United States Surgical Corporation

Lucid, Inc.

Lasersurge, Inc.

Carefusion 303, Inc.

Caliber Imaging and Diagnostics, Inc.

Other

The General Hospital Corporation

Tyco Healthcare Group LP

Cardinal Health 303, Inc.

Colorvision Administrative Ag

Cv Us, Inc.

Lucii, Inc.

Cardial Health 303, Inc.

Roger J Greenwald

Jude S Sauer

James M Zavislan

Michael G Oravecz

Alexander I Kobilansky

Jay M Eastman

William J Fox

John F Hammond

Mark A Bovard

Jonathan Walborn

Theodore J Tiberio

Kevin P Roesser

Denton Davis

Jeffrey M Shaw

Alex Kobilansky

John A Boles

Salvatore Castro

Milind Rajadhyaksha

Keith Ratcliff

Peter W Hinchliffe

Cormic K Merle

Robert C Savage

James Cudney

Arthur C Perry

David Slocum

Robert J Hutchison

Thomas A Tiberio

Daniel E McGarry

Robert J Hutchinson

James W Kaufer

Linda B Staehr

Justin R Louise

Rena Bradham

Cormic K Merkle

Milind Rajadhyasksha

A clamp for clamping flexible tubing is disclosed. The clamp includes a body having a first portion, a second portion, a first passage through the first portion, and a second passage through the second portion. The first passage is configured to compress a first length of the flexible tubing. The second passage is configured to compress a second length of the flexible tubing that does not overlap the first length.

Positive bolus clamp

A cassette for retaining a specimen of surgically exposed tissue from a patient in an orientation that facilitates optical sectioning of the tissue by a confocal microscopic or other optical imaging microscope. The cassette includes a base member having a rigid optically transparent window upon which a tissue specimen is situated, a pliable membrane locatable over a substantial portion of the base member including the window, and an upper member, having an aperture therethrough, which can cover the base member to provide an enclosed cavity between the membrane and the window sealing the tissue specimen therein. The edges of the tissue specimen may be positioned planar against the window and retained in that position by bonds formed between the membrane and window at multiple points or locations around the tissue specimen. The specimen retained in the cavity is imagable by a microscope through the window of the base member.

System for optically sectioning a tissue specimen

A tray or holder for tissue specimens, especially of excised tissue, such as biopsied specimens, is used with a confocal imaging system. The tray may be disposable after imaging of the specimen carried therein or may archive the specimen. A window supports the specimen. Clamps mounted inside the tray restrain the tissue. A compliant bag is mounted outside the tray on one side of a window of the tray on which the specimen is disposed. During imaging the specimen is immersed in a liquid contained in the tray having an index of refraction which closely matches the index of refraction of the tissue. The bag also contains an index matching liquid preferably having the same index as the liquid in the tray. Selecting an immersion liquid, which equals the refractive index of the near surface tissues, minimizes wavefront distortion which may result from an effectively corrugated surface of the specimen.

Tissue specimen holder

A cassette for retaining a specimen of surgically exposed tissue from a patient in an orientation that facilitates optical sectioning of the tissue by a confocal microscopic or other optical imaging microscope. The cassette includes a base member having a rigid optically transparent window upon which a tissue specimen is situated, a pliable membrane locatable over a substantial portion of the base member including the window, and an upper member, having an aperture therethrough, which can cover the base member to provide an enclosed cavity between the membrane and the window sealing the tissue specimen therein. The edges of the tissue specimen may be positioned planar against the window and retained in that position by bonds formed between the membrane and window at multiple points or locations around the tissue specimen. The specimen retained in the cavity is imagible by a microscope through the window of the base member.

Cassette for facilitating optical sectioning of a retained tissue specimen

A clamp for clamping flexible tubing is disclosed. The clamp includes a body having a first portion, a second portion, a first passage through the first portion, and a second passage through the second portion. The first passage is configured to compress a first length of the flexible tubing when the flexible tubing is displaced laterally into the first passage. The second passage is configured to compress a second length of the flexible tubing that does not overlap the first length when the flexible tubing is displaced laterally into the second passage.

A cassette for retaining a specimen of surgically exposed tissue from a patient in an orientation that facilitates optical sectioning of the tissue by a confocal microscopic or other optical imaging microscope. The cassette includes a base member having an optically transparent window upon which a tissue specimen is situated, a membrane locatable over a substantial portion of the base member including the window, and an upper member which can cover the base member to provide an enclosed cavity between the membrane and the window sealing the tissue specimen therein. The edges of the tissue specimen may then be positioned planar against the window and retained in that position by bonds formed between the membrane and window around the tissue specimen. The cassette may be part of a confocal imaging system to produce microscopic images of sections of the tissue specimen useful for Mohs surgery.

