Abstract: A fluid flow system for preparing an implantable substrate is provided having a fluid permeable container that is capable of retaining a biocompatible, implantable substrate, and a driver mechanism for subjecting fluid to a constant force to induce a selected, controlled flow rate of the fluid through a substrate disposed in the container. The system can include a fluid reservoir having an inlet and an outlet, and being effective to selectively retain a fluid. The reservoir is preferably disposed upstream of the container. The system can also optionally include a fluid recycling conduit that is effective to recirculate fluid from the container to the reservoir.

Abstract: A prosthesis for repairing a tissue or muscle wall defect. The prosthesis comprises a layer of repair fabric having first and second and an edge that extends between the first and second surfaces. The prosthesis also includes a barrier that is inhibits the formation of adhesions with adjacent tissues and organs. The barrier may overlap a portion of the first and second surfaces. The barrier may be formed separate from and attached to the layer of repair fabric to permanently cover a portion of the edge. The repair fabric may be formed from a material which is susceptible to the formation of adhesions with sensitive tissue and organs. The cord protector may be formed from material which inhibits the formation of adhesions with sensitive tissue and organs. The barrier may overlie a portion of at least one of the first and second surfaces of the repair fabric.

Abstract: A surgical retractor system comprises a support frame and an instrument mounting assembly. The instrument mounting assembly includes a fastening member for securing the mounting assembly to the support frame, a loading member for attaching to the mounting assembly, and a lockable rotational member providing for rotational or angular motion of the instruments about the support frame.

Abstract: A clamping device which secures a retractor support apparatus to an operating table having a side rail. The clamping device has a first clamping member disposed between a side of the operating table and the side rail. The clamping device also includes a second clamping member disposed between the side rail and the first clamping member. A first securing mechanism operably connects the first and second clamping members such that a force provided by the first securing mechanism causes the first and second clamping members to move in opposing directions and frictionally engage the side of the operating table and the side rail.

Abstract: A wireless local area network (WLAN) system comprises multiple access points that are distributed throughout a medical facility to provide wireless access to a hardwired network. The access points implement multiple WLAN protocols, including a realtime protocol for realtime patient monitoring (telemetry) and a standard WLAN protocol (such as IEEE 802.11 within an ISM band) for providing general-purpose wireless access. Some or all of the access points preferably implement both WLAN protocols such that the different WLANs and wireless device types share network access resources. Some or all of the access points may also include RF location-tracking modules which may be used to track locations of patients, hospital personnel, capital equipment, and/or disposable medical supplies.

Abstract: Embodiments of the invention provide a method and apparatus for a wireless health monitoring system for interactively monitoring a disease or health condition of a patient by connecting an internet-enabled wireless web device (“WWD”) to a health monitoring device which may be a medical device or other health related device such as an exercise machine. The WWD may be connected to the health monitoring device directly by a wired connection to a generic input/output port of the WWD using an optional adaptor if necessary. Alternatively, the WWD may be wirelessly connected to the health monitoring device, such as via an infrared or radio frequency connection, including using protocols such as Bluetooth or 802.11. The wireless connection may also employ an adaptor if necessary. The user may also input data to the WWD manually, such as by a keypad, keyboard, stylus, or optionally by voice command.

Abstract: Embodiments of the invention provide a method and apparatus for a wireless health monitoring system for interactively monitoring a disease or health condition of a patient by connecting a mobile phone to or with a digital camera and/or a medical monitoring device. The health related data or visual information from the camera is transmitted to a server using standard internet protocols and may be integrated with various operating systems for handheld or wireless devices, especially those with enhanced capabilities for handing images and visual data.

Abstract: Blood sugar levels are measured in a non-invasive way based on temperature measurement. Different regression functions are used for an able-bodied person and a diabetic patient when stabilizing measurement data by correcting a non-invasively measured blood sugar level, i.e. a value obtained by temperature measurement, with blood oxygen saturation and blood flow volume.

Abstract: An ultrasonic imaging method is described, wherein a back propagation processing method is used. The invention provides a limited number of channels for processing the received signals, such that the which number of processing channels is a submultiple of the number of receiving transducers. During the imaging process, different groups of receiving transducers are connected to the transmitting channels such that the groups of receiving transducers include as many receiving transducers as the number of processing channels in use.

