Abstract: A nasogastric device and method is provided, including a first flexible tube configured to be threaded through the nose of a patient, down the esophagus and into the stomach for enteral feeding, a second flexible tube disposed adjacent to the first tube having a distal end, the distal end of said second tube configured to terminate inside the esophagus for delivery of liquids to the esophagus or for sampling of the local environment, an inflatable balloon configured around said first and second flexible tubes, a third flexible tube configured to inflate said inflatable balloon; and a fourth flexible tube communicating with an exterior portion of said inflatable balloon, the fourth tube configured to transport suspensions or solutions of materials; and an elastomeric sleeve which is used to control delivery of therapeutic suspensions of solutions of materials to the exterior of the device to the adjacent esophageal tissue.

Abstract: Systems and methods are presented for the diagnosis of middle ear pathological conditions based on spectral signatures. Preferred embodiments provide for detection of one or more analytes from the tympanic membrane. Devices use spectral measurements including spectral imaging to non-invasively identify middle ear pathological conditions including cholesteatoma and acute otitis media by providing real-time information of differentially expressed molecules. Devices and methods can also be used to non-invasively detect and quantify blood analytes from the tympanic membrane.

Abstract: Human milk is used sparingly in infants that require g-tube feeding due to observations from studies using syringe pumps that show loss of macronutrients with continuous feeding. Macronutrient losses using human milk and elemental formula is addressed according to the present disclosure with a top-infusing feeding bag to enhance the delivery of fats, thereby encouraging more rehabilitation programs to use human milk and potentially reduce health care costs.