Abstract: A portable lighting system for small enclosures is provided. A light is removably attached to the interior of an enclosure. Activation may be automatic by cooperative interaction between the light and a magnet affixed to a movable portion of the enclosure or by a manual switch. The light may be detached from the interior and used as a hand-held light or attached to an article of clothing or an object. A manual switch allows the light to be deactivated when illumination is not required.

Abstract: A method for splinting rib injuries is disclosed. A pair of anchor strips having a plurality of fasteners on their exposed surfaces are attached to the skin of the chest cavity by an adhesive, the strips being more or less vertically oriented and equidistantly spaced from the injury. Elastomeric straps having a plurality of fastener receivers are removably fastened to the anchor strips across the injury so as to produce a stabilizing/reducing force at the injury. Tension in the straps and orientation of the straps are adjusted to maximize patient comfort. In another embodiment a pad is placed between the elastomeric straps and the chest wall. In other embodiments the pad is a hot or cold compress. In yet another embodiment the pad is connected to a cold therapy machine.

Abstract: An aspirating ablator of simple construction and low cost is disclosed. The aspirating ablator is provided with a mandrel connected to a tubular member which houses a suction assembly. An electrode having a rectangular ablation surface formed of multiple parallel ribs or protuberances is assembled onto the mandrel so that the ablation surface is parallel with the longitudinal axis of the mandrel. A ceramic insulator provided with an opening of rectangular shape is assembled to the electrode-mandrel assembly. The insulator is further provided with a cylindrical passage in communication and aligned with a radial passage of the mandrel.

Abstract: A suture punch system that is capable of directly passing braided suture through tissue in a simple, one-step process. The system includes three principle components: a malleable needle capable of delivering the suture to the tissue, a handheld instrument for grasping tissue and controlling needle placement, and a force-supplying mechanism to supply the force required for needle placement. Needle deformation begins at the tip of the instrument, which beneficially includes a curved segment. As the distal tip of the needle pierces the tissue, it continues its radial path through the tissue. When the proximal end of the needle exits from the instrument, the needle may be radial in shape and traverses an essentially radial path through the tissue. Non-radial linear or non-linear segments may alternatively be used. In one embodiment, the tissue to be sutured is constrained by pressure applied through closure between an upper, moveable jaw at the distal portion of the instrument, which acts as a fixed jaw.

Abstract: A subcutaneously implantable distraction device comprises a first arm, having a first skeletal connector for attachment to a first skeletal component at a first location. A second arm has a second skeletal connector for attachment to a second skeletal component at a second location. The first and second arms are slidably moveable with respect to each other. A fluid actuator is associated with each of the first and second arms to apply a separating force between the arms to slidably move at least one of the arms relative to the other.

Abstract: Novel suture removal instrument and technique are described herein. The invention utilizes a newly designed thermal filament to allow the tip of the suture removal instrument to be slipped under the stitch in order to heat and cut the stitch. Current suture removal techniques utilize scissors, forceps, and/or scalpels. These techniques, which are well known in the art, are problematic because they exert tension on the stitch and are associated with patient discomfort. Small stitches add to the difficulty of suture removal because they have less suture laxity for scissor insertion. The present invention therefore allows for more rapid suture removal with less patient discomfort and at a competitive or lower cost.

Abstract: An elongated probe having a temperature sensor at its distal tip is coupled to a monitoring/display unit. Using a cannulated introduction device, the probe is positioned with its distal tip in the intra-articular space such that the temperature sensor is submerged in fluid affected by the electrosurgical procedure. The temperature detected by the sensor is displayed by the monitoring/display unit. A temperature signal from the sensor is compared to a predetermined temperature value, and, if the value is equaled or exceeded, the surgeon is alerted. Similarly, the rate of temperature increase is monitored and compared to a predetermined value of temperature increase, and, if the value is equaled or exceeded, the surgeon is alerted. In another embodiment the temperature sensor is submerged in a fluid stream exiting the joint.

