Abstract: An improved respiratory suction apparatus catheter includes a manifold for attachment to the distal hub of an endotracheal tube to form a respiration circuit, a catheter tube which is displaceable through the manifold and into the endotracheal tube to suction secretions from the tube and lungs, and a valve mechanism disposed adjacent the respiration circuit to minimize the draw of air from the respiration circuit of a patient while the catheter tube is being cleaned. In a preferred embodiment of the invention, the catheter tube is cleaned more thoroughly than in the prior art while simultaneously drawing little or no air from the patient's respiration circuit.

Abstract: An improved respiratory suction apparatus—catheter includes a manifold for attachment to the distal hub of an endotracheal tube to form a respiration circuit, a catheter tube which is displaceable through the manifold and into the endotracheal tube to suction secretions from the tube and lungs, and a valve mechanism disposed adjacent the respiration circuit to minimize the draw of air from the respiration circuit of a patient while the catheter is being cleaned. In a preferred embodiment of the invention, the catheter is cleaned more thoroughly than in the prior art while simultaneously drawing little or no air from the patient's respiration circuit.

Abstract: A composition and method for treating a wound with an inherently antimicrobial dressing. The dressing is a hydrogel containing from about 15 to 95 percent, and preferably from about 61 to 90 percent, by weight of a cationic quaternary amine acrylate polymer prepared by the polymerization of acryloyloxyethyl(or propyl)-trialkyl(or aryl)-substituted ammonium salts or acrylamidoethyl(or propyl)-trialkyl(or aryl)-substituted ammonium salts. The antimicrobial hydrogels are non-irritating to the wound, absorb wound exudate, and, due to the inherently antimicrobial properties, enhance the sterile environment around the wound. The hydrogels have sufficient adhesive properties that loose contact with the wound is assured but can also be removed without leaving any gel residue on the wound. The wound dressings are preferably formed on a substrate, such as a web or patch, for ease in application to and removal from the wound.

Abstract: Multi-lumen catheters are intended for advancement through the accessory channel on endoscope into a body passage into the gastrointestinal system. The catheters have two or more independent lumens extending continuously to ports at the distal tip for injection of a contrast medium simultaneously with a guide wire for ERCP procedures and for passage of accessories such as visualization devices, polypectomy snares, cytology brushes, papillotomes and stone baskets for catheterization, diagnosis and treatment within the biliary tract. Use of balloons for maintaining a catheter in fixed position in the biliary tract and for dilatation is also disclosed. The catheters employed are extrusions of a resin comprised of nylon and PEBA. The catheters may also be extruded from polyurethane. Multi-lumen catheters having a reduced diameter distal tip portion on which a dilatation balloon is located are also disclosed. The reduced diameter distal tip portion may serve as a platform for support of a stent.

Abstract: An oral care system includes a universal handle which is configured to hold any of a plurality of oral hygiene instruments, and a lavage source to apply lavage solution through the oral hygiene instruments to facilitate complete cleaning of a patient's mouth. Preferably, the universal handle and lavage source are configured to be held in the user's hand with both suction and lavage being controlled manually. The orally hygiene instruments attachable to the universal handle typically include a lavage toothbrush, at least one catheter and at least one swab, to thereby enable cleaning of the teeth, gums, soft tissue and crevices therebetween.

Abstract: A flexible multiple port adaptor has an adaptor body which includes a distal portion defining a distal channel and a proximal portion defining a first proximal channel and a second proximal channel. As least one of the first and second proximal channels is normally disposed out of alignment with the distal channel. However, because the adaptor body is flexible, the adaptor body may be manipulated so that channel(s) which are out of alignment with the distal channel may be placed into alignment with the distal channel so that a medical instrument can be advanced through the channels without bending the medical instrument.

