Abstract: A flow device is provided for sensing air flow and includes a body having at the opposite ends thereof coaxial bores. Counterbores extend inwardly from the coaxial bores and are interconnected by a restricted bore having lateral bores extending from opposite ends thereof to provide a pneumatic pressure drop. The bottom portions of the respective counterbores are relieved to provide a pair of troughs for water collection outside of the normal air flow area so that water can accumulate for an extended period of time before interferring with pressure drop readings.

Abstract: A lithotripter is provided with an x-ray aiming system. The lithotripter includes an upwardly opening ellipsoidal reflector having a vertical axis. This reflector is supported from a pedestal, and an arm rigid with the pedestal supports a radio opaque disc which is disposed below overhead x-ray apparatus. A patient with a kidney stone is disposed on a table above the reflector and below the x-ray apparatus. If the vertical axis of the reflector is perfectly aligned with the kidney stone in the patient, then the radio opaque disc will shadow the kidney stone, and provide positive evidence of alignment. If there is misalignment, then simple examination of the x-ray picture will show in what direction the reflector support, and hence the radio opaque disc, need be moved to effect proper alignment.

Abstract: A device is provided for removal of kidney stones. The device includes a stone trapping device on the end of a flexible and axially movable wire. The wire moves through a tubing. An electrode is provided in the form of a cylinder at the outer end of the tubing. The stone is drawn into close proximity to the electrode, and electrical sparks jump between the wire and the electrode to generate a shock wave in close proximity to the stone. Stones which are small as they occur or which are reduced in size by shock wave treatment then may be withdrawn from the body in the stone trapping device.

Abstract: An electrode construction is provided for electrohydraulic shock wave generation such as for extracorporeal kidney stone destruction. The construction includes a reflector adapted to be filled with liquid such as water for coupling to a human body. The reflector has a focus point. An insulated base supports a plurality of pairs of electrodes, and is movable relative to the reflector. The insulating base is moved to bring successive pairs of electrodes into substantial coincidence with the focus point of the reflector. Upon such movement electrical connection is automatically made to extensions of the pair of electrodes having their spark gap substantially coincident with said focus point.

Abstract: A venturi device is provided for sensing air flow. The device includes a body having first and second substantially cylindrical end portions interconnected by a wasp-waisted intermediate portion. The end portions are provided with bores which may be of different internal diameter. The intermediate portion is provided with axially aligned counterbores. These counterbores are connected by four bores of relatively small diameter. A radially inwardly extending wall in the through-bore comprises a flow restriction, and lateral bores are provided on opposite sides of the wall extending radially outwardly from the through-bore.

Abstract: A rate volume monitor includes a sensor which provides an output upon inspiration and upon expiration. If inspiration follows expiration too closely a computer operates an alarm to provide warning that air entrapment or "stacking" may occur in the patient's lungs.

Abstract: A tray is provided for dispensing injectable medication which comprises a transverse ridge having a plurality of parallel valleys therein, each receiving a syringe. An opening is disposed adjacent each valley for receipt of bottles of medication, and a slot is disposed adjacent each valley for receipt of a patient card with patient information thereon. A well is provided in the tray, and as each cap is removed from a respective syringe it is placed in the well with the open end of the cap facing upwardly. After use of the respective syringe the needle is inserted into the cap in the well without the necessity of manual engagement of the cap, thereby avoiding the possibility of needle stick.

Abstract: A pediatric medication inhaler is provided for cooperation with a medication dispersing cylinder and a supply of medication. The inhaler is a one piece device in the nature of a mask molded of integral plastic or elastomer. The invention is characterized in having a bubble or relatively thin wall projecting from the mask-like device, which bubbler flexes inwardly upon inhalation so that a person providing medication to the infant can watch for inhalation.

Abstract: A pediatric medication inhaler is provided having an entering end and an exit end. A commercial medication dispenser is secured in the entering end, and a one-way valve is incorporated between the entering end and the exit end permitting air and medication flow from the entering end to the exit end, but preventing flow in the opposite direction. An adapter is secured to the exit end and is made of pliable foam plastic material contoured and adapted to conform to an infant's face. A whistle is provided in the adapter to provide an audible signal that the infant is breathing properly.

Abstract: An extracorporeal kidney stone disintegrator comprises an upwardly open ellipsoidal reflector having an open upper end. A spark gap is provided in said reflector at the first focus point thereof. A flexible waterproof shroud is fixed to the open end of the reflector and secured to the skin of a human body containing a concretion such as a kidney stone to be disintegrated. A body of water fills said reflector and said shroud and is in direct contact with the skin of said human body, the reflector being positioned relative to said body so that the concretion is at the second focus point of the reflector. Generation of a sprak across the spark gap causes generation of a shock wave focused on the concretion and coupled to the concretion by the body of water and by the tissues of the human body.

