5325results about "Disinfection" patented technology

A surgical instrument including a first portion and a second portion, wherein the second portion can be sterilized separately from the first portion. The first portion can comprise an anvil, a staple cartridge channel and / or staple cartridge, and a movable cutting member. The second portion can comprise electronic components configured to control the surgical instrument and / or record data collected during the use of the surgical instrument. The first portion can be sterilized using a gamma radiation sterilization process while the second portion can be sterilized using a different sterilization process, such as steam, ethylene oxide, ozone, and / or hydrogen peroxide sterilization processes, for example. As a result, the first and second portions can be sterilized separately and delivered in two separate containers. The second portion can be stored within a sealed bag and can include an electrical terminal which can penetrate the bag and communicate with the first portion.

A surgical instrument having a remotely controllable user interface, and a firing drive configured to generate a rotary firing motion upon a first actuation of the remotely controllable user interface and a rotary refraction motion upon an other actuation of remotely controllable user interface. The instrument is such that when the remotely controllable user interface operates a first drive member, the first actuation advances a cutting member a first distance, wherein, when the remotely controllable user interface operates a second drive member, the other actuation retracts the cutting member a second distance, and wherein the second distance is greater than the first distance.

A surgical stapling instrument including a selectively actuatable cutting member. The stapling instrument may be used as a surgical stapler without cutting tissue or, if desired, the surgeon may selectively actuate the cutting member to cut tissue as the staples are being deployed and formed. A stapling instrument can include an actuator knob that has at least one pusher bar attached thereto. Advancement of the actuator knob in a distal direction causes the pusher bars to apply a firing motion to the staples contained within a staple cartridge supported within the stapling instrument. A knife bar may be selectively coupleable to the actuator knob by a selector switch that is movable from an actuated position wherein movement of the actuator knob in the distal direction advances the knife bar which has a cutting blade portion to advance between rows of staples in the staple cartridge to an unactuated position wherein movement of the actuator knob advances the pusher bars without advancing the knife bar.

A surgical stapling device is disclosed which includes a handle assembly, an endoscopic body portion and a tool assembly. The tool assembly is rotatably and pivotally supported on a distal end of the endoscopic body portion. A tool assembly rotation mechanism is provided which includes a rotation knob, a substantially rigid tube and a flexible member interconnecting the rigid tube to the tool assembly. The substantially rigid tube translates rotation of the rotation knob to rotation of the flexible member and provides a channel for passage of other components of the surgical stapling device.

A buttress for use with circular surgical staplers that does not require adhesive to securely fasten the buttress to the stapler. Following cutting and stapling by the circular stapler, the buttress has an adaptive opening through its central region with a diameter smaller than the outer diameter of the stapler anvil. Because of relief features built into the buttress, the stapler anvil may be pulled through the buttress material without causing permanent alteration to the buttress. These relief features may be provided regardless of whether the buttress is made of inelastic or elastic materials. The buttress is generally circular in shape with an outer diameter sized to coincide with the outer diameter of the stapler body staple compression surface and the outer diameter of the anvil compression surface of a circular stapler with which it is used. Prior to surgical use, the buttress is attached to the stapler with disruptable portions extending from outer perimetal areas of the buttress.

Molecular cross-linked gels comprise a variety of biologic and non-biologic polymers, such as proteins, polysaccharides, and synthetic polymers. Such molecular gels may be applied to target sites in a patient's body by extruding the gel through an orifice at the target site. Alternatively, the gels may be mechanically disrupted and used in implantable articles, such as breast implants. When used in vivo, the compositions are useful for inhibiting post-surgical spinal and other tissue adhesions, for filling tissue divots, tissue tracts, body cavities, surgical defects, and the like.

A photosensitizer together with complementary light energy are used to prevent the development of infection associated with an indwelling medical catheter or device. Light of a selected wavelength or wavelength band is coupled to the catheter or device and transmitted by a wall or walls thereof to one or both of the external and internal surfaces thereof. The catheter or device also incorporates at least one photosensitizer which releases a toxic substance when activated by the light energy which destroys bacteria on or around the catheter or device. A method of preventing infection using photosensitizers and complementary light energy is also disclosed.

