Abstract: A method for use in endoscopic investigations comprises the steps of providing an endoscopic insertion member with a suction line, inserting the endoscopic insertion member with the suction line into a patient, and visually inspecting organic tissues inside the patient with the endoscopic insertion member. To collect a fluid specimen, a port cover on the suction line is moved with respect to the suction line to open a port in the line. A specimen vial is coupled to the suction line at the opened port so that the suction line communicates with the vial. A vacuum is applied to the suction line to draw a fluid specimen into the vial. Subsequently, the vial is detached from the suction line, and the port cover moved back into position to again cover the port.

Abstract: A surgical instrument assembly for use in snare cauterization operations includes a tubular sheath member, a metallic cauterization loop, and a metal wire operatively connected to the loop, the wire passing longitudinally through the sheath. An electrical supply is operatively connectable to the wire for feeding an electrical current to the loop via the wire, while a manually actuatable shifter is operatively connected to the wire for longitudinally sliding the wire along the sheath in alternately opposite directions. A flexible web member is connected to the loop to form a capture pocket, the loop defining a mouth opening of the pocket. During use of the snare cauterization instrument, the loop is at least partially expanded from a collapsed configuration and passed over a polyp to be removed, so that the web member substantially surrounds the selected polyp.

Abstract: A method for use in an intravenous tube assembly comprises the steps of automatically monitoring liquid flow along a fluid flow path extending through an intravenous catheter to detect at least a partial cessation of flow along the fluid flow path and, upon detecting a diminution of liquid flow along the fluid flow path, automatically feeding an anticlotting agent to the fluid flow path. An assembly for implementing the method takes the form of a systolic actuator for dividing the fluid flow into successive aliquots which can be timed. The systolic actuator extracts energy from the fluid stream and monitors the stream via the extracted energy. Alternatively, a pressure device is operatively connected to the catheter for automatically detecting at least a partial cessation of liquid flow along a fluid flow path extending through the catheter.

Abstract: A device for use in intravenous feeding comprises a reservoir of an intravenous fluid and an intravenous tube connected at one end to the reservoir, the tube being provided on an inner surface with a layer of a water-soluble biocompatible material visible through a wall of the tube. In use, an intravenous fluid is flushed through the tube or tube assembly until the water-soluble biocompatible layer dissolves and is no longer visible. Upon the dissolution of that layer into the intravenous fluid flowing through the tube assembly, a free end of the tube assembly is connected to a patient, while the tube assembly is maintained filled with the intravenous fluid.

Abstract: An assembly for use in drainage of an abscess comprises an outer tubular member provided in a distal end portion with a plurality of longitudinal slits. The distal end portion of the tubular member has a spring bias tending to form the distal end portion into a substantially spherical expanded configuration to anchor the distal end portion of the tubular member in an abscess. An inner tubular member or obturator is inserted into the outer tubular member and has a distal end provided with a cutting edge projecting from the outer tubular member. Locking components on the obturator and the outer tubular member serve to maintain the latter in a stretched out cylindrical configuration enabling insertion of the distal end portion into an abscess. A needle on the distal end of the tubular member serves to inject a quantity of anesthetic into the patient at the abscess site. A similar structure is disclosed in an intravenous catheter assembly.

Abstract: A method for removing a gall bladder comprises the steps of (a) providing a surgical instrument including a flexible loop and a flexible web member connected to said loop to form a capture pocket, the loop defining a mouth opening of the pocket, (b) closing the cystic duct, (c) severing the cystic duct, and (d) passing the loop around a portion of the gall bladder including a closed and severed segment of the cystic duct, thereby enclosing the gall bladder portion in the capture pocket. The method further comprises the steps of (e) severing connective tissue between the gall bladder and the adjacent liver subsequently to the passing of the loop around the bladder, (f) maintaining the gall bladder portion surrounded by the capture pocket during the severing of the connective tissue, and (g) shifting the loop relative to the gall bladder to enclose a greater portion of the gall bladder in the capture pocket upon a severing of some of the connective tissue between the gall bladder and the adjacent liver.

Abstract: A reduction port for a trocar sleeve comprises a plate having an aperture of a predetermined diameter, a pair of doors slidably mounted to the plate for reducing the size of the aperture, and a securing component fastened to the plate for removably attaching the plate to a proximal end of a laparoscopic trocar sleeve. Each plate is provided with a semicircular aperture having a diameter equal to the reduced diameter of the aperture.

