Abstract: A drainage device may include a catheter including a proximal end and a distal end. The drainage device may further include a hub coupled to the proximal end of the catheter. The hub may include a fastener element configured to secure the distal end of the catheter. In some aspects, the fastener element may be a hinged element. In some aspects, the drainage device may further include a puncture element including a tip and an expander portion. In still other aspects, the puncture element may also include an attachment portion.

Abstract: Described herein is an implantable access port device with a catheter compartment which permits lengthening or shortening the catheter in response to changes in tension of the distal catheter. Implantable access port devices are used extensively in the medical field to facilitate the performance of recurrent therapeutic tasks such as repeated drug delivery, drainage, blood sampling, transfusions, or total parental nutrition. In current access port systems, the catheter is rigidly attached to the access port via a connection ring. As such, the system does not provide any flexibility or ability for catheter length adjustments, which can lead to long-term complications such as dislodgement of catheters, migration of catheters, port separation with extravasation, suture disruption, and mechanical failure of the access port system. These catheter-related complications carry serious risks for the patients.

Abstract: Enteric feeding tube housings configured to secure a feeding tube to the body are disclosed. The housing includes a disc having a hole configured to accommodate the feeding tube and two or more holes configured to accommodate fasteners. Also disclosed are enteric feeding tube housings that include a disc having a hole configured to accommodate the feeding tube and two or more holes configured to accommodate fasteners, and a plurality of fasteners. Also disclosed are surgical kits that include a housing, a plurality of fasteners, and a plurality of locking devices configured to adjustably secure the fasteners in the fastener receiving holes, and method of using the disclosed devices.

Abstract: A device which is used in place of known catheters, such as the Foley catheter, in tests such as a Urodymics test. The device holds the catheter in place.

Abstract: Devices, systems and methods for establishing a blood flow conduit between a chamber in a heart of a patient and a remote location. A blood inflow cannula having an outer surface and proximal and distal end portions. The distal end portion is configured for insertion into the chamber of the heart. First and second anchor elements have respective maximum width dimensions extending outwardly from the outer surface of the cannula. The first anchor element is positioned more distally than the second anchor element defining a tissue receiving space therebetween. The maximum width dimension of the first anchor element may be larger than the maximum width dimension of the second anchor element in use. The first anchor element is configured to be positioned inside the heart chamber and the second anchor element is configured to be positioned outside the heart chamber with heart tissue held in the tissue receiving space therebetween.

Abstract: A vascular access port and catheter for use in association with same. The port has a length greater than its height and an access face that is angled with respect to the longitudinal axis of the port. The catheter has a first end for association with a port, and a second end with an angled intra-vascular flange. Apart from the flange is an extra-vascular retaining ring. The wall of the vessel is disposed between the intra vascular flange and extra vascular retaining ring to hold the catheter in place without the need of sutures.

Abstract: An endocervical seal has a sleeve with a passageway for receiving an intrauterine interventional or diagnostic tool. The sleeve has a coaxially disposed outer balloon with a distal portion configured to inflate in a cervical os and a proximal portion configured to inflate in a cervical canal.

Abstract: Substance delivering spacer devices may comprise expandable reservoirs that are implantable in paranasal sinuses and other cavities, openings and passageways of the body to maintain patency and to provide sustained local delivery of a therapeutic or diagnostic substance. Delivery apparatus including elongate tubular members as well as shapeable distal portions and atraumatic tips are provided. Also provided are sinus penetrator devices and systems for performing ethmoidotomy procedures or for creating other openings in the walls of paranasal sinuses or other anatomical structures.

Abstract: Devices, systems and methods for establishing a blood flow conduit between a chamber in a heart of a patient and a remote location. A blood inflow cannula having an outer surface and proximal and distal end portions. The distal end portion is configured for insertion into the chamber of the heart. First and second anchor elements have respective maximum width dimensions extending outwardly from the outer surface of the cannula. The first anchor element is positioned more distally than the second anchor element defining a tissue receiving space therebetween. The maximum width dimension of the first anchor element may be larger than the maximum width dimension of the second anchor element in use. The first anchor element is configured to be positioned inside the heart chamber and the second anchor element is configured to be positioned outside the heart chamber with heart tissue held in the tissue receiving space therebetween.

