Abstract: Catheters, sheaths, or other tubular devices are provided that include a proximal end, a distal end sized for introduction into a patient's body, and a steerable distal portion carrying a plurality of electrodes. The tubular device includes a primary lumen extending between the proximal and distal ends; a steering element lumen adjacent the primary lumen; a plurality of wires extending proximally from the electrodes, and reinforcement members including windings extending helically along at least the distal portion, at least some of the windings passing between the primary and steering element lumens and wires, and at least some of the windings surrounding the primary lumen and one or both of the steering element lumen and the wires. In one embodiment, a steering element is slidably disposed within the auxiliary lumen. Apparatus and methods for making such tubular devices are also provided.

Abstract: Disclosed is a disposable tubeless fluid delivery system, comprising a button unit for receiving instructions given by a user through pressing button, a key unit for outputting a selection instruction indicating at least one working mode a fluid reservoir unit for storing a fluid, an indwelling unit for letting through the fluid to a patient, wherein the indwelling unit comprises an indwelling cannula, and a fluid driving unit for delivering the fluid stored in the fluid reservoir unit to the subcutaneous tissue of the patient by the indwelling unit, and a control unit for outputting the delivery instruction to the fluid driving unit and controlling the fluid driving unit to deliver the fluid or suspend fluid delivery. In the present disclosure, a pump base and a wireless control device are integrated to achieve a purpose of small volume, low cost and convenient wearing.

Abstract: A drug delivery device for administering a drug is presented having a body, at least one electrical unit and a port for electrically contacting the electrical unit, an adapter for attaching an injection needle to the drug delivery device, a safety mechanism arranged to prevent contacting the electrical unit whilst an injection needle is in fluid communication with the drug delivery device and arranged to prevent establishing a fluid communication while the electrical unit is contactable.

Abstract: The invention relates to a catheter apparatus comprising: a catheter; a catheter hub having a distal section and a proximal section, wherein the distal section is joined to the catheter and the proximal section defines a chamber; a needle extending through the catheter hub and the catheter and defining an axial direction, wherein the needle has opposite proximal and distal ends, the distal end forming a needle tip; a needle hub attached to the proximal end of the needle; and a needle guard slidably arranged on the needle, wherein the needle guard is retained in the chamber of the catheter hub when the needle extends through the catheter hub and the catheter, and wherein the needle guard is removable from the catheter hub once the needle tip is received in the needle guard upon withdrawal of the needle from the catheter.

Abstract: Systems and methods are provided for performing a medical procedure within a patient's body that involves a thoracic duct including an ostium communicating with the patient's venous system. A distal end of a catheter is introduced through the patient's venous system into a body lumen adjacent the ostium of the thoracic duct. An expandable member on the distal end of the tubular member may be expanded adjacent the ostium, e.g., within the body lumen or the thoracic duct itself, and used to isolate the thoracic duct from the body lumen, whereupon a medical procedure may be performed via the thoracic duct. For example, lymphatic fluid may be removed from the thoracic duct through a lumen of the tubular member and/or one or more agents may be introduced into the thoracic duct through the tubular member.

Abstract: A method of treatment and a nasal delivery device for dosages containing dissolved gaseous carbon dioxide in saline fluid for treating head ailments includes: a) a main housing having a hollow central area containing the dosage; b) a dosage dispenser head located at the distal end of the main housing, having at least one flow channel for movement of the dosage from the main housing through the dosage dispenser head and externally of the dosage dispenser head; c) a dosage release control component located between the main housing and the dosage dispenser head to permit flow of the dosage through the dosage dispenser head in response to increased pressure against the dosage at a flow rate of less than 1 cc per second; and d) a pressure-changing moveable component located on the main housing.

Abstract: The anti-back-flow devices and methods prevent fluid from leaking proximally from a catheter, but allow ready access to the catheter using any male luer device. The devices include proximal surfaces that urge open a valve in response to force from a male luer tip. The valves are associated a female luer hub and adapted to function with standard and typical non-standard male luer fittings.

Abstract: Inflation devices configured to communicate with remote displays are disclosed herein. Kits including such inflation devices with portable display devices are also disclosed herein. Methods of remotely displaying pressure data from a medical device are also disclosed herein. Devices, kits, and methods of connecting medical devices to remote displays and transferring information to or from linked computers are also disclosed.

Abstract: A single use pre-filled delivery device is disclosed having a deformable container including a side wall having an inside surface defining a chamber for retaining fluid, a clip element, and a locking element. The deformable container further includes a closed proximal end and an open distal end including a male luer tip having a passageway therethrough providing fluid communication with the chamber. The male luer tip may be removably connectable to a female luer connection of a vascular access device. The clip element includes a distal end, proximal end, and a pivot located between the distal end and the proximal end of the clip element for collapsing the deformable container to drive fluid out of the chamber by movement of the proximal end towards the distal end.

Abstract: An improved handle for a steerable catheter apparatus steerably manipulated by steering wires or rods, and including an elongated housing having one end thereof adapted for attachment to the proximal end of the steerable catheter; a steering actuator carried by the housing and including an elongated lever pivotally affixed to the housing and rotatable about an axis transverse to both the length of the housing and the length of the lever and further having an end thereof attached to the steering wires or rods of the catheter to cause deformation of at least a portion of the catheter; and a locking mechanism carried by the lever for selectively locking the steering actuator in place relative to the housing during at least a portion of the time of use of the catheter apparatus.