Abstract: A suture punch system is capable of directly passing braided suture through tissue in a simple, one-step process. The system includes three principle components: a malleable needle with braided suture attached, a handheld instrument for grasping tissue and controlling needle placement, and a trocar to supply the force required for needle placement. Needle deformation begins at the tip of the instrument, which preferably includes a curved segment. As the distal tip of the needle pierces the tissue, it continues its radial path through the tissue. When the proximal end of the needle exits from the instrument, the needle is entirely radial in shape and traverses an essentially radial path through the tissue. Non-radial linear or non-linear segments may alternatively be used. In one embodiment, the tissue to be sutured is constrained by pressure applied through closure between an upper, moveable jaw the distal portion of the instrument which acts as a fixed jaw.

Abstract: An aspirating ablator of simple construction and low cost is disclosed. The aspirating ablator is provided with a mandrel connected to a tubular member which houses a suction assembly. An electrode having a rectangular ablation surface formed of multiple parallel ribs or protuberances is assembled onto the mandrel so that the ablation surface is parallel with the longitudinal axis of the mandrel. A ceramic insulator provided with an opening of rectangular shape is assembled to the electrode-mandrel assembly. The insulator is further provided with a cylindrical passage in communication and aligned with a radial passage of the mandrel.

Abstract: A high efficiency electrosurgical ablator which is subjected to a combined oscillatory and mechanical debridement motion during resection of tissue is disclosed. The electrosurgical ablator is positioned in the proximity of the tissue to be treated in the presence of an electrically conductive fluid. A high frequency voltage is applied to the electrode of the ablator, and the electrode is subjected to an oscillatory or other repetitive motion created by an element located within the ablator assembly. The ablator electrode is further connected to a suction assembly that supplies suction from an external source.

Abstract: A high efficiency electrosurgical ablator which is subjected to a fast and slight oscillatory motion during resection of tissue. The electrosurgical ablator is positioned in the proximity of the tissue to be treated in the presence of an electrically conductive fluid. A high frequency voltage is applied to the electrode of the ablator, and the ablator is subjected to a vibratory motion created by, for example, a mechanical or electromechanical oscillator or a piezoelectric element. The vibratory motion permits more tissue to become available in the destructive, sparking zone, thereby increasing the efficiency of operation.

Abstract: An end-cutting arthroscopic shaver blade having a tubular inner member rotatable within a tubular outer member. The distal ends of each of the tubular members are provided with at least two notches each of which has longitudinally extending sides provided with cutting edges. In one of the embodiments the outer tubular member is provided with an arcuate extension in order to guide tissue toward the notches.

Abstract: A rotary shaver blade assembly having a laterally facing and end facing cutting window enabling it to resect tissue presented end-wise or at relatively small angles. The assembly is provided with a stationary elongated outer tube and a rotatable inner tube, both having laterally facing and end facing cutting windows and both having planar transverse end walls at their distal tips. The transverse end walls are abutting and are sharpened into edges by being tapered in opposite directions. The end wall of the outer tube is tapered into a concave surface to allow the inner and outer transverse edges to be situated close to target tissue. The edge on the end wall of the inner tube is transversely arcuate and has a point at each end to enable it, in cooperation with the outer edge, to resect tissue presented axially or at shallow angles to the axis of the shaver blade.

Abstract: A monopolar electrode for use with a standard electrosurgical pencil and generator suitable for performing tissue ablation at relatively low power levels. The electrode has a cylindrical rim at its distal tip, the exposed conductive area of the cylindrical rim being minimized to create high powered densities sufficient for tissue ablation. The distal end of the electrode is surrounded by a ceramic insulating sleeve and an annular insulating gap is interposed between the electrode and the ceramic sleeve. A tubular polymeric insulating sleeve is applied to the outer surface of the electrode and to the outer surface of the proximal end of the ceramic sleeve.

