A clamp assembly for use in connection with an operating table rail is disclosed. The clamp assembly includes a top clamp member, a base clamp member and an operating lever to move the top clamp member relative to the base clamp member. The base clamp member and the top clamp member include complimentary V-shaped channels that allow the clamp assembly of the present invention to be installed on the sterile side of the surgical field. The base clamp member is provided with dual guide pins and an actuator pin, extending upwards from the base clamp member and through the top clamp member. The actuator pin is affixed with a fastening means to engage the top of the actuator pin and the base clamp member together. Further, the base clamp member includes apertures for receiving various surgical support fixtures.
An arm support and positioning assembly is provided that includes a vertical member, an engagement member and a horizontal member having one end engaged with the vertical member through a ball joint assembly and the other end affixed with the engagement member through a wedge lock. The engagement member receives and retains a patient's arm support during the surgical or medical procedures. The vertical member is attached to the clamp support assembly affixed with the operating table. The ball joint assembly includes a first hinge plate, a second hinge plate, and a ball joint having an elongated ball neck on one end and a spherical ball on other end. The ball shape end allows the horizontal member to rotate at a varied angular position with respect to the vertical member thereby providing a greater degree of adjustability to the surgeon.
A method and system is provided for repairing bone fractures at locations where high levels of stability are required. The system employs two plates to buttress a fracture from both the dorsal and volar sides. The plates are affixed to one another using screws that are installed from a volar plate, through the bone and into a dorsal plate. The method provides for use of a directional guide that allows the precise placement of Kirschner wires for temporary fixation of the fracture, installation of a first bone fixation plate using the installed K-wires for alignment, installation of a second bone plate adjacent the bone to be repaired and opposite the first bone plate, and installation of cannulated fasteners between the two opposing bone plates such that the fasteners rigidly engage both of the bone plates.
A system and method for nerve decompression comprise a knife unit having a parallel upper limb and lower limb terminating proximally at the cap of the tubular sheath and a triangular shaped surgical cutting blade disposed vertically in between the upper limb and the lower limb. Upper limb and lower limb extend distally beyond the cutting blade and have open slots to facilitate proper positioning and engaging of the tissue while allowing visualization of less routing structure. The knife receives the probe head of an endoscope just behind cutting blade for proper visualization and illumination. The guiding system comprises a handle unit and a pair of parallel guides with long open slots that act as a cannula of adjustable diameter. The open slots on parallel guides facilitate 360 degree visualization of the surroundings and also prevent derailing of endoscopic knife unit while passing through it.
Systems, Methods, And Devices For Endoscopic Nerve Release
A system and method for nerve decompression comprise a knife unit having a parallel upper limb and lower limb terminating proximally at the cap of the tubular sheath and a triangular shaped surgical cutting blade disposed vertically in between the upper limb and the lower limb. Upper limb and lower limb extend distally beyond the cutting blade and have open slots to facilitate proper positioning and engaging of the tissue while allowing visualization of less routing structure. The knife receives the probe head of an endoscope just behind cutting blade for proper visualization and illumination. The guiding system comprises a handle unit and a pair of parallel guides with long open slots that act as a cannula of adjustable diameter. The open slots on parallel guides facilitate 360 degree visualization of the surroundings and also prevent derailing of endoscopic knife unit while passing through it.
Medicine Doctors
Dr. Manuel F Dasilva, E Greenwich RI - MD (Doctor of Medicine)
University Orthopedics Inc 1405 S County Trl, E Greenwich, RI 02818 (401)8841177 (Phone)
Certifications:
Hand Surgery, 2012 Orthopedic Surgery, 2001
Awards:
Healthgrades Honor Roll
Languages:
English Spanish
Hospitals:
University Orthopedics Inc 1405 S County Trl, E Greenwich, RI 02818
Rhode Island Hospital 593 Eddy Street, Providence, RI 02903
Education:
Medical School The Warren Alpert Medical School Of Brown University Graduated: 1991 Medical School Ri Hospital Graduated: 1996 Medical School Ri Hospital Graduated: 1997
University Orthopedics Inc 1405 S County Trl BLDG 5, East Greenwich, RI 02818 (401)4021060 (phone), (401)8318455 (fax)
Education:
Medical School Brown University Alpert Medical School Graduated: 1991
Procedures:
Carpal Tunnel Decompression Arthrocentesis Joint Arthroscopy Lower Arm/Elbow/Wrist Fractures and Dislocations Shoulder Arthroscopy Shoulder Surgery
Conditions:
Fractures, Dislocations, Derangement, and Sprains Internal Derangement of Knee Cartilage Intervertebral Disc Degeneration Lateral Epicondylitis Osteoarthritis
Languages:
English Portuguese Spanish
Description:
Dr. DaSilva graduated from the Brown University Alpert Medical School in 1991. He works in East Greenwich, RI and specializes in Orthopaedic Surgery and Hand Surgery. Dr. DaSilva is affiliated with Newport Hospital, Rhode Island Hospital and The Miriam Hospital.
Manuel Dasilva, Providence RI
Work:
University Orthopedics
2 Dudley St, Providence, RI 02905 Manuel F Da Silva
1351 S County Trl, East Greenwich, RI 02818
2 Dudley St, Providence, RI 02905 1405 S County Trl, East Greenwich, RI 02818
Education:
Brown University, Warren Alpert Medical School - Doctor of Medicine Rhode Island Hospital - Fellowship - Trauma
Board certifications:
American Board of Orthopaedic Surgery Certification in Orthopaedic Surgery American Board of Orthopaedic Surgery Sub-certificate in Hand Surgery (Orthopaedic Surgery)