Abstract: The present invention provides a plug for a respiratory suction catheter and manifold assembly that protects or maintains at least one internal component, such as the flap, of an assembly during nonuse. In a preferred embodiment, the interior plug element functions or contains a spring or similar expanding mechanism. This provides for additional security for the internal components. Further, the plug may contain an exterior plug element as well as an interior plug element.

Abstract: Apparatus and methods are disclosed by which a closed ventilating system accommodates multiple access to the respiratory system of an intubated medical patient without compromising the closed character of the system. Access to the respiratory system through one or more access sites of the closed system apparatus is provided at proximal adapter ports to ventilate the lungs of the patient with gas or gases, to aspirate secretions from the lungs, to oxygenate the lungs to eliminate or reduce residual co2 therefrom, to visually inspect selected parts of the respiratory system, to sample sputum and gases, to sense parameters such as flow rates, pressure, and temperature, to flush with washing solution, and/or to administer medication, gases, and/or lavage. A distal swivel fitting provides multiple sealing sites by which entry of atmosphere is prevented.

Abstract: A popoid connector for use with other medical devices such as tracheal tubes, intubation tubes and aspiration and ventilation systems comprises a plurality of saucer shaped members each having a first portion and a second portion to form a corrugated portion along the connector. On side of each of the saucer shaped members is provide with at least one circumscribing reinforcing rib to provide additional structural support for the popoid connector. The reinforcing ribs are integrally formed with the popoid connector. The reinforcing ribs inhibit transverse collapsing of the popoid connector add rigidity to the popoid connector when the popoid connector is in a bent position.

Abstract: A balloon catheter having a balloon disposed upon an elongate shaft near a relatively rigid distal insertion tip, a fluid lumen for fluid communication with a body cavity and an inflation lumen for fluid communication with the balloon. The balloon holds the catheter tip within a body cavity such as the stomach for long-term enteral feeding. The balloon is configured such that upon inflation, the balloon distends distally to cover the distal tip thus insulating it from sensitive anatomy.

Abstract: An improved respiratory suction apparatus catheter includes a manifold for attachment to the distal hub of an endotracheal tube to form a ventilation circuit, a catheter tube which is displaceable through the manifold and into the endotracheal tube to suction secretions from the tube and lungs, and a valve mechanism disposed adjacent the ventilation circuit to minimize the draw of air from the ventilation circuit of a patient while the catheter is being cleaned. In a preferred embodiment of the invention, the catheter is cleaned more thoroughly than in the prior art while simultaneously drawing little or no air from the patient's ventilation circuit.

Abstract: A surgical apparatus is provided having a first instrument and a second instrument which are independently operable, but may be used in tandem. The first instrument may comprise a needle and the second instrument may comprise a snare for cutting, excising, or trapping tissue. An actuator extends the needle a fixed first length relative to a distal end of the catheter for independently extending or retracting the second instrument a variable second length relative to the catheter distal end. The needle may be biased to retract relative to the distal end of the catheter. The actuator has a support and a slider. The slider is connected to the support for movement in opposite directions relative the support to allow freedom of action. The first instrument is secured to the support and rail, and the second instrument is secured to the slider.

Abstract: An oral care system includes a universal handle which is configured to hold any of a plurality of oral hygiene instruments, and a lavage source to apply lavage solution through the oral hygiene instruments to facilitate complete cleaning of a patient's mouth. Preferably, the universal handle and lavage source are configured to be held in the user's hand with both suction and lavage being controlled manually. The orally hygiene instruments attachable to the universal handle typically include a lavage toothbrush, at least one catheter and at least one swab, to thereby enable cleaning of the teeth, gums, soft tissue and crevices therebetween.