Abstract: An underfluid ultrasound imaging catheter system includes a catheter having a distal end inserted into an underfluid structure, an ultrasonic transducer array mounted proximate the distal end of the catheter wherein the array has a row of individual transducer crystals, a lens mounted on the array for defocusing ultrasound beams in a direction perpendicular to an axis of the array so as to provide a volumetric field of view within which the underfluid features are imaged. Alternatively, the single row of transducer crystals is replaced by multiple rows of transducer crystals so as to provide a volumetric field of view. This imaging catheter system helps an operator see 3-dimensional images of an underfluid environment, such as the 3-dimensional images of fluid-filled cavities of heart, blood vessel, urinary bladder, etc. Features in such wide volumetric field of view can be imaged, measured, or intervened by an underfluid therapeutic device with an aid of the real-time image.

Abstract: Parametric characterization of nitric oxide (NO) gas exchange using a two-compartment model of the lungs is a non-invasive technique to characterize inflammatory lung diseases. The technique applies the two-compartment model to parametric characterization of NO gas exchange from a tidal breathing pattern. The model is used to estimate up to six flow-independent parameters, and to study alternate breathing patterns.

Abstract: A sectional cassette (10) for use in a process for harvesting and handling tissue samples for biopsy analysis is disclosed. In the procedure, a tissue biopsy sample is placed on a tissue trapping supporting material (A?) that can withstand tissue preparation procedures, and which can be cut with a microtome. The tissue is immobilized on the material, and the material and the tissue are held in the cassette (10) subjected to a process for replacing tissue fluids with wax. The tissue and supporting material are sliced for mounting on slides using a microtome. Harvesting devices and containers (200) using the filter material (202) are disclosed. An automated process is also disclosed.

Abstract: Soft tissue biopsy apparatus for obtaining a tissue specimen comprises a compact handle functioning as a housing having an opening at a front end thereof through which a tubular cannula is arranged to pass. Disposed in the lumen of the cannula is a stylet having a notch formed near its distal end in which a tissue sample is to be captured. First and second springs are operatively coupled individually to the cannula and stylet and a cocking slide incorporating a force reducing mechanism is used to compress the springs while establishing the size of the specimen to be collected in the notch. A trigger mounted on the cocking slide can be used to release the compressed springs in close succession to first advance the end of the stylet beyond the end of the cannula whereby tissue to be extracted flows into the notch and then the spring driving the cannula is released forcing the cannula forward and severing the piece of tissue contained in the notch from surrounding tissue.

Abstract: A catheter introduction apparatus provides an ultrasound assembly for emission of ultrasound energy. In one application the catheter and the ultrasound assembly are introduced percutaneously, and transseptally advanced to the ostium of a pulmonary vein. An anchoring balloon is expanded to center an acoustic lens in the lumen of the pulmonary vein, such that energy is converged circumferentially onto the wall of the pulmonary vein when a transducer is energized. A circumferential ablation lesion is produced in the myocardial sleeve of the pulmonary vein, which effectively blocks electrical propagation between the pulmonary vein and the left atrium.

Abstract: A multi-layered massage ball which substantially mirrors the hardness and deformation characteristics of the human thumb and is particularly effective in relieving tender and painful muscle conditions, including but not limited to trigger points. The massage ball typically includes a core, at least one resilient layer encapsulating the core, and a ball cover. The massage ball may be pressed and rolled against the afflicted area or areas to substantially alleviate pain and discomfort associated with muscle or connective tissue conditions.

Abstract: A multi-functional brace for a joint includes a releasable locking mechanism that allows the brace to be set for static stretch of the joint in either flexion or extension, and a range of motion assembly that allows for free movement of the joint through its natural axis over a controlled range of motion when the locking mechanism is released.

Abstract: An orthotic device may be utilized to promote flexion or extension of a patient's wrist. At least one support member having a pivotal portion may be angularly positioned through the use of a tensioning member in conjunction with a hinge to effect the desired therapeutic fixation of the joint, or alternatively, to permit a limited range of motion. The tensioning member is connected on one end to a post, and on the other end to an anchor, wherein the positions of flexion or extension are created depending on the direction in which the tensioning member extends from the anchor to the post.

