Abstract: A lacrimal tear flow measurement device, and methods of manufacture and use, are described that includes a polymer microcapillary tube or similar structure having at least one end coated on the outside with soft silicone rubber and one end treated on the inside to be hydrophobic. The hydrophobic end keeps liquid from escaping or entering that end while allowing air to pass. The rest of the tube's insides may be hydrophilic or a neutral hydrophobe. As a Schirmer's test strip replacement, the entrance end of the device can be touched to the lacrimal lake of a patient's eye to collect suck up, or merely collect, tear fluid within the collection tube for weighing, volume measurement, or other analysis. Long-term collection devices for wear between doctors' visits can have a bypass channel allowing liquid to flow back onto the eye.

Abstract: A medical suctioning, pressure relief valve having a housing having a central fluid passage way, a first suction tubing connector configured to connect suction tubing to the central fluid passage way, a second suction tubing connector configured to connect suction tubing to the central fluid passage way, and a one-way internal pressure relief valve configured to allow ambient air into the central passage way when a set negative pressure is reached within the central passage. A method of suctioning a fluid from a patient using the medical suctioning, pressure relief valve.

Abstract: Method for detecting leaks and/or verifying adequate closure following a medical procedure, on a hollow or tubular organ of a subject, wherein a leak test is performed by injecting or insufflating, in the concerned organ, a specific test gas which is not commonly produced or naturally present within the body of the subject, or which is present or produced in a precisely known amount or concentration, and by analyzing percutaneously the gas or gas mixture present locally within the body cavity in which the organ is situated, and then verifying the presence, and preferably determining the concentration, of the injected or insufflated test gas in the local gas or gas mixture of the body cavity and indicating whether the concerned organ or a lumen defined by the latter is leak-free or not.

Abstract: A fluid transfer assembly is described. The fluid transfer assembly includes a unitary junction having an upstream portion and a downstream portion, the unitary junction defining a plurality of curved fluid pathways between the upstream portion and the downstream portion. The assembly also includes at least one flexible fluid conduit sealed to the junction in fluid communication with at least one of the plurality of curved fluid pathways.

Abstract: An arrangement adapted for enhanced continuous flow of urine in a catheterized patient, the arrangement comprising a catheter tube having an inner diameter of less than six millimeters, said tube having an inner surface which is hydrophobic at least along a first segment thereof and being adapted to provide a continuously negative fluid pressure therein.

Abstract: Gas recirculation systems for use in endoscopic surgical procedures including a gas recirculation pump are disclosed. The gas recirculation pump may work in conjunction with an insufflator used to inflate a patient's peritoneal cavity during surgery. The gas recirculation system may recirculate a high flow rate of gas from and to the patient while filtering particulate matter out of the gas and while maintaining an adequate moisture content in the gas. The gas recirculation pump may include a disposable pump cartridge releasably connected to a pump motor. A controller may detect a fault or safety condition in the gas recirculation system based on the load placed on the pump motor.

Abstract: The present invention is directed to control of medical fluid injection systems. For instance, in some embodiments, an injection protocol may be initiated, and an actual flow rate of the medical fluid utilized in the injection protocol may be adjusted based, at least in part, on an inherent system elasticity of the injection system.

Abstract: Device and method for degassing and dispensing bone cement that can be used to produce a bone cement that is largely free of air inclusions. The device contains a dispensing tube (1) that comprises at least one section (2,3) that is permeable to gas, but impermeable to bone cement. The bone cement is being moved along the gas-permeable section which causes the gas present in the bone cement to flow through the gas-permeable material.

Abstract: A cannula has a body with a proximal end and a distal end and a tip on the distal end. The tip has an outer wall defining a lumen opening at the end of the tip and extending to the proximal end of the cannula. The tip further comprises one or more ribs extending into the lumen to support the outer wall from kinking when the cannula is flexed. The outer wall has a inner surface defining the lumen and a plurality of non-circular apertures formed in the tip extending into the lumen. The apertures having a major axis and a minor axis. The major axis aligned in relation to a circumference of the outer wall to prevent puckering or buckling when the tip is bent. This alignment is also designed to support the outer wall from kinking when the tip is bent.