Abstract: An apparatus for treating a tennis elbow by percutaneous intervention, includes: a body having an actuating element, a fixing part arranged to fixably position the body, a positioning device connected to the body, including a positioning part moveable by the actuating element, a holder releasably connected to the positioning part, and including a top part for the releasable connection to the positioning part and a bottom part defining a support surface for supporting an elbow tendon region of a person to be treated, the support surface, the top and bottom parts being connected by one or more connecting members, the holder including a holder part with a number of penetration elements arranged thereon, wherein the top and bottom parts are spaced-apart at such a distance that, before penetration of the elbow tendon, the penetration tips of the penetration elements are covered by the bottom part.

Abstract: Ocular fluid management systems and methods of operating the same. One ocular fluid management system includes a chamber, a diaphragm, a sensor, and a controller. The chamber includes a first portion and a second portion. The first portion is connected to an input line for receiving fluids into the first portion and an output line for discharging fluids from the first portion. The diaphragm is contained in the chamber and changes position based on a pressure difference between the first and second portions. The sensor detects a position of the diaphragm and transmits a signal based on the detected position. The controller is configured to receive the signal and control operation of at least one of a peristaltic pump and a vacuum pump based on the signal to maintain the diaphragm in a predetermined position.

Abstract: A device to promote heat exchange to/from a medical liquid includes an inlet, an outlet, and a duct adapted to contain a flow of the medical liquid. The duct is enclosed between two walls, has a planar development defining a mean plane ?, and has means for promoting turbulence in the flow of the medical liquid. At least one wall of the duct is suitable to allow a heat exchange with the flow of the medical liquid. The means for promoting turbulence has a plurality of fins, and each fin has a lenticular cross section and defines its own mean plane ?n substantially perpendicular to plane ?. A disposable cassette for use in a PD/APD treatment has a polymeric structure defining a first part, suitable for pumping and distributing the medical liquid, and a second part having the device to promote heat exchange.

Abstract: Embodiments are presented of a balloon assembly operable to provide a balloon diameter vs. balloon pressure profile generally depicting a balloon inflation sequence providing at least one intermediate inflated diameter and a final inflated diameter of a balloon such that the balloon attains the at least one intermediate diameter at a predetermined pressure, and attains the final diameter at a final predetermined pressure that is lower than a predetermined pressure of a last intermediate pressure.

Abstract: A pump apparatus and method for extracting breast milk is disclosed. The pump includes a first interface component to stimulate a Milk Ejection Reflex (MER) and a second interface component to extract breast milk. Milk is extracted through an improved method that more closely replicates the suckling of an infant.

Abstract: A retinal treatment system for delivering therapeutic agents to a target location with a retina is disclosed herein. The retinal treatment system includes a console having a control system and a handheld device coupled to the control system. The handheld device includes an inner tube disposed within an outer tube and being axially moveable within the outer tube. The inner tube has a perforating tip that is configured to perforate an inner limiting membrane of the retina. The handheld device further includes a chamber coupled to a proximal end of the inner tube that is configured to receive a fluid containing therapeutic agents injectable from the perforating tip. The control system of the retinal treatment system permits a user to maintain a position of the handheld device relative to the retina and activate an injection of a portion of the fluid through the inner tube into the retina.

Abstract: A catheter assembly including a catheter hub being connectable to a device for the infusion or withdrawal of fluids; a hollow extension tube connected at its distal end to the catheter hub, the extension tube connectable at its proximal end to a device for infusing fluid into the chamber within the catheter hub; a valve assembly disposed within the chamber of the catheter hub having a first valve member and a second valve member preventing the flow of fluid through the chamber to or from the proximal end of the catheter hub. A needle guard assembly is also provided.

Abstract: An infusion system includes a double action infusion pump. The pump includes a cylinder and a reciprocating piston received within the cylinder, the reciprocating piston separating a first pump chamber from a second pump chamber of the cylinder. A reciprocating motor is coupled with the reciprocating piston, and the first and second pump chambers alternate between filling and evacuating conditions with reciprocation of the reciprocating piston through operation of the reciprocating motor, and the speed of reciprocation is varied to provide a continuous output of fluid between the first and second pump chambers. A fluid source and a catheter are optionally coupled with the double action infusion pump. The catheter includes one or more infusion ports near a catheter distal portion, and the one or more infusion ports receive and expel the continuous output of fluid from the double action infusion pump.

Abstract: Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, an ultrasound catheter device includes an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and a distal head coupled with the transmission member and positioned adjacent the distal end of the catheter body for disrupting occlusions. A proximal housing of the catheter device may include one or more features for dissipating heat from the ultrasound transmission wire, such as a fluid inlet aperture for passage of fluid, use of heat conductive materials in the proximal housing, surface features to increase the housing's surface area, heat conductive members disposed adjacent the transmission member and the like. Various irrigation fluids may be used, such as cooled, oxygen supersaturated or lubricious fluids.

Abstract: A syringe holder for a motorized injection device, the syringe holder being adapted to receive a receptacle intended to contain a fluid or viscous substance, preferably a disposable refillable receptacle or a syringe, as well as being adapted to be mounted on the motorized injection device such that the motorized injection device enables a part or all of the fluid or viscous substance contained in said receptacle to be expelled. The syringe holder includes a first activator portion to control a predefined function of the motorized injection device. The syringe holder is distinguished in that it comprises a second activator portion to control said predefined function of the motorized injection device independently from the first activator portion.