Abstract: A device utilizable with an endoscope to promote sterility comprises a substantially thin-walled elongate tubular sheath made of a flexible material such as rubber, the sheath having a use configuration with an inner diameter larger than an outer diameter of an insertion member of the endoscope, whereby the sheath may be removably disposed about such insertion member to substantially surround same prior to insertion of the insertion member into a patient. The device further comprises a transparent cap member and an element or elements for attaching the cap member in a fluid tight seal to a distal end of the sheath so that the cap member covers a distal end of the insertion member of the endoscope. Biopsy channels, some of which are expandable from collapsed configurations to receive endoscopic surgical instruments during an operation, are provided on or in the sheath.

Abstract: A surgical instrument assembly for use in snare cauterization operations comprises a tubular sheath member, a metallic cauterization loop, and a metal wire operatively connected to the loop, the wire passing longitudinally through the sheath. An electrical supply is operatively connectable to the wire for feeding an electrical current to the loop via the wire, while a manually actuatable shifter is operatively connected to the wire for longitudinally sliding the wire along the sheath in alternately opposite directions. A flexible web member is connected to the loop to form a capture pocket, the loop defining a mouth opening of the pocket. During use of the snare cauterization instrument, the loop is at least partially expanded from a collapsed configuration and passed over the selected internal body tissues to be removed, so that the web member substantially surrounds the selected internal body tissues.

Abstract: A method for use in an intravenous tube assembly comprises the steps of automatically monitoring liquid flow along a fluid flow path extending through an intravenous catheter to detect at least a partial cessation of flow along the fluid flow path and, upon detecting a diminution of liquid flow along the fluid flow path, automatically feeding an anticlotting agent to the fluid flow path. An assembly, for implementing the method takes the form of a pressure sensing device operatively connected to the catheter for automatically detecting at least a partial cessation of liquid flow along a fluid flow path extending through the catheter.

Abstract: A surgical instrument assembly for use in snare cauterization operations comprises a tubular sheath member, a metallic cauterization loop, and a metal wire operatively connected to the loop, the wire passing longitudinally through the sheath. An electrical supply is operatively connectable to the wire for feeding an electrical current to the loop via the wire, while a manually actuatable shifter is operatively connected to the wire for longitudinally sliding the wire along the sheath in alternately opposite directions. A flexible web member is connected to the loop to form a capture pocket, the loop defining a mouth opening of the pocket. During use of the snare cauterization instrument, the loop is at least partially expanded from a collapsed configuration and passed over a polyp to be removed, so that the web member substantially surrounds the selected polyp.

Abstract: A surgical instrument comprises an elongate forceps member having a diameter sufficiently small so that the forceps member is slidably insertable into a biopsy channel extending longitudinally through a tubular endoscope member, the forceps member being provided at a distal end with a pair of forceps jaws each formed on an inwardly facing surface with a longitudinally extending groove. A staple having a spring bias construction tending to force the staple into an opened configuration is disposed in a closed prefiring configuration between the jaws and has a pair of legs each disposed in the closed prefiring configuration in a respective one of the grooves in the forceps jaws. The provided with locking elements for locking the staple in a closed postfiring configuration.

Abstract: A surgical instrument comprises an elongate flexible forceps member having a diameter sufficiently small so that the forceps member is slidably insertable into a biopsy channel extending longitudinally through a flexible tubular endscope member, the forceps member being provided at a distal end with a pair of forceps jaws each formed on an inwardly facing surface with a longitudinally extending groove. A staple having a spring bias construction tending to force the staple into an opened configuration is disposed in a closed prefiring configuration between the jaws and has a pair of legs each disposed in the closed prefiring configuration in a respective one of the grooves in the forceps jaws. The provided with locking elements for locking the staple in a closed postfiring configuration.

Abstract: A surgical stapling apparatus comprises an endoscope, an elongate flexible tubular member slidably disposed in a biopsy channel of the endoscope, an elongate flexible rod member slidably disposed inside the tubular member and a staple disposed in a closed configuration inside the endoscope biopsy channel distally of the distal end of the rod member. The staple is releasably connected to the rod member. In operating the stapling apparatus, the endoscope is inserted through an aperture in a patient's body, the endoscope's optics being used to locate a surgical site. Upon finding the surgical site, a surgeon pushes the flexible rod in the distal direction to eject the staple from the endoscope biopsy channel. Upon ejection, the staple is opened, either through the action of its own internal forces or through the action of forceps jaws operated by the surgeon via an additional tubular member slidably disposed in the biopsy channel about the first tubular member.