Abstract: An article capable of both collecting interstitial fluid and detecting an analyte in that fluid and a method for use of that article. Preferably, the article is also capable of measuring the amount of analyte in the interstitial fluid. The article can be used in conjunction with a meter that contains an appropriate detection element for determining the amount of analyte in the interstitial fluid.

Abstract: An apparatus for calibrating a non-contact tonometer comprises an electronic eye having a damped pressure sensor for receiving a tonometer air pulse and providing a pressure signal in response to the air pulse, and an applanation simulator connected to the pressure sensor for providing a pseudo-applanation event when the pressure signal reaches a predetermined level corresponding to a known IOP measurement standard. A method for calibrating a non-contact tonometer using the inventive calibration apparatus is also described.

Abstract: Elevation fold-in artifact is reduced by combining Doppler and B-mode image signals. The B-mode image signals and Doppler image signals are combined using a modulated, non-linear function. Portions of the B-mode image signal associated with stationary tissue are intact while portions of the B-mode image signal associated with flow are substantially suppressed. The suppression is gradual rather than binary to avoid flash artifacts, such as providing an adaptive modulated, non-linear combination function. Doppler or flow image signals are less sensitive than tissue or B-mode signals to elevation beam width. Suppressing the B-mode image signal where flow exists better identifies small vessels that would otherwise be characterized as tissue. Small vessel or other small structure information associated with moving fluid is inserted within the gray-scale or B-mode image. Clutter within large vessels is more likely mapped to black or removed.

Abstract: The gain for multiple mode imaging and/or contrast agent imaging is automatically adjusted. The gain algorithm separately determines gain parameters for two different types of imaging, such as tissue and contrast agent imaging. The gain based on the contrast agent image may be optimized to provide maximum sensitivity, such as by mapping noise values measured prior to injection of contrast agent to low values within the dynamic range or somewhat below the display dynamic range. The automatic gain based on the contrast agent image may be free of variance calculations. One of the two gain parameters is selected as the system gain, or the two gain parameters are combined to form the system gain. The presence of contrast agents within the image may be determined, and different gain parameters used based on the presence or absence of contrast agents. Various ones or combinations of the gain adjustments summarized above may be used.

Abstract: The present invention discloses a method and apparatus for ultrasound imaging with improved spatial sampling. The device includes a plurality of ultrasound imaging elements each having a pitch defined by the center to center spacing of the ultrasound imaging elements; and a motion mechanism operatively connected to the plurality of ultrasound imaging elements and adapted to move the plurality of ultrasound imaging elements over a distance to increase the spatial sampling of the plurality of ultrasound imaging elements. The method of the present invention includes transducing a signal from one or multiple ultrasound imaging elements within an array of ultrasound imaging elements; moving the array of ultrasound imaging elements a distance less than the pitch; and transducing at least one additional signal from the ultrasound imaging element.

Abstract: A medical diagnostic ultrasonic imaging system acquires receive beams from spatially distinct transmit beams. The receive beams alternate in type between at least first and second types across the region being imaged. The first and second types of receive beams differ in at least one scan parameter other than transmit and receive line geometry, and can for example differ in transmit phase, transmit or receive aperture, system frequency, transmit focus, complex phase angle, transmit code or transmit gain. Receive beams associated with spatially distinct ones of the transmit beams (including at least one beam of the first type and at least one beam of the second type) are then combined. In this way, many two-pulse techniques, including, for example, phase inversion techniques, synthetic aperture techniques, synthetic frequency techniques, and synthetic focus techniques, can be used while substantially reducing the frame rate penalty normally associated with such techniques.

Abstract: A synthetic focus ultrasound system is described in which individual transducer elements are activated to insonify the image field and the resultant echoes are received by a plurality of elements of the array. The echo signals are stored and the complete echo set is used to produce motion maps for different velocity vectors over the image field. Various ones of the motion maps are used to produce a wide variety of ultrasound image modes, including grey-scale images, colorflow images, and spectral flow displays.

Abstract: A method of adding a new operation stored in a new operation module to software driving an echocardiographic review station, which performs (a) detecting, by the software driving the echocardiographic review station, a presence of a new operation module not previously present in the software; and (b) executing the new operation module from the software driving the echocardiographic review station.