Abstract: A portable extremity support rack that offers a quick, easy, accessible and effective way to apply the standard RICE principle for post traumatic injury management. The extremity support rack collapses into a portable carrying case so it can be easily stored when not in use or quickly transported to different settings where injury management may take place. An upper surface and a lower surface in the extremity support rack are adjustably elevated and positioned to comfortably fit injured limbs of any shape and size.

Abstract: A shunt for relief of intra-ocular pressure includes a pressure-relief valve and a jacket enclosing the pressure relief valve. When implanted on the sclera of an eye, the jacket protects the valve from interference by a capsule formed on the shunt.

Abstract: The invention concerns the field of needleless syringe having an injector with several ducts. The problem that needs to be solved is the long term compatibility of the injector with the liquid active principle. For that purpose the syringe (1) comprises a cylindrical reservoir (2), closed at its upstream part by a closure element (3) capable of being moved by driving means (70), and closed at its downstream part by an injector (4) comprising at least an injection duct and said reservoir being secured to the body (8) of the syringe, said syringe is such that the diaphragm (5), compatible with the active principle, isolates the latter from the injector (4) and said diaphragm can be passed through by the liquid (6) when pressurised for injection.

Abstract: A needle-free injection device is described. The injection device typically includes a system for providing directed and pre-selected pressure and a nozzle with an orifice for defining a stream of fluid that is directed toward the skin of a patient against which a front end of the nozzle is positioned. The device also normally includes an engagement system that can selectively engage the nozzle with the pressurizing system so that the nozzle can be mounted to the pressurizing system to receive pressure for injection and so that after injection the nozzle can be removed and replaced for each new use of the device.

Abstract: A catheter for injecting a thermally sensitive gelation material to remote sites within a patient's body by maintaining the thermally sensitive gelation material in a liquid state until it is delivered to a target area within the body.

Abstract: To retrofit a conventional needle hub assembly with a needle protection housing, a sleeve having a collar rotatably fitted thereabout is fitted to the needle hub. The sleeve has a proximal portion and a distal portion. The proximal portion has a diameter that is dimensioned to fit over the needle hub while the distal portion has a diameter that allows the needle cap of the needle hub assembly to be inserted thereinto so as to be frictionally coupled to the needle hub. There are a plurality of flanges or ears extending at the proximal end of the proximal portion. These flanges are configured to overlie the flanges formed at the base of the needle hub used to mate with the luer of a syringe. When the needle hub assembly is threadingly mated to the luer of the syringe, the sleeve, along with the collar mounted thereabout and to which the needle protection housing is attached, is also mated to the luer.

Abstract: A medical connector contains a plurality of arms having respective entrance ports. The medical connector also contains a cover preferably having first and second caps coupled together by a first tether, and a fastener coupled to at least one of the first and second caps by a second tether. The fastener is secured to a portion of the medical connector. The first and second caps are adapted to cover at least a portion of the entrance ports of respective first and second arms of the plurality of arms. The medical connector preferably has a sleeve that is detachably coupled to a first arm of the plurality of arms. The first cap preferably comprises a first portion with a first inner diameter adapted to encircle an end of the first arm and a second portion with a second inner diameter adapted to encircle a distal end of the sleeve.

Abstract: By interposing an adapter between the endotracheal or tracheal tube inserted to a patient and the ventilation and suction systems that are connected to the endotracheal tube, a catheter could be inserted via an input port built into the adapter so as to enable a medical personnel to provide localized treatments in the lungs of a patient without having to disconnect either one of the systems connected to the endotracheal tube. The adapter is configured to have a securing mechanism that allows the medical personnel to secure the medication catheter in place. A one way valve fitted to the apertured arm that forms the input port of the adapter prevents any back flow of fluid from the input port.

Abstract: An embodiment of the present invention provides means for extending a chafing barrier through a leg opening down the upper inner thigh of the wearer of an absorbent device. The chafing barrier comprises a layer of soft padded material, such as foam plastic, wadding, elastic gel, or a similar material. In one embodiment of the present invention, the chafing barrier is attached to a disposable pad. In another embodiment of the present invention, the chafing barrier is attached to the inside of an undergarment that surrounds or is integrated with an absorbent device. In still another embodiment of the present invention, the chafing barrier further comprises a top surface of absorbent material having a dermatological agent disposed thereon. Optionally, the dermatological agent comprises a moisturizing lotion, a drying agent, an antibiotic, a fungicide, or a topical steroid to aid in healing and/or soothing chafed skin.

