Abstract: A method of controlling fluid leakage from an incision following tumescent liposuction and other surgical procedures where large amounts of fluid are introduced into the body includes placing a highly absorbent pad composed of a softened polyvinyl acetate sponge over the incision and holding the pad in place using a flexible backing with adhesive on one side. The softened polyvinyl acetate sponge material can be placed over the incision in either an unexpanded dry state or an expanded dry state. In one embodiment, a liquid impermeable layer is formed on one side of the pad and positioned on the adhesive side of the backing to prevent the absorbed fluids from infiltrating the backing.

Abstract: A synthetic sponge having a high density is rinsed while changing the hydrostatic pressure of rinsing solution in pore spaces of the sponge to remove chemical residue and particulate matter more completely. The hydrostatic pressure can be changed by varying fluid supply pressure or varying centrifugal force. A rinsing apparatus includes a rotatable container and a fluid supply for supplying rinsing solution to sponge material in the container.

Abstract: An industrial sponge device and a method of manufacturing the same. The sponge is made from a polyvinyl acetal material with a process in which the pores are formed by gas to provide an open pore structure having no fibrils. Additionally, the sponge is purified by an extracting process which includes alternating exposure of the partially cross-linked sponge to solutions of high pH and low pH. The sponge is sterilized by electron beam radiation to destroy micro organisms that can cause contamination of the final product. The resulting sponge material is formed into an industrial sponge having a cylindrical body and a plurality of projections extending from the body. The projections are tapered truncated cones having a cross-sectional radius that decreases with distance from the body. The extracting process permits residual amounts of calcium, zinc, and other elements to be 2 ppm or less preferably 1 ppm or less.

Abstract: A powered handpiece for driving a surgical blade to cut anatomical tissue includes a reusable handpiece body having a distal end for being coupled with a surgical blade, a drive shaft in the handpiece body for rotatably driving the surgical blade, a motor assembly for being installed in the handpiece body to rotatably drive the drive shaft and a suction channel in the handpiece body including a portion extending through the drive shaft parallel to a longitudinal axis of the motor assembly for evacuating anatomical tissue cut by the blade from the handpiece body for external collection. The surgical blade is for use with the powered handpiece and carries a sealing arrangement facilitating irrigation and suction. The handpiece body is capable of being sterilized to medical standards prior to each use.

Abstract: Nasal, sinus and otic packings exhibiting a less adherent surface when in contact with tissue and being less traumatic on removal are prepared. In a first embodiment, polyvinyl acetal foamed packing material undergoes a surface modification imparting a non-adherent hydrogel coated surface. The surface modification is accomplished after final processing and fabrication of the packing product shape. The packing material is subjected to either an atomized spray of an aqueous solution of ethyl alcohol or a polyvinyl acetate/polyvinyl alcohol copolymer. In another embodiment, a foamed polyvinyl acetal material is produced by crosslinking polyvinyl alcohol with an organic compound containing two hydroxyl reactive groups in the presence of an inert gas. An aqueous solution containing polyvinylpyrrolidone is mixed into the reaction during crosslinking.

Abstract: A rhinoplasty bur for use with a powered handpiece includes an outer tubular member configured to form a pocket for receiving a bur and for protecting the bur during operation. In one embodiment, the pocket has an end wall extending from a bottom wall of the pocket to form a distal lip providing protection for distal movement of the bur. In another embodiment, with or without the lip, the pocket is formed with opposed, curved wings extending laterally from longitudinal edges of the pocket for protection and stabilization of the bur during operation.

Abstract: A surgical suction cutting instrument includes a tubular outer member defining a cutting chamber with an opening, an inner member with a distal cutting edge movably received in the outer tubular member and a flushing mechanism for supplying fluid to the cutting chamber via an outlet communicating with the cutting chamber. The cutting edge of the inner member is disposed within the cutting chamber adjacent the opening to engage bodily tissue through the opening, and a lumen is preferably defined through the inner tubular member in communication with the cutting chamber for aspirating cut bodily tissue. In one embodiment, the flushing mechanism includes a tubular member disposed alongside the outer tubular member and having an outlet communicating with the cutting chamber for supplying fluid to the cutting chamber to prevent and clear clogging of the passage without the need of having to remove the cutting instrument from the surgical site.