Abstract: The present invention comprises systems, methods and devices for the delivery of compositions for occluding or of elements for opening conduits. The implantable occlusive material may be delivered pre-formed or in situ cured and, may be a resorbable or degradable material that supports tissue ingrowth or wound healing or a similar response that replaces the cured occlusive material leaving little or no original occlusive material in place. The delivery system is positioned to allow for placement of the occlusive material into the body conduit. Use of delivery systems, methods and devices for re-opening an occluded body conduit are also included.

Abstract: A cannula for implantation into a chamber of a heart includes an elongate body having a lumen extending along a longitudinal axis, a first end, and a second end. The first and second ends define openings into the lumen and the second end includes a flat portion. A flared tip portion extends from the flat portion of the second end in a direction toward the first end, and flares radially outward from the longitudinal axis and in such direction. A ring member extends around the axis of the elongate body and is spaced from the flared tip portion, and the ring member is adapted for retaining the elongate body in a position relative to a wall of the chamber. An embodiment of a flared tip portion may further include a barbed surface configured to contact tissue around an aperture in the wall of the heart when the cannula travels through the aperture.

Abstract: An apparatus for the removal of needles of syringes is provided with two gripping devices adapted to withhold a syringe and the respective needle, respectively, and an actuating device for moving the two gripping devices with respect to each other with a roto-translating motion about and along a longitudinal axis of the syringe in order to unscrew the needle from the syringe itself.

Abstract: A safety-stop trochar device and system for use with a trochar and surgical accessory devices. The device and system has a base into which an insert seats over which a cap secures to the base and also secures a previously inserted trochar or drainage device or smoke evacuator or surgical accessory such as an obturator and illumination device. Flexible extension wings on the base have distal suture apertures or an adhesive on the bottom of the base, or both, for securing the base to a patient. U-shaped extensions on the cap facilitate cap placement or removal onto or from the base.

Abstract: An apparatus for direct gastric feeding via a gastrostomy tract formed in a patient. The apparatus includes a tube, an internal bolster, an external bolster, and a force-generating device. The force-generating device may include a pair of automatically adjustable spring members on the external bolster. The spring members are responsive to changes in the length of the gastrostomy tract and eliminate the need for periodic adjustment or replacement of the apparatus.

Abstract: A securement device for securing a medical article is disclosed. The securement device comprises a base and a first securing portion comprising a strap that is movable between an open position and a closed position and a connector disposed on the base. The strap cooperates with the connector in the closed position to form an enclosure. The strap further comprises a curvilinear segment that projects inwardly into the enclosure in a convex orientation when the strap is in the closed position. Securement systems for securing medical articles and methods of securing at least a portion of a medical article to a patient are also provided.

Abstract: A nasogastric tube includes a connector. The connector has a first connection end, a second connection end and a flow channel formed through the connector. The first connection end is connected to a first tube, and the second connection end has a positioning sleeve formed thereon. The positioning sleeve has a connection part extended from the flow channel and jointing with an assembling part of the second tube. The first tube of nasogastric tube of the present invention can be inserted to a stomach from a nasal cavity, and then the connector is placed in the nasal cavity, and the positioning sleeve is fixed in the nostril. The second tube can be detached from the connector when not being used.

Abstract: A method and apparatus are disclosed for a stabilization device for maintaining a position of a medical device relative to a body surface of a patient. The stabilization device comprises a support portion that defines a groove for receiving the medical device. The groove is structured to allow for positioning of the medical device at a plurality of angles relative to the body surface of the patient. The groove has opposing wall portions for securing the medical device.

Abstract: Embodiments provide catheter retention devices such as catheter clips that may be used to stabilize a vascular access catheter during a procedure, particularly a radial access procedure. The catheter clips may include a frame that includes a first frame member portion, a second frame member portion hingeably coupled to the first frame member portion, the first and second frame member portions defining a first aperture therebetween, and a base member extending from the second frame member; and an inner gripping membrane that includes a first inner gripping membrane portion coupled to the first frame member portion and a second inner gripping portion coupled to the second frame member portion, wherein the first and second inner gripping portions define a second aperture within the first aperture.

