A valvulotome for surgically removing venous valves in order to convert a vein into an arterial bypass, comprises a thin, elongated, flexible wire of Nickel-Titanium alloy coated with PTFE and having a head secured to its distal end. The head has a single, narrow, laterally extending arm, with a blade edge facing in the proximal direction and extending transverse to the wire. The head also has a blunt tip projecting in the distal direction and laterally spaced from the wire axis. The head has a ...

An improved valvulotome structure characterized by an elongate flexible shaft having proximal and distal ends and a cylindrical cutting member externally mounted around said shaft for axial movement, relative to said distal end, between a retracted and an extended position.

A valvulotome for surgically removing venous valves in order to convert a vein into an arterial bypass, comprises a thin, elongated rod capable of insertion into a vein and a head having a blunt tip secured to the distal end of the rod. The head has two sharp-pointed blades extending in the proximal direction from the proximal side of the tip. The point of each blade is located radially inwardly with respect to the outer surface of the tip, and each blade is defined by a pair of surfaces which a...

An instrument comprising an elongated control handle having a passage extending therethrough, an elongated flexible catheter body having at least one lumen and a distal end coupled to the control handle and an elongated flexible member extending through the passage and into the lumen and having a distal end portion. A tool is coupled to the distal end portion of the flexible member, and the tool is capable of performing a medical task within a patient. An elongated flexible image-transmitting me...

A catheter-cutter for aorto-coronary bypass graft cutting of vein valves within a vein graft and for the in-situ bypass vein graft cutting of the valves within a vein includes at-least-one arcuate, razor-sharp, angled-tip cutting blade extending from the open distal end of the catheter, such at-least-one cutting blade being fixed or selectively extendable from the distal end of the catheter by optional control means carried at the proximal port of the catheter, the at-least-one cutting blade bei...

A catheter-cutter for aorto-coronary bypass graft cutting of vein valves within a vein graft and for the insitu bypass vein graft cutting of the valves within a vein includes at-least-one arcuate, razor-sharp, angled-tip cutting blade extending from the open distal end of the catheter, such at-least-one cutting blade being fixed or selectively extendable from the distal end of the catheter by optional control means carried at the proximal port of the catheter, the at-least-one cutting blade bein...

A RF valvulotome and method of use is described. The valvulotome comprises an elongated, flexible polymeric tube or rod supporting a pair of paddle members at its distal end, the paddle members defining opposed facing surfaces having a gap therebetween. A pattern of metallization, comprising electrodes, are formed on the opposed facing surfaces and means are provided for applying RF energy between the electrodes after the instrument has been introduced into a vein and advanced to the point where...

A bipolar electrocautery valvulotome in the form of an elongated catheter having a longitudinal axis, a proximal end for being held and manipulated by a user, and a distal end. A first electrode is provided adjacent the distal end of a main body of the catheter and has an exposed surface facing distally of the catheter. The first electrode is electrically coupled to device for generating a current. A second electrode is disposed distally of the first electrode and is also electrically coupled to...

Self-centering valvulotome (V) having a flexible cable (1) partly and slidably disposed within a protective sheath (2), a cutting unit (4), having at least three radially mounted, retractable cutting blades, attached to the cable at its distal end, and a dual-purpose control mechanism attached to the cable at its proximal end. Each retractable cutting blade comprises a free-floating cutting head and a flat spring section, which biases the cutting head against the venous wall. The control mechani...

An optical valvulotome having a replaceable blade head for in situ cutting of venous valves has a catheter that can be pushed through a vein. An anchor is attached to the catheter, and a cutting head can be releasably engaged with the anchor to cut the valves as the catheter is pushed through the vein. The cutting head has two spaced apart cutting blades that form a light passageway between the blades. An optical fiber is disposed in the catheter for collecting light from the light passageway be...