Abstract: Aa system for long term releasing of medication in the mouth, and especially an intra-oral fluoride releasing system (IFRS) for releasing fluoride over a long term for inhibiting the formation of caries in the teeth. The system uses a holder for retaining and protecting intra-oral fluoride tablets or other intra-oral medicament in the form of fluoride releasing devices (IFRD). The holder has a plate with retaining sides and retaining posts or a carrier. The tablet will fit within the holder. The tablet may be located in the carrier, or ligature bands can be tied around the tablet in order to releasably hold the IFRD within the holder. The system causes a level of fluoride to be maintained over a long term within the mouth which has been found chemically effective for caries control and without causing severe irritation to oral tissues.

Abstract: A safety trocar is provided which includes a spring-loaded shield that shields the cutting tip of the obturator after the obturator penetrates tissue. The distal end of the shield is hemispheric in profile and contains a slot which conforms to the geometry of the cutting tip. The rounded distal end enables the shield to spring forward to shield the cutting tip as soon as the tip perforates the tissue. A valve is located at the proximal end of the trocar tube to seal the end of the tube. The valve is oriented at an acute angle with respect to the longitudinal axis of the trocar tube. The valve is controllable by an external lever which will hold the valve open or permit it to spring shut. An incremental advancement mechanism cooperates with the obturator to permit only incremental advance of the obturator. Instead of using a discrete shield component the shielding function may be provided by spring-loading the trocar tube itself to spring forward and shield the obturator tip after the tip penetrates tissue.

Abstract: The inner needle in a guillotine type ocular cutter is ground and placed within the swaged outer needle in an interference fit, so that a radial force is exerted by said inner needle on said outer needle to better shear the ocular tissue. Further, a positive stop is effected on the drive shaft controlling the inner needle so that the distance from the end of the outer needle port to the tissue is minimized. Alternately, the drive shaft has a dwell exerted on it.

Abstract: A one piece needle and suture holder is described in which a rounded channel is formed for retention of the suture. One end of the suture exits the channel toward the interior of the channel and is attached to a needle located in a needle holder in the interior of the channel. The channel is formed with an open side, to which are attached a plurality of hinged doors. After the suture is wound in the open channel, the doors are folded over the open side of the channel and are locked in place to retain the suture within the channel. In an alternative embodiment a paper cover is utilized to complete the enclosing channel. To afford ease of winding the suture the bottom of the channel is perforated for the application of a vacuum to the channel during suture winding. Also disclosed is a needle park for retaining the needle in the center of the package.

Abstract: A catheter hub assembly is disclosed wherein the assembly contains a membrane useful in preventing backflow of blood into the flash chamber. The hub assembly contains a membrane opener which operates upon the insertion of a luer locking mechanism into the catheter hub. This membrane opener allows flow of nutritional fluid into the body by causing the opening of the membrane during use of the catheter after removal of the catheter needle.

Abstract: A system for long term releasing of medication in the mouth, and especially an intra-oral fluoride releasing system (IFRS) for releasing fluoride over a long term for inhibiting the formation of caries in the teeth. The system uses a holder for retaining and protecting intra-oral fluoride tablets or other intra-oral medicament in the form of fluoride releasing devices (IFRD). The holder has a plate with retaining sides and retaining posts or a carrier. The tablet will fit within the holder. The tablet may be located in the carrier, or ligature bands can be tied around the tablet in order to releasably hold the IFRD within the holder. The system causes a level of fluoride to be maintained over a long term within the mouth which has been found chemically effective for caries control and without causing severe irritation to oral tissues.

Abstract: An instrument for opening and closing a dental bracket where the bracket has a cover for an archwire slot. The instrument contains projections rotating about the archwire, a key fitting behind the cover and causes the cover to telescope into the bracket.

Abstract: A debonding tip for electrothermal debonding device is disclosed. This debonding tip fits around the mesio distal sides and into the saddle slot of a dental bracket. The debonding tip causes rapid heating of the dental bracket and weakens the adhesive bond used to bond brackets to teeth. With the increased viscosity, the bracket is able to be rotated around and pulled off the tooth.