Abstract: A semi-invasive ultrasound imaging system for imaging biological tissue includes a transesophageal probe or a transnasal, transesophageal probe connected to a two-dimensional ultrasound transducer array, a transmit beamformer, a receive beamformer, and an image generator. The two-dimensional transducer array is disposed on a distal portion of the probe's elongated body. The transmit beamformer is connected to the transducer array and is constructed to transmit several ultrasound beams over a selected pattern defined by azimuthal and elevation orientations. The receive beamformer is connected to the transducer array and is constructed to acquire ultrasound data from the echoes reflected over a selected tissue volume. The tissue volume is defined by the azimuthal and elevation orientations and a selected scan range. The receive beamformer is constructed to synthesize image data from the acquired ultrasound data.

Abstract: A device for stabilizing the breast during a medical procedure having a base plate secured to support members, a column held by the support members and extending vertically upward beyond the base plate, a frictional engagement device releasably gripping the column and attached to a pressure plate, the pressure plate being positioned parallel to and above the base plate and movable along the column toward and away from the base plate using the frictional engagement device, the pressure plate having an aperture providing access to the breast, the aperture having internal beveled walls to guide a medical instrument. The breast is placed on the base plate and the frictional engagement device is used to move the pressure plate, allowing the pressure plate to contact the breast to securely hold the breast between the pressure plate and the base plate, making the medical procedure more accurate and efficient.

Abstract: The invention provides systems, methods and a node accessing and anchoring device, comprising an elongated shaft, a tissue cutting member, at least one anchoring element extending from a position at or near the distal end of the shaft; and a radiation detector. The radiation detector is effective to locate and identify sentinel lymph nodes following injection of radioactive material into a primary lesion site within a patient. The tissue cutting member, which may be activated with radio frequency energy, is effective to allow access of the elongated shaft to a sentinel lymph node. The anchoring elements are effective to anchor the device to or adjacent a sentinel lymph node accessed by the device. Anchoring elements may assume radially, longitudinally, or mixed radially and longitudinally curved or coiled configurations when deployed.

Abstract: System for withdrawing body fluid from a body part in particular the finger pad, comprising a compression unit that can be deformed when the body part is pressed against it and increases the internal pressure in a region of the body part, and a withdrawal device. Deformation of the compression unit partially converts the primary pressing movement into a secondary movement which leads to an increase in the internal pressure in a region of the body part. The invention also comprises a system for stimulating the outflow of body fluid using a deformable compression unit.

Abstract: The invention is directed to a guidewire having a distal flexible member, such as a helical coil, which is formed with at least one highly radiopaque component and at least one high strength component. In a presently preferred embodiment, the highly radiopaque component is at least 10% and less than about 60% of the transverse cross-section of the flexible member, preferably at least 20% but less than 40%. The highly radiopaque component may be formed of radiopaque material such as platinum, gold, iridium and the like and the high strength component may be formed of a material such as tantalum, stainless steel, NiTi alloys, Co—Cr—Mo alloys and the like.

Abstract: Disclosed is a postpartum supporting apparatus, comprising a storage unit and an output unit. The storage unit stores reference data that is used to compare with postpartum measurement data representing an index of body condition after childbirth for determining whether the progress of restoration of the body condition after childbirth is good or not. The output unit outputs said reference data in order to compare with the postpartum measurement data representing the index of body condition after childbirth.

Abstract: Energy is directed at the eye in a manner so as to create discrete heating within the eye to correct vision, and in particular, to correct presbyopia. The energy is high intensity focused ultrasound (HIFU) energy directed to a specific area which when treated with the energy results in a contraction of the treated area. The contraction creates increased tension on components connected to the lens which corrects and/or prevents presbyopia.

