Abstract: Systems, Methods and Devices to apply concomitant cold and vibratory stimulus immediately prior to injection to reduce pain, in a simple and mechanically advantaged device actuatable by a user's non-dominant hand or a third party.

Abstract: A system and method for the non-invasive assessment of cutaneous autonomic nerve function through the application of external vibrational stimulus is disclosed. System embodiments comprising an electronic vibration source and photoplethysmographic (PPG) sensor enable measurement of vasomotor responses to vibrational stimuli. This response, facilitated by Pacinian channel-mediated stimulation of small fiber autonomic nerves, is quantified by PPG waveform analysis of transient skin vasoconstriction. Utilizing this normally elicited vasoconstriction reflex as the reference standard, small fiber autonomic nerve deficits revealed by absent or diminished vasomotor responses can be detected. Measurement of these deficits will enable rapid, non-invasive assessment of small fiber nerve degeneration in a variety of medical conditions including diabetes, hypothyroidism and chemotherapy-induced peripheral neuropathy.

Abstract: A digital tuning fork device for administering a vibratory sensation test to a human subject comprising an integrated vibratory mechanism and timer, with the vibratory mechanism generating vibrations having a known frequency and amplitude, with the amplitude of the vibrations degrading over time to replicate in a controlled manner the natural degradation of vibrations generated by a mechanical tuning fork, and a method of use thereof. Alternatively, the amplitude of the vibrations may be initially very small and then increase over time in a controlled manner to test first perception of feeling.

Abstract: A digital tuning fork device for administering a vibratory sensation test to a human subject comprising an integrated vibratory mechanism and timer, with the vibratory mechanism generating vibrations having a known frequency and amplitude, with the amplitude of the vibrations degrading over time to replicate in a controlled manner the natural degradation of vibrations generated by a mechanical tuning fork, and a method of use thereof. Alternatively, the amplitude of the vibrations may be initially very small and then increase over time in a controlled manner to test first perception of feeling.

Abstract: An enhanced system and process for assessment of cortical integrity is disclosed. The system permit detection of cortical disruption through identification of at least one of frequency shifts and significantly reduced vibration transmission in injured versus non-injured bones. Radiography and concomitant exposure to the same is reduced along with risks and costs of the same.

Abstract: An improved digital tuning fork device for administering a vibratory sensation test to a human subject comprising an integrated vibratory mechanism and timer, with the vibratory mechanism generating vibrations having a known frequency and amplitude, with the amplitude of the vibrations degrading over time to replicate in a controlled manner the natural degradation of vibrations generated by a mechanical tuning fork, and a method of use thereof.

Abstract: The present invention relates to a hand-held instrument used in the assessment of cutaneous tactile sensation. The device consists of a shape memory alloy wire with selected bending force rating and an integral force indicator mechanism. The force indicator is comprised of a wire attachment means, spring-mounted battery and a light source. A hand-held instrument used in the assessment of cutaneous tactile sensation, specifically the ability to discriminate between sharp and dull stimuli, is disclosed. The device consists of two handle-mounted monofilaments with calibrated bending force ratings; one terminating in a sharp tip, the other in a dull tip. Users apply each monofilament separately to the skin thereby transmitting either a sharp or dull stimuli at a specific force. The accuracy of feedback to these stimuli will alert users to the presence or absence of protective sensation. Methods of use and kits are also disclosed.

Abstract: An improved surgical blade with an integrated soft tissue guard, the blade being generally a flat, rectangular section of metal including one blunt end shaped to fit into a surgical blade handle and one sharpened end for cutting tissue, with the soft tissue guard extending from the sharpened end and being a flat, blunt, tongue-shaped protrusion extending in a perpendicular orientation to the sharpened end, where the soft tissue guard provides protection to the skin when the blade is used for resection of ingrown nails.

Abstract: An improved digital tuning fork device for administering a vibratory sensation test to a human subject comprising an integrated vibratory mechanism and timer, with the vibratory mechanism generating vibrations having a known frequency and amplitude, with the amplitude of the vibrations degrading over time to replicate in a controlled manner the natural degradation of vibrations generated by a mechanical tuning fork, and a method of use thereof.

Abstract: An improved osteotomy guide and retraction device for use during the performance of bunionectomies, whereby the improved device provides a self-supporting instrument that does not require independent fastening means to secure the device in the desired position at the surgical site, and a method of use of the device.

Abstract: An improved suture needle retention device suitably adapted to be removably attached to the end of a surgical instrument for convenient placement proximate to the surgical field yet out of the way of the surgeon, said device having a needle pervious retention member to accept the sharp end of a suture needle, with said retention member encased by a needle impervious protective sheathing to prevent inadvertent pass-through of the suture needle.

Abstract: An improved suture needle retention device suitably adapted to be removably attached to the end of a surgical instrument for convenient placement proximate to the surgical field yet out of the way of the surgeon, said device having a needle pervious retention member to accept the sharp end of a suture needle, with said retention member encased by a needle impervious protective sheathing to prevent inadvertent pass-through of the suture needle.

Abstract: Improved adjustable midsole for footwear, with the midsole comprising an airtight, evacuable capsule containing granules and air, whereby the midsole is moldable to the shape of the wearer's foot for improved support and comfort, with the midsole retaining said shape through evacuation of air from the capsule. The improved midsole further comprises sipes such as slits or channels integrated into the midsole to improve flexibility.

Abstract: An improved osteotomy guide and retraction device for use during the performance of bunionectomies, whereby the improved device provides a self-supporting instrument that does not require independent fastening means to secure the device in the desired position at the surgical site, and a method of use of the device.

Abstract: An improved suture needle retention device suitably adapted to be removably attached to the end of a surgical instrument for convenient placement proximate to the surgical field yet out of the way of the surgeon, said device having a needle pervious retention member to accept the sharp end of a suture needle, with said retention member encased by a needle impervious protective sheathing to prevent inadvertent pass-through of the suture needle.