Abstract: An improved electronic thermometer for rectal, oral, and axillary temperature measurements includes a removable module that houses a temperature sensitive probe and isolation chamber as well as a supply of clean, uncontaminated disposable probe covers on a single color coded module. Each removable module is interchangeably operable with a single temperature calculating unit. This thermometer design reduces the risk of patient exposure to all of the common sources of contamination encountered in the use of electronic thermometers by isolating the probe, the isolation chamber, and a supply of disposable probe covers on one dedicated removable module.

Abstract: A sampling port having a mechanical valve for a drainage apparatus is disclosed which permits a practitioner to directly access a collection chamber of the drainage apparatus using a needle-less syringe for withdrawing a sample of fluid therefrom. The sampling port comprises a port in direct communication with the collection chamber and a mechanical valve partially disposed inside the port. The mechanical valve comprises a generally tubular body containing a spring loaded valve that is normally closed to fluid flow communication and operable using a needle-less tip syringe to actuate the valve. In operation, a practitioner engages the needle-less tip syringe to the valve which places the valve in an open position and permits fluid flow into the syringe as the practitioner draws back on the plunger of the syringe.

Abstract: A disposable, molded probe cover for use with an electronic thermometer is disclosed. The probe cover comprises an elongated hollow body made of a plastic material which defines a distal end and a proximal end. The distal end of the body has a convex-shaped surface that defines a lubrication well adapted to hold a lubricant therein, while the proximal end forms an opening. The opening communicates with a chamber that extends the entire length of the body and is sized and shaped to receive a probe of the electronic thermometer. To vent air trapped in the chamber during insertion of the probe into the probe cover, the chamber is provided with an axial ridge defined along a portion of the chamber for allowing air trapped at the distal end of the chamber to escape the probe cover through the electronic thermometer. A plurality of detents are also provided along the chamber proximate the opening for securely engaging the probe and establishing a fluid tight seal between the probe cover and the thermometer.

Abstract: An electrosurgical apparatus for coagulating tissue used in combination with an endoscope which includes an elongated flexible tube having a plurality of side-ports located therethrough. The tube extends through a working channel of the endoscope and an ionizable gas is supplied to the tube at or near the proximal end of the tube. A diffusing member directs the ionizable gas from the proximal end of the tube through each of the side-ports towards the tissue. An electrode is used for ionizing the gas prior to the gas exiting the side-ports.

Abstract: An inflatable retraction apparatus is provided for retracing an organ inside a body to gain access to an adjacent tissue. The apparatus includes an able chamber formed from a single thin envelope, and capable of being collapsed for insertion through an incision and being expanded to a predetermined shape for retracing the organ. An inflation mechanism is adapted to selectively inflate the chamber to the predetermined shape. The inflation mechanism includes at least one inflation tube attached to the inflatable chamber in fluid communication theretween, and an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism.

Abstract: A nozzle and electrode combination for use with an electrosurgical device is described. The nozzle includes a shroud defining a channel and a lumen which intersect to define an acute angle. An electrode is positioned within the channel and includes a distal end extending from a distal portion of the shroud and a proximal end extending from the proximal portion of the shroud. An end cap positioned adjacent the proximal portion of the shroud about the electrode is preferably overmolded to the shroud and the electrode. Preferably, a portion of the walls defining the channel and/or the lumen include conductive material which communicates with the electrode to eliminate electric potential within the shroud.

Abstract: An improved surgical console for use with a handheld tissue fragmentation device includes portable base having an upper portion. An adjustable display head is mounted to the upper portion of the base. The display head provides rotational and translational adjustment relative to the base. An aspiration system is coupled to the fragmentation device for aspirating fluid and tissue fragmented by the fragmentation device from a surgical site. An irrigation system is also coupled to the fragmentation device for supplying irrigating fluid to the surgical site for suspending tissue fragmented by the fragmentation device. A power system is coupled to the fragmentation device for energizing a transducer of the fragmentation device for fragmenting tissue.

Abstract: A system and method for approaching the intervertebral disc through a percutaneous insertion from the back of a patient for thermal or electromagnetic treatment of an intervertebral disc, includes an elongated probe member having a guidable region adjacent its distal end with an undulating groove defined in its outer surface. The undulating groove is dimensioned to facilitate bending of the guidable region in at least one radial direction of movement relative to a longitudinal axis of the thermal probe. Preferably, the guidable region includes a plurality of undulating grooves, whereby adjacent undulating grooves are longitudinally spaced with respect to each other. The undulating grooves each define a sinusoidal configuration which may be arranged about an undulating axis extending in oblique relation to the longitudinal axis. The guidable region also includes a longitudinally extending backbone which resists bending of the guidable region in a radial direction of movement.

