A method and apparatus for cleansing the interior surfaces of body cavities employs a balloon catheter adapted to be inserted into a cavity through its ostium with the balloon in collapsed condition. An input flow tube for a cleansing and/or medicating fluid passes through a central passage in the balloon. When the balloon is inflated to establish a narrow passage between the balloon and the cavity walls, a pressurized flow of the fluid is pumped out the distal end of the input flow tube through the passage, parallel to the cavity walls, where it scours the inner wall of the cavity, removing debris as it flows out of the ostium. The fluid flow is urged toward a turbulent condition by attachments to the outer wall of the balloon.

A method and apparatus for cleansing the interior surfaces of body cavities employs a balloon catheter adapted to be inserted into a cavity through its ostium with the balloon in collapsed condition. An input flow tube for a cleansing and/or medicating fluid passes through a central passage in the balloon. When the balloon is inflated to establish a narrow passage between the balloon and the cavity walls, a pressurized flow of the fluid is pumped out the distal end of the input flow tube through the passage, parallel to the cavity walls, where it scours the inner wall of the cavity, removing debris as it flows out of the ostium. The fluid flow is urged toward a turbulent condition by attachments to the outer wall of the balloon.

Disclosed herein is a temporary knee spacer system for the temporary replacement of a knee joint, which is designed for the interim phase of two-stage septic revisions of knee joint total endoprostheses. The knee spacer system can be used in particular with two-phase septic revisions with which two or more microbial germs are the cause of an infection of the knee joint total endoprosthesis and the surrounding tissue.

Methods and systems for administering directed fluidics during a medical procedure for removing an object are disclosed. A method includes inserting first and second medical instruments into a treatment site, providing irrigation and aspiration of the treatment site through the first and second medical instruments, determining a characteristic of one of the irrigation and the aspiration, and selecting a characteristic of the other of the irrigation and aspiration based on the determined characteristic.

A pneumatic vibrational injection apparatus suitable for use in a system for removal, delivery and/or transplantation of body tissues and other substances in medical procedures may include an apparatus housing having an air inlet chamber, an air outlet chamber, a connecting chamber connecting the air outlet chamber and the air inlet chamber and an injection chamber disposed between the air inlet chamber and the air outlet chamber. An injection nozzle may be disposed in fluid communication with the injection chamber. An injection cannula may be disposed in fluid communication with the injection nozzle. An inlet transducer wheel and an outlet transducer wheel may be mounted for rotation in the air inlet chamber and the air outlet chamber, respectively, of the apparatus housing. A vibration transducer may be disposed in physical contact with the inlet transducer wheel and the outlet transducer wheel. The injection nozzle may be disposed in physical contact with the vibration transducer.

A multi-port medical syringe comprises a port body, a syringe barrel, and a plunger. The port body comprises a cylindrical cavity with at least three ports. The three port are configured to connect the cylindrical cavity of the port body with three medical devices: a first port configured for attachment to a medical device such as an input fluid source; a second port configured for fluid transmission through a urinary catheter to a bladder of a human or animal; and a third port configured for attachment to a medical device such as a drainage fluid storage vessel. The syringe barrel comprises a cylindrical tube, at least a portion of which fits snugly inside the cylindrical cavity of the port body. The syringe barrel further comprises a syringe barrel port located proximate to, or in, an otherwise closed end of the syringe barrel. Selection of the first, second or third port comprises a rotation of the syringe barrel relative to the port body, about the barrel cylindrical tube central axis, to align the syringe barrel port with the selected port body port. The plunger fits inside the cylindrical tube of the syringe barrel. The plunger can be manually grasped and moved longitudinally along the barrel cylindrical tube central axis to transmit fluid through the port of the port body that was selected by rotating the syringe barrel inside the port body.

A vacuum assisted suction and irrigation system includes a suction and irrigation wand, an irrigation fluid supply, a vacuum source, and a dual impeller fluid pump. The vacuum source is connected to a suction valve of the suction and irrigation wand to provide suction within the suction and irrigation wand. The irrigation fluid supply is connected to the suction and irrigation wand via the dual impeller fluid pump to supply pressurized irrigation fluid to the suction and irrigation wand. The vacuum source is connected to the fluid pump to pressurize the irrigation fluid being delivered to the suction and irrigation wand.

An irrigator that is powered by a surgical tool capable of driving an implement. The irrigator includes a pump contained in a pump housing adapted for attachment to the tool. The irrigator includes a tip assembly connected to the pump by a flexible supply tube. Thus the tip assembly can be position against tissue against which the irrigating fluid is to be applied without having to likewise position the tool and the pump.

A valve system comprises a first valve plunger configured for insertion into a first valve plunger channel. The first valve plunger has a first latch member disposed at a distal end. A first sealing member and a first valve are opening disposed proximally from the first latch member. The valve system also comprises a second valve plunger configured for insertion into a second valve plunger channel. The second valve plunger includes a second valve opening that is longer than the first valve opening. The valve system also includes a valve body having the first and second valve plunger channels. The first and second valve plunger channels are configured to receive the first and second valve plungers, respectively.

The end of the elongated tubular element of the appliance that is designed to be inserted into a body cavity is formed entirely of soft, compliant material. That end carries an inflatable balloon made of non-expandable material, formed in the fully inflated shape, to prevent overexpansion. The balloon is inflated to a predetermined low pressure level to prevent pressure necrosis in the adjacent tissue. A method and apparatus for introducing the soft end of the appliance into the body cavity are also provided. The introducer apparatus includes rigid core surrounded by a soft, compliant sleeve. The sleeve extends beyond the rigid core to form an invertable section. The soft end of the appliance is situated adjacent the apparatus, the balloon is wrapped around the apparatus, and the sleeve section is inverted over the appliance, compressing the balloon and forming a soft, rounded insertion tip. The unit is then introduced into the body cavity. After the appliance is separated from the apparatus, the apparatus is withdrawn.