Abstract: An arm retainer for supporting a patient's arm at a desired position on an articulatable support assembly secured to an operating table. The arm retainer includes a rigid arm tray (11) provided with a pair of spaced openings (16) for securement of a disposable arm support liner (10) to the tray. The arm support liner (10) is comprised of a sheet of malleable material (13) with a soft engagement surface (14) for skin contact with the patient and is provided with a predetermined cut configuration for wrapping the malleable liner (10) about the patient's arm for retention of the arm therein. The line (10) has two spaced foldout tabs (17) aligned with the corresponding tray openings (16) for securing the liner to the tray (11) by folding the tabs (17) through respective of the openings (16) and thereafter against the bottom side of the tray.

Abstract: Redistribution of files in a containerized distributed file system is disclosed. Containers each have an engine and a scanner and each of the containers stores files and parameters for characteristics of files stored on the container. A first engine in a first container monitors characteristics of files stored on the first container and, responsive to determining that the parameters for files on the first container exceed one or more predetermined thresholds, communicates with a second engine in a second container to determine a destination container for one or more files from the first container. The second engine in the second container indicates to the first engine in the first container whether the second container is available to receive one or more files from the first container. The first engine triggers file system scanning by the scanner of the first container to identify files to be moved to the second container.

Abstract: Redistribution of files in a containerized distributed file system is disclosed. An indication of at least one remote container to which files from the local container are to be transferred is received from a rebalancing engine in the local container. One or more transfer parameters for use in selecting one or more files in the local container to be transferred the at least one remote container are received from the rebalancing engine. The local container is scanned to identify files that satisfy the one or more transfer parameters. An indication of the identified files to a file transfer mechanism is provided. Operation of the scanner is terminate until triggered in response to a query by the engine of the local container or for a predetermined period of time.

Abstract: An arm retainer for supporting a patient's arm at a desired position on an articulatable support assembly secured to an operating table. The arm retainer includes a rigid arm tray (11) provided with a pair of spaced openings (16) for securement of a disposable arm support liner (10) to the tray. The arm support liner (10) is comprised of a sheet of malleable material (13) with a soft engagement surface (14) for skin contact with the patient and is provided with a predetermined cut configuration for wrapping the malleable liner (10) about the patient's arm for retention of the arm therein. The line (10) has two spaced foldout tabs (17) aligned with the corresponding tray openings (16) for securing the liner to the tray (11) by folding the tabs (17) through respective of the openings (16) and thereafter against the bottom side of the tray.

Abstract: An arm retainer for supporting a patient's aim at a desired position on an articulatable support assembly secured to an operating table. The arm retainer includes a rigid arm tray (11) provided with a pair of spaced openings (16) for securement of a disposable arm support liner (10) to the tray. The UM support liner (10) is comprised of a sheet of malleable material (13) with a soft engagement surface (14) for skin contact with the patient and is provided with a predetermined cut configuration for wrapping the malleable liner (10) about the patient's arm for retention of the arm therein. The line (10) has two spaced foldout tabs (17) aligned with the corresponding tray openings (16) for securing the liner to the tray (11) by folding the tabs (17) through respective of the openings (16) and thereafter against the bottom side of the tray.

Abstract: An arm retainer for supporting a patient's arm at a desired position on an articulatable support assembly secured to an operating table. The arm retainer includes a rigid arm tray (11) provided with a pair of spaced openings (16) for securement of a disposable arm support liner (10) to the tray. The arm support liner (10) is comprised of a sheet of malleable material (13) with a soft engagement surface (14) for skin contact with the patient and is provided with a predetermined cut configuration for wrapping the malleable liner (10) about the patient's arm for retention of the arm therein. The liner (10) has two spaced foldout tabs (17) aligned with the corresponding tray openings (16) for securing the liner to the tray (11) by folding the tabs (17) through respective of the openings (16) and thereafter against the bottom side (9) of the tray.

Abstract: A surgical suture passer (10) having a hollow needle (11) with an axial lumen (12) and a handle (13) having the hollow needle (11) secured and retained at its proximal end (15). The handle (13) defines a planar recessed surface (21) and the lumen (12) of the hollow needle (11) is aligned with this planar recessed surface (21) when the needle is retained by the handle (13) whereby a suture positioned on the planar surface (21) may be advanced or retracted by direct finger engagement of the suture into and out of the hollow needle lumen (12).