Abstract: A massaging apparatus (1) with a casing (2) with casing walls (6, 7, 8, 9) of which part (10, 11) can be placed on the skin of a user during operation and moved over the skin, and with a suction chamber (17) which is designed to open towards the skin of the user and is bounded by suction chamber walls (18, 19, 20, 21), at least part (19, 21) of which transforms, in a transitional area (22, 23), into the part (10, 11) of the casing walls (6, 7, 8, 9) which can be placed on the skin of the user, the part (10, 11) of the casing walls (6, 7, 8, 9) which can be placed on the skin of the user being structured so as to be rough with a roughness of maximum 10 &mgr;m while in the transitional area (22, 23) a roughness of 0.4 &mgr;m at the most is present.

Abstract: A massager with an improved interface preferably including a housing with a massage actuator positioned within the housing. The massage actuator is positioned in the housing so that the massaging head which is attached to the housing may receive the massaging impulses created by the massage actuator. The massaging head preferably has a portion of the head covered by a gel covering which is flexible to conform to the various contours of a user's body while at the same time effectively transmitting the massaging impulse to the users. The massaging head may have portions which are not covered by the gel bed to further increase the versatility of the massager so that should the user wish to focus the massaging impulse to a specific area it may be done at the users convenience. It is envisioned that the improved interface may be used on portable handheld massagers, foot massagers, and various computer and/or keyboard wrist rests and mouse pad rests.

Abstract: The invention is a device used for relaxation and for the relief of stress. The device is placed next to a bed on which the subject lies prone. It may be situated on the floor or on a bed side table. An adjustable vertical support column mounted on a base supports a rotatably mounted motor cooperating with a horizontally oriented sweep arm. The sweep arm is equipped with depending “fingers” that make constant contact with the subject's back when the height of the support column is properly adjusted. Different types of “fingers” can be reversibly attached to the sweep arm. The sweep arm moves in a back and forth motion controlled by the rotating motor. A timer enables the device to be turned off automatically so as not to disturb the relaxation of the subject.

Abstract: A method of ameliorating tissue damage resulting from hypoxia or ischemia by administering systemically a synthetic oxygen carrier to an individual having or suspected of having blood vessel obstruction is disclosed. A synthetic oxygen carrier in a physiologically acceptable vehicle, wherein the synthetic oxygen carrier comprises submicron sized particles capable of passing through emboli-obstructed blood vessels is also disclosed.

Abstract: The invention is an intraluminal therapy catheter having a least two treatment members disposed near the distal end of the catheter, the members being independently inflatable to perform angioplasty and/or fluid-sourced brachytherapy. A first treatment member is helically mounted about the shaft of the catheter, and forms a helical perfusion channel when inflated into contact with the vessel being treated. In a first embodiment of the invention, the second treatment member is also helically mounted about the catheter shaft and capable of forming a helical perfusion channel when inflated into contact with the vessel. The first and second treatment members are intertwined to form a double helix configuration wherein each member is capable of being inflated to generally fill the helical perfusion channel created by simultaneous inflation of the other member.

Abstract: An occlusion catheter for the ascending aorta capable of obstructing the blood flow within the ascending aorta without inserting through the femoral artery. The occlusion catheter is provided with a drug release aperture formed in the region, which is closer to the proximal end of the catheter tube than a balloon on the outer circumference of the distal end and which is to be located in the vicinity of the coronary ostium when the balloon is placed within the ascending aorta. The present occlusion catheter, when inserted directly into the ascending aorta in the vicinity of the heart to obstruct the blood flow therewithin, enables delivery of a cardiac muscle protective drug to the vicinity of the coronary ostium without inserting the occlusion catheter through the femoral artery in the conventional manner.

Abstract: A medication delivery system delivers medication to a patient and is suitable for sterilization by a sterilization fluid. The system includes a base and a reservoir disposed about the base for storing the medication. A pump for delivering the medication to the patient is supported by the base. The pump includes a housing having an inlet and an outlet. The inlet and outlet alternate between an open and a closed state to deliver the medication. A port extends from the base. The port fluidly communicates with the reservoir and the pump during sterilization to provide access for the fluid to flow into the reservoir and the pump. An actuator is disposed in the base. The actuator operatively engages the inlet and outlet to retain them in the open state during sterilization. As such, the fluid can penetrate into the reservoir, the inlet, the housing, and the outlet to sterilize the system.

