Abstract: A deck including a panel, a retainer and a fastener. The panel includes a flange having an aperture therein. The retainer includes an upper leg and a lower leg embracing the flange therebetween, with the lower leg having a fastener receiving opening. The fastener is for attaching the panel to structural framework, with the fastener including a shoulder. The fastener extends through the aperture of the flange and the opening of the lower leg of the retainer. The shoulder extends through the aperture in the flange and abuts against the lower leg of the retainer to secure the retainer. Furthermore, the shoulder is sufficiently tall as to prevent the fastener from tightly clamping the flange. Additionally, the flange embraced between the upper leg and the lower leg of the retainer is adapted to expand between the upper leg and the lower leg. Therefore, thermal expansion of the panel is accommodated.

Abstract: Described is a method and apparatus for controlling the heat treatment of tissue in response to the measured temperature as an indication of tissue treatment status of the tissue being treated by an ultrasonic cutting and coagulating instrument. A method and apparatus for controlling the heat treatment of tissue in separate modes for ultrasonic cutting and ultrasonic coagulation is disclosed. Accordingly the present invention provides a temperature monitoring device and/or method which controls the tissue temperature at the end-effector of a therapeutic ultrasonic cutting and coagulating instrument as the tissue is being heated with ultrasonic vibrations from the end-effector. One or more temperature sensors are located at the end-effector, preferably on a clamping member. The temperature sensors measure the temperature of the tissue engaged by the end-effector either directly or indirectly.

Abstract: The present invention is an apparatus for monocular head displays, which enables a compact, light in weight, sturdy apparatus that has a wide angle of viewing, a bright and sharp image display that operates on low voltage in a wide range of temperatures. The image is bright and high in contrast. Due to the compactiveness and wide viewing angle, it is readily useable inside helmets and goggles and visors. The signals that can be used include data, maps, graphics or video images including infrared or other images. Because of the wide viewing angle, the module may be placed and adjusted for multiple users and field installation.

Abstract: The present invention relates, in general, to ultrasonic surgical clamping instruments and, more particularly, to an improved force limiting mechanism for an ultrasonic surgical clamping instrument. An ultrasonic clamp coagulator apparatus is described including a housing, an actuator, an outer tube having a proximal end joined to the housing, and a distal end. An actuating element is reciprocably positioned within the outer tube and operatively connected to the actuator. An ultrasonic waveguide is positioned within the outer tube, with an end-effector extending distally from the distal end of the outer tube. A clamp arm is pivotally mounted on the distal end of the outer tube for pivotal movement with respect to the end-effector for clamping tissue between the clamp arm and the end-effector. The clamp arm is operatively connected to the actuating element so that reciprocal movement of the actuating element pivots the clamp arm.

Abstract: A temperature or impedance sensing device monitors the tissue temperature or impedance at the end-effector of a therapeutic ultrasonic cutting and coagulating instrument as the tissue is being heated with ultrasonic vibrations from the end-effector. One or more sensors are located at the end-effector, preferably on a clamping member. The signals from the sensors provide feedback to control circuitry and a device for selecting a function of the instrument for either cutting mode or coagulating mode.

Abstract: A bipolar electrosurgical instrument having a pair of relatively moveable jaws, each of which includes a tissue contacting surface. The tissue contacting surfaces of the jaws are in face-to-face relation with one another, and adjacent each of the tissue contacting surfaces are first and second spaced-apart electrodes that are adapted for connection to the opposite terminals of a bipolar RF generator so as to generator a current flow between the electrodes. The first and second electrodes of one jaw are in offset opposed relation, respectively, with the first and second electrodes of the other jaw. A cutting portion is provided between the jaws. The cutting portion is moveable to provide the instrument with a scissors-like capability or a grasper-like capability, depending on the position of the cutting portion.

Abstract: A bipolar electrosurgical instrument having a pair of relatively moveable jaws, each of which includes a tissue contacting surface. The tissue contacting surfaces of the jaws are in face-to-face relation with one another, and adjacent each of the tissue contacting surfaces are first and second spaced-apart electrodes that are adapted for connection to the opposite terminals of a bipolar RF generator so as to generator a current flow therebetween. The first and second electrodes of one jaw are in offset opposed relation, respectively, with the first and second electrodes of the other jaw. The tissue contacting surfaces are disposed between the electrodes on each jaw, and the first opposed electrodes of each jaw are connectable to one terminal of the bipolar RF generator, while the second opposed electrodes of each jaw are connectable to the other terminal of the bipolar RF generator. A cutting portion is provided between the jaws.