Abstract: A catheter is provided which deters the backflow of blood between the insertion needle and the catheter cannula by forming the distal end of the catheter hub so as to restrict the inner diameter of the catheter cannula to a wiping fit with the engaged insertion needle. In a first embodiment the distal end of the catheter hub is pre-formed to its desired final inner dimension. The distal end of the hub is stretched to an oversize condition, the catheter cannula is attached to the hub, and the distal end of the catheter hub is heated, causing a stress relief of the previously stretched hub. The distal end of the catheter hub returns to its pre-formed dimension which will mechanically restrict the diameter of the catheter cannula at that point to form the wiping fit with the engaged needle.

Abstract: A needle having three fluted edges, all of the same angular size. The needle presents a five sided cross-section at a tapered end. This results in easier tissue penetration, reduced cross-sectional needle area, better wound opening area performance, and minimized tissue distortion. In an alternate embodiment, the flat surface from which the taper is formed is on the inside of the needle so that the outer fluted edges are formed outside that configuration.

Abstract: A sensor for measuring the oxygen availability of blood flow within the skull is described. In a first embodiment the sensor comprises a photodetector and a pair of light emitting diodes surface mounted near the end of a length of flexible printed wiring. The sensor is sealed by a coating of rubber or polymeric material which has an optical window over the photodetector and light emitting diodes. The sensor is inserted through a burr hole drilled in the skull and slides between the skull and the dura of the drain. The light emitting diodes are pulsed to illuminate blood flow in the brain beneath the dura with light, and light reflected by the blood is received by the photodetector and converted to electrical signals. The signals are processed by a pulse oximeter to provide an indication of blood availability. In a second embodiment the photodetector and light emitting diodes are mounted at the end of a core of compressible foam extending from the end of a hollow bone screw.

Abstract: A driving mechanism is provided as a means to clamp and implant surgical staples pneumatically. First, one pneumatic line propels a clamping piston to clamp the tissue and to propel a driving piston into position to be fired. Then a second pneumatic line causes the driving piston to propel a driver which implants staples into the tissue.

Abstract: A disposable mandrel and bladder is shown in which the mandrel is injected molded or machine fabricated in some other way that allows it to be permanently incorporated within the driver bladder of a surgical stapling mechanism. Supply line tubing is an integral part of the mandrel and would thus be permanently bonded to the bladder sub-assembly. Such configuration prevents tube clogging, bladder folding over infusion lines, and produces reliable firing of the stapler while using pneumatic driving mechanism.

Abstract: A spatulated needle is provided wherein a six-sided cross-sectional portion results from a parallel or tapered pair of upper and lower surfaces connected by needle walls and a pair of fluted edges. At the tapered end of the needle, the upper surface alternates resulting in a five-sided cross-section. This improved configuration results in ease of tissue penetration, minimized tissue distortion, and minimized wound trauma. The resultant needle therefore is desirable for usage with refined surgery such as ophthalmology, microsurgery and plastic surgery.

Abstract: A needle having ten edges, forming a star-shaped cross-section. The needle also presents a tapered end. With reduced cross-sectional area, the improved needle results in easier tissue penetration, better wound opening area performance, and minimized tissue distortion. In an alternate embodiment, wound opening is further reduced by creating an eight-sided, star-shaped needle cross-section.

Abstract: A catheter device is described with a safety needle guard that covers and protects the needle after use of the device. The device includes a semi-tubular needle housing containing a flash chamber with a hollow needle extending from the distal end of the flash chamber. A tubular needle guard concentrically fits and slides within the needle housing. The needle guard has a longitudinal slot through which the mounting base of the flash chamber passes as the guard slides within the housing. The top of the semi-tubular housing is open so that a user may access the top of the tubular needle guard with a finger to urge the needle guard to an extended position from the distal end of the housing and in a surrounding position about the needle. As the needle guard attains its fully extended position about the needle, it locks in place in the needle housing.

Abstract: A needle alloy wherein the nickel content is between 6.3% and 9.5%, the chromium content is between 11.5% and 12.5% and the molydenum content is between 3% and 4%. In addition, tantalum and titanium should be present at a combined level of no more than 2.1%. Favorable results from this alloy cause needles to have a greater than 400,000 psi ultimate tensile strength.

Abstract: A through the needle catheter device is described which includes apparatus for threading a catheter into a blood vessel. The apparatus is irreversible during the threading process. The catheter device also includes means for irreversibly withdrawing and splitting the needle. A technique is provided for inserting the needle, threading the catheter, and withdrawing the needle from a patient.