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 method for rinsing a synthetic sponge material, the synthetic sponge material being formed through a process which leaves residue or particulate matter in pores of the synthetic sponge material, the method includes the steps of:a) contacting a rinsing solution with the synthetic sponge material; b) centrifuging the sponge material containing the rinsing solution; c) changing the hydrostatic pressure of the rinsing solution during said centrifuging step to expand and relax the pores of the synthetic sponge material to effectively pump the rinsing solution into and out of the pores, wherein the residue or the particulate matter in the pores of the synthetic sponge material are removed. The hydrostatic pressure can be changed by varying fluid supply pressure or varying centrifugal force.

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 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 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: 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 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 vent tubes includes a compartmented tray, a lid connected with the tray by a living hinge, and one or more posts projecting from a bottom wall of one of the compartments for retaining a medical implant in a substantially fixed position. A groove can also be formed in the tray for aligning a forceps with the medical implant to facilitate grasping and removal of the medical implant.

Abstract: A surgical cutting instrument includes movable and stationary jaws at a distal end of an elongate probe formed of an outer tubular member and an inner tubular member rotatable therein, a cam and cam follower at the distal end for translating rotary motion of the inner member to pivotal motion of the movable jaw to cut bodily tissue. The stationary jaw has an opening in the bottom thereof to allow cut bodily tissue to exit to a location external of the surgical cutting instrument, and a suction passage along the inner member terminates at a mouth disposed relative to the cam such that the cam contacts and comminutes cut bodily tissue before the tissue enters the mouth and is aspirated through the suction passage.

Abstract: An apparatus for repairing in vivo torn cartilaginous or other bodily tissue, particularly torn meniscus tissue during arthroscopic surgery, employs a repair tack of biodegradable material chosen to have a degradation time in excess of the required healing time for the tissue. The repair tack has a shaft portion with a longitudinal bore and a grip portion adapted for releasable engagement by a hollow applicator. In one embodiment the grip portion of the tack is a cross bar, at the proximal end of the shaft, which fits into an open-sided slot at the forward end of the applicator.

Abstract: A suturing instrument for use in arthroscopic surgery includes a hollow needle for penetrating tissue to be sutured within the body while the tissue is clamped between relatively movable jaws, and a suture feed mechanism for feeding suture material through the hollow needle such that the jaws can be opened and the suturing instrument withdrawn from the body pulling the free end segment of the suture material with the instrument. A knot can be tied in the suture material externally of the body and the knot moved back into the body at a position adjacent the tissue.

Abstract: An electrolyte fluid purging electrosurgical device for use with an electrode holder connected to an electrical power source and to a source of a non-electrically conductive fluid and a method of use are disclosed. The fluid purging electrosurgical device enables electrosurgery at a surgical site where an area proximate the surgical site is surrounded by an electrically conductive fluid such as saline irrigation fluids, body fluids, certain injectables and the like. The fluid purging electrosurgical device comprises an electrode shaft with an electrode shaft connector electrically connecting a first end of the electrode shaft to an electrode holder. An insulating material provides electrical insulation between a second end of the electrode shaft and the electrode holder. The insulating material is positioned on the electrode shaft to expose a portion of the second end of the electrode shaft to define an electrode tip to provide electrical current to the surgical site.

Abstract: An electrolyte fluid purging electrosurgical device for use with an electrode holder connected to an electrical power source and to a source of a non-electrically conductive fluid and a method of use are disclosed. The fluid purging electrosurgical device enables electrosurgery at a surgical site where an area proximate the surgical site is surrounded by an electrically conductive fluid such as saline irrigation fluids, body fluids, certain injectables and the like. The fluid purging electrosurgical device comprises an electrode shaft with an electrode shaft connector electrically connecting a first end of the electrode shaft to an electrode holder. An insulating material provides electrical insulation between a second end of the electrode shaft and the electrode holder. The insulating material is positioned on the electrode shaft to expose a portion of the second end of the electrode shaft to define an electrode tip to provide electrical current to the surgical site.

Abstract: An apparatus for repairing in vivo torn cartilaginous or other bodily tissue, particularly torn meniscus tissue during arthroscopic surgery, employs a repair tack of biodegradable material chosen to have a degradation time in excess of the required healing time for the tissue. The repair tack has a shaft portion with a longitudinal bore and a grip portion adapted for releasable engagement by a hollow applicator. In one embodiment the grip portion of the tack is a cross bar, at the proximal end of the shaft, which fits into an open-sided slot at the forward end of the applicator.

Abstract: A method of suturing tissue in the body particularly useful in arthroscopic surgery requiring only small incisions or portals for insertion of diagnostic and surgical instruments includes the steps of inserting an instrument in the body having a distal end carrying relatively movable jaws with openings therein, manipulating the jaws to penetrate the tissue to be sutured and to move the jaws to positions adjacent each other with the openings therein aligned, feeding suture material through the openings in the jaws, securing ends of the suture material to form a knot and moving the knot to a position adjacent the tissue.