Abstract: An anchoring system provides secure attachment between a portion of a medical article and a body of a patient. The anchoring system comprises a securement device and a first fitting attached to the medical article, the first fitting having a first configuration. Embodiments of the anchoring system also comprise a second fitting attached to the medical article. The second fitting has a second configuration that differs from the first. The securement device includes a mounting surface for attaching the securement device to the patient's body and a receiving area. The receiving area is oriented so as to face away from the patient's body, and includes retainer mechanisms that are capable of engaging one or both of the first and second fittings, which have different configurations.

Abstract: A catheter securement device holds a medical article such as a catheter in position upon the body of a patient and at least inhibits longitudinal movement of the medical article. The securement device includes a retainer and a clamp. The retainer and clamp include interengaging structure. The interengaging structure may be a ratchet mechanism by which a medical provider tightens the clamp against the retainer. The ratchet mechanism allows a single securement system to be used with medical articles that have different longitudinal lengths as well as medical articles that have distally located contact surfaces. The retainer forms a channel into which at least a portion of the medical article is inserted. Each of the retainer and the clamp include at least one abutment surface that can abut against a contact point or surface on the medical article. The abutments inhibit motion of the medical article in proximal and distal directions through the channel when the clamp is tightened against the retainer.

Abstract: Methods and apparatus for actuating first and second fasteners to secure a medical clamp to a patient. An exemplary fastening device comprises a first rotatable member configured to rotate from an outward position to an inward position to engage the first fastener and a second rotatable member configured to rotate from an outward position to an inward position to engage the second fastener. The first and second rotatable members are mechanically coupled to enable concurrent engagement of the first and second fasteners.

Abstract: A securement device for securing a catheter to a patient comprises a pad having adhesive on at least a portion of the bottom surface. A fixed plate and a rotatabie adjustable plate are affixed to the pad. The adjustable plate is rotated with respect to the fixed plate to secure a catheter. Posts are on the fixed plate and the adjustable plate to secure a winged catheter. A bracket can be affixed to a fixed plate or an adjustable plate and a cooperating tab can be affixed to the other plate for securing a catheter there between. In a further modification, a base is secured to a pad and a pair of plates is pivotally mounted on the base for rotation with respect to one another. Complementary pawl and ratchet members enable limited rotation of plates with respect to one another and to fix plates in selected adjustment position.

Abstract: Anchors for securing a therapy device such as a therapy catheter relative to a burr hole, and systems and methods for using the same. Anchors in accordance with embodiments of the present disclosure may include a connector for securing the therapy catheter to a delivery catheter, wherein the connector is independently and removably attachable to the anchor. The connector may secure the therapy catheter relative to the burr hole and isolate forces that may otherwise tend to disrupt the placement of the therapy catheter.

Abstract: A respiratory therapy facemask configured to be positioned against a patient's face and adjacent the patient's mouth, includes a face plate configured for attachment to the patient and defining an opening, the face plate including a laterally extending track defining a slot. A tube rest assembly is configured for being slidably engaged in the slot and for securely accommodating an endotracheal tube. The tube rest assembly is configured for directly engaging the track for lateral movement in the opening.

Abstract: Some embodiments of a medical device anchor system include an anchor device that secures a medical instrument (such as a catheter or the like) in place relative to a skin penetration point using subcutaneous anchors.

Abstract: A method of securing a medical article to the body of a patient is disclosed in which an anchoring device comprising an anchor and a retainer is used. The retainer is attached to an upper surface of the anchor and comprises a base, a cover and a post. The base is disposed on the upper surface of the anchor and the cover is connected to the base so as to move between an open and a closed position. When the cover is in the closed position, it lies above at least part of the base. The post is attached movably to either the base or the cover and is arranged so as to lie at least partially between the cover and the base when the cover is in the closed position. When securing a medical article, the cover is placed in the open position and the medical article placed onto the retainer. The cover may then be closed over the medical article and the anchoring device attached to the patient.

