Abstract: An active electrode switches from a monopolar mode extending from a handpiece and a patient return to a bipolar mode with the active and return electrodes extending. An active lead selectively connects the active output and the active electrode. A return lead selectively connects the return electrode and the return output in the monopolar mode or the return terminal when in the bipolar mode. Terminals connect with wiring to the electrodes to complete the circuit for the bipolar mode. One terminal is on the generator and one is in the handpiece to connect to the electrodes and complete the circuit for bipolar. The electrode has a control on the handpiece for the surgeon to change circuitry and to position the electrode for each mode. The return electrode in the monopolar mode is in the handpiece disconnected from its terminal. The return electrode connects to its terminal when extended from the handpiece but for monopolar a pair of patient pads connected to a monitoring circuit test continuity.

Abstract: A connection of first and second members wherein each has a body and a connecting end with an inner surface so the second connecting end has an outer surface shaped for telescoping into the inner surface of the first connecting end. A shoulder is located on the second member and a groove is in the outer surface of the second connecting end. A raised nub on the inner surface of the first connecting end is radially inward to engage the groove. An elastomeric gasket is positioned to bear against the shoulder and be compressed between the first and second bodies. An engaging trough in the groove holds the first connecting end against the shoulder with the nub against the groove by the compression force of the gasket. An indexing trough in the groove positioned along the groove beyond the engaging trough allows the nub to follow therethrough and slightly compress the gasket thus giving the user a tactile indication that it has been rotated beyond the engaging trough.

Abstract: A device for retrograde hole opening through tissue has a member elongate on an axis with a cross section shaped to insert axially through external tissue. A distal and a proximal end on the member respectively enter the tissue during placement and remain outside the tissue for control. A tip at the distal end has a deployable tissue divider with one or more tissue parting elements and each has a splitter. The tissue parting elements are located within the cross sectional dimensions of the member in a storage position and are movable relative to the tip for placement in an exposed position relative to the tip when shifted from storage so that the splitter thereof splits tissue during retrograde extraction along the axis and contact with tissue. Linkage between the proximal end and the deployable tissue divider retains each of the tissue parting elements with its splitter exposed.

Abstract: An actuator for a self-adjusting pump head assembly has a variable position pump shoe slidably attached to a base. The assembly pumps liquids through a tube in a peristaltic pump, including a translator of rotational motion into linear motion and a crank for automatically compensating for the manufacturing tolerances of the tube in the pump pivotally attached to the translator and the shoe. The crank for automatically compensating has a linkage or pair of links, carrying a helical compression spring, pivotally anchored to the translator and the shoe. The peristaltic pump includes a self-adjusting pump head, including a variable position pump shoe slidably attached to a base and a control for positioning, locking and applying a continuous reaction force on the shoe to compress the tube between the shoe and at least one roller located on the periphery of a mandrel.

Abstract: An electrosurgical control for a trocar has a trocar with a cannula with a stylet coaxially fit therein. The stylet is movable relative to the cannula along a common axis. The trocar is shaped for insertion in a direction generally along the axis through tissue in a puncture procedure with its stylet. A distal end and a proximal end on the elongate cannula so the distal end enters the tissue while the proximal end remains outside. A tip on the stylet end, near the distal end of the cannula, normally extends therebeyond in position to puncture the tissue. The stylet has an energy supply passing from the tip to its opposite end and moves reciprocally relative to the cannula so the tip extends or is fully within the cannula. An electrosurgical generator provides energy to the opposite end of the stylet and an electrosurgically active device is a part of the tip and connects to the energy supply.

Abstract: An ultrasonic oscillator drives a tool at a set frequency. An amplitude control runs the oscillator to set the vibration level. A frequency regulator joins the amplitude and the oscillator. A control feedback loop, in the frequency regulator, keeps handpiece linear dynamics. An operational transconductance amplifier, in the oscillator, governs gain of the loop. A circuit connects to the control to retard the rate of current application over time to the amplifier. The circuit has switching to either retard the rate or reset for start up. The amplifier is a current output device with current directly proportional to the bias current and input voltage with bias as gain change for the loop. The circuit limits the bias to the amplifier to modify frequency response and output current. A capacitor delays application of the bias to the amplifier. Replaceable tools of various lengths or shapes positioned along an axis vibrate for surgery at the frequency and a wave length.