Abstract: The present invention relates to ultrasonic surgical clamping instruments and, more particularly, to a curved clamp arm tissue pad attachment for use with ultrasonic surgical instruments. A curved clamp arm for use with an ultrasonic surgical instrument is described. The curved clamp arm includes a proximal end and a distal end, with a top surface extending from the proximal end to the distal end of the curved clamp arm. The top surface comprises at least one hole. The clamp arm includes a bottom surface opposite the top surface, with the bottom surface extending from the proximal end to the distal end of the clamp arm. The bottom surface includes at least one engaging surface, where the hole in the top surface extends from the top surface to the engaging surface of the clamp arm.

Abstract: The present invention is an apparatus for monocular head displays, which enables a compact, light in weight, sturdy apparatus that has a wide angle of viewing, a bright and sharp image display that operates on low voltage in a wide range of temperatures. The image is bright and high in contrast. Due to the compactiveness and wide viewing angle, it is readily useable inside helmets and goggles and visors. The signals that can be used include data, maps, graphics or video images including infrared or other images. Because of the wide viewing angle, the module may be placed and adjusted for multiple users and field installation.

Abstract: The present invention relates to ultrasonic surgical clamping instruments and, more particularly, to a curved clamp arm tissue pad attachment for use with ultrasonic surgical instruments. A curved clamp arm for use with an ultrasonic surgical instrument is described. The curved clamp arm includes a proximal end and a distal end, with a top surface extending from the proximal end to the distal end of the curved clamp arm. The top surface comprises at least one hole. The clamp arm includes a bottom surface opposite the top surface, with the bottom surface extending from the proximal end to the distal end of the clamp arm. The bottom surface includes at least one engaging surface, where the hole in the top surface extends from the top surface to the engaging surface of the clamp arm.

Abstract: An ultrasonic clamp coagulator assembly embodying the principles of the present invention is configured to permit selective cutting, coagulation, and clamping of tissue during surgical procedures. In an ultrasonic blade according to the present invention, the blade is constructed such that the cross-sectional area of the blade is smaller at the proximal end of the compression zone than at the distal end. This performance-enhancing feature creates a more consistent cutting and coagulation of the tissue along the length of the blade reducing the time the blade is in operation and reducing overall heat generation.

Abstract: An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The clamping mechanism includes a pivotal clamp arm which cooperates with the end-effector for gripping tissue therebetween. The clamp arm is preferably provided with a clamp tissue pad having a plurality of axially spaced gripping teeth which cooperate with the end-effector to achieve the desired ultrasonic effect on tissue, while facilitating grasping and gripping of tissue during surgical procedures.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: A linear surgical stapler having clamping and firing triggers pivotally mounted to the frame of the instrument for pivotal rotation toward a hand grip is disclosed. The clamping trigger is positioned between the firing trigger and the hand grip. Each of the triggers are pivotally mounted to pivot pins spaced from each other within the body portion of the frame. Pivotal rotation of the first trigger is independent of pivotal rotation of the second trigger. When the clamping trigger is pivotally rotated toward the hand grip, the clamping and firing transmission assemblies move distally in tandem. Before the first trigger is pivoted, the firing transmission assembly blocks pivotal rotation of the second trigger. When the first trigger is pivoted, the initial distal movement of the firing transmission assembly enables the firing trigger to be in a position to pivotally rotate, and therefore cause the firing of staples.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: A surgical stapling instrument with a remotely articulated staple head assembly on a rotatable support shaft. A joy stick mounted to the shaft of the instrument near the handle allows for remote articulation of the staple head assembly. The staple head assembly includes a narrow contour for insertion between adjacent rib pairs without rib spreading. The staple head assembly further includes a reloadable staple cartridge which may be replaced with differently sized staples of a second cartridge. A closure trigger clamps tissue prior to stapling and cooperates with a second trigger that performs the staple firing operation. The triggers include a safety lock mechanism for preventing premature staple firing.

Abstract: A two-part surgical fastener comprises a staple and a receiver which are adapted to secure body tissue together. The staple is generally U-shaped and includes at least two prongs with barbed distal ends which penetrate the tissue and are latched by the receiver. Each prong of the staple is configured as an elongated prism of hexagonal cross-section and includes a barbed tip with an enlarged hexagonal cross-section at its free end. Each aperture of the receiver is hexagonal in configuration and includes a pair of opposed ledges for engaging the barbed tip. The tip of each prong has a pointed distal end formed by a first pair of sloped surfaces which form the sharp angle and a second pair of sloped surfaces which form a blunt angle. The staple includes longitudinal ridges or grooves on the prongs which are engaged and guided by longitudinal channels or ribs provided in a staple cartridge. The staple and receiver consist of bioabsorbable material.