Abstract: An article prevents a drainage tube or catheter from being inadvertently moved, removed, or constricted. The article generally includes (i) a hollow conduit having a medial bend formed with an angle of between 45 and 135 degrees, and further having a lateral opening in a wall of the conduit, the opening exposing an interior space within the conduit, the wall having a means for securing a retainer in a selected position relative to the opening, (ii) a catheter positioned coaxially within the conduit, the catheter having a catheter wall, and (iii) the retainer removably secured within the opening wherein a tooth of the retainer penetratingly positioned within the catheter wall.

Abstract: A medical article securement device holds a medical article such as a catheter in position upon the body of a patient and at least inhibits longitudinal movement of the medical article. The securement device includes a retainer, a pair of hinged actuators, and a pair of engagement members coupled with the hinged actuators. Movement of the actuators causes the engagement members to grip at least a portion of a medical article placed within the retainer so as to inhibit longitudinal movement of the medical article with respect to the retainer. The shape of the retainer inhibits lateral and transverse movement of the medical article with respect to a patient's skin.

Abstract: A securing device for preventing the splitting of a splittable sheath in the body of a treated subject, for facilitating the insertion of a splittable introducer and the splitting of said splittable sheath during removal of said introducer from the body of the subject, and optionally for interfacing said splittable introducer with other devices, comprising a “U”-like shaped portion having a distal arm and one or two proximal arms connected by a base, wherein said distal arm comprises an aperture accessible via a vertical slit passing from its upper side and terminating in said aperture, and wherein the gap defined between said distal arm and proximal arms is suitable for fitting a splittable introducer therebetween such that its splittable sheath is retained in the aperture provided in the distal arm.

Abstract: The present invention provides an arrangement (200) adapted for enhanced continuous flow of urine in a catheterized patient, the arrangement comprising a catheter tube (204) 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: A needle insertion assistance device is provided to easily hold a needle device, which comprises a syringe and a needle having a needle wing and being attached to the syringe, in order to more reliably control the advancement of the needle during insertion of the needle into a targeted part of a human body for many medical purposes. One embodiment of the needle insertion assistance device may comprise a supporting plate, a base connected hingedly to a rear surface of the supporting plate, and a syringe holder securely affixed to a top surface of the base to slidably hold the syringe on the base and prevent the syringe from moving from side to side. This embodiment of the needle insertion assistance device may further include a needle blocker, a handle, and an angle adjusting assembly.

Abstract: A dressing having integral antimicrobial includes a transparent film layer having a top side, an opposite bottom side, and an insertion site viewing portion. The dressing also includes an antimicrobial member having a top side and an opposite bottom side. The antimicrobial member top side is adhered to the film layer bottom side in the insertion site viewing portion. The antimicrobial member includes at least one pair of elongated, spacedly disposed portions defining a slot therebetween. A zone of inhibition defined by the antimicrobial member covers an entire area of the slot between the member portions.

Abstract: Fastener for securing a tube to a patient having a sleeve of variable length capable when lengthened of gripping the tube.

Abstract: A universal gripping surface is provided on an intravenous catheter assembly. The universal gripping surface provides a plurality of surfaces whereby a user may grip the catheter assembly in a desired gripping configuration for improved balance and control of the catheter assembly during insertion of the catheter. Additionally, the universal gripping surface includes a guard feature to prevent a user's unintended contact with various components of the catheter assembly whereby the contact may result in an undesirable “over the bevel” condition.

Abstract: A device and method for preventing an occlusion of a catheter including a catheter adapter and a catheter where a flexured portion of the catheter is supported by a bending surface of the catheter adapter. The flexured portion of the catheter may also include a maximum insertion length mark and/or a flexible support member to support and strengthen the flexured portion of the catheter against occlusions. A bending surface is provided over which a flexured portion of the catheter may gently bend to accommodate the transition of the catheter from the catheter adapter to the insertion site without occluding the catheter.