Abstract: A hypodermic syringe with a selectively retractable includes an elongate barrel having an open proximal end and a distal end that defines a receiver. The syringe has a hollow elongate plunger with an open proximal end and a closed distal end. The syringe has an elongate hub having a passageway therethrough, a distally extending stem, and a proximal flange with an engagement for engaging said barrel. The syringe has an elongate needle having a fluid path therethrough, a sharpened distal end and a proximal end. The needle is mounted in the passageway so that the distal end projects distally outwardly. The syringe has an elongate spring disposed about the stem of the hub that is compressed between the flange and the receiver to provide a bias. There is a hollow sleeve sized to fit within the receiver over the elongate spring with a proximal sharpened end facing the flange.

Abstract: A medical injection device is provided which includes a shield system and a syringe which may be coupled to the shield system. The shield system includes a syringe holder, a shield telescopically received in the holder and slidably coupled to the holder and an end fitting which isolates the syringe flange from the holder, preventing damage to the flange. A spring resiliently urges the shield from a retracted position to an extended position. Stop members are provided adjacent the distal end of the holder and the proximal end of the shield for maintaining the shield in the retracted position. The syringe is slidably coupled to the holder, and extends within the shield. Axial movement of the syringe with respect to the holder causes disengagement of the stop members, allowing the spring to move the shield to the extended position. Detents are provided on the holder for maintaining the shield in the extended position.

Abstract: The present invention is a flow metering system for accurately metering and regulating the flow rate of fluid in a gravity fed intravenous fluid delivery system. The fluid flow is directed through a flow path guide that is suspended at an angle from one end. As the fluid flows through the flow path guide, the flow path guide bends due to the weight of the fluid. A drop of fluid forms at the end of the flow path guide then falls off, thereby releasing the flow path guide, which springs back it its original position. The sequence of drops and springing back continues throughout the fluid delivery procedure, and is monitored by sensors. The resultant data is used by a processor to determine the flow rate of the fluid. The flow rate may be adjusted as needed by a flow regulator that is responsive to an adjustment actuator that is controlled by the processor.

Abstract: A device for firmly attaching human-waste-collection bags to the abdomen by using suction rings instead of adhesives. This device comprises of a cap (10) with suction rings, a round plastic sheet (11), a plastic bag (15), and a belt holder(14). A round body (12) of rigid material is used to sandwich the plastic sheet and bag by using the cap (10) at its front end. This device also has a belt holder (14) with a center hole (28) that fits on the rear ring surface (26) of the body (12). This belt holder is equipped with a regular elastic belt for pressing the overall devise firmly against the abdomen.

Abstract: A male incontinence device includes a receptacle formed of a shape-retaining material, and having a first open end adapted for receiving the penis of a user and a second end defining a urine discharge port. The discharge port is adapted for being located forward of the penis. A back flow chamber is formed with an interior of the receptacle, and is adapted for capturing urine flowing backward towards the user and away from the discharge port. A collection bag has a mouth communicating with the discharge port for collecting urine discharged through the receptacle. A support harness is adapted for being worn by the user to support the receptacle in an operative position during use.

Abstract: A system and method for securing the removal element of a catamenial device, i.e. the withdrawal string of a tampon, to a surface, and more specifically to an undergarment or bathing suit, is provided. Generally, the withdrawal string is secured to a surface to prevent undesirable projection of the withdrawal string outside, for example, a bathing suit when the user is at a beach or pool. Further, the withdrawal string is secured to a surface during use of the tampon to prevent fluids from coating the withdrawal string, thereby improving sanitary use of a tampon. The system comprises an adhesive element that occurs along the removal element such that the removal element is secured when pressed against a surface. The adhesive element comprises at least one adhesive tab attached to a withdrawal string, and in another form an adhesive coating over at least a portion of a withdrawal string.

Abstract: A laminate including an elastic nonwoven layer and a barrier film layer can stretch freely and provide a high level of breathability. The elastic layer and the film layer can be minimally bonded to one another, such as around a periphery of one or both layers. The laminate is particularly suitable for making absorbent articles.

