Abstract: Apparatus is provided for protecting a patient's limb from tourniquet-related injury, comprising: a tourniquet cuff having a length sufficient for encircling a limb protection sleeve applied to a limb at a location having a limb circumference of not less than a predetermined minimum limb circumference and not more than a predetermined maximum limb circumference; limb protection sleeve adapted for applying to the limb at the location, wherein the sleeve has a tubular shape and a tubular circumference predetermined to be less than the predetermined minimum and wherein the sleeve is formed to allow elastic stretching of the tubular shape sufficient to increase the tubular circumference to be substantially equivalent to the limb circumference at the location when the sleeve is applied to the limb, thereby applying a pressure to the limb that is greater than a predetermined minimum pressure and less than a predetermined maximum pressure; and identification means perceptible to a user for providing an indication to

Abstract: A turbocharger system comprises a first relatively small turbocharger and a second relatively large turbocharger connected in series and an exhaust gas flow control valve. The exhaust control valve has an inlet port communicating with the exhaust gas flow upstream of the first turbine a first outlet port communicating with the exhaust flow downstream of said first turbine but upstream of said second turbine, and a second outlet port communicating with the exhaust flow downstream of said second turbine. The valve is operable to selectively permit or block flow through the first and second outlet ports.

Abstract: A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb.

Abstract: A low-cost disposable tourniquet cuff having improved safety includes a cuff with opposing ends and an inflatable bladder having a first bladder side and a second bladder side. The bladder has a length dimension that is greater than the circumference of a limb of a patient at a desired limb location for applying the cuff, but less than the distance between first and second cuff ends. A port is provided for inflating the bladder, and a fastener is attached to the second bladder side and adapted to allow the surgical user to releasably secure the fastener to the first bladder side only if the cuff overlaps upon itself by at least a predetermined minimum cuff overlap length at the desired limb location.

Abstract: An integrated tourniquet system enables the user to establish with suitable warnings, and with timely user confirmation, individualized maximum pressure levels in the cuff that may be above normal maximum pressure levels. Also provided is a rapid and accurate method of testing for leakage in the cuff and connectors. The system is adapted for communication to remote devices for receiving and providing information relating to the pressure levels, tests, etc.

Abstract: Apparatus for estimating a magnitude of leakage from a surgical tourniquet system while pressure in a cuff of the system is regulated near a reference pressure.

Abstract: A occlusion detector for a dual-port surgical tourniquet system comprises: a tourniquet cuff for encircling a patient's limb and including an inflatable portion that communicates pneumatically with a first cuff port and that communicates pneumatically with a second cuff port independently of the first cuff port; a tourniquet instrument that is releasably connectable to the first and second cuff ports to establish first and second pneumatic passageways between the tourniquet cuff and the tourniquet instrument, wherein the tourniquet instrument includes pressure sensing means communicating with the first pneumatic passageway for producing an indication of the pressure in the cuff over a time period suitably long for the performance of a surgical procedure, pressure regulation means communicating with the second pneumatic passageway for regulating the pressure in the cuff near a reference pressure level, and an occlusion detector for introducing a pneumatic pressure pulse into the first pneumatic passageway duri

Abstract: A system for controlling blood flow through a zone of a patient limb, the zone being bounded by a proximal end and a distal end, comprises: a cuff configured for securing to the limb and for covering the zone, the cuff being inflatable to provide pressure to the zone for occluding the flow of blood flowing through the zone in the direction from the proximal to distal ends of the zone; an array of sensors fitting between the cuff and the limb and arranged for sensing and signaling the amount of penetration of blood flow into the zone; and a control instrument connected to the array and to the cuff for regulating the pressure in the cuff to occlude the blood flow in the zone depending upon the amount of blood flow penetration signaled by the array.

Abstract: A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb.

Abstract: A low-cost disposable tourniquet cuff includes: a first sheet formed of flexible material that is impermeable to gas; a second sheet facing the first sheet and formed of flexible material impermeable to gas; a bladder seal joining the first sheet to the second sheet around a perimeter to form an inflatable bladder within the perimeter; port means communicating pneumatically with the bladder and releasably connectable to a tourniquet instrument; stiffener means contained within the inflatable bladder and formed of gas-impermeable material less flexible than the first sheet, wherein the stiffener means has a stiffener width dimension less than the bladder width dimension and is joined to the first sheet to form a non-inflatable portion of the first sheet; and securing means attached to the non-inflatable portion of the first sheet and adapted to allow a surgical user to releasably secure the cuff around the limb at the desired location so that the bladder overlaps upon itself.

Abstract: A surgical tourniquet cuff system includes a tourniquet cuff with a cuff connector for communicating pneumatically with the cuff and for releasably connecting to a tourniquet instrument connector to establish a pneumatic passageway between the cuff connector and the tourniquet instrument connector. A tourniquet instrument supplies pressurized gas through the pneumatic passageway to the cuff. The tourniquet instrument connector includes a cuff pressure transducer for producing a cuff pressure signal indicative of the pressure of gas within the gas passageway near the connection. The cuff may include a cuff usage register for containing a cuff usage record and the tourniquet instrument connector may include a cuff usage register interface for reading the record. The tourniquet cuff may further include a cuff sheath forming a flexible conduit containing the cuff connector and sized to allow the connection of the cuff connector to the tourniquet instrument connector within the sheath.