Abstract: A retractable safety syringe may have a needle, needle holder, syringe body, a shaft seal, and a plunger assembly. A proximal portion of the body and a piston of the plunger may define a vacuum chamber. The plunger assembly may comprise a shaft coupled to a piston. The shaft may have at least one non-engaging portion and at least one engaging portion. The plunger assembly is movable between a storage position and working positions. In the storage position, little or no force is exerted on the shaft seal by the non-engaging portion. In the working positions, the engaging portion is in sealing engagement with the shaft seal to seal the vacuum chamber. Stopper movement of the retractable safety syringe may be reduced or eliminated if the retractable safety syringe is prefilled.

Abstract: An electrode assembly for use in an iontophoresis device for the transcutaneous administration of an active therapeutic species has a base layer of including a linking conductive base material which is consumed (oxidizes or reduces) preferentially to water, a first upper layer of sacrificial material coated on a first portion of the base layer wherein the sacrificial material is consumed preferentially to the linking conductive base material of the base layer. A second upper layer of non-conducting material is coated on a second portion of the base layer, the second upper layer being spaced from the first upper layer, connected by a narrow exposed linking area of the base layer material remaining exposed therebetween.

Abstract: A mucous suction device, comprising in combination, a longitudinally elongated, generally tubular, one-piece plastic body, the body having an axially elongated tapered, first portion extending toward an inlet proximate one end of the body, the body having an axially elongated second portion extending toward an outlet proximate an opposite end of the body, radially outwardly extending annular retention rings in said body second portion, said rings having sharp annular peripheries and said rings being axially resiliently flexible and axially spaced apart, and there being body side porting between said body first and second portions, said side porting being manually controllable to control suction exertion.

Abstract: A catheter with a balloon anchor may be sized to fit through an inner needle and introduced into the patient through the needle. The inner needle may comprise an atraumatic needle with a side port and/or a blunt tip. The catheter may include a radiopaque coil disposed over the distal portion of the catheter body to assist with catheter placement when viewed with fluoroscopy and/or x-ray. The distal portion of the catheter can be very flexible. A balloon inflation tube may terminate proximal to a proximal end of the expandable balloon anchor such that the distal portion of catheter can be flexible. This termination of the inflation tube may also position the inflation tube away from the annulus and nerve roots, so as to avoid irritation of the annulus and rubbing of the nerve roots that may potentially obscure FAD test results.

Abstract: The disclosed invention provides a system and method for accurately and in a controllable manner removing layers of tissue, deposits and/or plaque off surfaces of body is cavity for example a blood vessel. According to an aspect of the current invention, a catheter (10) endarterectomy having a proximal end (12) and a distal end (14) is provided, the catheter comprising: a pair of inflatable balloons (16) disposed at said distal end, wherein a predefined distance separate between the centers of said balloons; said scraper (18) having at least one blade (40) disposed between said balloons, wherein said scraper is reciprocally movable between two positions one of which, which is the first position, is distally disposed to the other position, which is the second position, and at least one vacuum aperture (39) disposed adjacent to said at least one blade.

Abstract: An electrode assembly for use in an iontophoresis device for the transcutaneous administration of an active therapeutic species has a base layer of including a linking conductive base material which is consumed (oxidizes or reduces) preferentially to water, a first upper layer of sacrificial material coated on a first portion of the base layer wherein the sacrificial material is consumed preferentially to the linking conductive base material of the base layer. A second upper layer of non-conducting material is coated on a second portion of the base layer, the second upper layer being spaced from the first upper layer, connected by a narrow exposed linking area of the base layer material remaining exposed therebetween.

Abstract: Various improvements are made to catheters adapted to be flushed to remove air from within the catheter. For example, improved catheters include a catheter with a self-sealing seal at its distal end to pass a venting tube for removing air from within the catheter, a catheter having a distal end whose diameter is reduced to compress a seal adapted to pass a venting tube; a catheter having a cap at its distal end where the cap has a venting hole that is opened or closed depending on the conditions subjected to the shape-memory material of the cap; a catheter having a vent hole at its distal end; a catheter having an opening at its distal end that can be closed by a plug; and a catheter having a narrow neck with an opening to vent air and the neck is coupled to a tab where twisting the tab closes the opening in the neck.

