Abstract: Surgical procedure and surgical instruments include an electrode structure for insertion through tissue superiorly of a subxiphoid incision to a position posterior of an aspect of the sternum and anterior of the pericardium. The electrode structure may be expanded, for example, including an inflatable member to position a number of electrodes of the electrode structure in contact with the pericardium. Alternatively, an electrode structure on an insertion cannula may be retained in contact with the pericardium by the cannula positioned within the dissected tissue. Electrical conductors from the contacting electrodes are routed through the tract of dissected tissue toward the subxiphoid incision for attachment to a generator that is implanted in a subcutaneous pocket near the subxiphoid incision.

Abstract: Methods and devices for delivering and/or retrieving a filter fixed to a guidewire disposed within a blood vessel are disclosed. A system in accordance with the present invention comprises, an outer shaft having a proximal end, distal end and a wall defining an outer shaft lumen. The system also includes a stop mechanism disposed within the outer shaft lumen. The stop mechanism is preferably configured such that relative axial movement between the guidewire and the outer shaft may be selectively precluded.

Abstract: A surgical apparatus comprises a rigid sheath, an object observation mechanism and an observation optical axis rotating mechanism. The sheath has a distal opening and a proximal opening. The object observation mechanism is inserted into the sheath from the proximal opening. The observation optical axis rotating mechanism rotates the object observation mechanism about the axis of the sheath.

Abstract: This is directed to containers and methods for holding and delivering vaso-occluding materials such as hydrogel particles and filaments. The vaso-occlusive materials may be held in the container in a hydrated or unhydrated state. The container includes a fluid ingress port and a fluid egress port that are respectively fluidly connectable with a fluid source and a delivery catheter. The container further includes at least one chamber or passageway extending therebetween. The passageway may be straight, curved, spiral, helical, narrow or otherwise shaped. The chamber may also have sections of varying cross section such as a ramped section. The shapes of the passageways of the container help organize ejection of the vaso-occluding materials minimizing contamination and clumping. Methods for holding and introducing the materials are also provided.

Abstract: A pneumatic system consists of an inflatable/deflatable article, for example, a compression garment (21) connected to a pump (20) by connectors (12 and 11), respectively. The connector (12) attached to the garment (21) carries an RFID transponder (30) and a corresponding radio circuit (31) is located within the pump (20). In use, the transponder (30) transmits and receives information to and from the pump radio circuit (31). The information exchanged is used by the pump control system to activate the pump and to operate the pump to provide the particular operating parameters for that garment, for example, pressure, inflation/deflation cycle, duration of treatment, etc.

Abstract: An ultrasonic surgical instrument for dissection and coagulation of tissue is provided. The surgical instrument includes a vibration coupler supported within a housing and operably connected to an ultrasonic generator. An angled blade member is connected to the distal end of the vibration coupler to conduct high frequency vibration from the ultrasonic generator to the blade member. A clamp member is positioned adjacent to the blade member and is movable from a first position to a second approximated position. The clamp member and angled blade member combine to enhance contact between the tissue and the blade member during operation of the instrument to improve the performance of the instrument.

Abstract: Featured is a device for puncturing tissue of a body, such as the lamina cribosa and methods for treating a CVRO with such a puncturing device. The puncturing device includes a puncture member being generally configured and arranged to locally disrupt tissue proximal an area of the puncture site, to minimize the potential for damage to body parts or tissue immediately adjacent to this area of the puncture site and to facilitate perforation of the tissue at the puncture site. When the lamina cribosa is being punctured, the puncture member is more particularly configured and arranged to locally disrupt connective tissue of the lamina cribosa proximal to and surrounding the central retinal vein while minimizing the potential for structural damage to the central retinal vein. In an exemplary embodiment, the lamina cribosa is repeatedly punctured to strip/locally disrupt connective tissue surrounding the central retinal vein.

Abstract: Two pairs of forceps, each pair having an inner leg and an outer leg, are connected together so that a surgeon can insert a forefinger between the inner legs of the two pairs and operate both pairs of forceps with one hand.

Abstract: The invention of the present disposable adjustable lancet involves an assembly which has a body and a cap. A lancet holder fits in the body and has a base portion having a pair of upstanding retainer-disabling tines, one of the tines is longer than the other to block the reinsertion of the lancet. A selector tip assists in engaging a clicker position in the selector tip. The method involves selecting positions by means of a female and a male position clicker which provide an audible signal. The position of the lancet can be determined in three manners: visually observing the degree of rotation, audibly denoting the click, and physically rotating the member which, in turn, results in a reaction on the finger while the adjustment is being made.

Abstract: The invention provides for treating deleterious body tissue located within healthy body tissue by isolating the deleterious tissue from blood, air, and fluid communication. The device includes two structures, each having a corresponding circumferential surface arranged to circumscribe the deleterious body tissue. When the first and second circumferential surfaces are brought together in an aligned relationship with the deleterious body tissue between the structures, the two circumferential surfaces co-act to isolate the deleterious body tissue from communication with the healthy body tissue. The deleterious tissue is resected according to the invention by allowing it to become ischemic and necrotic, or by excision.

