Abstract: A method for starting an intravenous fluid line (IV) is disclosed where a combination of a syringe body with hypodermic needle, a dual ampoule with separate reservoirs for bicarbonate and an anesthetic, a trocar and a cannula are configured so that the steps of injecting a wheal of a buffered anesthetic, retracting the needle tip, lancing a vein with the trocar, and withdrawing the trocar tip so that the cannula remains in place in the vein may be accomplished in a single coordinated action by one skilled in the method, such as with one hand while the other hand performs manipulations on the vein and IV site.

Abstract: An infusion catheter assembly has the ability to infinitely titrate the length of a porous fluid distribution section in situ. The infusion catheter assembly thereby provides a length of infusion that can be infinitely varied over a prescribed range, to control the effective infusion length and the rate of infusion. Using the infusion catheter assembly, a physician has the capability to treat only the length of the vessel desired, thereby preventing excessive drug/patient exposures. The porous fluid distribution section can include an array of spaced apart apertures that vary in size and/or density along the length of the porous fluid distribution section, such that the flow rate remains essentially constant for a given inlet pressure independent of the effective infusion length.

Abstract: Devices and systems for injecting fluids, such as anesthetics, to or near nerve tissue or other targeted anatomical location are disclosed herein. A conduit is generally configured to place the fluid delivery module in fluid communication with a needle that is configured to be inserted into the patient's anatomy. One or more medicaments (e.g., anesthetics) and/or other materials contained within containers (e.g., vials) that are secured to the injection system can be selectively delivered into an anatomy through the needle. Nerve stimulation and/or imaging technologies (e.g., ultrasound) can be used to locate a targeted anatomical location. Aspiration can be used to confirm needle location. An overlay on the imaging display can include, in addition to real-time imaging data, data and other information relating to back pressure at or near the needle tip, volumes or other amounts of fluids delivered by and remaining within the system, stimulation level and/or the like.

Abstract: A method is provided for suppressing or preventing pain in a patient. One step of the method includes positioning first and second electrodes, without penetrating the cranium, on or proximate to at least one of the sphenopalatine ganglia, the sphenopalatine nerves, or the vidian nerves on both sides of the patient's face. At least one of a medication solution, an analgesic, or an electrical signal is then applied to at least one of the sphenopalatine ganglia, the sphenopalatine nerves, or the vidian nerves through the first and second electrodes. Pain signal generation in, or transmission through, the at least one of the sphenopalatine ganglia, sphenopalatine nerves, or vidian nerves is disrupted on both sides of the patient's face.

Abstract: A system and method of topically applying an anesthetic, or other medication, to one or both lips of the mouth. An applicator device is provided that has a curved first wall, a curved second wall, and a horizontal shelf that joins the first wall to the second wall. The first wall, the second wall and the horizontal shelf combine to define either one or two curved lip compartments. A volume of the anesthetic, or other medication, is placed within the curved lip compartments. The applicator device is partially placed in a person's mouth so that the second wall is positioned between the back of the lips and in front of the teeth. While in this position, the lip of the user passes into the curved lip compartment and is contacted by the anesthetic.

Abstract: Described herein are methods and devices for selectively applying fluids (particularly anesthetics) to a target tissue from within a blood vessel while minimizing the amount of fluid applied to non-target tissue. The injection catheters described herein may include an elongate body, a directional injector, and one or more holdfasts for securing the catheter before extending the injector. The methods of selectively applying anesthetic to a target structure generally include the steps of inserting an injection catheter into a body vessel, positioning the injection catheter within the body vessel near the target structure, anchoring the injection catheter before extending a directional injector from the injection catheter, and applying anesthetic from the injection catheter to the target structure.

