Abstract: The present invention provides a combination cannula positioned targeting guide adapted for angular receipt and support of a surgical instrument, the combination including an endoscopic portal having an enlarged membrane chamber having a rear port and an elongated portal cannula extending towards a portal tip, the rear port and the portal cannula being axially aligned; a portal stand extending from a substantially rectangular body towards an arcuate channel in communication with the enlarged membrane chamber; and the endoscopic portal being rotationally secured to the portal stand

Abstract: A flexible endoscope for extending between an incision and a surgical site, the flexible endoscope including an endoscopic cylinder received by an outer flexible sleeve, the endoscopic cylinder including an outer contact surface received by the flexible sleeve with a helical thread, a flanged structure associated with the flexible sleeve and corresponding to a proximate handle end of said endoscopic cylinder, and a directional guide angularly extending from said outer surface and tapered.

Abstract: An embodiment of the invention includes a quantum fluid flow management apparatus which controls and facilitates delivery of liquid and/or air to the surgical site during a surgical procedure via a trumpet valve, various restriction (crimping) devices, and a network of tubing for selectively passing air or fluid through to the surgical site. The trumpet valve allows for selective control of air or fluid or both or neither. Additionally the flow management apparatus controls the application and suction of fluids from the surgical site which may be used in cooperation with the injection of a fluid such as water to irrigate the surgical site to remove body fluids, debrided material or the like.

Abstract: The invention described includes an osteoendoscopic cylinder for tamponading bleeding along a longitudinal canal surface of an osteocentral canal of a femoral neck so as to allow endoscopic visualization of a segment of osteonecrotic bone within a femoral head. The osteoendoscopic cylinder is of a dimension adapted to receive an endoscope therein and includes an inner visual surface and an outer bony contact surface. An orientation mark along the inner visual surface is of a size and dimension to ensure a first visualization thereof with the endoscope. The first visualization is of an effect to allow spatial orientation of the endoscope within the femoral head. A side opening proximally situated thereabout a proximal handle end is of a size and dimension adapted to mount a vacuum apparatus comprising of a transparent tube.

Abstract: An improved medical transmission apparatus for transmitting a flexible forceps through one of a plurality of lumens associated with an elongated composite scope assembly towards a surgical site presenting an increased torsional rigidity region for increased deflectional resistance of the forceps and being defined by a junction between a sheath associated with the forceps and a lumen extending cylindrically along the elongated composite scope assembly; a portal entry associated with the elongated composite scope assembly having a diameter sized for receiving and transmitting a distal tip section associated with said forceps therethrough and a cylindrical clearance positioned between an outer sidewall associated with said sheath and an inner surface associated with said lumen, the cylindrical clearance directing said forceps towards the surgical site.

Abstract: The present invention provides an method to alleviate a deteriorated condition at an articular joint site and for repair of damaged cartilage the method including the steps of imaging for the presence of osteonecrosis in the underlying bone, forming a cylindrical plug comprising articular cartilage and osteonecrotic bone using an endoscopic trephine, inspecting the removed cylindrical plug and the joint site for additional articular cartilage and osteonecrotic bone, selectively debriding osteonecrotic bone material associated with the bone cavity to achieve desired vascular characteristics for receiving a prepared bone graft material within the bone cavity, and overlying the received bone graft material with cartilage tissue at the cartilage tissue receiving surface.

Abstract: A laminar flow endoscopic instrument for laminar transmission of irrigation fluid between an incision towards a zone of visualization associated with a surgical site, the endoscopic portal comprising an osteoendoscopic cylinder having an outer contact surface encircling an inner visual surface and extending between a proximal handle end and a distal endoscopic end with a directional surface extending therefrom and providing laminar flow of irrigation fluid.

Abstract: An embodiment of the invention includes a quantum fluid flow management apparatus which controls and facilitates delivery of liquid and/or air to the surgical site during a surgical procedure via a trumpet valve, various restriction (crimping) devices, and a network of tubing for selectively passing air or fluid through to the surgical site. The trumpet valve allows for selective control of air or fluid or both or neither. Additionally the flow management apparatus controls the application and suction of fluids from the surgical site which may be used in cooperation with the injection of a fluid such as water to irrigate the surgical site to remove body fluids, debrided material or the like.

Abstract: The present invention provides an improved tip position determining assembly for visually and fluidically determining the entry of an instrument tip into an internal surgical site, the assembly comprising an endoscopic portal having a chamber housing a membrane having a plurality of slit openings associated with a slit for sealingly receiving a trephine and an irrigant and vacuum source connectably secured to said assembly for observing an instrument tip entering a surgical site.

Abstract: The present invention provides an endoscopic laser instrument for positioning the endoscopic instrument in relation to a reference point to measure the proper angular position of an associated medical device associated with a surgical site.

Abstract: The present invention provides an apparatus and method for a laser sighting endoscopic instrument incorporating a laser unit for attachment to an endoscopic instrument in alignment with an axis of a lumen within a cannula portion of the instrument for visualizing a field of surgical access.

Abstract: The present invention provides a flexible endoscope instrument with a full length lumen extending from a proximal end of a hand section towards an insertion section and out a distal tip end, the insertion section comprising a plurality of lumens covered by a tubular sheath, each of the lumens being axially aligned with each other and at least one lumen being adapted for receiving a surgical instrument therethrough.

Abstract: The present invention provides an improved orthopedic fastener adapted for receipt within a receiving surface associated with an orthopedic material, the fastener comprising a head separated from a tapered end along a threaded shaft, the threaded shaft having at least one helical thread extending therebetween, at least one region of irregularity positioned along the helical thread and presenting an axis of retention, the axis of retention limiting longitudinal movement of the threaded shaft from the receiving surface.

Abstract: The present invention provides an orthopedic treatment system and a method for selectively releasing a growth agent to a surgical site associated with a bone structure that was borne by endoscopically debrided osseus tissue and adapted for receiving the growth agent.

Abstract: The present invention provides a flexible endoscope substantially as described herein.

Abstract: The present invention is directed to a laminar flow endoscopic instrument for laminar transmission of irrigation fluid between an incision towards a zone of visualization associated with a surgical site, the endoscopic portal comprising an osteoendoscopic cylinder having an outer contact surface encircling an inner visual surface and extending between a proximal handle end and a distal endoscopic end with a directional surface extending therefrom and providing laminar flow of irrigation fluid.

Abstract: The present invention relates to an endoscopic bone debridement portal extending between an incision and a surgical site and adapted for receiving plural surgical tools and an endoscopic trephine, said endoscopic bone debridement portal comprising an elongated sleeve presenting a central channel and extending between a medial incision associated with the incision and a lateral surface associated with the surgical site, said elongated sleeve having plural guide surfaces for centrally aligning plural surgical tools and said central channel extending circumferentially around a lumen and between the plural guide surfaces for the alignment of surgical tools extending through the lumen from the incision towards the surgical site.

Abstract: The invention described includes an osteoendoscopic cylinder for tamponading bleeding along a longitudinal canal surface of an osteocentral canal of a femoral neck so as to allow endoscopic visualization of a segment of osteonecrotic bone within a femoral head. The osteoendoscopic cylinder is of a dimension adapted to receive an endoscope therein and includes an inner visual surface and an outer bony contact surface. An orientation mark along the inner visual surface is of a size and dimension to ensure a first visualization thereof with the endoscope. The first visualization is of an effect to allow spatial orientation of the endoscope within the femoral head. A side opening proximally situated thereabout a proximal handle end is of a size and dimension adapted to mount a vacuum apparatus comprising of a transparent tube.