Abstract: A disposable diaper is provided with elastically stretchable waist areas extending in a transverse direction along respective end portions of front and rear waist regions and a pair of elastically stretchable wing areas extending outward in the transverse direction from the side edge portions of the rear waist region. The side edge portions of the rear waist region are respectively interposed between the stretchable waist area and the stretchable wing areas. The stretchable wing areas have a transverse stretch stress higher than a transverse stretch stress of the stretchable waist area, so the tensile force exerted on the stretchable wing areas is segmentalized and restrained by the side edge portions of the rear waist region.

Abstract: A disposable diaper comprising a fluid-permeable topsheet, a fluid-impermeable backsheet and a fluid-retentive absorbent core interposed between the topsheet and the backsheet, the disposable diaper being formed in a substantially vertically elongated configuration and having a stomach side, a back side and a crotch region positioned between the stomach side and the back side, wherein a second absorbent core is disposed at an outside region of each opposite side edge of the absorbent core at the crotch region along a longitudinal direction of the diaper, and an elastic member is disposed at the region where the second absorbent core is disposed along a longitudinal direction of the diaper.

Abstract: A disposable pull-on undergarment includes a pair of leg-openings provided with elastic members. Each of the elastic members extends along a peripheral edge of the leg-openings and is spaced outward from each of transversely opposite side edges of the core by a distance which is larger in any one of the front and rear waist regions than the other of them as measured in a substantially middle zone of a crotch region. Along a folding line Y extending in the transverse direction to divide the undergarment in upper and lower halves, the undergarment is folded toward any one of the front and rear waist regions in which the distance is relatively large.

Abstract: Absorbent article, such as a sanitary towel, with a stiffening element which is intended to contribute to the three-dimensional shape of the article during its use. The stiffening element is in a plane state before use of the article. The stiffening element has in the rear portion an elongate through-hole which extends in the longitudinal direction of the article and along the centre line of the article, as a result of which the article is during use provided, by virtue of lateral forces arising in the rear portion of the article, with a fold along the longitudinal direction of the article along the hole. The fold extends into the cleft between the buttocks of the wearer during use of the article and in this way stabilizes the article in position on the wearer.

Abstract: A pant-like absorbent refastenable garment adapted to easy application and removal has hook and loop fasteners on the front and back side panels and in particular embodiments frangible bonds connecting the front and back side panels. The frangible bonds connecting the front and back side panels can be easily broken by the user prior to use and the hook and loop fasteners can be engaged prior to, or during, donning. The hook and loop fasteners do not need to be prefastened at the time of manufacture.

Abstract: A disposable body fluid absorbent pad comprises a liquid-pervious topsheet, a liquid-impervious backsheet, a liquid-absorbent core interposed between these sheets and a strap adapted to pull the pad in a longitudinal direction. The strap comprises first and second straps attached to transversely opposite side edge margins of the pad, respectively, so to extend outward from an end margin of a front region. These first and second straps have inner fixed portions fixed to the topsheet, outer fixed portions fixed to the backsheet and hand-grips extending between the inner fixed portions and the outer fixed portions, respectively.

Abstract: A process and apparatus for one-step preparation of fibrinogen adhesive by polyethylene glycol-mediated precipitation from plasma are disclosed. The methods and apparatus of the invention permit preparation of autologous fibrinogen adhesive composition from the patient during surgery, and can be applied generally to provide such compositions. Also disclosed are an apparatus and method for application of sealant comprising this fibrinogen adhesive composition.

Abstract: A double cannula assembly for medical or veterinary use includes a first cannula (10) for insertion into a blood vessel in a conventional manner. This first cannula is an outer cannula and a second or inner cannula (12) is subsequently inserted through said first cannula to extend beyond the distal tip of the outer cannula. The inner cannula and outer cannula are formed to prevent blood entering between the engaging surfaces.