Abstract: A process for simultaneously shaping and sharpening a cutting widow at the distal end of a tubular member of a rotary blade assembly. The assembly is provided with a stationary elongated outer tube, having a cutting window at its distal tip and includes a rotatable elongated inner tube having a cutting means at its distal tip. The window in the outer tube has a curvilinear profile defined by a peripheral rim surrounded entirely by a land surface which is inclined relative to the rim. The inclination of the land produces an area which tapers from a full thickness, where the land is adjacent to the cylindrical wall of the outer tube, to a sharp edge around the periphery of the window. The curvilinear window is produced by a manufacturing process which creates the window opening with a sharpened periphery at the same time that the land surrounding the opening is inclined.

Abstract: A rotating endoscopic shaver blade assembly adapted for side-cutting and end-cutting. A pair of longitudinally extending, symmetrical fingers extends from the distal end of an elongated tubular inner member and are juxtaposed adjacent a window at the distal end of an elongated tubular outer member. Each of the fingers is provided with laterally facing and transversely facing cutting edges and has a curvilinear profile terminating at a distal tip. The distal tips of the fingers are separated by an axially aligned gap which enables limited stress-relieving radial movement of the fingers.

Abstract: A process for simultaneously shaping and sharpening a cutting widow at the distal end of a tubular member of a rotary blade assembly. The assembly is provided with a stationary elongated outer tube, having a cutting window at its distal tip and includes a rotatable elongated inner tube having a cutting means at its distal tip. The window in the outer tube has a curvilinear profile defined by a peripheral rim surrounded entirely by a land surface which is inclined relative to the rim. The inclination of the land produces an area which tapers from a full thickness, where the land is adjacent to the cylindrical wall of the outer tube, to a sharp edge around the periphery of the window. The curvilinear window is produced by a manufacturing process which creates the window opening with a sharpened periphery at the same time that the land surrounding the opening is inclined.

Abstract: A rotating endoscopic shaver blade assembly adapted for side-cutting and end-cutting. A pair of longitudinally extending, symmetrical fingers extends from the distal end of an elongated tubular inner member and are juxtaposed adjacent a window at the distal end of an elongated tubular outer member. Each of the fingers is provided with laterally facing and transversely facing cutting edges and has a curvilinear profile terminating at a distal tip. The distal tips of the fingers are separated by an axially aligned gap which enables limited stress-relieving radial movement of the fingers.

Abstract: A shaver blade assembly useable in either an irrigation-only mode, an aspiration-only mode or an irrigation/aspiration mode. The shaver blade assembly has a stationary elongated outer tube and a movable (e.g. rotatable) elongated inner tube, both inner and outer tubes having hubs attached to their proximal ends for attachment to a handpiece which provides power to move the inner blade relative to the outer blade. The inner and outer tubes are provided with cutting windows at their distal tips and the relative movement between these cutting windows acts to cut tissue during surgical procedures. The outer tube is provided with a fluid inlet port at the proximal end of its tubular surface and a fluid adapter is selectively attachable to the outer tube so as to provide a means for introducing irrigating fluid into the fluid port. The adapter is integrally formed with sealing surfaces which obviate the need for O-rings and the like.

Abstract: A process for simultaneously shaping and sharpening a cutting widow at the distal end of a tubular member of a rotary blade assembly. The assembly is provided with a stationary elongated outer tube, having a cutting window at its distal tip and includes a rotatable elongated inner tube having a cutting member at its distal tip. The window in the outer tube has a curvilinear profile defined by a peripheral rim surrounded entirely by a land surface which is inclined relative to the rim. The inclination of the land produces an area which tapers from a full thickness, where the land is adjacent to the cylindrical wall of the outer tube, to a sharp edge around the periphery of the window. The curvilinear window is produced by a manufacturing process which creates the window opening with a sharpened periphery at the same time that the land surrounding the opening is inclined.