Abstract: A balloon anchor provides for the anchoring of a surgical instrument, such as conventional trocar sheath, within a puncture opening formed by a trocar. When used on a trocar sheath, the anchor is secured to the smooth outer surface of the sheath for extension through the puncture opening as the trocar within the sheath forms the opening. Adhesive or mechanical means are provided to secure the balloon the instrument. No modification to the structure of the instrument is required. Once in place within the opening, the balloon is inflated to the interior of the tissue to anchor the instrument in place. Certain embodiments also provide for inflation of the balloon within and/or to the exterior of the opening.

Abstract: A removable electrode assembly for use in combination with a forceps having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing which is removably engageable with the forceps and a pair of electrodes which are attachable to a distal end of the housing. The electrodes are removably engageable with the end effectors of the forceps such that the electrodes reside in opposing relation relative to one another. The electrode assembly also includes a cover plate which is removably attachable to the housing and at least one stop member for controlling the distance the electrodes move relative to one another.

Abstract: For heat ablating living tissue of a body, an ablation electrode, contacting a surface of the tissue or within tissue, is coupled to an RF power supply referenced to a second electrode contacting the body. Fluid coolant is circulated to cool the contact surface extending the ablation to an increased volume of tissue. Temperature may be sensed contiguous to the surface to control the flows of RF heating energy and fluid coolant. Computer capability implements control and provides graphics of data, preplans, or controls relative to the ablation. Several forms of electrode structures accommodate specific objectives.

Abstract: A torque apparatus for the installation and removal of threaded connecting device that employs a plurality of leaf spring elements engaging a plurality of asymmetrical drive teeth sides to establish preset torque values in a hermetically sealed configuration or a variable range of preset torque values in a second configuration. The preset torque values can be readily changed in the second configuration by employing different quantities of leaf springs, differing leaf spring designs, or varying the geometry of the rotor drive teeth. The leaf spring to rotor drive teeth interface provides a slip mechanism to prevent over-torquing when torque values for the installation of a threaded connecting type device is exceeded. While both torque wrench configurations are sterilizable, the torque wrench that is capable of full disassembly for sterilization and use thereafter in a sterilized environment, is reconfigurable for different torque applications without calibration.

Abstract: An anti-free flow device is disclosed for a fluid administration system having a tube assembly engageable with a pump having one end of the tube assembly connected to a source of fluid and the other end in fluid flow communication with a patient. The valve device comprises a tube portion defining a channel in-line along a portion of the tube assembly and a body disposed and securely retained inside the channel. Fluid flow is initiated through the tube assembly whenever the tube assembly is in a stretched condition, such as when the tube assembly is engaged with the pump. However, fluid free flow is prevented whenever the tube assembly is in a relaxed condition or disengaged from the pump.

Abstract: A thoracentesis device having a hypersensitive dual spring indication mechanism for alerting the user of any contact to internal body organs by the blunt tip distal end of the thoracentesis device once the device has been inserted inside a patient's body. The thoracentesis device includes a handle and an outer needle fixedly attached thereto. The outer needle forms a sharp distal end adapted for penetrating the chest cavity wall and a longitudinal conduit that is in fluid flow communication with a cavity defined inside the handle. A spring-loaded inner needle is slidably disposed inside the conduit of the outer needle with the proximal portion of the inner needle operably engaged 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.

Abstract: A system for positioning and repositioning of 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, either light-emitting, passive, geometric shapes, or natural landmarks, are identified and located by the cameras in 3D space. In one embodiment, such reference or 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 or 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 or diagnostic imaging reference point.

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 needle cannula apparatus is provided which includes a needle hub that is mountable to an instrument and has a cantilevered portion extending therefrom. The cantilevered portion has a button member and a hub stop disposed at a distal end thereof. The needle hub defines at least one tab slot having a tab slot end. A shield is movably disposed about the needle hub and defines a shield slot configured for relative slidable movement of the button member therein. The shield slot includes a proximal enlarged slot section configured to engage the hub stop such that proximal movement of the shield is prevented. The shield further includes at least one tab stop that is configured for movement within the at least one tab slot of the needle hub and engagement with the tab slot end such that distal movement of the shield is prevented. The needle cannula hub may include at least one hub slot and the shield includes at least one shield rail.

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: Ablative treatment of metastatic bone tumors and relief of pain associated with metastatic bone tumors is achieved by heat ablation of the bone tumor or tissue near the bone tumor by an ablation probe. In one form the probe is an electrode coupled to a high frequency power supply to provide ablative heating of tissue proximate to an electrode that is placed in or near the bone tumor. Cooling of the electrode by fluid circulation from a cooling apparatus outside the patient's body may be used to enlarge the region of high frequency heating around the electrode. Image guidance of the electrode placement may be monitored by an imaging device. Tracking of the electrode by an image-guided navigator helps in placement of the electrode with respect to the configuration of the bone and bone metastasis. A set of tools accommodates biopsy and various shapes of electrodes according to clinical requirements.