Abstract: Implanted catheters are locked with a solution comprising a lower alcohol, typically ethanol, propanol, or butanol, most preferably isopropanol, and an additive, the additive comprising an anti-microbial, typically taurolidine or triclosan, or an anti-coagulant, typically riboflavin, sodium citrate, ethylene diamine tetraacetic acid, or citric acid. The use of an alcohol and additive solution can effectively reduce fouling of the catheter, particularly clotting and thrombus in intravascular catheters, as well as reduce the risk of infection. The risk of infection can be further reduced by employing a catheter body which is sufficiently porous to permit the anti-microbial solution of a lower alcohol and another anti-microbial or anti-coagulant compound to penetrate into the catheter body and preferably through the catheter into tissue surrounding the implanted catheter.

Abstract: An expandable lumen cannula which includes an elongate tube having a proximal end, a distal end, an intermediate flexible region, and a lumen therebetween. The cannula further includes a balloon occluder mounted on the distal end of the tube. The intermediate flexible region of the tube further includes an elongate generally cylindrical balloon disposed circumferentially about the flexible region which, upon inflation, expands the luminal diameter of the intermediate region. First and second inflation ports are in fluid communication with the balloon occluder and the cylindrical balloon. The cannula may optionally include a cardioplegia port disposed within the distal region of the tube, proximal the balloon occluder and distal the generally cylindrical balloon.

Abstract: Modular systems comprising a cannula and at least one clip-on access port adjacent to a distal end of the cannula to provide insertion of one or more therapeutic or diagnostic devices into a vessel or cardiac tissue through a single incision site. The access port can be removably attached to a distal region of the cannula in a fixed orientation or in any desired orientation. The devices can be operated in combination or independently. The systems can be employed to provide multiple therapies, including blood perfusion, filtration, aspiration, vessel occlusion, atherectomy, and endoscopic devices. Methods of using the system for vessel cannulation are also disclosed herein.

Abstract: A handle includes a body portion and a handle portion which is slidably and rotatably mounted on the body portion. Shoulders on the body portion and the handle portion limit relative sliding movement of the body portion and handle portion. A catheter open at both ends has one end fixed to the handle portion for movement therewith, the opposite end of the catheter having a shape memory tip. A fitting is threadedly connected to an enlarged part of the body portion. A sheath is threadedly connected to the fitting and the catheter is slidable and rotatable within the sheath. An annular channel is provided between the sheath and the catheter, this channel being in fluid communication with a bore in the fitting. The outer end of the sheath has holes therethrough in fluid communication with the channel. An irrigation inflow and aspiration outflow tube is also in fluid communication with the bore in the fitting.

Abstract: A incremental rotational displacement mechanism is provided. The mechanism includes a circular detent housing having a plurality of detents arranged along the circumference of the detent housing. A detent ring is positioned coplanar to and within the circumference of the detent housing. At least a portion of the at least one detent arm engages at least a portion of the detent housing. A handle may engage the detent ring, so that a force applied to the handle causes the detent ring to rotate with respect to the circular detent housing. The mechanism is suitable for a variety of applications, including endoscopic instruments.

Abstract: A medical treatment system has medical treatment equipment and a control device that controls the operation of this medical treatment equipment. The medical treatment equipment has an operation control section that controls operation of a therapeutic instrument connected to the medical treatment equipment with respect to a selected single function thereof. The control device is constructed including a hand switch and foot switch. This hand switch and foot switch are provided with mode input sections. Also, the foot switch has an operating switch.

Abstract: The present invention is intended to provide a corneal surgery apparatus which enables a surgical operator to accurately ablate a cornea in part. The corneal surgery apparatus for ablating part of a cornea by irradiating a laser beam onto the cornea of a patient's eye comprises an irradiation optical system for irradiating the laser beam emitted from a laser light source onto the cornea, an aperture, which is disposed in the irradiation optical system, profiling a cross-sectional region of the beam perpendicular to an optical axis of the irradiation into one or more small regions, and correcting device for correcting an intensity distribution of the laser beam, which is changed when the beam passes through the aperture, to a specified intensity distribution.