Abstract: Disclosed herein are methods for delivering a tumescent anesthetic fluid to an area surrounding a target vein by inserting a needle into a location proximate to the target vein. The needle includes a proximal and a distal end, a pointed needle tip an elongated shaft body with a hollow center which extends throughout its length. The shaft body is of a length sufficient to penetrate epidermal, dermal and subdermal layers of a patient's lower extremity, and multiple openings are positioned along the length of the shaft body for administering the anesthetic through into said the surrounding area. The administration of tumescent anesthesia allows fewer needle pricks while simultaneously providing greater distribution of the anesthetic to the target area of the patient.

Abstract: Apparatus for administering certain nerve blocks includes a sheath constructed from a flexible ultrasound echogenic material, a more rigid introducer/dilator for introducing the sheath into the patient, and an ultrasound echogenic catheter for inserting through the sheath once the distal end of the sheath is in place adjacent the nerve(s) to be blocked and the introducer/dilator has been withdrawn. The catheter has provisions at its proximal end for connecting to a source of local anesthetic. Methods for use of this apparatus are also described.

Abstract: A guide for administering an injection including a guide body contoured for a human mandible; and at least one needle indexing guide on the guide body for the insertion of a needle there through, the guide use to provide a predictable and repeatable way of administering an injection to block a nerve.

Abstract: The present invention includes systems and methods for monitoring endogenous compound concentration in blood by detecting markers, such as odors, upon exhalation by a patient, wherein such markers are the endogenous compound itself or result from the endogenous compound. In the case of olfactory markers, the invention preferably utilizes electronic sensor technology, such as the commercial devices referred to as “artificial” or “electronic” noses or tongues, to non-invasively monitor endogenous compound levels in blood. The invention further includes a reporting system capable of tracking endogenous compound concentrations in blood (remote or proximate locations) and providing the necessary alerts with regard to emergent or harmful conditions in a patient.

Abstract: A system for treating a lesion site of a patient is disclosed. The system includes a cannula having a lumen, a conduit in communication with said lumen, an introducer stylet removably disposed within said cannula, a resecting device selectively insertable within said cannula, and an adjuvant treatment device selectively insertable within said cannula.

Abstract: A spinal platform for delivering a therapeutic agent to a spinal cord target includes a brace member for attachment to a plurality of bony structures surrounding at least a portion of the spinal cord target, a carriage member operatively coupled to and movable along the brace member, and a universal joint for adjusting the coronal or sagittal angle of a surgical instrument. The brace member includes at least one longitudinal rail and a plurality of attachment members. The plurality of attachment members is operably connected to the at least one longitudinal rail. The at least one longitudinal rail includes a proximal end portion, a distal end portion, and a middle portion extending between the proximal and distal end portions. The universal joint is seated within a portion of the carriage member and is capable of delivering the therapeutic agent to the spinal cord target.

Abstract: Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

Abstract: An infiltration cannula and method of using the infiltration cannula during an infiltration procedure are disclosed herein. The infiltration cannula has a flexible cannula and a hub. The cannula has a proximal end and a distal end. The cannula also has a plurality of apertures disposed in a pattern about the distal end. The apertures are configured to infiltrate fluid into the subcutaneous or muscle tissue of a patient. The hub is configured to be held by a person performing the infiltration procedure. The hub has a first end and an opposing second end. The first end is attached to the proximal end of the flexible cannula and the second end includes a connector configured to connect to an input source for receiving the fluid to be infiltrated into the subcutaneous tissue of the patient. The fluid flows from the connector, through the hub and into the cannula.

Abstract: A gastrostomy device includes a tubular portion and an internal bolster having a radial wing secured to the tubular portion. The internal bolster is flexible and permits elastic deformation between a first orientation with the wing wrapped into a generally cylindrical configuration and a second orientation with the wing unfurled. A constraining member encases the internal bolster to retain the internal bolster in the first orientation and to cover at least a major portion of the wrapped wing. Removal of the casing permits the internal bolster to move from the first orientation to the second orientation. The internal bolster may be deployed by a ripcord, freeing the internal bolster into the patient' stomach and deploying the internal bolster to the second orientation. Alternatively, the internal bolster may be deployed by the constraining member being dissolved by the patient's bodily fluids located inside the patient's stomach.