Abstract: Disclosed is a receptacle for use with a medical suction device which is equipped with a cover body and an external case for detachably holding and air-tightly surrounding the receptacle and a patient-side tube for introducing waste liquid into the receptacle, and designed to create a negative pressure in both an interior space of the cover body and the external case and an interior space of the receptacle so as to allow waste liquid to be sucked into the receptacle through the patient-side tube. The receptacle has an air-pervious/liquid-impervious element having air perviousness and liquid imperviousness. The air-pervious/liquid-impervious element at least partly constitutes a portion of the receptacle to be surrounded by the cover body and the external case.

Abstract: A laser energy delivery device is provided that is suitable for irradiating a body tissue with relatively long wavelength laser energy in the presence of an aqueous liquid without significant absorption of the laser energy by the liquid. The device includes an elongate hollow sheath that has an open aperture at its distal end portion and closed at its proximal end, a laser energy conduit such as an optical fiber or hollow wave guide, within the sheath, the distal end of the conduit being disposed near the open aperture at the distal end portion of the sheath, and the proximal end of the conduit being adapted for connection to a source of long wavelength laser energy. The sheath also includes an inlet port, spaced from the proximal end of the sheath, and adapted to receive and deliver a biologically compatible gas through the sheath to a body tissue site in contact with the open distal end of the sheath.

Abstract: A suction limiting device with variable control for use in a surgical system includes a main vent body having a fluid carrying bore extending therethrough and a variable vent mechanism having a main vent opening in selective fluid communication with the fluid carrying bore so as to permit introduction of atmospheric air into the fluid carrying bore. The vent mechanism being adjustable so that the degree of airflow into the fluid carrying bore is variable between a fully open position to a fully closed position where atmospheric air is prevented from entering the fluid carrying bore. The suction limiting device also includes a valve disposed within the main vent body and positionable between an open position when negative pressure and a closed position when positive pressure exists in the main vent body.

Abstract: The present invention is directed to a proximal catheter assembly configured to facilitate natural or suction-assisted aspiration through a catheter lumen. The proximal catheter assembly comprises a multi-function valve configured to perform functions associated with conventional check valves and relief valves. The valve is configured to regulate the direction of fluid flow, and further configured to regulate the rate of suction-assisted aspiration provided through the lumen of the catheter. When the rate of suction-assisted aspiration exceeds a predetermined threshold, the valve opens to allow fluid to be drawn from tubing coupled to the proximal catheter assembly, thereby mitigating excessively high rates of aspiration imposed upon the patient's vessel.

Abstract: A vent system for an infusion drip chamber is provided according to the invention. The vent system includes an automatic air eliminator communicating with an interior and an exterior of the infusion drip chamber. The automatic air eliminator is capable of automatically venting air from the infusion drip chamber in a substantially continuous manner. The vent system further includes a mechanical air eliminator communicating with the interior and the exterior of the infusion drip chamber. The manual air eliminator is capable of mechanically venting air from the infusion drip chamber at discrete time intervals.

Abstract: A laser energy delivery device and method are provided for irradiating a body tissue with relatively long wavelength laser energy in the presence of an aqueous liquid without significant absorption of the laser energy by the liquid. The device includes an elongate hollow sheath that is open at its distal end and closed at its proximal end, a laser energy conduit such as an optical fiber or hollow waveguide, within the sheath, the distal end of the conduit being disposed near the open distal end of the sheath, and the proximal end of the conduit being adapted for connection to a source of long wavelength laser energy. The sheath also includes an inlet port, spaced from the proximal end of the sheath, and adapted to receive and deliver a biologically compatible gas through the sheath to a body tissue site in contact with the open distal end of the sheath.

