Abstract: The inventive coating may be employed to deliver a pharmaceutical agent to a selected body area that is involved within the insertion or application of a medical device. Such medical devices may include silicone based urinary catheters and other medical implants as well as other silicone based devices having deformable portions which could benefit from the release of a pharmaceutical agent from its surface. The coating allows the introduction of the pharmacological additive having a release rate that is within acceptable pharmacokinetic criteria. The release rate is adjusted by utilizing different salt forms of the additive and adjusting the concentration of urethane and RTV silicone. The coating incorporates additive compounds such as anti-microbial, anti-fungals and other organic compounds. Methods are also provided for the manufacture of the subject coating and for the application of the same to surfaces of medical devices.

Abstract: A device for measuring the length of a stoma is disclosed. A method to utilize the stoma measuring device is also disclosed.

Abstract: An electrosurgical device is provided having at least one elastomeric seal capable of providing bio-contamination and dielectric protection by inhibiting the ingress of fluids and contaminants through the nose and actuator areas. The elastomeric seal is manufactured from a thermoplastic elastomer or resin which while in liquid form is placed within a mold. A housing section having the main circuit components and mechanisms of the electrosurgical device is then placed within the mold. Once the elastomer cures, the elastomeric seal seals the components and mechanisms within the housing partial-section. The elastomeric seal defines a flexible first opening at a distal end of the electrosurgical device to accommodate varying diameters of electrodes or blades connected to the nose area of the electrosurgical device. An actuator seal is also provided on the actuator area of the electrosurgical device to prevent fluids and contaminants from entering the electrosurgical device through the actuator area.

Abstract: The present disclosure relates to tactile switch assemblies having stepped printed circuit boards for use with snap-domes in surgical instruments. In accordance with one aspect of the present disclosure a tactile switch assembly for use with a surgical instrument includes a substrate, an inner terminal disposed on an upper surface of the substrate and having a first height, an outer terminal disposed on the upper surface of the substrate and substantially surrounding the inner terminal and having a second height which is greater than the height of the inner terminal and a snap-dome secured to the substrate and having a periphery engaged to and in electrical communication with the outer terminal. The snap-dome is depressible through a range wherein, upon inversion of the snap-dome, an apex of the snap dome electrically connect the inner and outer terminals.

Abstract: A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.

Abstract: A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.

Abstract: A qualifying connection for an instrument attaches to a source of electrosurgery energy and to the instrument and has first and second parts coupled to the instrument and the source, respectively. Optical couplings on the connection transmit invisible energy to identify the instrument and are proximate on the first and second parts. A light modifier on the first part is proximal to the second part for modification of radiation in the infrared wavelengths so infrared transmitters encode signals and non-contact coded proximity detectors on the second part are the coupled detectors. Mechanical attachments include conjugating male and female portions which physically extend between the parts and matingly engage. An identifying circuit couples to the second part and responds to invisible light optically communicated across the couplings for verifying the type of instrument connected by the cable to the source.

Abstract: A endoscopic bipolar forceps for clamping and sealing tissue includes first and second jaw members pivotally attached in opposing relation relative to one another which are movable from a first open position wherein the jaw members are disposed in spaced relation relative to one another to a second clamping position wherein the jaw members cooperate to grasp tissue therebetween. A drive rod assembly connects each of the jaw members to a source of electrical energy such that the jaw members are capable of conducting bipolar energy through the tissue held therebetween. A handle attached to the drive rod assembly imparts movement of the first and second jaw members from the first and second positions. At least one stop member is attached to the jaw members for controlling the distance between the jaw members. The forceps may also include a yoke member for insulating the jaw members from one another to prevent short circuiting of the forceps.

Abstract: Camera systems in combination with data processors, image scan data, and computers and associated graphic display provide tracking of instruments, objects, patients, and apparatus in a surgical, diagnostic, or treatment setting. Optically detectable objects are connected to instrumentation, a patient, or a clinician to track their position in space by optical detection systems and methods. The recognition of instruments by patterns of optically detectable structures provides data on three-dimensional position, orientation, and instrument type. Passive or active optical detection is possible via various light sources, reflectors, and pattern structures applicable in various clinical contexts.