Abstract: There is disclosed a laser treatment apparatus including: a handpiece internally including an irradiation optical system for irradiating a laser beam for treatment; a lens disposing unit which can dispose a lens in the irradiation optical system, the lens being selectable from among a plurality of lenses of different types having different focal lengths; and a lens detecting unit which detects the type of the lens disposed in the irradiation optical system.

Abstract: Improved systems, devices, and methods are provided for verifying the scanning motion or adjustment of a laser beam. The system can advantageously be used in laser eye surgery where accurate control of the laser beam is crucial for patient safety and successful vision correction. In one embodiment, a laser system is provided for sculpting a portion of the eye. The system includes a laser for generating a laser beam suitable for ablation of a portion of the eye. A laser beam adjustment mechanism is optically coupled to the laser beam from the laser. The adjustment mechanism scans or adjusts the laser beam in accordance with a predetermined ablation pattern of the laser beam on the eye. An energy motion sensor optically coupled to the laser beam downstream from the adjustment mechanism is provided to verify adjustment of the laser beam in accordance with the ablation pattern. Typically, the energy motion sensor has a mask arranged to block varying portions of the laser beam in response to laser beam adjustment.

Abstract: A catheter system for removing occlusive materials from a targeted endoluminal site, such as a vascular graft. The catheter system utilizes an electrical source and a controller to deliver sequences of very small electrical discharges between paired electrodes in a fluid-jet arrangement (i) to cause high fluid flow velocities in the catheter's fluid extraction pathway based on Bernoulli's Law of Pressure Differential, (ii) to create a selected level of turbulent fluid flows within the targeted site to remove occlusive material from the vessel walls and to thereafter suction fluids and entrained embolic particles into the extraction pathway, and (iii) to emulsify any embolic particles having a cross-sectional dimension larger than a couple of hundred micrometers to allows passage of the embolic particles through the elongate catheter to the catheter handle.

Abstract: An electrosurgical hand piece comprises a handle having therein a handle passageway. A grip sleeve is provided on handle. A nozzle is disposed at one end of the handle. The outer side of the nozzle has a contacting portion. The nozzle has a nozzle passageway in communication with the handle passageway of the handle. The rear end of the nozzle has a first support portion. A support member is disposed in the nozzle passageway of the nozzle to form the second support portion of the nozzle. An electrode is fixed at the rear side by the first support portion of the nozzle to enable the electrode to extend into the nozzle passageway and supported at the front side thereof by the support member. So that, the electrode is supported by both the first support portion and the support member. Whereby the electrode is kept along the central line of the nozzle passageway of the nozzle to provide the surgeon can operate the hand piece precisely in the surgical operation.

Abstract: A bipolar tool for surgical use includes first and second electrically conductive arms each having a distal end and a proximal end wherein each of the first and second electrically conductive arms function as an independent electrode at the joining of the distal ends. A insulating element for electrically isolating the proximal ends of the first and the second electrically conductive arms from one another is provided. The proximal ends of the arms are embedded in the insulating element in such a manner that biases the distal ends of the arms normally in a joined or closed position. This feature enhances the dissecting capability of the bipolar tool. The surgical tool can also include an insulating covering extending from the proximal ends up to but not including the distal ends of the first and second electrically conductive arms for isolating the first and second electrically conductive arms from each other.

Abstract: An electrosurgical device for coagulating and for making incisions in or severing tissue such as blood vessels, the device comprising forceps jaws (6, 7) for immobilizing a tissue portion to be coagulated and incised, the forceps jaws (6, 7) being connected to means for applying an electrical tension between said forceps jaws for coagulating the tissue portion, the device further comprising a member (22) for being displaced between said forceps jaws (6, 7) to incise a tissue portion held between the forceps jaws and coagulated thereby, the member (22) being connected to means for applying an electrical voltage to said member for performing an incision in said tissue by means of said electrical voltage applied to said member (22) the member (22) preferably being blunt such that the incision substantially exclusively is achieved by means of the voltage applied to the member (22).

