Abstract: A sinus debrider apparatus comprising a housing, a motor mounted in the housing and a cutter head is mounted to the housing. The cutter head frustum conical shaped and defines an interior chamber, a suction passageway and a fluid passageway. A blade holder is mounted to the head and axially aligned with the interior chamber with a blade member being rotatably mounted in the blade holder. A coupling member is mounted in the interior chamber and connects the motor and the blade member to transmit motion from the motor shaft to the blade member. A manifold member defining separate passageways communicates with the suction passageway and the fluid passageway of the head and forms a connection section to hold a flexible tube providing suction and fluid to the cutter head.

Abstract: A method for producing an improved antimicrobial material thereby producing a soft, dry, iodine/acetalized polyvinyl alcohol complex sponge material having a pleasing yellow-gold coloration which self-indicates activation of the antimicrobial elements in the complex.

Abstract: The present invention is generally characterized in an angled rotary tissue cutting instrument including an outer blade assembly, having a rigid tubular member with proximal and distal portions connected by a bend, and an inner blade assembly rotatably disposed within the outer blade assembly and including a tubular drive shaft at a proximal end, a cutting tip at a distal end, and a flexible coupling disposed between the drive shaft and the cutting tip. The drive shaft and cutting tip include neck portions which are disposed telescopically within proximal and distal ends of the coupling.

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 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 brush-to-brushless motor controller adapter for use with a two-wire output signal from a medical console consists of a small enclosure containing a circuit board and has a short cable terminating in a two-wire connector which plugs into the two-wire controller output of the medical console and a connector jack for an electrical connection to a surgical instrument having a brushless D.C. motor. The brush-to-brushless motor controller generates a stable voltage for the adapter internal electronics (i.e., 12 to 15 volts), from a varying input voltage (i.e., 2.5 to 30 volts D.C.). The surgical instrument brushless D.C. motor speed is controlled as a function of the console output signal drive voltage amplitude and the adapter accepts pulsed inputs from a high power two-wire motor controller (e.g., 10 watts and up). The adapter accepts bipolar drive signals and is adapted to reverse the surgical instrument brushless D.C.

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 device for relieving synovial fluid pressure in a capsule surrounding a body joint includes a valve for placement in the capsule surrounding the joint for regulating passage of synovial fluid from the capsule. The valve can include a valve housing defining a passage between an interior and exterior of the capsule and a valve member disposed within the valve housing for regulating synovial fluid pressure within the capsule by permitting synovial fluid to drain from the capsule when a predetermined synovial fluid pressure is exceeded. The valve housing can be secured to the capsule with inlet and outlet flanges disposed at opposite ends of the housing and, additionally, by use of openings formed in the outlet flange to allow passage of sutures and to promote integral tissue fixation over time.

Abstract: A medical instrument, such as a surgical drill, includes a battery-powered handpiece and a booster. The handpiece includes an electrical device, such as a motor, having an operating characteristic responsive to changes in DC voltage and a battery that applies a first DC voltage to the electrical device. The booster is disposed externally of the handpiece body and includes a DC power source and a cable for connecting the DC power source with the battery in the handpiece to apply a second DC voltage to the electrical device. The operating characteristic of the electrical device, e.g., speed, is modified by selectively coupling or decoupling the booster from the handpiece.

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: A device for relieving synovial fluid pressure in a capsule surrounding a body joint includes a valve for placement in the capsule surrounding the joint for regulating passage of synovial fluid from the capsule. The valve can include a valve housing defining a passage between an interior and exterior of the capsule and a valve member disposed within the valve housing for regulating synovial fluid pressure within the capsule by permitting synovial fluid to drain from the capsule when a predetermined synovial fluid pressure is exceeded. The valve housing can be secured to the capsule with inlet and outlet flanges disposed at opposite ends of the housing and, additionally, by use of openings formed in the outlet flange to allow passage of sutures and to promote integral tissue fixation over time.

Abstract: A surgical sponge device comprising a porous cellular absorbent sponge which is cut into rigid segments. The segments are slidably mounted on a strand with a stop to keep the segments from falling off of said strand. The strung segments may be covered by a fluid impervious sleeve which, when removed, allows the rigid segments to wick up fluid to expand from a compressed condition to a predetermined larger size.

Abstract: A method for producing an improved antimicrobial material thereby producing a soft, dry, iodine/acetalized polyvinyl alcohol complex sponge material having a pleasing yellow-gold coloration which self-indicates activation of the antimicrobial elements in the complex.

Abstract: An instrument for extracting an orthopedic prosthesis having an elongated shank implanted in bone and defining a first longitudinal axis and a tapered stem projecting from the shank and defining a second longitudinal axis oriented at an oblique angle relative to the first axis includes a lower jaw defining a first opening for receiving the tapered stem, an upper jaw pivotally connected to the lower jaw and defining a second opening in opposed relation to the first opening, and a mechanism for pivoting the upper and lower jaws apart so that, when the tapered stem is received in the first and second openings, at least one of the first and second openings is caused to tilt relative to the second longitudinal axis such that diagonally opposed inside surfaces of the tilted opening contact the tapered stem of the prosthesis at longitudinally spaced locations to secure the instrument to the tapered stem so that an extraction tool can be attached to the instrument and used to exert an extraction force substantially p

Abstract: A non-resorbable flexible prosthesis includes a composite made of an elastomeric matrix and a plurality of hydroxylapatite particles dispersed throughout the matrix. The hydroxylapatite particles form about 25%-70% by weight of the prosthesis. The matrix is cured to form a flexible prosthesis such that an applied force can distort the flexible prosthesis from its original shape and the flexible prosthesis will substantially return to its original shape when the applied force is removed.

Abstract: A surgical abrading instrument for removing soft bodily tissue includes a stiffening support member and an abrasive member formed of a rubbery polymeric material. The abrasive member is mounted on the stiffening support member and includes an integral abrasive surface having a roughness to remove soft bodily tissue when the abrasive member is driven against the tissue via movement of the stiffening support member. The abrasive member can be of integral one-piece construction, in which case the abrasive member can also be formed simultaneously with attachment to the stiffening support member. In one embodiment, the stiffening support member includes a cylindrical shaft with proximal and distal ends, and the abrasive member is formed at the distal end of the shaft for rotation about a longitudinal axis thereof.

Abstract: A package for sterile delivery of medical implants such as, for example, wire piston prostheses, includes a tray defining a compartment, an insert removably disposed in the tray, and a lid mounted by the tray for sliding movement relative thereto. The medical implant is held by the insert in a specific position above a bottom wall of the compartment and with a longitudinal axis of the implant aligned with a recess in a wall of the compartment to permit the implant to be grasped with forceps for proper presentation at the operative site.