104 results about "Lateral recess" patented technology

A surgical stapling apparatus includes a housing and an end effector secured to the housing. The housing supports a knife assembly including a knife. The end effector has first and second jaw members. One or both of the first and second jaw members define a knife channel. The first jaw member defines fastener slots and the second jaw member defines fastener pockets. One or more of the knife channel, the fastener slots, and the fastener pockets includes lateral recesses. Fasteners are disposed in the fastener slots and formed by the fastener pockets. One or more surgical buttresses have a body that overlies one or both of the fastener slots and the fastener pockets. Portions of the body of the one or more surgical buttresses are disposed within the lateral recesses to secure the one or more surgical buttresses to one or both of the first jaw member and the second jaw member.

Methods and apparatus are provided for selective surgical removal of tissue, e.g., for enlargement of diseased spinal structures, such as impinged lateral recesses and pathologically narrowed neural foramen. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. Once the sharp tip of the needle is in the epidural space, it is converted to a blunt tipped instrument for further safe advancement. A specially designed epidural catheter that is used to cover the previously sharp needle tip may also contain a fiberoptic cable. Further embodiments of the current invention include a double barreled epidural needle or other means for placement of a working channel for the placement of tools within the epidural space, beside the epidural instrument. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. In one variation, a tissue abrasion device is provided including a thin belt or ribbon with an abrasive cutting surface. The device may be placed through the neural foramina of the spine and around the anterior border of a facet joint. Once properly positioned, a medical practitioner may enlarge the lateral recess and neural foramina via frictional abrasion, i.e., by sliding the abrasive surface of the ribbon across impinging tissues. A nerve stimulator optionally may be provided to reduce a risk of inadvertent neural abrasion. Additionally, safe epidural placement of the working barrier and epidural tissue modification tools may be further improved with the use of electrical nerve stimulation capabilities within the invention that, when combined with neural stimulation monitors, provide neural localization capabilities to the surgeon. The device optionally may be placed within a protective sheath that exposes the abrasive surface of the ribbon only in the area where tissue removal is desired. Furthermore, an endoscope may be incorporated into the device in order to monitor safe tissue removal. Finally, tissue remodeling within the epidural space may be ensured through the placement of compression dressings against remodeled tissue surfaces, or through the placement of tissue retention straps, belts or cables that are wrapped around and pull under tension aspects of the impinging soft tissue and bone in the posterior spinal canal.

Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

A catheter anchoring or securement device and system in combination with or for securing a catheter system to a patient's skin in a fixed position, the invention having a flexible anchor sheet member having an adhesive backing that adheres the flexible anchor sheet member to the patient's skin, a compressible catheter receiving pad mounted to the flexible anchor sheet member, and releasable securing strap covering the compressible catheter receiving pad, wherein the compressible catheter receiving pad is provided with a cavity or recess, the peripheral configuration of which corresponds to the footprint configuration of the catheter body member. The cavity has an axially-oriented channel extending the full width of the flexible anchor sheet member and opposing sets of retention walls defining lateral recesses, the combination of which precludes relative movement of the catheter fitting in all lateral directions.

It is, therefore, an object of the present invention to provide a needle stick protection device. The device includes a housing shaped and dimensioned for positioning about a syringe with an attached needle. The housing includes a first housing member telescopically coupled to a second housing member. A locking member is associated with a first slot of the first housing member for selectively engaging a first detent to control positioning of the second housing member relative to the first housing member. The locking member includes a first lateral retaining recess formed within the first slot for seating of the first detent when the second housing member is in its forward most position, the first lateral retaining recess being circumferentially located along a side of the first slot. The needle may be selectively covered and uncovered by selective alignment of the first detent with the slot in manner permitting controlled motion of the first housing member relative to the second housing member. The locking member further includes a lateral locking recess formed along the slot and adjacent a second side of the spring biased lock arm opposite the first side of the spring biased lock arm, wherein the needle is permanently covered when the detent is positioned within the lateral locking recess.

A support assembly useful in aligning and mounting a garbage disposal to the drain fitting of a sink includes a base provided with a vertical tube segment supporting a nut assembly threadably engaged to a rod partly received in the segment with the upper rod end supporting an adapter conformed to the disposal. An offset bar fixed to the rod exterior engages a lateral recess on the segment to fix the rod in rotation as the nut assembly is turned. The assembly may include rods of differing lengths and adapters of various forms.

A break-action firearm with a breech housing, a barrel section that can pivot about a hinge bearing on the breech housing, and a removable fore-end, which contains on its front end a locking mechanism and on its rear end a bearing section for pivoting connection to the breech housing. This provides an easy-to-manufacture fore-end of the break-action firearm with minimal overall height, such that the hinge bearing grasps hinge pin, which project laterally inwards from the breech housing and which engage in lateral recesses on opposing side surfaces of a fastener section of the barrel section. In addition, the bearing section has bolts, which project inwards with at least one lateral contact surface and which lead to contact on corresponding abutment surfaces on the two side surfaces of the fastener section.