Abstract: Example embodiments of the present invention relate to an arrangement and a method for interacting with an internal body organ. The arrangement may include a sheath in which at least two elongate structural elements are inserted. The structural elements may each have a proximal end and a distal end. The sheath may have a proximal end and a distal end, said distal end being open. When the structural elements are displaced relative to the sheath, they may extend through the open distal end of the sheath and at least partly in the transverse direction away from the sheath for distending and/or expanding interaction between the distal end of each structural element and a body organ.

Abstract: A delivery device for delivering a substance intradermally into the skin of a patient including a housing for contacting the surface of the skin and a disposable cartridge to be received in the housing. The cartridge includes an internal reservoir containing a substance to be delivered to the patient, a plurality of micro skin penetrating members and a fluid channel extending between the micro skin penetrating members and the reservoir. The housing includes a bottom wall with a central opening and a cover member. The cartridge is positioned in the housing with the micro skin penetrating members extending through the central opening of the bottom wall and positioned on the surface of the skin of a patient. The cover is closed onto the cartridge to dispense the substance from the cartridge through the micro skin penetrating members and into or through the skin of the patient.

Abstract: A multi-instrument surgical tool for use during hand-assisted laparoscopic surgery includes a housing having a plurality of ports disposed therein which are each dimensioned to slidingly house one of a plurality of surgical instruments for selective deployment from the case. The housing also includes a corresponding plurality of elongated channels each in communication with a respective one of the plurality of ports. Each of the instruments including an actuator which is movable within a respective channel from a first position wherein the instrument is at least partially housed within the housing to a second position wherein the actuator is disengaged from the respective channel and the actuator is freely operable to actuate the instrument for its intended purpose.

Abstract: A cryoablation device having a pressure monitoring system includes an elongated catheter tube that has a central lumen and is formed with a closed distal end. The distal end of a refrigerant supply line is positioned in the central lumen and distanced from the catheter tube's distal end to establish an expansion chamber therebetween. A return line, which can be established between the supply line and the catheter tube or can include a return tube, is provided to exhaust expanded refrigerant from the chamber. First and second pressure sensors are respectively positioned in the supply line upstream from the expansion chamber and in the return line. Typically, both sensors are positioned to remain at extracorporeal locations throughout a cryoablation procedure. Measured pressures are used together with the supply and return line dimensions to analytically estimate the chamber pressure and allow the expansion of refrigerant in the chamber to be monitored.

Abstract: A medical instrument is disclosed. The medical instrument includes a pair of spaced apart and electrically isolated elongated wire electrodes positioned adjacent one another on a working member. The wire electrodes are arranged for sensing electrical activity of biological tissues inside the body of the patient. The medical instrument also includes a pair of electrically isolated electrode wires that extend through the working member. Each of the electrode wires are electrically coupled to an associated wire electrode.

Abstract: An electrosurgical pencil is provided which includes an elongated housing, an electrocautery blade supported within the housing and extending distally from the housing. The electrocautery blade is connected to a source of electrosurgical energy. The pencil also includes at least one activation switch supported on the housing which is configured and adapted to complete a control loop extending from the source of electrosurgical energy. At least one voltage divider network is also supported on the housing and is electrically connected to the source of electrosurgical energy.

Abstract: A helical ablation electrode extends from a distal end of the shaft and includes a first portion extending from a first end winding about a first diameter, a second portion extending from the first portion and winding about a second diameter smaller than the first diameter, and a second end terminating the second portion. The electrode further includes a fluid lumen extending from a location in proximity to the first end of the electrode to a location in proximity to the second end of the electrode and in fluid communication with a fluid delivery lumen of the catheter shaft. An irrigation fluid delivered through the fluid delivery lumen of the catheter shaft, from a fluid port, passes through the fluid lumen of the ablation electrode to cool the electrode.

Abstract: An electrosurgical pencil is provided which includes an elongated housing, an electrocautery blade supported within the housing and extending distally from the housing. The electrocautery blade is connected to a source of electrosurgical energy. The pencil also includes at least one activation switch supported on the housing which is configured and adapted to complete a control loop extending from the source of electrosurgical energy. At least one voltage divider network is also supported on the housing and is electrically connected to the source of electrosurgical energy.