Abstract: A passive retrieving interosseous suture passing instrument (10) having a guide handle (13) with a proximal end for grasping and a distal end for engagement with a bone (11) to which suture (22) is to be attached. The bone (11) is provided with a first tunnel (15), and a suture retrieving arm (12) carried at the distal end of the guide handle (13) is provided with a distal tip dimensioned to be received in the first tunnel (15).

Abstract: A suture grasping and passing device having a handle with an elongate tubular needle defining a lumen therein and extending from the distal end of the handle and having a pointed forward distal tip for puncturing soft tissue. A lateral radially open suture capture notch is provided in the tubular needle adjacent the pointed distal tip and defines a mouth open to the needle lumen. The notch mouth is contoured to receive a suture therein transversely across the mouth and an elongate gate member is slidably received for axial movement within the lumen whereby the gate member may be advanced in a forward direction to entirely close off an outer radial apex portion of the suture capture mouth to capture a suture under the gate member within the mouth of the notch.

Abstract: A surgical suture passer (10) having a hollow needle (11) with an axial lumen (12) and a handle (13) having the hollow needle (11) secured and retained at its proximal end (15). The handle (13) defines a planar recessed surface (21) and the lumen (12) of the hollow needle (11) is aligned with this planar recessed surface (21) when the needle is retained by the handle (13) whereby a suture positioned on the planar surface (21) may be advanced or retracted by direct finger engagement of the suture into and out of the hollow needle lumen (12).

Abstract: A passive retrieving interosseous suture passing instrument (10) having a guide handle (13) with a proximal end for grasping and a distal end for engagement with a bone (11) to which suture (22) is to be attached. The bone (11) is provided with a first tunnel (15), and a suture retrieving arm (12) carried at the distal end of the guide handle (13) is provided with a distal tip dimensioned to be received in the first tunnel (15).

Abstract: An arm retainer for supporting a patient's arm at a desired position on an articulatable support assembly secured to an operating table. The arm retainer includes a rigid arm tray (11) having a connection stud (12) protruding from the bottom side of the tray (11) for connecting the tray to the articulatable support assembly, and the tray (11) is provided with a pair of spaced openings (16) for securement of a disposable arm support liner (10) to the tray. The arm support liner (10) is comprised of a sheet of malleable material (13) with a soft engagement surface (14) for skin contact with the patient and is provided with a predetermined cut configuration for wrapping the malleable liner (10) about the patient's arm for retention of the arm therein. The line (10) has two spaced foldout tabs (17) aligned with the corresponding tray openings (16) for securing the liner to the tray (11) by folding the tabs (17) through respective of the openings (16) and thereafter against the bottom side of the tray.

Abstract: A method and apparatus for placing a suture (22) transosseously through first (15) and second (21) transverse intersecting bone tunnels wherein a suture retriever spike (12) having a window (20) therethrough is inserted in one of the tunnels (15) and the window (20) is aligned with the bore of the other tunnel (21). Suture (22) is passed through this second or other tunnel (21) and on through the spike window (20) and there deposited. The suture retriever spike (12) is then removed from its tunnel (15) with the suture (22) passed through the window (20) of the spike (12), thereby transosseously retrieving the suture (22).

Abstract: A drill guide and pin system is provided whereby a drill may be inserted through a drill sleeve into a bone portion to provide a drill bore. For some embodiments, a cooperating pin provides a pin bore which intersects the drill bore at a predetermined angle ? and predetermined location relative to at least one of the drill sleeve and/or bore. The pin may have an integral catch so that when a wire is inserted through the drill bore, the catch can pull the wire through the pin bore for use in various surgical techniques. Some embodiments have an articulated arm which can lock in a fixed position in a fixed configuration and have a moveable configuration as well.

Abstract: A drill guide and pin system is provided whereby a drill may be inserted through a drill sleeve into a bone portion to provide a drill bore. For some embodiments, a cooperating pin provides a pin bore which intersects the drill bore at a predetermined angle ? and predetermined location relative to at least one of the drill sleeve and/or bore. The pin may have an integral catch so that when a wire is inserted through the drill bore, the catch can pull the wire through the pin bore for use in various surgical techniques. Some embodiments have an articulated arm which can lock in a fixed position in a fixed configuration and have a moveable configuration as well.