Abstract: The present invention provides a coupling device for attaching a sleeve (40) to a surgical aspirator tip (10) that allows airflow between the external environment and the interior of the sleeve (40). The coupling device includes a male member (26) attached to the tip (10) and a female member (42) formed in the proximal end of the sleeve (40). The male member (26) includes at least one longitudinal groove (100). When the male member (26) is received into the female member (42), at least one venting channel (80) is defined between at least one longitudinal groove of the male member (26) and the inner surface of the female member (42). Venting channel (80) permits airflow between the external environment and the interior of the sleeve (40).

Abstract: A surgical system having a cassette with an aspirant collection chamber and an aspiration exhaust line that drains into the aspirant collection chamber. A fluid line containing a valve allowing fluid from the irrigation fluid container to be vented into the aspirant collection chamber. A source of pressurized air is connected to the irrigation fluid container and is used to pressurize the fluid container. When the pressure within the fluid container needs to be increased, pressurized air from the pressurized air source is allowed to enter the fluid container. When the pressure within the fluid container needs to be decreased, irrigation fluid is allowed to be bled out of the fluid container and inter the collection chamber. In this manner, a direct fluidic connection with the gas contained within the fluid container does not need to be maintained.

Abstract: The present invention is directed to a proximal catheter assembly that is configured to facilitate natural or suction-assisted aspiration through a catheter lumen. The proximal catheter assembly comprises a relief valve configured to regulate the level of suction-assisted aspiration provided through the working lumen of the catheter. When the level of suction-assisted aspiration exceeds a predetermined threshold, the relief valve opens to allow fluid to be drawn from tubing coupled to the proximal catheter assembly, thereby mitigating the relatively high levels of aspiration imposed upon the working lumen and the patient's vessel.

Abstract: A multi-functional nasogastric tubular device for insertion into a patient includes an elongated flexible body having a pair of spaced apart opposite proximal and distal ends, a plurality of spaced apart lumens formed in the body so as to extend side-by-side with respect to one another between the proximal and distal ends of the body and being open at least at the proximal end of the body, and a temperature sensor disposed on the body, such as in one of the lumens of the body, and running from the proximal end of the body to the distal end thereof such that the temperature sensor is adapted to monitor internal core temperature of a patient and also to serve as a radiopaque element for marking the position of the elongated body in the patient.

Abstract: A vent system for an infusion drip chamber is provided according to the invention. The vent system includes an automatic air eliminator communicating with an interior and an exterior of the infusion drip chamber. The automatic air eliminator is capable of automatically venting air from the infusion drip chamber in a substantially continuous manner. The vent system further includes a mechanical air eliminator communicating with the interior and the exterior of the infusion drip chamber. The manual air eliminator is capable of mechanically venting air from the infusion drip chamber at discrete time intervals.

Abstract: The injector according to the invention serves for applying contrast media for X-ray and nuclear spin tomography and has a tube system (5) consisting of connection tubes (6) and a pump tube (7), as well as several storage vessels (4), each connected via one of the connection tubes (6) as well as a branching piece (8) to a pump tube (7) leading to a cannula. To each connection tube (6) a gas bubble detector (15) as well as a valve (11) are assigned, whereby further to the pump tube (7) a pumping organ (16) reversing the fluid flow from the storage vessel (4) to the cannula is assigned.

Abstract: The invention is directed to a multi-function control valve assembly for use in aspirating the left ventricle of the heart during open heart bypass surgery. The control valve assembly includes a housing assembly which defines an inlet adapted for connection to a suction tube inserted into the left ventricle and an outlet adapted for connection to a pump. The control valve assembly further includes a valving arrangement that is operable to provide three distinct functions. First, the control valve assembly includes a unidirectional flow valve which is operable to only permit fluid to flow from the inlet to the outlet, thereby preventing a reverse flow situation. Second, the control valve assembly includes a positive pressure relief valve which is operable to vent the outlet when the pressure therein exceeds a predetermined positive pressure value.

Abstract: A process and apparatus for one-step preparation of fibrinogen adhesive by polyethylene glycol-mediated precipitation from plasma are disclosed. The methods and apparatus of the invention permit preparation of autologous fibrinogen adhesive composition from the patient during surgery, and can be applied generally to provide such compositions. Also disclosed are an apparatus and method for application of sealant comprising this fibrinogen adhesive composition.