Abstract: A universal gripping surface is provided on an intravenous catheter assembly. The universal gripping surface provides a plurality of surfaces whereby a user may grip the catheter assembly in a desired gripping configuration for improved balance and control of the catheter assembly during insertion of the catheter. Additionally, the universal gripping surface includes a guard feature to prevent a user's unintended contact with various components of the catheter assembly whereby the contact may result in an undesirable “over the bevel” condition.

Abstract: A universal securing device for holding catheters of various shapes and sizes and the like in place includes a base and cover. The cover may be connected to the base by a hinge which allows the cover to be lifted open or pushed down into a closed position, over a catheter fitting. The base may have locating elements configured and arranged to fit around catheter fittings of various sizes, and the locating elements prevent substantial movement of a catheter fitting and catheter in various dimensions. The cover may include capture elements which act to grip and compress the catheter fitting when the securing device is in a closed position, thus preventing substantial movement of a catheter fitting and catheter in various dimensions. The base may be attached to a patient with an adhesive pad attached to the bottom surface of the base.

Abstract: A locking device for preventing movement of an elongated instrument includes a tubular base that has an outer surface and an inner surface. At least one lateral opening extends through the tubular base from the outer surface through the inner surface. At least one rocker arm is mounted to the base. Each of the rocker arms has a locking projection that extends radially inwardly aligned with one of the lateral openings of the base. An actuating member is rotatable relative to the base portion between first and second positions. In the first position the actuating member engages the rocker arm to urge the locking projection radially inward through the lateral opening and beyond the inner surface of the tubular base. Movement of the actuating member to the second position causes the locking projection to move radially outward through at least a portion of the lateral opening.

Abstract: A method of securing a medical article to the body of a patient is disclosed in which an anchoring device comprising an anchor and a retainer is used. The retainer is attached to an upper surface of the anchor and comprises a base, a cover and a post. The base is disposed on the upper surface of the anchor and the cover is connected to the base so as to move between an open and a closed position. When the cover is in the closed position, it lies above at least part of the base. The post is attached movably to either the base or the cover and is arranged so as to lie at least partially between the cover and the base when the cover is in the closed position. When securing a medical article, the cover is placed in the open position and the medical article placed onto the retainer. The cover may then be closed over the medical article and the anchoring device attached to the patient.

Abstract: A medical article, such as a catheter hub, is stabilized on a patient with a retainer having a base and clamp or moveable collet. A lever is configured to move the collet in a longitudinal direction relative to the based to secure the medical article to the retainer. When rotated, the lever pulls the collet in a direction away from the patient while collapsing the collet around at least a portion of the catheter hub.

Abstract: A securement device for securing a medical article includes two supports extending from a base. Lever arms extend from each of the supports. One or both of the lever arms include a channel portion. The lever arms are pivotable about the ends of the supports to define an open position and a closed position. In the open position, the lever arms extend generally upwardly from the supports. In the closed position, the lever arms extend generally downwardly from the supports, and the channel portion or portions at least partially surround the medical article. As the lever arms move from the open position to the closed position, they exert an outward force on the ends of the supports.

Abstract: Devices and methods are provided for sealing a catheter insertion site to maintain sterility. In one embodiment, a catheter dressing is provided that includes an adhesive plate configured for attachment to the skin of a patient and a flexible sheath that extends proximally from the adhesive plate. The sheath can be capable of longitudinal extension from a compressed to an extended state and can be configured in its extended state to surround an external segment of a catheter implanted in the patient and circumferentially seal to a portion of the external segment at a distance from the adhesive plate. The dressing can also be configured to restrict longitudinal movement of the catheter while at the same time permitting non-longitudinal movement. One-piece rigid or semi-rigid dressing bodies are also disclosed, as are various methods and devices for facilitating removal and or replacement of a catheter dressing.

Abstract: An endotracheal tube holder is provided. The endotracheal tube holder includes an adjustable securing clamp, an adjusting unit, a bite block, and a securing strap. The adjustable securing clamp includes a first clamping unit having a first clamping portion, and a second clamping unit having a second clamping portion. The first clamping portion and the second clamping portion are oppositely and correspondingly aligned for holding an endotracheal tube. The adjusting unit includes an elastic member, coupled between the first clamping unit and the second clamping unit. The bite block is configured at one side of the first clamping portion and includes an endotracheal tube accommodation portion. The endotracheal tube accommodation portion covers over the endotracheal tube for providing a protection to the endotracheal tube. The securing strap includes two ends respectively coupled to two lateral sides of the first clamping unit.