A coating for an orbital implant where the coating has an anterior portion having a different, longer term bioabsorbability than a posterior portion. This allows the implant to have a smooth surface for insertion and to provide reduced irritation to neighboring tissues, to help prevent exposure of the porous core of the implant, and to provide a stable anchorment for extraocular muscles, but which also encourages rapid fibrovascular ingrowth. The coating is marked with a visual indicator to facilitate proper orientation. Shell materials are further selected to allow for sterile packaging, the securing of therapeutic agents thereon, and to provide adequately strong securing of the coating to the core. Apertures are formed through the coating to enhance fluid flow to and from the core, and to provide exposure of the surface of the core to extraocular muscles, and for sutures. The apertures are sized and shaped to reduce irritating surface contact with orbital tissues. In an alternate embodiment, one of the coating portions has a bulbous raised zone encompassing suture holes. The gap created between the undersurface of the raised zone and the core facilitates threading of the sutures.

Orbital implant coating having bulbously raised suture zone

Encapsulated tissue is contained in an optically transparent cassette (). The cassette () or an endcap () enclosing the cassette is marked with a fiducial () indicating and corresponding to the location of the excision on the patient's body. An image, which is preferably a representation of a surface of the tissue specimen and the vertical section(s) area of the tissue internal of the specimen and adjacent to a surface thereof, is obtained by an imaging system (). The cassette is moved, preferably in a stage () which rotates the cassette while translating it, so that the head () of the imaging system provides a linear scan in a direction perpendicular to the wall of the cassette (also perpendicular to the surface of the tissue encapsulated in the cassette). The imaging system's display () indicates the morphology at and in proximity to the surface of the specimen as well as the location thereof.

Imaging of surgical biopsies

An infusion status indicator disposed in the medical infusion line includes a housing with an opening through which the status of the infusion may be determined. A flexible membrane is located at the opening to indicate the status of fluid in the cavity. A recessed flexible membrane indicates insufficient flow of medical fluid into the cavity from the fluid supply, a level flexible membrane indicates correct flow of fluid through the indicator, and a concave flexible membrane indicates an insufficient flow of medical fluid out of the cavity, possibly indicating an occlusion of the fluid line downstream of the indicator. Check valves may be included upstream and downstream of the cavity so that a bolus of fluid may be forced out of the cavity to the patient by pressing the flexible membrane into the cavity.

Infusion status indicator

An optical obturator which includes a sleeve having a longitudinal bore between a proximal end and a distal end is disclosed. The longitudinal bore of the sleeve is configured to receive at least a portion of an endoscope or like image transferring system. An image passing member, such as an optical window is positioned at the distal end of the sleeve and is provided to permit optical images to pass into the longitudinal bore of the sleeve and to permit illumination light to pass to the surgical site. An automatically retracting blade is positioned distal to the image passing member to facilitate penetration of body tissue.

Optical trocar

A system is provided for marking on a recording medium (), such as a label, the location of imaged tissue with respect to an exposed surface of the tissue (). Tissue is imaged by a microscope () capable of imaging sections of the tissue below the exposed tissue surface through optics. A ring () applied to the surface of the tissue stabilizes the tissue to the optics and localizes a portion of the tissue surface through an aperture in the ring. An actuator () is connected to both the ring and the microscope for moving the ring to adjust the position of the tissue with respect to the optics, thereby allowing an operator of the system to survey different images of tissue sections with the microscope.

System for marking the locations of imaged tissue with respect to the surface of the tissue

An apparatus and method are provided to verify the composition of a medical fluid in a fluid container. The verification is performed at a centralized location, where light is transmitted through the fluid and detected by a sensor that generates signals representative of the spectral data of the actual composition of the fluid. These signals are compared with the spectral data of an expected composition of the fluid. Based on the comparison, a label is generated that identifies the composition of the fluid and is affixed to the fluid container. The fluid container, with the verified fluid, is distributed to the point of care.

Fluid verification system and method for infusions

The present invention relates to an optical obturator which includes a sleeve having a longitudinal bore between a proximal end and a distal end. The longitudinal bore of the sleeve is configured to receive at least a portion of an endoscope or like image transferring system. An image passing member, such as an optical window is positioned at the distal end of the sleeve and is provided to permit optical images to pass into the longitudinal bore of the sleeve and to permit illumination light to pass to the surgical site. An automatically retracting blade is positioned distal to the image passing member to facilitate penetration of body tissue.

An apparatus and method are provided to verify the composition of a medical fluid in a fluid infusion channel by comparison with clinician-entered input. Light is transmitted through the channel and detected by a sensor that generates signals representative of the spectral data of the light detected. A processor compares the spectral data of the light detected to the spectral data associated with the expected contents of the channel to verify that the correct fluid is being infused.

Growing community of inventors

Holley, NY, United States of America

Roger J Greenwald