Abstract: A fluid collection apparatus is provided that includes a housing and a slide that is moveably supported by the housing. The slide has a cannula tab adapted to support a double ended needle and a plurality of connected segments that are moveably extending therefrom. Proximal movement of the slide causes the plurality of segments to contract in a configuration forming a shield about a proximal end of the double ended needle. The housing may define a slot in an outer surface thereof that is configured to receive a portion of the slide for guiding movement. The cannula tab can include a boss disposed adjacent a distal portion of the slide having the double needle mounted thereto. The cannula tab may include a segment member having a button mounted thereto which is disposed within at least a portion of the slot and slideably engages the slot to facilitate movement of the slide. The plurality of segments can include an end portion extending from a proximal end thereof.

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: The present invention relates to an access device which is provided as part of the packaging of a blunt tip cannula or blunt tip cannula/syringe combination. The access device is preferably positioned within an elongate sheath which also protects the blunt tip cannula and which also includes an internal barrier which separates the distal end of the blunt cannula from the distal end of the access device and protects one of the access pin or blunt tip cannula from exposure or contamination while the other is being used.

Abstract: This patent application is a continuation-in-part of the patent application of the present authors related to target volume ablation in the body using a cooled-tip tissue-heating probe such as a fluid cooled (perfusion cooled) high frequency electrode. The present application relates in part to examples of specific embodiments of high frequency and radiofrequency electrode designs and heating and cooling system designs. It further describes embodiments in conjunction with 3-D or 2-D image data and computer graphic workstions to control, monitor, and pre-plan the process of target ablation. Specific examples of cooled-tip electrode constructions will be given which have utility for percutaneous or intraoperative cancerous tumor ablation. Cooled tip electrode systems with modular or separable components involving an insertion cannula, a radiofrequency electrode element, a cooling element, and a thermo-monitoring and/or radiofrequency connection electrode will be given.

Abstract: The present disclosure provides a method for determining the probability of a patient burn under a return electrode in a monopolar electrosurgical system comprising calculating a heating factor adjacent the return electrode utilizing a first algorithm, calculating a cooling factor adjacent the return electrode utilizing a second algorithm, subtracting the calculated cooling factor from the calculated heating factor to obtain a difference value, comparing the difference value to a threshold value, and adjusting the power dependent on the relationship of the difference value to the threshold value.

Abstract: For repeat localization and immobilization of the head, neck and/or torso of a patient's body, immobilizing structures are used to secure the head and the neck and torso in a relative orientation in the position and relative orientation. A reference structure determines the relative position of the head and neck or torso so that the same configuration of these portions of the body can be achieved on a scanner couch or treatment machine couch repeatedly. Several forms of head and neck or torso immobilizers accommodate specific objectives and several forms of reference structures accomplish repositioning and patient position orientation.

Abstract: A helical fastener having a high retentive surface area is provided and has a first end for enhancing penetration into tissue and a second end comprising a coil sectioning a diameter of the fastener for receiving longitudinal and rotational forces. The helical fasteners are attached to body tissue by a fastener applicator having a proximal portion comprising a handle and an actuator and an elongate distal portion for housing a plurality of fasteners. A transferring action of the actuator provides longitudinal and rotational movement of the fasteners out of the distal portion and into body tissue.

Abstract: A progressive filtration system for a chest drainage unit during continuous autrotransfusion comprising a gross filter for filtering incoming blood at the inlet portion of a collection chamber of a chest drainage unit and a conventional fine micron filter assembly located at the bottom portion of the collection chamber for refiltering collected blood prior to reinfusion of that blood back to the patient. The micron filter assembly includes a valve cap at the top portion of the assembly that functions as a plug to seal the top portion of the assembly and as a one way valve that permits reflux of later developing blood clots that might clog the tubing once the blood has already passed through the assembly. The valve cap is also adapted for sealing engagement with a drop tube that places the filter assembly in fluid flow communication with an outlet of the collection chamber located at the top portion of the chamber.

Abstract: An inert gas enhanced electrosurgical apparatus is disclosed including a housing having at least one ridge formed therein. An electrode assembly has at least a portion thereof disposed within the housing. A support member has at least a portion thereof disposed within the housing and about at least a portion of the electrode assembly. The ridges of the housing are engageable with the support member such that a seal is formed therebetween. The housing can include a first opening adjacent a distal portion of the housing and a second opening adjacent a proximal portion of the housing. Ribs may be formed on an inner surface of the housing. An electrical spring contact may be disposed within the housing and configured to cooperate with the ribs to facilitate electrical communication with the electrode assembly. Wedge projections may be disposed on an outer surface of the housing.

Abstract: A multiplicity of high frequency electrodes in a cluster configuration may be inserted into tissue of a patient's body for producing heat ablation of abnormal tissue such as a tumor. The electrodes are connected coherently to the voltage output of a high frequency generator. An enlarged ablation volume is accomplished by the electrode cluster with reduced risk of hemorrhage because of the smaller diameter of the individual electrodes of the cluster. The electrodes terminate in conductive tips, which are cooled by a fluid coolant to further facilitate enlarged ablation volumes. Very large ablation volumes are accomplished by this process and apparatus. Various cluster electrode configurations may be adapted to meet specific clinical requirements.