Abstract: An ear canal flushing device includes a main body with a cavity for storing a liquid and a temperature sensor for indicating when the liquid is within a selected temperature range that will not adversely affect the patient when the liquid contacts the tympanic membrane. A nozzle is removably attachable to the main body where the nozzle includes a distal portion adapted for insertion into the ear canal and an internal nozzle lumen in fluid communication with the opening in the main body. The nozzle also includes at least one discharge port in fluid communication with the internal nozzle lumen wherein when pressure is applied to the main body a volume of the cavity decreases and liquid is forced out of the at least one discharge port such that the ear canal can be rinsed.

Abstract: An apparatus for making and administering two non-homogenous liquids to target tissue includes a spray comprising two syringes for containing the first and second non-homogenous liquid where the syringes are adapted to be removably coupled to an applicator. The applicator includes a pair of elongated tubes each having a tubular sheath at a proximal end, a distal end and a lumen in which the pair of elongated tubes are disposed. The apparatus includes a regulator module having an inlet port adapted for connection to a source of gas under pressure and a gas outlet port adopted for connection to the gas inlet port of the sheet. A vent gas inlet port is adapted for connection to a vent port of an endoscopic cannula where the regulator vents a quantity of gas from the endoscopic cannula approximately equal to a quantity of gas introduced at the gas inlet port of the sheet.

Abstract: A method and device for transferring fluids from a non-sterile field to a sterile field within a surgical environment includes utilizing a device that includes a main body having a first inlet port that is in communication with a first outlet port. Fluid is taken from the patient, typically with a sterile syringe and transferred to the non-sterile field where the fluid is processed. The processed fluid is then drawn into another syringe in the non-sterile field and a distal end of the first syringe is place within the inlet port of the sterile main body. A distal end of a second sterile syringe is inserted into the outlet port, where the distal ends of the sterile syringe and the non-sterile syringe do not make contact. As a plunger is forced into a chamber of the first non-sterile syringe to force the fluid out of the first syringe, the plunger of the second sterile syringe is retracted such that a chamber in the second syringe has a sufficient volume to store the processed liquid.

Abstract: An apparatus for applying a spray to a selected site on a patient includes a sheath having a through bore extending from a first end to a second end. A flexible multi-lumen tube is secured within the sheath and has a distal portion that extends beyond the second end of the sheath. A malleable wire is positioned within at least the distal portion of the multi-lumen tube wherein manual force is exerted upon the distal portion to position the distal end in a selected position by bending the malleable wire. A housing is attached to the rigid outer sheath and has a plurality of ports for engaging a multi-tube syringe and a port for injecting a gas into the selected site wherein each port is in communication with at least one lumen. A spray nozzle is removably attached to the distal end of the multi-lumen tube wherein the at least one liquid and the gas are discharged from the multi-lumen tube and into the spray nozzle such that the aerosol exiting the spray nozzle is effective in treating the selected site.

Abstract: An apparatus for equalizing pressure in a middle ear includes a hand-held air source for providing a continuous flow of air at a predetermined rate and a tapered sealing nostril plug adapted to be sealed against a nostril. The tapered nostril plug has a channel there through for delivering the continuous flow of air. The channel of the tapered plug is adapted to be placed in communication with the air source through an adjustable valve assembly for selecting a pressure limit for the air in the channel of the nostril plug.

Abstract: An apparatus for equalizing pressure in a middle ear includes a hand-held air source for providing a continuous flow of air at a predetermined rate and a tapered sealing nostril plug adapted to be sealed against a nostril. The tapered nostril plug has a channel there through for delivering the continuous flow of air. The channel of the tapered plug is adapted to be placed in communication with the air source through an adjustable valve assembly for selecting a pressure limit for the air in the channel of the nostril plug.

Abstract: A stent specifically designed for use in treating chronic sphenoid sinusitis comprises a soft compressible plastic tube of a predetermined diameter having a proximal end, a distal end and a lumen extending therebetween. The stent has a generally hemispherical hollow dome integrally molded to its distal end. The diameter of the dome is greater than the predetermined diameter of the plastic tube. The stent further includes an integrally molded annular flange located a short predetermined distance proximal to the hemispherical dome. The device is designed to be fitted through a surgically enlarged ostium of the sphenoid sinus such that the dome resides within the sinus cavity and the flange abuts the bony wall surrounding the ostium. The stent maintains the ostium patent and permits irrigation/suctioning via the stent's lumen.