Abstract: A device for inhibiting blood leakage from the proximal end of a catheter. The device includes a resilient body having a proximal portion and a distal extension portion extending away from the proximal portion and terminating at a first end. The proximal portion and the distal extension portion share a common axis and together define a generally cylindrical passage at least partially therethrough. The distal extension portion is shaped to interface with the catheter and in a substantially sealing relationship. The cylindrical passage is sized to receive a surgical guidewire therein in close apposition.

Abstract: An anchoring system includes a device which permits a portion of a catheter or similar medical article to be easily anchored to a patient, desirably without the use of tape or needles and suture. The anchoring system comprises an anchor pad and a retainer mounted upon the anchor pad. The retainer includes at least one clip forming at least a portion of a central channel and that moves generally in a lateral direction to capture the medical article to be retained. In certain embodiments, the clip moves in lateral and transverse directions between closed and open positions. The medical article is secured within the central channel. The channel may have a straight or tapering shape depending on the medical article to be retained.

Abstract: A catheter securement device in accordance with the present invention includes a flexible base member having an adhesive side and an opposite non-adhesive side. A single piece elastomeric anchoring member is mounted on the non-adhesive side of the base member. The anchoring member integrally includes a pair of opposing pull tabs, a slit disposed between the opposing pull tabs, and a third pull tab disposed between the slit and one of the opposing pull tabs. Pulling the opposing pull tabs opens the slit for receiving a catheter hub in the slit, and the third pull tab is insertable into the slit for securing the catheter hub between the anchoring member and the base member.

Abstract: A venipuncture base plate assembly includes an adapter and a patient interface platform. The adapter has a substantially flat retention clip and a platform coupled to the retention clip with two or more posts mounted on it. The patient interface platform includes a base pad having a bottom surface coated with an adhesive substance and a base unit coupled to the base pad. The base unit includes a base plate and a retainer mounted on the base plate that supports the adapter at two or more variable angles relative to the base plate.

Abstract: A an arm band or strap is provided adapted to be adjustably and comfortably worn about the wrist or forearm of a patient receiving dialysis treatment. Located on the exterior of the band or strap is a pair of oppositely and axially extending tabs having an underside of hook or loop fastener material complimentary to hook or loop fastener material provided on the band or strap exterior. A pair of infusion tubes are adapted to be removably secured respectively between the tabs and the exterior surface of the strap by the interengaging action of the complimentary hook or loop fastener on the surface of the worn band or strap and the underside of each tab, respectively. The worn strap or arm band and the tabs combine to stabilize the infusion tubes during such treatment all of the while permitting safe use of the patient's hands.

Abstract: Systems and methods for achieving stabilization of medical devices, both invasive and non-invasive, are provided for human and veterinary subjects. The stabilization device comprises a platform for being positioned on a body part, a hooking apparatus positioned within an inner surface of the platform, and at least one securing strap attached to the platform. The durable stabilization device can be rapidly deployed under sterile and field emergency conditions to provide a high level of stability to medical appliances, and is easily removable from a body part of a subject without causing discomfort or damage to the integument or other tissues.

Abstract: A universal device for securing a catheter on a patient includes a base which optionally has one or more locating elements for positioning or securing a catheter or catheter fitting of various shapes or sizes. The base optionally includes a recessed or flat receiving area defined by locating elements arranged in any configuration suitable to hold or receive a catheter or catheter fitting, e.g., in a tapering or V shaped formation. Additional locating elements may be positioned elsewhere on the base for receiving or holding a flange or wing of a catheter fitting and preventing its movement in various directions. The base optionally has an angled surface to maintain the desired angle for catheters or catheter fittings in a patient. A cover is removably or permanently connected to the base and may optionally have one or more top openings for receiving tabs or extensions of a catheter fitting.