Abstract: A valvulotome for disrupting a valve in a vein includes an elongate control member and a cutting head disposed at the distal end of the control member. The cutting head includes an elongate section extending generally along the length of the cutting head and a return section extending beside the elongate section also along the length of the cutting head. A cutting section included in the cutting head extends between the elongate section and the return section at a particular angle to the length of the control member. Portions of this cutting section form a proximally facing cutting edge for disrupting the valve. The valvulotome can be used with an endoscope in a method wherein the cutting head is tied to the endoscope with a suture, or a method wherein the valvulotome is back-loaded into the working channel of the endoscope.

Abstract: The instrument comprises an outer tube (1) fixed to the end of a flexible sheath (2), and an inner tube (3) displaceable in the outer tube and equipped with a head (5), to which is fixed a cylindrical casing (7) which has an inner boss (15). Arranged inside this casing are blades (10, 11) which are held axially on the outer tube by means of a collar (14) and which can swivel on the outer tube, this swiveling being ensured by the cylindrical casing (7), to be more precise by its end and by its inner boss (15) acting as a cam. This instrument, which is particularly robust, is intended for the removal of deposits formed on the inner walls of the arteries or veins.

Abstract: An osteosynthetic fastening device, preferably in the form of a pedicle screw or a spinal column hook, has a channel in its upper section for receiving a support rod and a retaining element which clamps the rod in the socket through a spherical contact element.

Abstract: A laparoscopic suturing device includes an elongate shaft having a distal end and a proximal end and an arcuate tissue piercing element permanently fixed to the shaft at the distal end, the arcuate tissue piercing element lying in a plane disposed substantially transversely to the shaft. The tissue piercing element is provided at a free end, spaced from the shaft, with an eyelet, and the device has a suture thread extending through the eyelet. A distal end portion of the device is inserted through a laparoscopic trocar sleeve and the shaft of the device is turned in one direction to insert the tissue piercing element with a first end portion of the suture thread into internal tissues of the patient, a second end portion of the suture thread remaining disposed outside the patient. The first end portion of the suture thread is grasped upon insertion through the tissues and then the shaft of the suturing device is turned in the opposite direction to remove the tissue piercing element from the internal tissues.

Abstract: A transurethral radio frequency apparatus for ablation of the prostate gland through the urethra formed by a wall, a probe consisting of a flexible elongate tubular member with proximal and distal extremities and sized so as to be adapted to be inserted into the urethra, and an ablation electrode carried by the distal extremity of the flexible elongate member. The flexible elongate tubular member is provided with first and second flow lumens for delivering a cooled fluid to the ablation electrode to cool the same. Means are connected to the probe to supply a coolant solution to the probe, to supply radio frequency energy to the electrode while it is being cooled, and to monitor the temperature of the ablation electrode so that the ablation electrode is maintained at a temperature below a predetermined temperature to spare the urethral wall from irreversible damage from the radio frequency energy delivered to the ablation electrode.

Abstract: A probe for medical use includes a tip portion having a light energy input region for receiving light energy from a light source and a predetermined light energy output region whereby tissue subtended by the region may be irradiated by the light energy. The tip portion consists essentially of light propagating material having inclusions distributed therein and generally throughout the tip portion between the light energy input region and the light energy output region for interacting with the light energy to produce a predetermined light energy output pattern. The light propagating material is a light propagating inorganic compound.

Abstract: A vertebral auxiliary fixation device comprises an auxiliary fixation piece and a double-threaded self-locking screw. The auxiliary fixation piece has a coupling element located at one end thereof and a threaded through hole located at another end thereof. The screw is composed of a head, a second threaded portion engageable with the threaded through hole of the auxiliary fixation piece, and a first threaded portion intended to fasten onto a vertebra to be fixed or vertebrae contiguous to the vertebra. The vertebral auxiliary fixation device is employed in conjunction with a vertebra fixation device.

Abstract: A surgical manipulator arm has a first and a second control ball rotatably mounted and disposed at a proximal end and a distal end of an outer-shaft tube, respectively. The control balls are coupled to each other through coupling elements such, for example, as control wires so that rotational movements of the first control ball can be transmitted correspondingly to the second control ball or vice versa. The manipulator arm has an actuator portion connected to the first control ball and a follower portion connected to the second control ball for selectively and detachably mounting a handling part and an effector part of an instrument. The first and second control balls are mounted in such a way so as to permit their respective actuator and follower portions to rotate and pivot about the longitudinal axis of the outer-shaft tube. The central bore defines a connective passage from the actuator portion, through the outer-shaft tube, and to the follower portion.

Abstract: A stapler device includes a manually grippable handle containing a drive and a trigger to activate the drive mechanism, a barrel fixed to the handle, a guide for holding a staple to be ejected and formed to accommodate a suture thread fixed to the staple, and an ejector driven by the drive through the barrel for ejecting a staple out through the guide into a bone to enable the suture, so anchored to the bone, to be used for various medical operations.

Abstract: A device for expanding the connective fatty tissue and correcting inverted nipples and improving symmetry of the human breast by means of gentle suction generated by respiratory means. The hollow dome is constructed of tinted, low-density, polyethylene which enables the user to monitor the degree of expansion she desires. The surrounding rim assures an air tight seal with the skin tissue. The pliable, high tensile quality of the hollow dome allows the user to squeeze and change the shape of the hollow dome on various locations on the breast to uplift and improve cleavage. A threaded nipple extends from top center of the exterior of the hollow dome which is attached to a pliable breathing tube and is fitted with a removable mouthpiece to facilitate orally evacuating the air surrounding the breast. A valve-timer controls the input and output of atmospheric pressure which creates a vacuum around the breast, and can be maintained for a selected number of seconds and minutes by the individual needs of the user.