An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The handle of the apparatus is configured to permit hand activation for cutting, coagulation, and clamping of tissue during surgical procedures. In order to promote convenient and efficient use of the apparatus, the fingertip controls are provided directly into the disposal shears handle in a position that allows surgeons to activate the device without repositioning their hand. The two buttons provide independent control of the two power levels available from the generator, matching the two foot pedal configuration of the prior art.

The invention comprises a system, catheter and method for measuring the cross-sectional areas and pressure gradients in any hollow organ, such as, for example, blood vessels. One embodiment of such a system includes: an impedance catheter capable of being introduced into a targeted site; a solution delivery source; a constant current source; a balloon inflation control device; and a data acquisition and processing system that receives conductance and / or pressure gradient data from the catheter and calculates the cross-sectional area of the targeted site. In one embodiment, the catheter has an inflatable balloon along its longitudinal axis, thereby enabling the breakup of any materials causing stenosis at the targeted site and / or distention and delivery of an optional stent into the targeted site.

The present invention relates to the sterile operation of a sedation and analgesia system. The present invention provides a sedation and analgesia system that can be operated by clinicians involved in medical procedures within a sterile field without contaminating the sterile field. For a variety of systems, the invention provides a sedation and analgesia system that may be accessed within a sterile field by a clinician involved in a medical procedure.

A vascular clamp and a method for temporarily occluding a vessel. The vascular clamp comprises two jaws, two handles, and a pivoting point. A biasing mechanism is positioned between the handles for biasing the handles apart so that a closing force is imparted along the length of the jaws. The pivoting points pivotally connect the jaws together and are also configured to allow one jaw to be lifted relative to the other jaw. The method of temporarily occluding a blood vessel comprises the steps of providing a vascular clamp as described above and positioning the clamp about a blood vessel.

Portable and wearable chemical detector devices, such as badges, that are analyte-general, rather than analyte-specific, and which provide an optimal way to notify and protect personnel against known and unknown airborne chemical hazards. The devices are advantageously low-cost, have low-power requirements, may be wearable and are designed to detect and alarm to a general chemical threat. A sensor device includes two or more sensor devices, a processing module coupled to each of the sensor devices and configured to process signals received from each of the two or more sensor devices to determine an environmental state; and a communication module that communicates information about the environmental state to a user.

Featured are systems, devices and apparatuses for use in minimally invasive surgical, diagnostic or therapeutic methods and / or techniques, in particular methods and / or techniques for a mammalian throat. In particular embodiments, a dexterity apparatus including one or more dexterity devices is featured, where each of the dexterity devices comprises surgical tools and each is configured and arranged with end-tip dexterity for enhanced manipulation. A portion of the dexterity devices is snake like, which is re-configurable (i.e., can be bent) so as to in effect maneuver the surgical tool and put the tool in a desired position with respect to the surgical site. Another portion of the dexterity device includes the surgical tool thereby providing the capability of performing surgical actions such as sewing, gripping, soft tissue manipulation, cutting and suction of saliva, blood and other materials from the surgical site.

A process is provided for producing peroxycarboxylic acids from carboxylic acid esters. More specifically, carboxylic acid esters are reacted with an inorganic peroxide, such as hydrogen peroxide, in the presence of an enzyme catalyst having perhydrolysis activity. The present perhydrolase catalysts are classified as members of the carbohydrate esterase family 7 (CE-7) based on the conserved structural features. Further, disinfectant formulations comprising the peracids produced by the processes described herein are provided.

Featured are systems, devices and apparatuses for use in minimally invasive surgical, diagnostic or therapeutic methods and / or techniques, in particular methods and / or techniques for a mammalian throat. In particular embodiments, a dexterity apparatus including one or more dexterity devices is featured, where each of the dexterity devices comprises surgical tools and each is configured and arranged with end-tip dexterity for enhanced manipulation. A portion of the dexterity devices is snake like, which is re-configurable (i.e., can be bent) so as to in effect maneuver the surgical tool and put the tool in a desired position with respect to the surgical site. Another portion of the dexterity device includes the surgical tool thereby providing the capability of performing surgical actions such as sewing, gripping, soft tissue manipulation, cutting and suction of saliva, blood and other materials from the surgical site.

