Abstract: An arthroscopic shaver with an outer tubular member and an inner tubular member rotatably disposed within the outer tubular member. The inner tubular member has a proximal end portion and a distal end portion, with a cutting means on the distal end portion. The inner tubular member has a plurality of helical segments or two sliced tubes of stainless steel wound in alternating opposite directions providing a more flexible configuration and better torque capability for the inner tubular member.

Abstract: A straightening tool is disclosed for straightening angled tissue cutting instruments including an outer member having a proximal length portion and a pre-formed bend connecting the proximal length portion with a distal length portion extending from the bend at an angle to a distal end, and a flexible inner member movably disposed in the outer member to cut anatomical tissue. The straightening tool comprises a handle and a positioning block extending from the handle coaxial with the straightening tool. The positioning block has a longitudinal bore for receiving the distal length portion therethrough to position the distal end within a cavity of the positioning block and the bend within a longitudinal slot of the positioning block with the proximal length portion extending externally through an opening of the slot.

Abstract: Particularly in an engine that has been inactive for a substantial period of time at a cold temperature, fluid forces acting on moving members, such as electronically-activated fluid control valves, may be significant until the engine warms up. A way to reduce the fluid forces and their detrimental effects is to reduce the volume of fluid which are creating the fluid forces, including venting all or some of this fluid to drain. Additionally, fluid that gathers can be drained away. In order to accomplish such venting, the present disclosure includes a fluid control valve having a body with at least one fluid passage connected to a bore, a movable member in the bore, an actuator connected to the movable member to move the movable member, and at least one vent passage opening into the bore between the fluid passage and the actuator. The disclosure may include additional drain passages to drain away gathered fluid from actuating components.

Abstract: A disposable endoscope sheath includes an extendable sleeve sized to accommodate an endoscope shaft having a viewing end. The extendable sleeve has a variable length. A distal portion of the sleeve is configured to direct irrigation fluid onto the viewing end of the endoscope to flush surgical debris from the viewing end of the endoscope.

Abstract: A surgical cutting instrument including a first elongated member, a second tubular member, a handpiece, a first hub, a second hub, and an actuator assembly. The first tubular member has cutting tip and is co-axially disposed within the second tubular member such that the cutting tip is exposed at a cutting window. The first hub is mounted to the first tubular member and is moveably coupled to the handpiece. The second hub is mounted to the second tubular member and defines a hub axis. The actuator assembly rotatably couples the second hub to the handpiece and includes an actuator. Movement of the actuator is translated to rotational movement of the second hub so as to effectuate spatial rotation of the cutting window. In this regard, the actuator movement is not co-axial with the hub axis.

Abstract: A surgical cutting instrument including an outer tube, inner wire assembly, cutting tip, coupling chuck, and housing. The outer tube includes a lumen extending from a proximal end to a distal end. The inner wire assembly is received within the lumen. Preferably, the outer tube and inner wire assembly form a longitudinally curved segment. The cutting tip is connected to a distal section of the inner wire assembly. The coupling chuck is secured to a proximal section of the inner wire assembly. The housing maintains the outer tube and the coupling chuck. A rotating journal bearing, preferably a rotating-hydrodynamic bearing, is established between the inner wire assembly and the inner surface of the outer tube, allowing nominal rotational speeds of 80,000 RPM. Preferred embodiments of the surgical cutting instrument enhance surgeon visibility, minimize heat build-up, and provide improved stiffness and thermal protection.

Abstract: An angled tissue cutting instrument includes an outer member having an elongate body with a bend and a forward end, and a distal tip rotatably mounted on the forward end. The distal tip and body are rotatable relative to one another about a central longitudinal axis of the tip to variably position a cutting window of the tip in a selected directional position about the axis. Relative rotation between the distal tip and the body about the axis is prevented to lock the cutting window in a selected directional position when the outer member is maintained in a longitudinally extended position by an inner member of the instrument disposed within the outer member. An indexing tool for the angled tissue cutting instrument has a socket for receiving the distal tip to effect rotational indexing.

Abstract: Particularly in an engine that has been inactive for a substantial period of time at a cold temperature, fluid forces acting on moving members, such as electronically-activated fluid control valves, may be significant until the engine warms up. A way to reduce the fluid forces and their detrimental effects is to reduce the volume of fluid which are creating the fluid forces, including venting all or some of this fluid to drain. Additionally, fluid that gathers can be drained away. In order to accomplish such venting, the present disclosure includes a fluid control valve having a body with at least one fluid passage connected to a bore, a movable member in the bore, an actuator connected to the movable member to move the movable member, and at least one vent passage opening into the bore between the fluid passage and the actuator. The disclosure may include additional drain passages to drain away gathered fluid from actuating components.

Abstract: A surgical micro-resecting instrument including an outer tubular member, an inner tubular member, a hub assembly, and an electrical insulator. The outer tubular member is formed of an electrically conductive material and defines a proximal section, a distal section, and a lumen. The distal section forms an axial passage distal a cutting window, both of which are fluidly connected to the lumen. The inner tubular member is disposed within the lumen and defines a distal portion that forms a cutting tip. The hub assembly maintains the inner and outer tubular members. The electrical insulator covers a region of the outer tubular member distal the hub assembly. In this regard, at least the cutting window is not covered by the electrical insulator for cauterizing contacted tissue via the energy. The axial passage facilitates continuous aspiration.

