cannula assembly for insertion in a blood vessel includes a cannula and a dilator. The cannula has a proximal end, a distal end, and a lumen extending therebetween. The dilator, which is telescopically received in the lumen of the cannula, includes proximal and distal ends, a passage extending between the proximal and distal ends, and a dilator tip disposed at the distal end. The cannula assembly further includes a needle and a guide wire disposed within the passage of the dilator. The dilator tip has an opening formed therein for receiving one of the needle and guide wire. The dilator tip is configured to limit insertion of the needle in the blood vessel.