Abstract: Nasal, sinus and otic packings exhibiting a less adherent surface when in contact with tissue and being less traumatic on removal are prepared. In a first embodiment, polyvinyl acetal foamed packing material undergoes a surface modification imparting a non-adherent hydrogel coated surface. The surface modification is accomplished after final processing and fabrication of the packing product shape. The packing material is subjected to either an atomized spray of an aqueous solution of ethyl alcohol or a polyvinyl acetate/polyvinyl alcohol copolymer. In another embodiment, a foamed polyvinyl acetal material is produced by crosslinking polyvinyl alcohol with an organic compound containing two hydroxyl reactive groups in the presence of an inert gas. An aqueous solution containing polyvinylpyrrolidone is mixed into the reaction during crosslinking.

Abstract: A synthetic sponge having a high density is rinsed while changing the hydrostatic pressure of rinsing solution in pore spaces of the sponge to remove chemical residue and particulate matter more completely. The hydrostatic pressure can be changed by varying fluid supply pressure or varying centrifugal force. A rinsing apparatus includes a rotatable container and a fluid supply for supplying rinsing solution to sponge material in the container.

Abstract: The disposable endoscope sheath includes a low-profile sleeve member that can accommodate a variety of different endoscope lengths that are longer than the sleeve member. In several embodiments of the invention, the sleeve member includes irrigation channels that do not communicate with an endoscope receiving space. In other embodiments of the invention, irrigation fluid passes through the endoscope receiving space of the sleeve member. In all embodiments of the invention, irrigation fluid that is expelled from the sleeve member can flush surgical debris away from the viewing end of the endoscope. The sleeve member has a generally low profile and does not require continuous suction to halt the expulsion of irrigation fluid from the sheath when the irrigation function is not being used. A brief reverse suction can be used to remove a residual drop of cleaning solution from the viewing end of the sheath.

Abstract: An industrial sponge device and a method of manufacturing the same. The sponge is made from a polyvinyl acetal material with a process in which the pores are formed by gas to provide an open pore structure having no fibrils. Additionally, the sponge is purified by an extracting process which includes alternating exposure of the partially cross-linked sponge to acid and oxidizing solutions. The sponge is sterilized by electron beam radiation to destroy micro organisms that can cause contamination of the final product. The resulting sponge material is formed into an industrial sponge having a cylindrical body and a plurality of projections extending from the body. The projections are tapered truncated cones having a cross-sectional radius that decreases with distance from the body. The extracting process permits residual amounts of calcium, zinc, and other elements to be 2 ppm or less; preferably 1 ppm or less.

Abstract: A sponge consisting of a sponge material, such as a polyvinyl alcohol sponge material having a coating of a non adherent mucopolysaccharide, hyaluronic acid ester. The ester can be applied to surfaces of the sponge or can be a uniformly dispersed interstitial gel of an esterified mucopolysaccharide, such as hyaluronic acid, formed by cross linking polyvinyl alcohol with various organic compounds containing carbonyl groups in the presence of acid catalysts, and reacting unreacted portions of the polyvinyl alcohol with the mucopolysaccharide to esterify the mucopolysaccharide and copolymerize the ester with the polyvinyl alcohol.

Abstract: An industrial cleaning sponge includes an industrial sponge roller device having a cylindrical body of polyvinyl acetal material and a plurality of projections, formed of the polyvinyl acetal material, extending from an outer surface of the cylindrical body. The projections have a truncated conical shape with each projection including a circular base coupled to the outer surface of the cylindrical body, a circular, planar top surface and a side wall extending outwardly from the top surface to the base.

Abstract: A drill guide for positioning on a surface of a bone includes a projection for penetrating the bone, an abutment for engaging the surface of the bone to ensure penetration of the bone by the projection to a predetermined depth, less than the length of the projection, and a pair of guide passages having central longitudinal axes, respectively, converging at a predetermined point in the bone when the projection penetrates the bone to the predetermined depth. A kit for fixating soft tissue to bone includes a drill guide, a drill bit, a suture and a suture passer. The drill bit is insertable in a pair of guide passages of the drill guide to cut first and second passages converging in the bone to define a continuous tunnel. The suture passer has a portion for being introduced in the tunnel to engage the suture externally of the bone such that the suture is drawn through the tunnel when the suture passer is withdrawn therefrom.