Abstract: Improved tourniquet apparatus for measuring a patient's limb occlusion pressure includes an inflatable tourniquet cuff for encircling a limb at a location and to which a tourniquet instrument is releasably connectable.

Abstract: Tourniquet apparatus for rapidly and accurately measuring a patient's limb occlusion pressure comprises: an inflatable tourniquet cuff for encircling a limb at a location; a tourniquet instrument releasably connectable to the cuff that includes: pressure sensing means for producing a cuff pressure signal indicative of the level of pressure in the cuff; pressure regulation means communicating with the cuff and responsive to the cuff pressure signal for regulating the pressure in the cuff near a reference pressure level; blood flow transducing means adapted for applying to a portion of the limb distal to the cuff to produce a blood flow signal indicative of blood flow in the portion; and limb occlusion pressure means responsive to the blood flow signal and the cuff pressure signal and operable for detecting arterial pulsations of blood flow, for increasing the reference pressure level in synchrony with the arterial pulsations and for producing a limb occlusion pressure value indicative of the lowest cuff pressu

Abstract: An adaptive surgical tourniquet comprises: an inflatable cuff for encircling a limb of a patient; pressurizing means for pressurizing the cuff; pressure relief means for depressurizing the cuff; cuff pressure sensing means for sensing cuff pressure; limb occlusion pressure sensing means for sensing the patient's initial limb occlusion pressure at a selected time; physiologic characteristic sensing means for sensing a physiologic characteristic of the patient; and pressure regulator means for establishing an adapted limb occlusion pressure that is a predetermined function of the initial limb occlusion pressure and the physiologic characteristic, wherein the pressure regulator means is operable after the initial limb occlusion pressure is sensed for selectably activating the pressurizing means and the pressure relief means to maintain the cuff pressure above the adapted limb occlusion pressure for a time period suitably long for the performance of a surgical procedure.

Abstract: Apparatus is provided for protecting a patient's limb from tourniquet-related injury, comprising: a tourniquet cuff having a length sufficient for encircling a limb protection sleeve applied to a limb at a location having a limb circumference of not less than a predetermined minimum limb circumference and not more than a predetermined maximum limb circumference; limb protection sleeve adapted for applying to the limb at the location, wherein the sleeve has a tubular shape and a tubular circumference predetermined to be less than the predetermined minimum and wherein the sleeve is formed to allow elastic stretching of the tubular shape sufficient to increase the tubular circumference to be substantially equivalent to the limb circumference at the location when the sleeve is applied to the limb, thereby applying a pressure to the limb that is greater than a predetermined minimum pressure and less than a predetermined maximum pressure; and identification means perceptible to a user for providing an indication to

Abstract: An adaptive tourniquet cuff system comprises: a tourniquet cuff having a physical characteristic and including an inflatable bladder of a length greater than the circumference of a limb at a selected location; a cuff connector carried on the cuff and communicating pneumatically with the bladder for releasably connecting to a tourniquet instrument to establish a gas-tight passageway between the bladder and the tourniquet instrument; and an identifying collar including identification means indicative of the physical characteristic and detectable by the tourniquet instrument upon establishment of the gas-tight passageway. The tourniquet instrument may supply gas to the bladder through the gas-tight passageway at a pressure sufficient to stop arterial blood flow into the limb distal to the cuff at the selected location, and may adapt its operation in response to the detected physical characteristic of the cuff.

Abstract: An internal tourniquet for establishing hemostasis within a portion of a limb to facilitate surgery controls flow of a fluid into a capsule surrounding substantially all of a human joint. Blood concentration in the capsule is sensed; and pressure in the capsule is controlled to maintain a fluid pressure in the capsule within a predetermined pressure tolerance window. The concentration of blood in the capsule is maintained below a predetermined maximum concentration while the fluid pressure is within the pressure tolerance window.

Abstract: A low-cost disposable tourniquet cuff having improved safety includes a cuff with opposing ends and an inflatable bladder having a first bladder side and a second bladder side. The bladder has a length dimension that is greater than the circumference of a limb of a patient at a desired limb location for applying the cuff, but less than the distance between first and second cuff ends. A port is provided for inflating the bladder, and a fastener is attached to the second bladder side and adapted to allow the surgical user to releasably secure the fastener to the first bladder side only if the cuff overlaps upon itself by at least a predetermined minimum cuff overlap length at the desired limb location.

Abstract: A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb.

Abstract: This invention relates to an actuator assembly for a turbocharger pressure control valve assembly and a method of assembling a pressure control assembly of a turbocharger. The assembly comprises an actuator coupled to an actuator rod which in use is coupled to the valve assembly to control the position thereof. The actuator rod comprises an elongate member at least a portion of which is flexible. The actuator rod may be a resilient member which may be substantially straight when stressed. In use the actuator rod may extend in a substantially straight line between the actuator and the valve assembly.