Abstract: A dynamic spinal fixation plate assembly includes a spinal plate, a receiving member, and a fastener resulting in a low profile orthopedic device. The plate comprises a plurality of holes for maintaining the receiving member. The relationship between the receiving member and the plate allows the plate to adjust during graft settling. The receiving member may be locked to the plate utilizing the mechanical or chemical properties of the device or the receiving member may be configured to rotate freely within the plate hole. Utilizing the features of the present invention, the plate controllably subsides and settles into a position of stability. Additionally, each receiving member has a tapered internal sidewall defining a through hole to matingly engage the fastener, which also has a tapered portion forming a tapered lock-fit between the fastener and the receiving member.

Abstract: A clip to inter-connect primary and secondary bone zones having spaced apart edges, comprising in combination two clip sections, and a first tab to extend over a surface of the secondary bone zone at a first level, the first tab carried by one of the sections; a projection to anchor the other clip section to the primary bone zone, and a tab extension projecting below the first level, and having at least one through opening to receive a the projection for penetrating the primary bone zone below the first level.

Abstract: Tools for use in the creation of cavities in bones. The tools include a probe, a cannula that provides percutaneous passageway to the interior of the treated bone, a bone tamp, and a system for delivering bone filler material into the cavity. The bone tamp has a shaft that is inserted into the bone through the cannula. The end of the shaft that is inserted into the bone may have a flapper tip that extends out of axial alignment with the shaft upon deployment by the physician. Once the tip is deployed, the bone tamp can be rotated to form the cavity. The cavity may then be treated with a medicament, filled with bone filler material, or both. Other tools and materials described herein may be used to lift or restore the treated bone closer to its natural anatomy.

Abstract: A spinal implant replaces excised tissue removed during spine surgery. This implant includes fasteners which firmly attach it to vertebrae adjacent to excised tissue so as to transmit tension and torsional loads to and from those vertebrae. The body of the implant has through cavities into which bone growth material is placed during surgery. The body of the implant also has a finite modulus of elasticity in compression so as to share compressive loads with emplaced bone growth material and with new bony growth facilitated by the emplaced material and the load sharing.

Abstract: A lever for grasping bone tissue includes a shaft defining a channel and having a proximal end and a distal end, a claw member disposed on the distal end of the shaft for holding the bone tissue, and a rod threadably received in the channel and having a proximal end and a distal end. Rotation of the rod with respect to the shaft causes the rod to move substantially axially with respect to the shaft to selectively position the distal end of the rod with respect to the claw member. The lever may further include a locking member to allow the rod to slide axially with respect to the shaft. Various other features which improve the functioning of the lever may be provided separately or in combination.

Abstract: Apparatus and methods for conditioning and pre-tensioning soft tissue grafts during joint repair surgery, such as during repair of the anterior cruciate ligament (ACL). The inventive apparatus is advantageously adapted and configured so as to enable a surgeon to independently apply a desired tensile load onto individual strands of a multiple-stranded soft tissue graft, such each of a pair of ham strings. The inventive methods advantageously ensure that each strand of a multiple-strand soft tissue graft is adequately tensioned so as to both “condition” the graft to prevent subsequent stretching, relaxation or elongation following surgery, which can destabilize the joint, and pre-tension each strand of the graft to a desired amount so that each significantly contributes to the strength and stability of the joint, thus resulting in a stronger and more durable joint.

Abstract: Combining an implant and cement for prophylactic and/or preventative use for femoral neck augmention. A hole is drilled into the femoral neck. The hole is filled with an uncured filler cement after loose materials have been removed from the hole. Then, an open-ended tube, an implant, having openings through its walls is inserted into the hole and attached to the bone. Finally, additional filler cement is provided under pressure to the inside of the tubular implant. The filler cement flows into spaces in the bone structure via the tube wall openings. A sliding leak-tight fit between the implant and a cement injection tube permits delivery of cement at preselected locations along the implant length. Pressure is maintained until the filler cement has hardened. A strengthening factor up to 3 was measured when osteoporotic bone was strengthened.

Abstract: Apparatus for inserting intraocular lenses (IOLs) into eyes include a hollow tube including a material and having an interior wall defining a hollow space through which an IOL is passed and an outlet through which the IOL is passed from the hollow space into an eye, and a lubricity enhancing component physically secured to said hollow tube and concentrated at or near the interior wall in an amount effective to facilitate the passage of the IOL through the hollow space.