Abstract: An industrial sponge device and a method of manufacturing the same. The sponge is made from a polyvinyl acetal material with a process in which the pores are formed by gas to provide an open pore structure having no fibrils. Additionally, the sponge is purified by alternating exposure of the partially cross-linked sponge to solutions of high pH and low pH. The sponge is sterilized by electron beam radiation to destroy micro organisms that can cause contamination of the final product. The resulting sponge material is formed into an industrial sponge having a cylindrical body and a plurality of projections extending from the body. The projections are tapered truncated cones having a cross-sectional radius that decreases with distance from the body.

Abstract: A powered handpiece for driving a surgical blade to cut anatomical tissue includes a reusable handpiece body having a distal end for being coupled with a surgical blade, a drive shaft in the handpiece body for rotatably driving the surgical blade, a motor assembly for being installed in the handpiece body to rotatably drive the drive shaft and a suction channel in the handpiece body including a portion extending through the drive shaft parallel to a longitudinal axis of the motor assembly for evacuating anatomical tissue cut by the blade from the handpiece body for external collection. The surgical blade is for use with the powered handpiece and carries a sealing arrangement facilitating irrigation and suction. The handpiece body is capable of being sterilized to medical standards prior to each use.

Abstract: A method of cleaning a silicon material using a polyvinyl acetal sponge material. The sponge material is purified by an extracting process which includes alternating exposure of the sponge material to acid and oxidizing solutions. The extracting process permits residual amounts of calcium, zinc, sulfate, arsenic, barium, cadmium, chloride, chromium, copper, iron, lead, manganese, magnesium, mercury, nitrate, potassium, selenium, silica, silver and sodium to be 2 ppm or less. Following the extracting process, the silicon material is contacted with the sponge material to thereby clean the silicon material.

Abstract: The disposable endoscope sheath includes a low-profile sleeve member that cooperates with the endoscope shaft to establish a relatively narrow irrigation space between the sleeve member and the endoscope shaft. The sleeve member is intentionally shorter than the endoscope shaft to accommodate a variety of different endoscope lengths that are longer than the sleeve. In various embodiments of the invention the sleeve member can be positioned to establish a predetermined distal gap between the terminal end of the sleeve member and the viewing end of the endoscope shaft, to establish a flush alignment between the respective ends, or to have the endoscope shaft project slightly beyond the terminal end of the sleeve member. Irrigation fluid can thus flow across the viewing end of the endoscope flushing away surgical debris from the viewing end. The sleeve member can be a rigid or flexible structure.

Abstract: A method for rinsing a synthetic sponge material, the synthetic sponge material being formed through a process which leaves residue or particulate matter in pores of the synthetic sponge material, the method includes the steps of:a) contacting a rinsing solution with the synthetic sponge material; b) centrifuging the sponge material containing the rinsing solution; c) changing the hydrostatic pressure of the rinsing solution during said centrifuging step to expand and relax the pores of the synthetic sponge material to effectively pump the rinsing solution into and out of the pores, wherein the residue or the particulate matter in the pores of the synthetic sponge material are removed. The hydrostatic pressure can be changed by varying fluid supply pressure or varying centrifugal force.

Abstract: A powered handpiece for driving a surgical blade to cut anatomical tissue includes a reusable handpiece body having a distal end for being coupled with a surgical blade, a drive shaft in the handpiece body for rotatably driving the surgical blade, a motor assembly for being installed in the handpiece body to rotatably drive the drive shaft and a suction channel in the handpiece body including a portion extending through the drive shaft parallel to a longitudinal axis of the motor assembly for evacuating anatomical tissue cut by the blade from the handpiece body for external collection. The surgical blade is for use with the powered handpiece and carries a sealing arrangement facilitating irrigation and suction. The handpiece body is capable of being sterilized to medical standards prior to each use.