Abstract: A method of protecting the coating on a reconfigurable coated workpiece having a first end and a second end is provided in one embodiment of the present invention. This embodiment includes providing an encasing hollow deformable membrane, positioning the first end of the reconfigurable coated workpiece adjacent to an entrance orifice of the membrane, enlarging the entrance orifice and the inside cavity of the membrane, inserting the reconfigurable coated workpiece into the enlarged entrance orifice and into the inside cavity and decreasing the size of the inside cavity of the membrane until an inside surface of the cavity contacts the coating of the workpiece.

Abstract: An intraluminal cutter having an expandable, rotary cutter with a plurality of cutting blades designed to cut and remove tissue proliferation within a stent and also to reopen stents. The intraluminal cutter is placed within the lumen of the clogged stent and expanded. By rotary movement of the expanded cutter blades, the device cuts and removes the material within the lumen. It is emphasized that this abstract is provided to comply with the rules requiring an abstract that will allow a searcher or other reader to quickly ascertain the subject matter of the technical disclosure. It is submitted with the understanding that it will not be used to limit the scope or meaning of the claims. 37 C.F.R. 1.72(b).

Abstract: This invention relates to a pacifier that may properly interest an infant of eight months old or older to make a preferable stimulation, for leading the infant to the next developmental stage of ingesting activity, or that can be used in a way for adapting to more advanced ingesting activity. A pacifier is provided with a nipple (11) and a shield plate (12) disposed at the base portion (13) of the nipple which has a predetermined width. The nipple is provided with a tip portion (15) having a width and a thickness, the width being larger than the thickness, to be formed into a flat shape, and an upper curved surface (19) formed at the upper surface of the tip portion so as to be convex at a central portion thereof.

Abstract: A surgical forceps includes a forceps jaw, with a handle consisting of two grip parts with which the one first grip part is connected to a forceps housing and the other second grip part is pivotable for opening and closing the jaw mouth, with an adjustment rod which is distally and proximally adjustable for opening and closing the jaw mouth and whose proximal end has a connection to a limb of the two limbed second grip part, and with at least one would spring element as an overload protection against the breakage of jaw parts. A particularly effective overload protection, a simple forceps construction and a small constructional size of the forceps are achieved according to the invention in that the spring element consists of a flat material wound in a serpentine manner with windings lying in one plane.

Abstract: A medical instrument with a hollow shaft having at its proximal end a handle consisting of at least two gripping members and at its distal end a tool consisting of at lest two jaw members, where at least one jaw member of the tool is adjustable in relation to the at least one other jaw member of the tool for purposes of opening and closing by means of one rotatably shaped gripping member of the handle, and the at least one adjustable jaw member and the corresponding gripping member of the handle that serves to adjust the jaw member are connected to one another by means of two push-pull rods.

Abstract: The present invention is directed to a prosthetic device that can be implanted in the pleural cavity of patients undergoing lung volume reduction surgery. The device is designed so that its volume can be adjusted by externally adding or removing gas without the need for additional surgical intervention.

Abstract: The present invention is a scalpel with a retractable blade which may be advanced or retracted by operation of a slider. The scalpel has multiple operating positions and the physician may conveniently retract the blade by actuating the slider.

Abstract: A flexible, continuous web of a protective foldable tape with borders of pressure sensitive adhesive on each of its longitudinal edges for automated securing of the tape to a pre-installed mulch system. The tape is wound about a core forming a cylindrical roll. In application, the protective tape is adhered to the mulch bed as it unwinds from a spindle centered above the bed by pressing the adhesive zones against the mulch covering the bed. The spindle is mounted on farm equipment capable of tracking the bed path. The equipment can be self-propelled or pulled by a tractor. Prior to dispensing the tape, the bed can be fitted with support devices such as hoops, stakes or wire.

Abstract: A soft hand or hand and wrist splint for controlling and reducing hand and/or hand and wrist flexion contractures. The splint has a soft flexible body member such as polyurethane foam having a density of 1.1 to 2.0 pounds per cubic foot and an indentation load deflection on the order of 33 for a medium firm foam. The body member is sized so that its length extends from the fingertips to a region intermediate the thumb and the wrist or, if desired, to a region intermediate the wrist and the elbow depending upon whether just metacarpal flexion contratures are to be controlled or metacarpal and wrist flexion contractures are to be controlled, respectively. The body member is preferably covered with a soft stretch material such as a stretch terry cloth. A plurality of strap means are positionable over the body member and, if desired, may be secured or coupled to the terry cloth covering.

Abstract: An adjustable wrist and hand splint employs four rigid aluminum stays for providing support for the forearm, fourth and fifth fingers and the outer portion of the hand. The aluminum stays are bendable for accommodating particular needs of the user. The splint also employs a sleeve that encompasses and provides further support for the forearm, fourth and fifth fingers and outer portion of the hand. The sleeve also provides padding between the stays and the forearm, hand and fingers. In addition, the splint includes pockets that are secured to the sleeve. The aluminum stays are housed within the pockets. Further, the splint may be readily put on or removed using a set of adjustable straps. The straps normally include "Velcro" type material that engage the mating "Velcro" type material on the surface of the sleeve. The fastening straps also help to further immobilize the wrist, fourth and fifth fingers and outer portion of the hand.