Abstract: The invention relates to a suction device for medical use, in which an aspirator (1) as illustrated in FIG. 1 is proposed, which has one or a plurality of side openings (3), and which is provided with a valve (4) which responds to underpressure.

Abstract: Disclosed is an apparatus for providing liquid to a patient, preventing reflux and permitting venting. Tubes or other suitable apparatus are provided for connecting to the liquid source and the patient. An anti-reflux valve is provided in the hydraulic channel between the source and the patient. A vent is provided in the channel between the anti-reflux valve and the patient. Thus, gas urged from the patient under pressure is urged out of the vent. However, liquid similarly urged from the patient is prevented from overflowing by the anti-reflux valve. In a preferred embodiment, the anti-reflux valve is a flapper valve or a ball valve. In another preferred embodiment, the vent is a gas permeable, liquid impervious fabric. Alternatively, the vent may be a float valve. The invention is useful for gastroenterological feeding, nasogastric feeding and the like.

Abstract: A double lumen nasogastric tube possesses a hydrophobic filter at the proximal end of the sump lumen for inhibiting reflux from exiting the sump lumen and contaminating the patient, clinician and nearby surroundings.

Abstract: A medical suction tube which is opened at the distal end thereof and connected at the proximal end thereof to a suction means. A linear cut is made in the intermediate portion of the tube so as to extend obliquely from the proximal end side toward the distal end side of the tube so that, when the tube is bent, the cut is opened and ambient air is sucked into the tube through the cut, whereas, when the tube is straightened, the cut is closed and suction is performed through the distal end opening. A suction control apparatus for an endoscope utilizes the above-described medical suction tube.

Abstract: A disposable suction swab formed from an elongated stem shaped at one end for connecting to a suction source and having at the opposite end an enlarged, resilient tip. A transverse aperture is formed in the tip is registration with a hole in the stem, the aperture being larger in cross section than the hole. Means is provided for controlling suction within the stem to thereby control the amount of suction in the aperture in the tip.

Abstract: A medical suction tube which is opened at the distal end thereof and connected at the proximal end thereof to a suction means. A linear cut is made in the intermediate portion of the tube so as to extend obliquely from the proximal end side toward the distal end side of the tube so that, when the tube is bent, the cut is opened and ambient air is sucked into the tube through the cut, whereas, when the tube is straightened, the cut is closed and suction is performed through the distal end opening. A suction control apparatus for an endoscope that utilizes the above-described medical suction tube.

Abstract: A bladder cycler is provided with a magnetic valve for hospital, nursing home, and home care use in automatic emptying of the bladder of a patient. Manual override also is provided with variable opening pressure.

Abstract: A female urinary incontinence device including a periurethral cup having a neck portion with laterally outwardly facing adhesive surfaces for sealingly engaging the inwardly facing surfaces of the labia minora (also the labia majora) to provide an effectively sealed flow path for urinary outflow into a collection receptacle. In a preferred embodiment, a second adhesive zone is also provided along the rim of the cup for sealing engagement with the periurethral floor. A one-way valve and a vent are also included to prevent backflow, protect the adhesive seals, and provide vacuum relief even at low urinary flow rates.

Abstract: The invention relates to a feeding system (1) for enteral feeding comprising a container (2) preferably constructed as a disposable article for receiving the food. Said container (2) is disposed in a suspension means (3) which is constructed such that the container (2) in the suspended state points with its opening (5) upwardly and assumes a position inclined to the horizontal. As a result when the tubing system (4) is introduced into the container for suppyling the nutrient solution to the patient no leaks can occur because the opening (5) points upwardly so that along the periphery of a piercing tube (17) introduced into the container (12) no solution can drip out. Nevertheless, due to the inclined position of the container (2) and the arrangement of the end of the inserted piercing tube (17) at the lowermost point (6) of the container (2) all the solution can be extracted; for this purpose for the extraction preferably a drip chamber (21) is provided in connection with a tube clamp ( 26).