Abstract: A collapsible inhalation valve is provided for administering asthmatic medication or the like. The valve comprises an upright cylindrical air chamber adapted to be held in the hand. A reciprocating member holds a pressurized cartridge of medication for reciprocation between storage position substantially within the air chamber and raised using position substantially exterior to the air chamber. A mouthpiece is pivoted on the air chamber and is movable between storage position substantially within the air chamber and using position projecting from the air chamber. A one-way valve is provided at the bottom of the air chamber to allow movement of air into the air chamber while preventing movement of medication out of the air chamber. Another one-way valve is provided at the entrance to the mouthpiece permitting inhaling of misted medication, but preventing exhaling into the air chamber.

Abstract: A differential clutch comprises a driving member having a plurality of inner circumferentially disposed clutch teeth cooperating with a lesser number of sprags resiliently urged outwardly on an intermediate member. A second set of sprags on the intermediate member cooperates with clutch teeth on a fixed member to prevent retrograde movement. Rocking back and forth of the turnable member acts through the clutch teeth and sprags to turn the intermediate member. The intermediate member is connected to a driven member, for example, for adjusting a brake, or for acting as a part of a ratchet wrench.

Abstract: A variable threshold circuit is provided for use with a rate volume monitor. A series analog switch is controlled by a comparator which is biased by a voltage divider. During low rate exhalation by a patient the bias keeps the analog switch biased against conduction, and noise is suppressed. When exhalation is at a high rate a resistor is switched by a second analog switch into parallel with one of the resistors of the voltage divider to change the bias to the comparator, and thus to render the first analog switch conductive. At this time the high level of the exhilation signal masks any noise.

Abstract: A drift compensating circuit cooperates with an air-pressure-to voltage transducer. The first input of a comparison circuit is connected to the transducer, while a reference voltage is connected to the second input. The reference voltage is provided by an up/down counter and a digital to analog converter. The comparison circuit has an output connected to the up/down counter to cause the counter to count up or down. The counter is enabled at predetermined intervals.

Abstract: A kidney stone disintegrating system includes a computer-controlled aiming system. The disintegrating system includes a reflector containing water through which the reflector is coupled to a living body having a kidney stone. The reflector is a portion of an ellipsoid and a spark gap generator is located at one focus of the ellipsoid. An electrical energy source is connected to the spark gap generator for generating a spark which in turn generates a shock wave in the fluid. Three motors are connected to the reflector for moving it in respectively X-axis, Y-axis and Z-axis directions to locate the reflector so that the kidney stone lies at the second focus point thereof. A pair of ultrasound transducers are carried by an articulated support comprising a plurality of pivotally interconnected arms. Precision potentiometers are provided between the arms to indicate the relative positions thereof, and electrical potentials from the potentiometers are connected to a computer.

Abstract: An extracorporeal kidney stone disintegrator comprises an ellipsoidal reflector having an open end. A spark gap is positioned in said reflector at the first focus point thereof. A flexible cap closes the otherwise open end of said reflector, and a body of liquid fills said reflector and said cap. The cap is adapted for disposition against a human body having therein a concretion such as a kidney stone to be disintegrated. The reflector is positioned so that the concretion lies on the second focus point of the reflector. Generation of a spark across said spark gap causes generation of a shock wave focused on the concretion and coupled to the concretion by the body of liquid and the tissues of the body through the cap. The cap has an annular pleat enhancing flexibility of the cap.

Abstract: A worm and meshing worm gear are provided. The worm has oppositely tapered frustoconical portions at either end thereof. The angle of taper of the two tapered portions is the same, but in different directions. The angle of taper is substantially equal to 360 degrees divided by the number of teeth in the worm gear. Contact between the worm and gear occurs over a plurality of teeth as contrasted with substantially only one tooth in the conventional cylindrical worm. The worm is capable of being formed by thread rolling.

Abstract: Kidney stones are disintegrated by extracorporeal apparatus generated shock waves. A reflector open at one end, has a liquid such as water therein and a resilient disphragm across the open end of the reflector. A spark gap is provided in the reflector, and a spark across this gap generates a shock wave and produces gas in the liquid. A flexible enclosure within the reflector about the spark gap isolates the spark gap from most of the liquid in the reflector. Gas formed as an incident to discharging a spark across the gap is removed from this enclosure.

Abstract: Apparatus for generating shock waves for destruction of kidney stones comprises an upwardly opening ellipsoidal reflector. A resilient diaphragm closes the otherwise open end of the reflector, and the reflector is filled with water or other suitable liquid. A spark gap is provided in the reflector at the first focus point thereof, and the reflector is positioned relative to a human body such that the diaphragm presses against the body and the second focus point of the ellipsoid lies precisely on a kidney stone to be destroyed. Electronic apparatus is provided for causing a repeating spark across the gap to generate a series of shock waves which are focused by the ellipsoidal reflector to concentrate on a kidney stone. Gas is released by the sparks, and either a small tube surrounds the spark gap, or a diaphragm immediately overlies the spark gap to isolate water adjacent the spark gap from most of the water in the reflector. The isolated water is constantly recirculated to flush away gas.