Abstract: A monitoring circuit for an electrosurgical generator has active and return output conductors. Voltage, current and the inverse of current picked up inductively are provided to a adder circuits for summing the picked up voltage and current and computing the difference of the picked up voltage and the current. Root mean square to direct current converters signal RMS average values of the sum and difference. A microprocessor squares the values and applies them to a formula wherein the sum signals have subtracted therefrom the difference signals; the results are divided by four to provide the root mean square of the power applied to the load. During desiccation the output is regulated in response to impedance to shut off output. A diagnostic circuit relates impedance load and output response during operation to a look up table or a microprocessor algorithm to calibrate. Feedback modifies the output when the adders determine the power applied to the load in real time.

Abstract: Apparatus and method find leakage due to tissue load or transients and has active and return electrodes for RF energy sensed by transformers for a circuit that finds leakage at more than two thousand times per second or a frequency dependent on the phase shift between voltage and current. Software and feedback manage V.sub.rms to reduce the voltage or increase the crest factor, which is V.sub.rms divided by peak voltage, by pulse width modulation of the RF drive. Voltage and current phase shift changes, angle .theta., are compared to a threshold, and when greater, the frequency at which the differences between the active and return current signals are examined is increased. The differences between the active and return currents are examined and when greater than maximum leakage while in coagulation mode, the RF drive pulse width is reduced to maintain voltage wave peaks at a preset value and reduce V.sub.rms thereby reducing leakage to the allowable maximum.

Abstract: A circuit, for monitoring and controlling parameters of an electrosurgical unit, ESU, relative to load and the RF energy, has a load responsive output sensing circuit that measures the ESU load. A signal modifier, attached to the sensing circuit enhances the signals measured and transmits them to a buffer. An analog to digital converter, A/D, digitize the signals and samples wave pulse train at about eight million samples per second. A data memory stores the digitized signals. A RF drive clock connects to the ESU output; a sample clock uses phase shifting to interrogate the input signals to a processor, DSP, at a greater sampling rate of frequency than without. The DSP receives the stored signals from the data memory and processes them while monitoring and calculating ESU parameters measured, i.e.

Abstract: A flow cytometer measures phase fluorescence lifetimes by the phase shift of a reference signal and an emission from a particle or cell in a flow chamber. An acoustic optic modulator modulates laser light with a sinusoidal wave of a predetermined frequency to excite particles or cells. Detectors respond to emissions of individual particles or cells in the form of an output signal pulse at the predetermined frequency. The output signal pulse is divided into equal pulses with each at the modulation frequency, the same amplitude and fidelity and amplitude. One part of the divided pulse is stripped of its envelope to pass the width thereof and out of band components are rejected. A variable amplifier passes a portion of the pulse above a present level. A delay line sets a central part of the signal at a predetermined point in time. A circuit limits the attenuated one part. A double balance mixer multiplies and the relates the limited signal with a reference signal to determine the phase shift.

Abstract: An ultrasonic and electrosurgical handpiece housing has an axis, a distal end, a proximal end and a passage defined by an inside wall. A piezo stack has elements carried along a plane generally transverse to the axis. A retainer for the elements has distal, intermediate and proximal portions. The distal portion has a fastener; the proximal portion has a threaded shoulder bolt. The stack about the shoulder has an energy input and a reference output positioned axially apart from one another. An insulating sleeve about the bolt is between central openings of the elements and the bolt. A pair of insulators about the bolt has the stack therebetween; one insulator is between the plane and the stack and the other is near the threads. The intermediate portion attaches to the housing at the plane with decoupling and sealing. An irrigation channel conveys fluid. The drive energy input, the feedback signal and the reference outputs are insulated by the sleeve and pair from the bolt.

Abstract: A glove configuration and method for making same of a thin flexible film is shown. The glove and form having an ambidextrous shape useful for either the left or right hand use and a cuff configuration which resists rolldown. The configuration of the cuff includes a corrugated portion and a broadly fluted portion. The former giving increased strength and thickness and the latter providing a place to improve the ease with which the glove may be stripped from its dipping form.