Abstract: Particularly a rectal catheter for the removal of fluent material from the rectal cavity. The rectal catheter (18) comprises an elongated tubular member (20) forwardly insertable within the rectal cavity. The tubular member includes a pair of opposing eyelets (28a and 28b) in the vicinity of a forward end (22) which lead to a centrally open drainage lumen (26), and also includes a ventilation lumen (32) substantially coextensive in length therewith. The ventilation lumen receives atmospheric air from a take-off tube (40) depending from the rearward portion of the tubular member and directs atmospheric air toward the forward end of the tubular member when suction is applied to the drainage lumen.

Abstract: The valve is positioned in the left ventricle drain line and includes a check valve which permits flow only away from the heart. A vent valve is located downstream of the check valve to prevent buildup of pressure. In addition, the valve includes an inwardly directed umbrella valve to limit left ventricle drain line vacuum intensity applied to the heart.

Abstract: A valve to prevent gastric reflux or leakage through the vent lumen of a double-lumened nasogastric tube. The valve allows the passage of air into the vent lumen when atmospheric pressure exceeds stomach pressure. When stomach pressure exceeds atmospheric pressure the valve prevents flow of fluids through the tube.

Abstract: The valve is positioned in the left ventricle drain line and includes a check valve which permits flow only away from the heart and downstream of the check valve includes a vent valve which prevents buildup of pressure. In addition, the valve includes a vacuum orifice to limit left ventricle drain line vacuum intensity applied to the heart.

Abstract: A combination anti-reflux valve and gas venting device for use in a urinary drainage bag is described. In the preferred embodiment, the device is made of a flapper valve having a gas venting portion inside the urinary drainage bag. The flapper valve is connected to a gas venting connector means for passage of gas between the outside and inside connector means.

Abstract: The air check valve has a one-piece housing provided with a pair of coaxial passageways and radiating ports which are closed over by an elastic sleeve. When the pressure in the upstream passageway is greater than in the downstream passageway and the crack or opening pressure of the sleeve is exceeded, the sleeve expands radially so as to permit communication between the two passageways for the conveyance of fluid.The air check valve may also be provided with a one-way valve in a partition between the two passageways to permit withdrawal of fluids from a patient.

Abstract: A long intestinal catheter is readily insertable into the small intestine via the nasogastric route. The tube aspirates the small intestine during the operative period, internally plicates the small intestine after surgery, and can aspirate the stomach and the small intestine during the post-operative period. The tube is self-sumping and avoids blockage or closure of any aspirating opening in the tube by the interior lining of the stomach or small intestine during aspiration.

Abstract: The valve is positioned in the left ventricle drain line and includes a check valve which permits flow only away from the heart and downstream of the check valve includes a vent valve which prevents buildup of pressure. In addition, the valve includes a manually adjustable vacuum control orifice whereby the surgeon can control the left ventricle drain line vacuum intensity applied to the heart.

Abstract: An aortic root cannula for use in open heart surgery which combines a luer line for connection with an extracorporeal circuit outside the chest cavity with a left heart vent line and a pressure monitoring line all merging into a base unit having a single cannula for heart wall penetration. A composite base unit is formed of two parts integrated to provide the merging passages to perform the multiple functions.

Abstract: A flow control device which consists of a tubular body having radial sets of orifices therein covered by a resilient member which defines an annular space to which the orifices are connected. The resilient member permits positive pressure to drive fluid through the orifices but prevents negative pressure from sucking air through the orifices. A spring urges the resilient member against one of the sets of orifices.

Abstract: An overpressure safety valve assembly for use during heart surgery is disclosed. The assembly comprises an elongated tubular body portion having an inlet end, and an outlet end and an unidirectional valve disposed therebetween. A relief valve portion is joined to and in flow communication with the tubular portion. The relief valve portion includes a first relief valve configured to open if the pressure within the overpressure safety valve diminishes below a predetermined level, and a second relief valve configured to open if the pressure adjacent the outlet end exceeds a predetermined level.