Abstract: A remote control unit for use with an ophthalmic surgical system having a main control console with video display screen and operator interface. The remote controller is connected by an electrical umbilical cord to the main console and provides a second operator display and membrane-switch interface for use by a surgeon or other member of the surgical team. This remote control unit has its own housing with a splash-resistant front face that is divided into primary and secondary operator interface panels. The primary panel includes a rectangular display field having a plurality of back-illumination lights for selectively illuminating legends found on a replaceable legend card that fits within a slot behind the face plates. Control functions corresponding to the illuminated legends may be selected or de-selected by pressing nearby switches arranged in locations adjacent to the display field. The secondary panel also contains membrane switches and legends illuminated by back-lighting.

Abstract: An aspiration control system includes a motor and vacuum pump which are controlled by a system controller, in accordance with input commands to provide a precise, continuously variable vacuum or negative pressure within a vacuum chamber and surgical handpiece. The resulting vacuum is proportional to the control signal sent from the system controller to the motor. A transducer samples the vacuum output and produces a signal fed system controller. The signal is compared with a variable input signal set by a potentiometer or other signal source activated by the input commands so that the transducer signal tracks the voltage source signal. Therefore, the vacuum output of the vacuum pump and motor relates directly and predictably to the input commands. In one embodiment the motor is a brushless DC motor.

Abstract: A bone anchor, for securing a suture to a bone, has an open proximal end and a body that tapers to a solid distal tip. The anchor is placed deep in a borehole in a bone using an insertion instrument that is inserted through the open proximal end of the anchor. The tip of the instrument is a spherical knob that snaps into a corresponding recess inside the anchor. The instrument has an oval cross-section that does not bear against the walls of the anchor during insertion. Once the anchor is in place, however, the anchor is expanded by rotating the instrument to bring the exterior of the instrument into contact with the walls of the anchor. The anchor is free to pivot about the spherical knob on the instrument, which allows the anchor to orient itself to the shape and size of the borehole.

Abstract: A bone anchor (10) for securing a suture to a bone (38). The bone anchor (10) has a tip (16) at its distal end (18) and at least one resilient wall (27) extending to a trailing end (20) of the body (12) of the anchor. The wall (27) has a ridge (14), or barb, formed on an outer surface. The ridge (14) defines an edge (34) that digs into a hole (36) in the bone (38) in which it is positioned. A strand of suturing thread (22) extends through a suture receiving opening (24) in the tip (16) of the anchor. The method of the present invention employs the suture anchor (10) and includes the steps of forming a hole (36) in a bone (38) and inserting the suture anchor (10) to a desired depth in the hole (36) in the bone (38) using an inserter device (100). Suturing thread ( 22) extends from the suture receiving opening (24) in the tip and along the length of the walls (27,28) out of the hole (36) in the bone (38). An anchor spreader (130) is used to firmly seat the anchor (10) in the hole (36).

Abstract: An apparatus and method of securing fractured bones in place without the use of wires is disclosed. An absorbable bone pin is inserted in place by a cannulated applicator which is used to help drill a hole for the bone pin and accurately measure its depth. The applicator has a scaled recess in the handle which is used to measure the progress (depth) of the wire-type drill as it forms the hole. The drill has a marking or similar means on it for registration with the applicator scale. The bone pin is selected or cut to an appropriate length based on the depth of the hole and inserted in place by a push rod through the applicator guide tube. The applicator can have one or two guide tubes, and the tubes can be parallel or at angles to one another, depending on the usage desired. With a two-tube applicator, it is possible to better maintain the bone's pieces in place under compression until a bone pin is installed.

Abstract: The invention comprises arcuate support beam (22) having a drill guide locator (24) and locator probe (28) mounted thereon. The drill guide locator (24) is adapted to hold a cannulated drill sleeve (32) by means of a sleeve locking mechanism (26). The sleeve locking mechanism (26) comprises cam surface trigger lock with an inclined surface (168) and biased plunger member (174, 176). The locator probe (28) is held in place on the support beam (22) by a probe locking mechanism (30). The mechanism (30) has teeth (122) which mate in locking engagement with a series of ribs (40) on the beam (22). Spring biased pins (124) keep the mechanism (30) from engaging the ribs (40) in the unlocked condition.