Abstract: An apparatus for accessing the epidural space in a mammal has a cutting sheath with a distal end adapted to transition from a closed cutting configuration to an open configuration. A tissue engagement device is in a hollow portion of the sheath. The tissue engagement device has a blunt distal end and an engagement feature. A method of accessing an epidural space includes the step of forming an opening to a position at or near the ligamentum flavum using the cutting sheath. Another step of the method is positioning a tissue engagement device within the hollow portion of the cutting sheath. Another step of the method is transitioning the cutting sheath from the closed cutting configuration to the open configuration. Another step of the method is manipulating the tissue engagement device to controllably advance the tissue engagement device at least partially through the ligamentum flavum.

Abstract: Drug delivery systems are provided that include an actuator assembly permanently attached to a filter for connection of a container containing medications such as epidural anesthesia, to a delivery site. In one or more embodiments, the actuator assembly includes a projection with an opening extending from a distal end of the actuator assembly in a proximal direction and the filter includes an inlet and an outlet in fluid communication with the opening. The filter includes a housing including two plates joined together or a cylindrical body defining a cavity containing filter materials. A conduit may be attached to the outlet of the filter to allow connection of the drug delivery systems described to a delivery site, such as a catheter. Methods of administering a medication to a delivery site are also provided.

Abstract: A medical device for injecting a liquid medicine into an organism. The device comprises a needle, an injection tube attached to the posterior end of the needle and a housing having a conduit at the distal end. The needle being placed inside the housing in such a way that the needle can move from a position where entire length of needle is situated within the housing and the conduit to a position where the needle is protruded out of the housing. The device allows an anesthesia provider to perform a nerve block more safely and efficiently. In one embodiment of the device, an injection pad is used to single handedly inject syringes of liquid medicine into the injection tube.

Abstract: A medical device and procedure for delivering a drug into a uterus are described. In one implementation, the medical device includes a first elongate member, a second elongate member and a stopper device. The first elongate member is configured for transcervical insertion into the uterus and includes a lumen extending therethrough. The second elongate member is positioned within said lumen and also includes a lumen therethrough. The second elongate member is positionable in a retracted or an extended position. A distal end of the second elongate member is configured to extend beyond a distal end of the first elongate member and penetrate uterine tissue when in the extended position. A proximal end of the second elongate member is configured to receive a drug for delivery through the lumen of the second elongate member. The stopper device controls movement of the second elongate member within the first elongate member.

Abstract: A method and apparatus for administering liquid anesthetics around peripheral nerves, in order to perform surgery or to relieve post operative pain. The apparatus containing a regional anesthetic needle with an overlying catheter. The needle is hollow and has a blunt end so that it does not penetrate or damage a nerve or blood vessel. A stiff catheter covers the needle up to a side hole in the needle that allows liquid anesthetic to be injected through the needle in a forward direction. The needle can be removed leaving catheter in place without disturbing the location of the catheter.

Abstract: An ultrasonic positioning device for real time measuring the distance between the epidural needle and the epidural space is provided. The ultrasonic positioning device at least includes an epidural needle having a hollow interior; an ultrasound needle transducer disposed in the hollow interior of the epidural needle and connected to an ultrasonic driving device; and a loss-of-resistance checking syringe connected to the epidural needle so as to confirm whether the epidural needle is inserted into the epidural space.

Abstract: A patch pump device generally includes at least one fluid source, a fluid communicator, and an electrochemical actuator. The fluid communicator is in fluid communication with the fluid source. The electrochemical actuator is operative to cause fluid to be delivered from the fluid source into the fluid communicator.