Abstract: An electrosurgical apparatus for coagulating tissue includes an elongated flexible tube having a proximal end, a distal end and a source for supplying pressurized ionizable gas to the proximal end of the tube. The apparatus also includes a hollow sleeve made from a shape memory alloy having a generally curved austenite state and displaying stress-induced martensite behavior. The hollow sleeve is restrained in a deformed stress-induced martensite configuration within the tube and partial extension of a portion of the hollow sleeve from the tube transforms the portion of the sleeve from the deformed configuration to the generally curved austenite configuration such that the gas is directed transversely at the tissue. An electrode ionizes the gas in the region between the sleeve and the tissue.

Abstract: A bipolar electrosurgical instrument for vessel sealing comprises first and second members connected by a pivot. A pair of jaws have opposable seal surfaces that are designed to grasp vascular tissue and conduct bipolar electrosurgical current therethrough. Electrodes on the jaws, including the seal surfaces, are removable and disposable. The jaws of the instrument have mechanical interfaces designed to accept replacement electrodes. The instrument further comprises interlocking ratchets designed to hold a constant closure force between the seal surfaces. Wires extend from the electrodes along one of the members and are connectable to an electrosurgical generator.

Abstract: The present invention relates to an anti-free-flow valve to prevent fluid free-flow through a tube assembly having a lumen. The valve device comprises a body disposed inside the lumen having a cylindrical portion formed adjacent a tapered portion, the cylindrical portion includes an opening and the tapered portion has a pair of beveled surfaces with ends that form a slit therebetween. The slit communicates with the opening through a passage formed through the body of the valve device. When the tube assembly is in a relaxed condition, the ends of the beveled surfaces confront one another and place the slit in the closed position which prevents fluid flow through the passage of the body and through the valve device.

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 is a low profile jejunal adapter for a low profile gastrostomy tube. Once properly attached, the jejunal adapter converts the low profile gastrostomy tube into a gastrojejunostomy tube. Specifically, the jejunal adapter includes a feeding tube which is positioned within the jejunum of a patient and a venting lumen which provides for simultaneous venting of gases collected in the patient's stomach while fluid is being fed to the jejunum through the feeding tube. In a preferred embodiment, the length of the feeding tube is adjustable to accommodate various patients. In an alternative embodiment, the length of the feeding tube is fixed to reduce the manufacturing costs of this device. The jejunal adapter of this invention also includes a cap retention mechanism for securing the cap of the gastrostomy tube and a latch mechanism adapted to secure the jejunal adapter to the gastrostomy tube.

Abstract: A method and system for shaping a beam from a radiation delivery device includes a moving miniature multi-leaf collimator which can be moved into the field of radiation from the radiation device to shape the beam or moved out of the radiation field of the radiation device so that a second collimator can shape the beam. The movable miniature multi-leaf collimator comprises opposing banks of movable leaves to form a conformal shape when the collimator is within the radiation field. A translation or rotation mechanism can move the left and right leaf banks at the collimator away from and displaced significantly from the radiation beam of the radiation delivery device so that they will not intercept the radiation field. A second collimator device is then used to produce another independent beam shaping within the radiation field of the radiation device.

Abstract: The present invention relates an anti-free flow valve for a fluid administration systems having a tube assembly with a lumen formed through therethrough coupled to a pump. The anti-free flow valve comprises a body including a cylindrical portion having an opening and a tapered portion which has opposing beveled surfaces with ends that form a slit bounded by side walls. The opening communicates with the slit through a passage formed through the body which is adapted to receive the tube assembly therethrough. Fluid free flow through the tube assembly is prevented by the slit being placed in the closed position when the ends of the opposing beveled surfaces are urged together when the tube assembly is in a relaxed condition. However, when a tensile force is applied along the tube assembly the inner diameter of the lumen decreases which urges the ends of the opposing beveled surfaces away from one another and places the slit in the open position, thereby permitting fluid flow through the body.

Abstract: A high frequency generator system with a computer graphic two-dimensional user-interactable interface is achieved to allow selection of menus associated with the function, state, and output parameters of the high frequency generator system. A two-dimensional graphics display is coupled directly or remotely to a high frequency power source system which is further connected to electrodes in contact or proximity to the tissue of a patient's body. A two-dimensional display allows the user to see, in a compact, convenient, and comprehensive way, selection menus for use of the high frequency generator system, control of its parameters, monitoring of its processes during clinical application, and graphics displays related to historic or current image scan data and real-time monitoring of output parameters related to the application. Pre-set or user-selectable arrays of parameters can be selected through the two-dimensional user interface to the high frequency generator system.

Abstract: A laparoscopic bipolar electrosurgical instrument can apply a large closure force between its jaws without damaging the small yoke assembly.