A surgical stapling device is disclosed which includes a handle assembly, an endoscopic body portion and a tool assembly. The tool assembly is rotatably and pivotally supported on a distal end of the endoscopic body portion. A tool assembly rotation mechanism is provided which includes a rotation knob, a substantially rigid tube and a flexible member interconnecting the rigid tube to the tool assembly. The substantially rigid tube translates rotation of the rotation knob to rotation of the flexible member and provides a channel for passage of other components of the surgical stapling device.

A resorbable screw fastener and a method of firing with an applicator capable of applying a surgical fastener to tissue in order to form tissue connection to secure objects to tissue, the fastener including a body portion having a helical thread, a head portion disposed at the proximal end of the body portion. The resorbable screw fastener is 100% resorbed in vivo during a period of time ranging from about 14 days to about one year after implantation.

An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The handle of the apparatus is configured to permit hand activation for cutting, coagulation, and clamping of tissue during surgical procedures. In order to promote convenient and efficient use of the apparatus, the fingertip controls are provided directly into the disposal shears handle in a position that allows surgeons to activate the device without repositioning their hand. The two buttons provide independent control of the two power levels available from the generator, matching the two foot pedal configuration of the prior art.

A wound treatment dressing for applying negative pressure wound therapy to a wound of an extremity, such as on the heel of a foot. The dressing comprises a fluid manifold 14 positioned within a fenestrated drape 16 to form a contoured occlusive wrapping 10 for placement over a wound on an extremity. A contoured porous pad 26 is placed adjacent or within the wound, such that the contoured pad 26 is enveloped by the occlusive wrapping 10. Flexible tubing 42 is attached to or through a fluid communication port 18, which forms an opening to the outer layer 16b of the occlusive wrapping 10, so as to allow for fluid communication of negative pressure to the contoured pad 26 from a source of negative pressure 44 connected to an opposite end of the flexible tubing 42. The negative gauge pressure is communicated from the source 44, through the tube 42, through the fenestrations 19 of the occlusive wrapping 10, such that negative gauge pressure is applied to the wound on the extremity. The fluid manifold 14 serves to direct the negative pressure from a position away from the wound site to the contoured pad 26 at the wound site.

A surgical instrument including a first portion and a second portion, wherein the second portion can be sterilized separately from the first portion. The first portion can comprise an anvil, a staple cartridge channel and / or staple cartridge, and a movable cutting member. The second portion can comprise electronic components configured to control the surgical instrument and / or record data collected during the use of the surgical instrument. The first portion can be sterilized using a gamma radiation sterilization process while the second portion can be sterilized using a different sterilization process, such as steam, ethylene oxide, ozone, and / or hydrogen peroxide sterilization processes, for example. As a result, the first and second portions can be sterilized separately and delivered in two separate containers. The second portion can be stored within a sealed bag and can include an electrical terminal which can penetrate the bag and communicate with the first portion.

Various embodiments of spacer apparatuses, and transport and / or storage apparatuses, for use with magnetic platforms configured to be magnetically coupled to a medical device within a body cavity of a patient.

An instrument for applying clips in surgery having an operating handle with operating components and a clip cartridge with clip applying mechanism. The handle operating components generate reciprocal linear motion imparted to the clip applying mechanism and accommodate rotation of the cartridge about a cartridge axis. An anti-backup mechanism constrains operating components to complete first and second strokes of reciprocal linear motion.

This invention provides methods for covalently affixing a biomolecule to either a second molecule or a solid surface using 1,3-dipolar cycloaddition chemistry. This invention also provides related methods and compositions.

A medical instrument used to position a surgical mesh sheet to a surface of the human body. The instrument contains a mechanism for holding the mesh sheet against the tissue surface in more than two locations during the attaching process, making attachment of the sheet to the surface quicker and easier. The instrument also contains a mechanism for grasping and then quickly and easily releasing the mesh sheet from the instrument once it is in place. The invention can also be used to hold the mesh in position without the use of the mechanism that grips the mesh.