Abstract: In order to destroy vascular deformations in the human body, a clamp is provided which is made from titanium. The clamp is expanded in the relieved state and is transferable into the clamping position by a clamping ring, which is displaceable along the clamp in the attached state. The clamp is introduced into the body by a probe, which has a tubular casing and a positioning bar guided therein. The clamp is transferred into the region of the deformation and applied at the application location as a result of the clamping ring being transferred into the clamping position. The transfer is caused by a relative movement between tubular casing and positioning bar. The probe is then released from the positioned clamp.

Abstract: A closed end surgical cryoprobe instrument may have a probe shaft diameter of 3 millimeters or less and can achieve and maintain freezing zone temperatures close to that of the liquid cryogenic refrigerant. Using sub-cooled liquid nitrogen at approximately -208.degree. C. freezing zone temperatures as low as -206.degree. C. can be achieved in under 1 minute. The liquid nitrogen supply tube is provided with a plurality of small vent holes to vent gas formed or present in the refrigerant supply tube to the return refrigerant flow channel. The vent holes also allow small amount of liquid nitrogen to vent into the return flow channel to further reduce the temperature differential between the sub-cooled liquid nitrogen supply and the counter current flowing return refrigerant. Heat transfer is maintained through nucleate boiling. In place of vent holes, narrow slits may be provided in the supply tube. Alternatively, a sintered porous metal supply tube can be used as the vent means.

Abstract: There is disclosed herein a device for clamping and cutting an umbilical cord so as to enable blood samples from the umbilical cord to be collected and/or tested. The device provides for the clamping of a severed end of an umbilical cord and the automatic ejection of that clamped end. The device also provides for the cutting of an umbilical cord without using excessive force regardless of the size of the umbilical cord. Additionally, the device provides for the valved use of vacuum tubes to collect umbilical cord blood samples. Furthermore, the device enables the measurement of blood values at the moment of cutting the umbilical cord. Finally, the device also provides for the protection of users and others from exposure to sharps and blood.

Abstract: An apparatus for correcting a positioning of a stent for widening or keeping open a stenosis, in blood vessels, the urethra, the ureter, etc. The apparatus includes a guide part slidably housing an elongated wire part provided at a forward end thereof with radially expandable wire portions having structures for grasping the stent.

Abstract: An elongated relatively thin longitudinally arcuately bowed disposable tongue depressor having the major portion of its length characterized by a transverse wide substantially V-shape and having a flesh adhesive texture on the respective end portions of its ventral surface.

Abstract: The invention herein described involves a clamp placed over the bridge of the nose to apply pressure over the fossa of the nasolacrimal sac, prior to ocular medication, to seal the nasolacrimal sac, and thereby prevent drainage of medicament away from the eye.

Abstract: Various forms of micromachined electrostatic microconveyors and useful devices based thereon are described. In one embodiment, a tube shaped conveyor is formed by disposing conductors circumferentially about the exterior surface of the tube. The tube is formed of an insulating material (e.g., silicon dioxide). Driving voltages are applied in staggered phase to selected ones of the conductors to provide a travelling electrostatic wave within the tube. Charged particles (or fluid or gas) can be propelled through the tube electrostatically by "riding" the travelling wave. Various aspects of the invention are directed to apparatus making use of the microconveyor to convey particles, gas ions, etc.. Apparatus is described for using gas pressure resulting from the transport of gas ions to do mechanical work (i.e., to operate mechanical actuators.

Abstract: A reamer designed to create convex, curved shapes on small bones. The reamer comprises a body with a center bore throughout, and a concave head with at least three flutes. The flutes extend from the center of the head outward, being unconnected to each other in any way except at the center of the head portion. Each flute has an outer curved surface, which together form the partially hemispherical outer surface of the head. The inner curved surface is angled to facilitate rapid clearing of bone chips from the work surface. The distal end of each flute has a flat end surface, which is sufficiently large to prevent the flutes from breaking. Each flute also has two side surfaces, a cutting surface and a non-cutting surface. The small joint reamer according to the invention allows bone chips to be cleared easily during operation. This prevents overheating of the bone surface, which can cause necrosis of the bone, preventing proper healing of the patient.

Abstract: The present invention relates to methods to provide superior fixation of orthopedic devices within bones, through use of a resorbable cement material. As well, methods to provide temporary fixation of orthopedic devices within bones until the natural bone tissue may ingrow with the device are also disclosed. The methods are broadly applicable to repair of fractures or other divisive or compressive maladies in bones, augmentation of the osteopenic skeleton, and attachment of prostheses.

Abstract: A bone cement delivery gun for use in attachment of prosthetics and method of using the delivery gun. The gun comprises a reservoir and a trigger mechanism. The reservoir comprises a plunger at a first end of the reservoir and a screw mount fitting at a second end of the reservoir. The trigger mechanism comprises a first position wherein gas, from a compressed gas source, is prevented from reaching the plunger and a second position wherein compressed gas is conveyed from the compressed gas source to the plunger to thereby move the plunger in a direction toward the screw mount fitting.