Abstract: An angled tissue cutting instrument comprises an elongate angled outer tubular member and an elongate flexible inner tubular member rotatably disposed within the outer member to transmit torque to a cutting configuration of the inner member when the inner member is rotated relative to and within the outer member in forward and reverse rotational directions. The inner member comprises an inner tube, a helical cut formed along a length portion of the inner tube to impart flexibility and no more than a single layer of spiral wrap disposed over the helically cut length portion of the inner tube. A method of fabricating an angled tissue cutting instrument involves forming the helical cut in an inner tube having an inner diameter the same size as the inner diameter of the straight inner tubular member of a straight tissue cutting instrument of the same diametric size as the angled tissue cutting instrument.

Abstract: An angled tissue cutting instrument comprises an angled outer tubular member rotatably receiving a flexible inner tubular member. The inner member has a flexible region in correspondence with an angle of the outer member. The flexible region comprises a helically cut length portion of an elongate tubular body of the inner member and a continuous solid flexible surface secured to an outer surface of the body along the helically cut length portion. A method of fabricating a flexible inner tubular member involves forming a helical cut through the solid wall of a length portion of a tubular body and securing a continuous solid flexible surface to the outer surface of the body along the helically cut length portion to form a flexible region.

Abstract: A method for causing a permanent increase in the length and girth of a male subject's penis, the method comprising treatment comprising the step of (a) administering to the male an effective amount of a vasodilator selected from the group consisting of a vasodilator per se and compositions thereof comprising a pharmaceutically-acceptable diluent or carrier, to induce a cumulative prolonged engorgement of the subject's penis; and (b) repeating step (a) as necessary to cause the increase during the treatment. A potentiator which enhances the effect of the vasodilator may also be used.

Abstract: A surgical micro-burring instrument including an outer tubular member coaxially maintaining an inner tubular member. The outer tubular member defines a proximal section, a distal section, and a central lumen extending from the proximal section to the distal section. The distal section forms a pocket and an elevator tip. The pocket has a bottom wall and an opposed upper opening. The elevator tip extends distal the pocket. The inner tubular member forms a bur received within the pocket. Upon final assembly, at least a portion of the bur is exposed relative to the outer tubular member via the upper opening of the pocket. The elevator tip is configured to facilitate lifting of soft tissue, such as mucosa, while positioning the bur, via the pocket, in an appropriate location for cutting contacted harder tissue, such as turbinate bone or septal bone/cartilage.

Abstract: A software-implemented system and method of publication for preparing or publishing a customized document that provides information specifically pertinent or relevant to a customer's product and/or service order, demands, contractual obligations, and the like (i.e., a customer's business rules), wherein such information is selected from a template of variable data or an information content database, and removed or formatted based upon an evaluation of the customer's business rules and transactional request for information, thereby yielding a compact, concise and personalized document devoid of any extraneous, inapplicable, and/or other trivial information.

Abstract: A straightening tool is disclosed for straightening angled tissue cutting instruments including an outer member having a proximal length portion and a pre-formed bend connecting the proximal length portion with a distal length portion extending from the bend at an angle to a distal end, and a flexible inner member movably disposed in the outer member to cut anatomical tissue. The straightening tool comprises a handle and a positioning block extending from the handle coaxial with the straightening tool. The positioning block has a longitudinal bore for receiving the distal length portion therethrough to position the distal end within a cavity of the positioning block and the bend within a longitudinal slot of the positioning block with the proximal length portion extending externally through an opening of the slot.

Abstract: A disposable battery powered rotary tissue cutting instrument for soft tissue removal includes a blade attached to a powered surgical handpiece. The blade comprises an elongate tubular outer member and an inner member rotatably disposed within the outer member to cut anatomical tissue. The handpiece contains a motor having a drive shaft coupled in driving engagement with the inner member and a battery unit for supplying electric current to rotate the drive shaft to effect rotation of the inner member within the outer member. The inner member is continuously rotated in one direction or is continuously oscillatorily rotated in forward and reverse directions. The instrument is disposable after single patient use and may include a use-limiting unit for automatically disabling the instrument to prevent its reuse after completion of a surgical procedure performed using the instrument on a single patient. The blade may be used for electric cautery.

Abstract: A flexible inner tubular member for being rotated in an outer tubular member of a rotary tissue cutting instrument includes an elongate inner tube having a rotatably driveable proximal end, a distal end having a cutting member exposed from the outer tubular member to cut anatomical tissue and a flexible region allowing the inner tubular member to rotate within the outer tubular member while conforming to the shape of the outer member. The flexible region is defined by a helical cut in the inner tube defining a plurality of integrally, unitarily connected tube segments angularly movable relative to one another and a spiral wrap disposed over the helical cut.

Abstract: A flexible inner tubular member for being rotated in an outer tubular member of a rotary tissue cutting instrument includes an elongate inner tube having a rotatably driveable proximal end, a distal end having a cutting member exposed from the outer tubular member to cut anatomical tissue and a flexible region allowing the inner tubular member to rotate within the outer tubular member while conforming to the shape of the outer member. The flexible region is defined by a helical cut in the inner tube defining a plurality of integrally, unitarily connected tube segments angularly movable relative to one another and a spiral wrap disposed over the helical cut.

Abstract: In order to increase the number of datastreams provided by a multimedia system, a cluster of clusters of multimedia A/V server subsystems is provided. Each cluster in turn is comprised of a plurality of A/V servers, a shared loop architecture plurality of data storage devices interconnected to the A/V servers whereby any storage device is substantially equally accessible by any of the servers in the cluster; and a highly available control server subsystem interconnected to the A/V servers and the data storage devices for controlling the A/V servers and the data storage devices. Each of the clusters is interconnected to a high speed switch for delivery of datastreams from the cluster to the end user. One of the control server subsystems also serves as a master control server assigning a request for a datastream to one of the clusters.