Abstract: A ligament graft replacement system (10) having an anchor assembly (16) on one end. The anchor assembly (16) includes an insert member (18), a threaded sleeve (22) and a rotatable ring (20) to which the graft (24) is attached. A harvested or synthetic graft (24) used as a replacement for a torn ligament or tendon is secured to the rotatable ring (20) by sutures (46) and the anchor assembly (16) is screwed into a tunnel (26) drilled in a bone or bone-like structure. The anchor assembly (16) includes a hexagonal opening (36) through its length for receiving a hex driver (48) in its trailing end (36) or its leading end (34). The anchor assembly (16) also preferably has a self-tapping thread (30) on its outer surface. The rotatable ring (20) is secured over annular flange (40) at the trailing end of the threaded sleeve (22) and has a plurality of openings or slots (50 ) to which the sutures (46) are attached.

Abstract: An improved method of reconstructing a torn anterior cruciate ligament (ACL) is disclosed. Unique instruments and systems for use with the method are also disclosed. The knee joint is inspected arthroscopically to confirm the rupture and possibly take care of other defects. The patellar tendon or semitendinosus tendon is harvested from the patient for the graft (if either is going to be used for the reconstruction), or another ACL substitute is obtained. The graft is prepared for implanting. Notchplasty is generally performed to expand the intercondylar notch. The tibial attachment site of the ACL is determined and a tibial tunnel is drilled over a K-wire from the front face of the tibia to the attachment site using a drill guide system. Preferably, the tibial tunnel starts at a point 20-25 mm below the knee joint. An optimal site for drilling the femoral tunnel is determined through use of a suture anchor and isometer. The suture anchor is a threaded peg which is positioned by a hand-held cannulated driver.

Abstract: An anchor and anchor driver device for securely and accurately positioning and installing a bone (suture) anchor in place are disclosed. The bone anchor has a rounded or pointed head and a series of ridges around it which are used to help force fit the anchor into a hole and to hold it in place. A suture is positioned through the anchor for subsequent use during the surgical procedure. The driver device has a handle and elongated shaft and is used to position and install the anchor in place. The anchor snap fits onto the end of the shaft over an anti-rotation pin which mates with slots in the anchor. The ends of the suture are affixed to the driver handle. Means are provided on the driver to prevent the suture from interfering with the positioning and installation procedure.

Abstract: The invention comprises a direct dispensing package. The package comprises a back panel, and a first and a second intermediate panel. The first intermediate panel is foldably connected to the back panel. The package also comprises means for rolling the second intermediate panel onto itself. A front panel is foldably connected to the second intermediate panel. The package further comprises means for maintaining an article of manufacture on the front panel and means for containing at least a portion of the front panel adjacent to the back panel. The article of manufacture can be a sterile surgical element. The means for rolling can be a plurality of parallel slats. The means for containing can be an envelope.

Abstract: A system and method of predicting, for a user selected from a group of users, the reactions of the selected user to items sampled by one or more users in the group but not sampled by the selected user. The predictions are based on other items previously sampled by that user. A scalar rating is defined for each item sampled by the selected user to represent the reaction of the selected user to that item. The selected user is successively paired with other users in the group who have defined scalar ratings for at least some of the items sampled by the selected user to determine the overall difference in ratings for items sampled by both members of each successive pair. One or more of the other users are designated as predicting users and a weighting value is assigned to each of the predicting users based on the overall difference in ratings between that predicting user and the selected user.

Abstract: A collimator system rotatable about an axis of rotation for use in a radionuclide emission tomography camera for imaging a region of an object, including a collimator having a number of collimator elements for restricting and collimating the radionuclide emissions. The collimator elements are disposed with their axes intersecting at least one line, parallel to the axis of rotation, at at least two different angles. The collimator elements establish a selected variation in imaging sensitivity across the imaging region.

Abstract: A winding apparatus for winding a magnetic element through a form, the apparatus having at least one chain which has a plurality of magnetic carrier units disposed about the form for loading the coil of the element through the form and, after loading, for winding the element from the loading coil about the form under tension to tightly wind a final coil. Each carrier unit includes a device for generating a magnetic force to magnetically hold the element and to release portions of the element when tension on the element between the outer periphery of the final coil and the advancing point of separation of the element from the inner periphery of the loading coil exceeds the magnetic force exerted by the carrier units. The winding apparatus also includes a device for driving the chain during loading and winding, and structure for defining the path of the chain during loading and winding.

Abstract: Three-dimensional measurement of a surface of an object under inspection is performed by projecting a light pattern upon the surface, having a periodic, smoothly varying light intensity in the X direction and having a non-changeable intensity in the Y direction in the manner of a grid, and thereafter electronically producing a pair of stereo images of the surface so illuminated by a pair of CCD arrays; measuring the parallax phase offsets between correlated corresponding homologous points in the stereo images, and converting the resulting parallax data to an array of Z-depth data, indicative of the shape of the surface of the object.