Abstract: An electrosurgical apparatus for coagulating tissue includes an elongated flexible tube having a proximal end, a distal end, and at least one aperture located therein. The proximal end of the tube receives a supply of pressurized ionizable gas and is disposed within a working channel of the endoscope. At least one electrode ionizes the gas prior to the gas exiting the aperture of the tube and an agitator causes the gas to exit the tube with predetermined flow characteristics. In one embodiment, the agitator includes a helically-shaped baffle disposed within the tube. In another embodiments, the agitator can include a rotatable baffle having apertures disposed therethrough for causing the gas to exit the tube in a swirl-like manner. Alternatively, a pair of elongated ribbons can be disposed within the tube which, under flow conditions, will cause turbulence within the gas flow.

Abstract: A fill spout for a drainage device is disclosed which permits the user to supply water directly to a water seal chamber of the drainage device for establishing a water seal therein. The fill spout comprises a funnel having lateral sides for facilitating the entry of the water into the drainage device, a depending lip extending from the fill spout for preventing any run off or spillage, and a tab having an arcuate-shaped rest which permits the user to open and close the fill spout. In use, the user pulls the tab which opens the fill spout and places a water-filled bottle against the rest. The user then pours a predetermined amount of water through the funnel and directly into the water seal chamber.

Abstract: A system for positioning and repositioning a portion of a patient's body with respect to a treatment or imaging machine includes multiple cameras to view the body and the machine. Index markers are identified and located by the cameras in 3D space. In one embodiment, such index markers are in a determinable relationship to analogous markers used during previous image scanning of the patient. Anatomical targets determined from image scanning can be located relative to reference positions associated with the treatment of diagnostic machine. Several forms of camera, index markers, methods and systems accommodate different clinical uses. X-ray imaging of the patient further refines anatomical target positioning relative to the treatment of diagnostic imaging reference point. Movements of the patient based on comparative analysis of imaging determined anatomical targets relative to reference points on treatment or diagnostic apparatus are controlled by the system and process of the invention.

Abstract: A gastrostomy device having an external inflationary indicator is disclosed which comprises an external retention member having a tubular member extending therefrom for providing a fluid pathway to a patient's gastrointestinal tract. The external retention member includes a fluid conduit in communication with a inflationary lumen for providing fluid to inflate a balloon member attached to the tubular member. The inflationary indicator includes a thin wall section of the external retention member which forms a flexible membrane that defines first and second portions divided by a separating bar. The flexible membrane assumes a convex shape when the balloon member is in an inflated condition, while it assumes a concave shape when in the deflated condition. The shape in shape of the flexible membrane provides the user with a visual and tactile indication as to the inflationary state of the balloon member.

Abstract: An ultrasonic surgical apparatus for fragmenting and aspirating tissue is disclosed. The apparatus includes a handpiece which encloses a transducer, an aspirating tool, and a connector body connecting the aspirating tool and the transducer. The aspirating tool includes a elongated boy having a centrally located throughbore, a hexagon engagement portion, a threaded proximal end and a distal tip. Methods of manufacturing aspirating tools having small and large diameter throughbores adapted for use with a common handpiece are also disclosed.

Abstract: A lubricant coating vehicle for medical devices used to reduce the coefficient of friction of such devices upon exposure thereof to moisture. The lubricant coating vehicle allows the introduction of a pharmacological additive having a release rate that is within acceptable pharmacokinetic criteria. The release rate is adjusted by utilizing different salt forms of the additive and adjusting the concentration of a urethane pre-polymer.

Abstract: A thoracentesis device having a hypersensitive dual spring indication mechanism for visually alerting the user of any contact to internal body organs by the blunt tip distal end of the device once the it as been inserted inside a patient's body. The thoracentesis device includes a handle and an outer needle fixedly attached thereto having a sharp distal end for penetrating a chest cavity wall and a conduit that is in communication with a cavity defined inside the handle. A dual spring-loaded inner needle is slidably disposed inside the conduit of the outer needle with the inner needle being operably is associated with a large spring that imparts a sufficient distal spring force to fully extend the blunt tip distal end of the inner needle beyond the sharp distal end of the outer needle and a small spring for imparting a smaller spring force thereto.