摘要:
Sleeve for affixing artificial joints to bone are provided which include a cone-shaped portion centered on the sleeve's longitudinal axis and a protruding portion offset from the longitudinal axis having an elliptically-shaped leading edge. Cavities which are essentially a perfect match to the shape of the sleeve can be readily formed in the patient's bone. The shape of the cavities generally correspond to the inside shape of the patient's hard bone. Accordingly, when implanted, the sleeves transfer stresses from the prosthesis to hard bone as is desired.
摘要:
Fixation elements for the socket portions of artificial ball and socket joints are provided which include a self-tapping screw thread, a plurality of cutting teeth and a spherical dome. A spherically-shaped cavity having a radius either approximately equal to or slightly greater than the radius of the spherical dome of the fixation element is reamed into a bony structure. The fixation element is screwed into the cavity using the self-tapping screw thread. The cutting teeth form an aperture in the cavity in advance of the self-tapping thread to aid the thread in cutting into the walls of the cavity. In certain embodiments of the invention, a family of fixation elements is provided having related threads with at least a portion of the thread increasing in size from the smallest to the largest member of the family.
摘要:
A surgical stapler including a stapling assembly, an actuator assembly remote from the stapling assembly, and a longitudinal shaft assembly having a longitudinally curved section for connecting the actuator assembly to the stapling assembly and for transmitting the forces and motions required to operate the stapling assembly from the actuator assembly to the stapling assembly.
摘要:
A ball and socket joint for implanting in the body is provided which comprises (1) a ball; (2) a cup to be affixed to bone which includes (a) a spherical cavity and (b) two coaxial pin members which extend into the cavity; and (3) a bearing member surrounding a portion of the ball and rotatable within said spherical cavity about said coaxial pin members, the bearing member having an asymmetric opening therein, the opening having an angular extent of less than 180.degree. in at least one plane. In certain preferred embodiments, the cup includes first and second portions, the first portion to be affixed to bone, the second portion having associated therewith the coaxial pin members and being moveable with respect to the first portion to provide a plurality of possible orientations for the axis of rotation of the bearing member within the spherical cavity.
摘要:
An improved anvil for crimping or clinching generally U-shaped surgical staples in a surgical stapler includes a main channel transverse to the bases of the staples, the bottom surface of the main channel being the staple crimping or clinching surface and having a plurality of closely spaced grooves or secondary channels transverse to the longitudinal axis of the main channel for allowing staples to be crimped or clinched at substantially any location along the length of the main channel.
摘要:
Apparatus for applying surgical clips to tissue includes a self-contained supply of clips and is constructed to apply those clips, one at a time, through movement of the thumb and fingers of one hand. The clips are stored inside a sleeve along the length of the instrument, are fed into jaws at the distal end of the instrument, and are closed about tissue by a camming action produced by moving the jaws relative to the sleeve and camming them shut. An actuating and sequencing section controls feeding and clip deformation, and guarantees that the instrument is operated only in the proper sequence so as to avoid jamming.
摘要:
Variable closed position fuel and air flow control for vehicles with automatic transmission for improving fuel consumption efficiency of a vehicular internal combustion engine, without disabling or circumventing any engine function, accessory, or emission control device, by causing the engine to idle at substantially constant speed regardless of changes in the engine load caused by accessories such as automatic transmission, air conditioning, power steering and the like. This variable closed position fuel and air flow control device is adapted to be easily retrofitted to existing engines and includes a vacuum actuator connected to be responsive to changes in pressure in the fuel and air flow induction passage for the engine. A cam is operatively associated with the primary idle stop of the antidieseling solenoid and the throttle control arm and a linkage transmits the motion of the actuator to the cam. The inventive control apparatus provides fuel conservation in automobiles with automatic transmission and powered accessories under conditions of standstill idle and when the vehicle is driving the engine and the throttle control arm rests against its stop at the closed position. Fuel savings are effected significantly in stop and go driving such as encountered by taxicabs in congested city traffic, and fuel savings are also obtained during highway driving in hilly terrain.
摘要:
An intravenous set has a volume limiting chamber for precisely controlling the volume of parenteral solution administered to a patient and a flexible drip chamber for determining the parenteral solution flow rate. The volume limiting chamber has a membrane valve which when wet will pass parenteral solution but will not pass air at normal intravenous administration pressures. An air bypass is provided in the volume limiting chamber so that air can bypass the membrane valve and enter the volume limiting chamber from the drip chamber when the drip chamber is squeezed to prime the intravenous set.
摘要:
A ball and socket joint for implanting in the body is provided wherein the sooket portion of the joint can have various orientations with respect to the patient's anatomy, and the orientation used for a particular patient can be selected and/or changed in situ, that is, during or after implantation of the joint. In addition, the configuration of the joint, e.g., constrained versus semi-constrained, as well as the materials making up the socket portion of the joint, e.g., plastic versus metal, can be selected and/or changed in situ.
摘要:
A ball and socket joint for implating in the body is provided wherein the socket portion of the joint can have various orientations with respect to the patient's anatomy, and the orientation used for a particular patient can be selected and/or changed in situ, that is, during or after implantation of the joint. In addition, the configuration of the joint, e.g., constrained versus semi-constrained, as well as the materials making up the socket portion of the joint, e.g., plastic versus metal, can be selected and/or changed in situ.