Abstract: A method and apparatus for creating a virtual electrode to ablate bodily tissue. The apparatus includes an outer tube, a first electrode, an inner tube and a second electrode. The outer tube is fluidly connected to a source of conductive fluid and defines a proximal end and a distal end. The distal end includes an opening for delivering conductive fluid from the outer tube. The first electrode is disposed at the distal end of the outer tube for applying a current to conductive fluid delivered from the outer tube. The inner tube is coaxially received within the outer tube and is connected to a source of conductive fluid. The inner tube defines a proximal end and a distal end, with the distal end forming an opening for delivering conductive fluid from the inner tube. Finally, the second electrode is disposed at the distal end of the inner tube for applying a current to conductive fluid delivered from the inner tube.

Abstract: An endoscopic bipolar forceps includes a housing and a shaft affixed to the housing. The shaft includes a longitudinal axis defined therethrough and a pair of jaw members attached to a distal end thereof. The forceps also includes a drive assembly for moving one of the jaw members relative to the other jaw member from a first position wherein the movable jaw members are disposed in spaced relation relative to each other to a second position wherein the jaw members are closer one another for manipulating tissue. A movable handle is included which is rotatable about a pivot to force a drive flange of the movable handle into mechanical cooperation with the drive assembly to move the jaw members from the open and closed positions. The pivot is located a fixed distance from the longitudinal axis and the drive flange is located generally along the longitudinal axis.

Abstract: An apparatus for the correction of wall chest deformities, such as “Pectus Carinatum”, comprising: a bar (10) having a flattened cross-section, having a minimum bending strength according to the values defined by ASTM F382-95, plates (20) having a slot (21) in the medium portion so as to fit the corresponding end of the bar (10) and peripheral holes (23) for securing the bone parts. The bar ends comprise planar grooves (11–11?) determining the wall thickness substantially similar to the height of the slot (21) of the plate (20). The wall of the grooves (11–11?) has aligned holes (13) in order to form with the respective plate (20) and by using screws (30), a fixed removable attachment that allows the axial registration of the bar (10). Method for the correction of Pectus Carinatum using said apparatus in order to achieve a normal anatomic shape of the chest wall.

Abstract: Check reins in the form of elongated members are used to limit the extreme range of motion which would otherwise be permitted by some ADR designs. The check reins serve two main purposes. First, they retain disc spacers, if present. Additionally, the wedge shape of ADRs and the removal of the Anterior Longitudinal Ligament (ALL) and a portion of the Annulus Fibrosus (AF) to insert the ADR from an anterior approach, favor anterior extrusion of disc spacers. In preferred embodiments the check reins are therefore limited to the anterior portion of the periphery of the ADR. Second, check reins serve to prevent excessive spinal motion. Again, although they may be helpful in other locations, anterior check reins help restore the motion limiting functions of the ALL and AF that were removed in anterior approaches to the spine.

Abstract: A rod reduction device is provided having a reduction nut adapted to mate to the rod-receiving portion of a spinal implant, and a driver tool that is effective to engage the reduction nut such that rotation of the driver tool rotates the reduction nut to reduce a rod positioned between the reduction nut and within the rod-receiving head of a spinal implant into the rod-seating portion of the head of the spinal implant. The driver tool can include a support 32 formed on a distal end thereof that is adapted to be disposed within the rod-receiving head of a spinal implant to prevent the rod-receiving head of the implant from collapsing during use of the rod reduction device.

Abstract: The present invention relates to a screw assembly for fixing the human spine, in particular, the spine column. The fixing screw assembly uses a cap for fixing a rod arranged in spine implants in order to stabilize the spine column.

Abstract: An implant and a process of modifying an implant surface, which implant is in particular a hip implant, a tooth implant, a bone screw, fixation pin or a fixation nail (pin-fixation), comprising a metallic base body, which implant has a surface modified by a material containing a tissue-friendly metal, such as tantalum or niobium, for the formation of a surface modification where at least the tissue-friendly metal is alloyed with the surface and constitutes a uniform, diffusion-tight outer zone on the body, which outer zone has a higher ductility than the metallic base body in order to obtain a tissue-friendly implant with increased fatigue strength.

Abstract: A method and apparatus for performing minimally invasive hip replacement surgery using a T-handle ruler to make measurements inside the surgical site to assist in implanting a prosthetic femoral hip into the intramedullary canal of the natural femur. The ruler has an elongated central body and two measuring ends that are angled with respect to the central body.