The present invention includes a method and devices for treating osteonecrosis in, e.g., children, adolescents, and adults comprising: identifying a subject in need of treatment for osteonecrosis; drilling two or more holes into a bone in need of treatment for osteonecrosis; inserting two or more needles or cannulas into the holes in the bone; washing an interior of the bone with a washing fluid introduced through one or more of the needles or cannulas inserted into the bone; and after washing the interior of the bone introducing one or more bone growth promoting materials or cells into the bone.

In various aspects, the wound therapy apparatus disclosed herein includes a wound interface that defines an enclosed space over a wound bed that is fluid tight when secured to a skin surface around the wound bed. The wound therapy apparatus includes a control group that cooperates with the wound interface to regulate input of input fluid comprising a gas having an O.sub.2 concentration greater than atmospheric air into the enclosed space and to regulate the withdrawal of output fluid from the enclosed space in order to vary an actual pressure p.sub.a within the enclosed space generally between a minimum pressure p.sub.min and a maximum pressure p.sub.max. Related methods of use of the wound therapy apparatus are disclosed herein.

A surgical fluid management system delivers fluid for distending a uterine cavity to allow cutting and extraction of uterine fibroid tissue, polyps and other abnormal uterine tissue. The system comprises a fluid source, fluid deliver lines, one or more pumps, and a filter for re-circulating the distension fluid between the source and the uterine cavity. A controller can monitor fluid retention by the patient.

A portable trans anal irrigation device has a hand-held water management unit removably connectable to an irrigation arm. The water management unit includes a water cartridge and a controller. The irrigation arm has a cone head for interfacing with the user's body.

Systems and methods are provided to limit abdominal distension and alleviate uncomfortable side effects related to itin patients treated in hydrocolonic preparation units. Systems may comprise a water delivery unit comprising a controllable water supply, configured to introduce water controllably into the patient's large intestine, a drainage configured to drain, by gravity, the introduced water with contents of the patient's large intestine and a controller. The drainage comprises a drainage pipe and sensor(s) such as camera(s) configured to continuously measure the amount of drained water drained by the drainage pipe. The controller is configured to control the water introduction with respect to the measured amount of drained water, keeping an amount of water retained in the patient below a specified water retention threshold to reduce uncomfortable side effects of abdominal distension.

A fluid management system for use in a tissue resection procedure includes a controller. An inflow pump is operated by the controller and configured to provide fluid inflow through a flow path to a site in patient's body. An outflow pump is operated by the controller and configured to provide fluid outflow through a flow path from the site in patient's body. A motor driven resecting device may be provided for resecting tissue at the site. The controller is configured to actuate an inflow pump and an outflow pump in response to various signals and various algorithms are provided to provide malfunction warnings and assure safe operation.

A method and apparatus are disclosed for delivering at least one agent to a wound site. The method includes the steps of providing a delivery tube having an outlet at a wound site, covering the wound site with a drape and introducing agent at an agent inlet port of the delivery tube. The agent passes along the delivery tube through the drape to the wound site. The agent can be a wide variety or mixture of fluids such as but not limited to pain relief medicament, anti-biotics, saline solution and/or hydrating fluid.

Fluid management in surgical procedures. At least some of the illustrative embodiments are methods including: supplying fluid to a surgical site inside a patients body, drawing fluid from the surgical site through a first instrument by a first pump at a first flow rate, the first flow rate during the drawing responsive to expected or actual visibility within the surgical site; and then performing a surgical resection within the surgical site using the first instrument, the performing the surgical resection changes the first flow rate; and adjusting, by a fluid management system after the surgical resection, the first flow rate responsive to the expected or actual visibility within the surgical site.

A fluid management system includes a disposable cassette carrying inflow and outflow tubing sections that are configured for releasably mating with a console including a control unit and a pair of roller pump heads. The console may automatically identify the disposable cassette and weigh the fluid in an inflow source. During operation, the system can monitor pressure in the working space, and provide for inflow and outflow control to maintain any desired operating parameters.

A phacoemulsification system includes a platform controlling the phacoemulsification process and a handpiece attached to the platform and used by a surgeon to perform an operation. The handpiece includes a hollow phaco needle with a flexible sleeve around the needle and provides an infusion fluid sourced at the platform into the eye. The sleeve, which may be disposable, is provided with a sensor device configured to sense the instantaneous fluid pressure in the eye during the operation and send this information to the platform. This information is used by the process to control the pressure of the infusion fluid to insure that the eye is not injured and to otherwise protect the eye during the operation.