Abstract: A composition and method for treating a wound with an inherently antimicrobial dressing. The dressing is a hydrogel containing from about 15 to 95 percent, and preferably from about 61 to 90 percent, by weight of a cationic quaternary amine acrylate polymer prepared by the polymerization of acryloyloxyethyl(or propyl)-trialkyl(or aryl)-substituted ammonium salts or acrylamidoethyl(or propyl)-trialkyl(or aryl)-substituted ammonium salts. The antimicrobial hydrogels are non-irritating to the wound, absorb wound exudate, and, due to the inherently antimicrobial properties, enhance the sterile environment around the wound. The hydrogels have sufficient adhesive properties that loose contact with the wound is assured but can also be removed without leaving any gel residue on the wound. The wound dressings are preferably formed on a substrate, such as a web or patch, for ease in application to and removal from the wound.

Abstract: Apparatus and methods are disclosed by which a closed ventilating system accommodates multiple access to the respiratory system of an intubated medical patient without compromising the closed character of the system. Access to the respiratory system through one or more access sites of the closed system apparatus is provided at proximal adapter ports to ventilate the lungs of the patient with gas or gases, to aspirate secretions from the lungs, to oxygenate the lungs to eliminate or reduce residual co.sub.2 therefrom, to visually inspect selected parts of the respiratory system, to sample sputum and gases, to sense parameters such as flow rates, pressure, and temperature, to flush with washing solution, and/or to administer medication, gases, and/or lavage. A distal swivel fitting provides multiple sealing sites by which entry of atmosphere is prevented.

Abstract: A balloon catheter with improved balloon orientation includes a head, a catheter segment extending from the head, and a balloon disposed on the catheter segment opposite the head. Preferably, the balloon is attached to the exterior of the catheter segment at a proximal location and to the interior of the catheter segment at a distal location to thereby form a balloon which extends distally from the distal end of the catheter segment when inflated. The improved orientation of the balloon helps to prevent contact between the distal end of the catheter segment and anatomical structures of the user, thereby reducing irritation.

Abstract: A balloon catheter having a balloon disposed upon an elongate shaft near a relatively rigid distal insertion tip, a fluid lumen for fluid communication with a body cavity and an inflation lumen for fluid communication with the balloon. The balloon holds the catheter tip within a body cavity such as the stomach for long-term enteral feeding. The balloon is configured such that upon inflation, the balloon distends distally to cover the distal tip thus insulating it from sensitive anatomy.

Abstract: An extension regulator for catheter carried medical instruments which extend from the distal end of the catheter or a point adjacent thereto, includes a regulator which is disposed on a hand-held deployment mechanism used to extend and retract the medical instrument. The deployment mechanism includes a body, and a sliding member which is attached to the connector and which slides along the body between a first position, wherein the medical instrument is retracted, and a second position wherein the medical instrument is fully extended. The regulator limits movement of the sliding member toward the second position to thereby limit extension of the medical instrument from the catheter.

Abstract: Apparatus and methods are disclosed by which a closed ventilating system accommodates multiple access to the respiratory system of an intubated medical patient. Access to the respiratory system is accomplished via one or more access ports through an attached accessory device in order to ventilate the lungs of the patent with gas or gasses, aspirate secretions from the lungs, oxygenate the lungs, visually inspect selected parts of the respiratory system, sample sputum and gasses, sense parameters such as flow rates, pressure, and temperature, flush the respiratory tract with washing solution, and/or administer medication, gasses, and/or lavage. The embodiments of the present invention may have such accessory devices permanently fixed to the adaptor or may be removable and replaceable. Access control means may be provided whereby one or more access ports are selectively aligned with the adaptor in order to allow passage of an attached accessory device therethrough.

Abstract: Apparatus and methods are disclosed by which a closed ventilating system accommodates multiple access to the respiratory system of an intubated medical patient without comprising the closed character of the system. Access to the respiratory system through one or more access sites of the closed system apparatus is provided at proximal adapter ports to ventilate the lungs of the patient with gas or gases, to aspirate secretions from the lungs, to oxygenate the lungs to eliminate or reduce residual co.sub.2 therefrom, to visually inspect selected parts of the respiratory system, to sample sputum and gases, to sense parameters such as flow rates, pressure, and temperature, to flush with washing solution, and/or to administer medication, gases, and/or lavage.