Abstract: An electrosurgical tubular trocar system has a hollow tube substantially longer than its diameter. The tube is shaped for insertion in a direction generally along its axis through tissue of a human or animal body. Distal and proximal ends on the tube enter and remain outside the tissue, respectively. A tip on the distal end punctures tissue of a human or animal. An insulating portion of high dielectric material extends along the tube between the distal and proximal ends. An electrode on the insulating portion extends from the proximal end to the tip to transmit radio frequency energy. An energy supply at the electrode proximal end permits the passage of energy to the tip. An electrosurgical generator as part of the energy supply has a control to regulate the amplitude and frequency of the energy. A return path in circuit with the tip and the energy supply cuts and/or coagulates. A tip point at an acute angle to the axis lessens the initial force necessary for entry of the tube.

Abstract: A catheter carrying a sensor for placement in a catheter adapter has proximal and distal parts with a passage therebetween. The distal part detachably fits within a catheter adapter. The connector, when attached to the adapter, places the passage in fluid communication with and near a catheter lumen. A sensor on the connector within the distal part is exposed to the passage for fluid communication with the lumen. The sensor mounts on a tube or in an inside wall of the distal part and extends within the passage and partially through the distal part to monitor pressure with a first side of the sensor exposed to the passage and a second side of the sensor covering an exit from the connector near the proximal part. The second side is vented to atmospheric pressure and a sensor signal communication means connects the sensor to pass signals from the sensor through the exit.

Abstract: A sensor assembly for an in vivo physiological pressure measurement has a member with a distal end to ease placement of the catheter sensor assembly in vivo. A passage is preferably in an intermediate part of the member and is open but covered by a pressure responsive sensor sealing the passage. The sensor has a first side away from the intermediate part for exposure to in vivo physiological pressure and a second side in fluid communication with the passage. A pressure connecting means for inhibiting liquid communication located between the physiological pressure and the passage is arranged for selectively connection therebetween so that when connected the pressure on the first and second sides of the sensor can be substantially equalized. A control ex vivo makes the selective connection of the second side of the pressure sensor and the physiological pressure.

Abstract: A syringe pump comprises a housing with a syringe retainer. The syringe includes a barrel for liquid medication and a plunger movably positioned in the barrel for expelling the medication. A driver is movably mounted on the housing for engagement with the plunger. A control mechanism within the housing regulates the rate of movement of the driver and plunger during delivery of medication. A monitoring circuit connected to receive signals from a potentiometer and a movable contact associated with the driver indicates driver motion. A microprocessor with memory includes a preset standard to which the signal of motion from the driver is compared. An additional input signal, of motion from a rotary indicator associated with a part of the driver movement motor assembly, is provided to the memory and is compared to plunger travel into the barrel.

Abstract: A method and apparatus for detecting the presence of biological activity in a sample of material. In the method, a sample of the material is placed in a closed container with a growth medium which includes a carbon source which may be metabolized to produce carbon dioxide. The medium with the sample therein is exposed to conditions conducive to the occurrence of normal metabolic process for a period of time sufficient to cause production of CO.sub.2 by the metabolism of the carbon source. Thereafter, the presence of CO.sub.2 in the gaseous atmosphere above the medium is detected by measuring the infrared absorbance of the gaseous atmosphere with the container by passing an infrared beam through the container and the gaseous atmosphere and detecting the infrared absorbance of the gaseous atmosphere.

Abstract: An apparatus and method for compensating for temperature dependent offset and fixed offset in a resistance bridge is disclosed. The apparatus comprises a resistance bridge, a compensation network and an instrumentation amplifier. The uncompensated output of the bridge is applied to the input of the instrumentation amplifier. The output of the compensation network is fed into the instrumentation amplifier to compensate for the temperature and offset dependent components of the bridge output. The output and resistance of the bridge are measured under conditions of constant pressure and temperature for different temperatures and pressures and the temperature coefficient of resistance, temperature coefficient of offset and temperature coefficient of sensitivity are calculated. These coefficients are used to select compensation network resistors.

Abstract: A sensor assembly for an in vivo physiological pressure measurement has a member with a distal end to ease placement of the catheter sensor assembly in vivo. A passage is preferably in an intermediate part of the member and is open but covered by a pressure responsive sensor sealing the passage. The sensor has a first side away from the intermediate part for exposure to in vivo physiological pressure and a second side in fluid communication with the passage. A pressure connecting means for inhibiting liquid communication located between the physiological pressure and the passage is arranged for selectively connection therebetween so that when connected the pressure on the first and second sides of the sensor can be substantially equalized. A control ex vivo makes the selective connection of the second side of the pressure sensor and the physiological pressure.