Abstract: An apparatus for mixing and applying a fibrin tissue adhesive and a thrombin activator to target tissue in a laparoscopic procedure as a spray includes a spray set and a regulator module. The spray set includes a pair of elongated tubes of hypodermic stock having a Luer fitting at the proximal ends thereof for attachment to a pair of syringes containing the fibrin solution and the thrombin solution, respectively. The pair of tubes is contained within the lumen of an elongated sheath. A hub at the proximal end of the sheath has a gas inlet port. A gas is delivered to this inlet port by means of a regulator module upon actuation of a footswitch. Upon actuation of the footswitch and simultaneous actuation of the syringe plungers, the two reactive solutions mix only at the distal spray tip and are propelled by the applied gas onto the target tissue. The regulator module also controls venting of insufflation gas from the abdominal cavity to avoid unwanted buildup of pressure as the spray applicator is used.

Abstract: An apparatus for equalizing pressure in a middle ear includes a hand-held air source for providing a continuous flow of air at a predetermined rate and a tapered sealing nostril plug adapted to be sealed against a nostril. The tapered nostril plug has a channel there through for delivering the continuous flow of air. The channel of the tapered plug is adapted to be placed in communication with the air source through an adjustable valve assembly for selecting a pressure limit for the air in the channel of the nostril plug.

Abstract: A fluid delivery device for delivery and mixing of fibrin glue components at a treatment site during surgery includes a slidable sleeve for controlling interaction of fluid dispensed from a pair of adjacent tubes. A pair of syringes are attached to a fluid separation control attachment which allows the fluids from each of the syringes to be forced into the adjacent tubes. When the fluids exit the free ends of the adjacent tubes, they interact and mix when the slidable sleeve thereon is in one position, but are inhibited from interacting and mixing when the slidable sleeve is in another position.

Abstract: An instrument tray assembly including a tray and an optional cover for the storage, transport and sterilization of medical instruments is disclosed. Each tray and cover is perforated to permit the flow of sterilizing medium therethrough, and each is comprised of materials which will withstand soaking and steam or gas autoclaving. Interchangeably disposed along the surfaces of the tray and cover are a plurality of support members, each including variously dimensioned notched receptacles for receiving medical instruments. Each tray may also include a set of handles which may be extended at a variety of angles, thereby avoiding contact and possible contamination between gloved hands and instruments, depending upon the orientation of each handle. Alternative embodiments for resilient instrument support members are disclosed. One embodiment includes resilient projections which are insertable directly into the perforations on the trays and covers. An alternative embodiment further includes a rigid extrusion.

Abstract: An improved sprayer assembly for delivery of physiologic glue, including fibrin glue, is disclosed. The sprayer assembly is comprised of at least one female receptacle rigidly affixed to a base member and a sprayer member having at least one atomizing ejection port on an external surface opposing the base member. Within the sprayer member, a system of fluid channels permits each reservoir to be emptied into a well from angular connecting channels, which causes enhanced turbulence within each well. A vortex is created which propagates through an exit port and down an exit channel, causing each solution to exit the sprayer member at each ejection port in a swirling pattern. The spray patterns emitted from each syringe or reservoir overlap, causing droplets of solution to contact one another and commence a clotting reaction at a wound surface.The sprayer assembly is joined to a conventional syringe, a catheter or other solution reservoir.

Abstract: An implantable ventilation tube for insertion in bodily tissues is disclosed. A suggested use for such a tube is as a middle meatal antrostomy ventilation tube for use following endoscopic surgery. It consists of a pair of flanges and a central tubular vent section extending therebetween, having the flanges positioned perpendicular to the lumen of the central tubular vent section. The tube is preferably made of elastomeric material and may include grooves etched in the distal surface of the distal flange to assist in insertion by permitting materials of a higher durometer rating than silastic.RTM. to be folded then grasped during insertion. It is suggested that the proximal flange be generally rectangular shaped, while the distal flange be generally triangular shaped, to ease insertion yet enhance anchoring capabilities. Once properly positioned through an opening prepared in a body cavity or duct, the ventilation tube permits the unhindered flow of fluids, such as air, through the lumen.

Abstract: An improved fibrin glue delivery system is disclosed. The delivery system is comprised of a pair of syringe tubes which can be actuated by plungers simultaneously or independently, a connecting member which holds the syringe tubes in parallel alignment and a unique needle assembly which ensures the components in the syringe bodies will not be comingled until they reach the treatment site. The unique needle assembly also permits the user to manipulate the needles to enhance visibility when the surgeon is working through a speculum or when direct access is difficult.

Abstract: A surgical instrument storage and transporting assembly which facilitates the sterilization, storage, protection, handling and presentment during surgery of a variety of surgical instruments and devices. An outer box-like enclosure having a removable top, contains a wire basket in which are placed a plurality of instrument carrying modules. The individual modules are provided with an instrument gripping member which positively, but releasably, holds the instruments in a first predetermined order and orientation when being stored in the box-like enclosure, but which permits placement of the instruments in the same order, but in a second orientation to facilitate the location and selection of given instruments during the course of a surgical procedure when the modules have been removed from the basket and placed on the surgical stand.