摘要:
An air introduction system for a medical needle assembly is provided and includes a flexible bladder, and a male luer assembly with an air valve which is biased to allow air to enter the air introduction system but not to exit. The air introduction system is coupled to a needle assembly which is to be introduced into the epidural space. As the needle traverses the tissue layers overlying the epidural space, and the practitioner applies pressure to the bladder, the practitioner experiences resistance to the forcing of air through the needle assembly. If air is lost from the bladder, the bladder may be refilled by releasing the pressure on it and allowing outside air to enter via the air valve. Once the epidural space is penetrated, air is quickly forced from the bladder through the needle assembly and the practitioner can feel a sudden drop in pressure. To aid in detection, the air introduction system is provided with an air activated sound device situated so as to be exposed to the air flow pushed out of the bladder. With the sound device, an audible warning is provided as the air rushes from the bladder through the needle assembly and into the epidural space.
摘要:
An endosurgical cutting instrument includes a hollow tube having a distal end with a radial slot and an interior deflection surface, a push rod extending through the tube and having a proximally directed sickle blade coupled to its distal end, and a manual actuator coupled to the proximal ends of the tube and the push rod for imparting relative axial movement to the tube and push rod. The sickle blade is a curved member having a sharp concave edge and a dull convex edge and is coupled to the distal end of the push rod with its sharp concave edge facing the push rod. The blade is dimensioned such that it may be substantially completely contained within the tube. The push rod is oriented so that its distal end is free to move in a radial direction as it moves axially. Movement of the push rod against the deflection surface urges the push rod in a radial direction thereby causing the sickle blade to exit the tube through the radial slot. As the sickle blade is moved out of the tube, there is no cutting action since it is the dull convex edge of the blade which faces the tissue adjacent to the tube. Once the blade is deployed outside the tube, cutting is effected by capturing tissue in the space between the concave cutting edge of the blade and the exterior of the tube.
摘要:
An endoscopic tool for dispensing units of hemostatic agent broadly comprises a hollow tube which holds a plurality of individual units of the hemostatic agent, a valve at the distal end of the hollow tube which permits the hemostatic agent to pass therethrough but prevents foreign matter from contacting the hemostatic agent while in the tube, a plunger which extends into the hollow tube and contacts a proximal unit of the hemostatic agent, and a mechanism for moving the plunger distally in incremental movements to cause, upon each incremental movement, an individual unit of the hemostatic agent to be pushed through the valve. Typically, the mechanism for moving the plunger and the proximal end of the hollow tube are held in a handle. One mechanism for moving the plunger utilizes a portion of the plunger as a ratchet by forming a plurality of conical elements thereon, and utilizes a switch in the handle which has a V-spring coupled thereto as a pawl for advancing the conical elements. A second mechanism utilizes a regularly shaped notched cutout in the handle as the ratchet, and a vertical protrusion on the plunger which extends through the cutout as an engagement element. The notched cutout provides resilient stops, and the protrusion is shaped to allow it to be forced in a forward direction through each resilient stop and then to sit in another notch.
摘要:
An algorithm for ordering selects for a plurality of channels to be multiplexed into a frame is provided. The channel select position counter for each of the channels to be multiplexed are initialized. The first and succeeding channel selects are chosen based on the lowest price (highest cost) ready channel, with the price of a channel being equal to the value of the channel select position counter divided by the number of selects for that channel in the frame, and the readiness of the channel being indicated either by an indicator, or by the relative value of the position counter to the initial value of the position counter. Where channel prices are equal, the select is chosen on the secondary basis of channel rate, with the highest rate channel contributing first. After a select is made, the position counter of the selected channel is increased by the total number of selects in the frame. Then, the position counters of all of the channels, including the selected channel are decremented by a value corresponding to the number of selects for that channel in the frame. After such updating, another selection for the frame may be made based on the lowest priced ready channel. The provided algorithm guarantees that no channel will ever have an excursion of more than one bit available for placement in the frame.