Abstract: The present invention is directed towards instruments and methods for discharging an anesthetic drug on a continuous basis for use as a nerve block. In accordance with the present invention, a catheter assembly is provided that comprises an electrically conductive wire, a protective sheath and an inflatable balloon. The inflatable balloon is at the distal end of the catheter capable of being inflated and deflated. A balloon channel terminates within the inflatable balloon at the distal end of the catheter and extends proximally along the length of the catheter to the proximal end of the catheter. The balloon channel has a balloon channel opening at a distal end of the balloon channel within the inflatable balloon, capable of releasing an injected substance into the inflatable balloon. The balloon channel further has a balloon channel injection opening at a proximal end of the balloon channel, capable of receiving an injected substance.

Abstract: Described here are paranasal sinus devices for treating paranasal sinus conditions. The devices include a cavity member, ostial member, and nasal portion. One or more of the cavity member, ostial member, and nasal portion may deliver an active agent for sustained release to treat the paranasal sinus condition. Exemplary paranasal sinus conditions are sinus inflammation due to functional endoscopic sinus surgery (FESS) and rhinosinusitis.

Abstract: The present invention provides a needle suitable for performing ophthalmic surgical procedures. The needle includes a flexible curved tube and an adapter which can attach the needle to a syringe for delivering anesthetic. The flexible curved tube may be of plastic, particularly PTFE, and is typically attached to the adapter by a connector. Employing a needle with a flexible curved tube significantly reduces the risk of trauma of a patient s eye during an ophthalmic surgical procedure such as a sub-Tenon s block procedure.

Abstract: A safety neural injection system includes at least a partially hollow cannula having an inside diameter, an outside diameter, a first length, a side port located coaxially along the hollow cannula for fluid communication between the inside and the outside of the hollow cannula, and an open distal end. The safety neural injection system also includes a flexible stylet with a shaped tip. The flexible stylet is capable of being releasably locked in a position within the hollow cannula and extends at least the first length of the hollow cannula. The hollow cannula proximate to the distal end includes a rigid bend so as to facilitate placement of the distal end at the treatment site.

Abstract: Method and devices are provided to allow the application of anesthetic on an internal area of a body prior to medical procedures such as obtaining tissue for a biopsy.

Abstract: A medical device for placement of regional anesthesia catheters. The device comprises a hollow shaft needle, a plunger attached to the posterior end of the needle, a housing dimensioned so that plunger can slide inside the housing with friction, a regional anesthesia catheter preloaded inside the needle, a protective cover sheath covering the catheter, and a catheter adaptor attached to posterior end of the sheath and the catheter. The medical device allows a practitioner to quickly and effectively place a regional anesthesia catheter inside an organism without the use of an assistant, and with minimal risk of contaminating the catheter before it enters the organism's body. At the end, the needle is withdrawn inside the housing and disposed.

Abstract: Apparatus and method for catheterized delivery or infusion of medication and anaesthesia are disclosed. The perforating catheter is first used to perforate the periodontal ligament and/or the cortical plate of bone tissue, and is then left in place and used as a catheter for insertion of a hypodermic needle of smaller gauge to deliver medication or anaesthesia to a target area. The perforator is a bevelled needle for drilling into the ligament or bone tissue. For drilling, the device comprises an adaptor which transmits the rotational movement from a dental hand piece or the like to the bevelled needle. A cap is also included for protecting the bevelled needle during storage of the device. The adaptor may have a rod which extends axially into the bevelled needle when the device is assembled for drilling. The rod is used to prevent the debris resulting from drilling from blocking the passage in the bevelled needle.

Abstract: An objective and reproducible system for, and method of, monitoring and/or controlling the pressure during nerve blockage injection, especially by less experienced personnel, is provided in order to decrease the possibility of intraneuronal injection. More specifically, the present invention employs a pressure sensing and/or limiting device located between an injection device (typically a syringe) and a nerve block needle whereby injection pressure during a nerve block injection can be easily and objectively monitored, thereby allowing the operator to monitor the injection pressure and/or injection speed during a nerve blockage injection procedure and to take appropriate corrective actions if abnormal pressure conditions are observed.

Abstract: A catheter and introducer needle assembly is provided including a catheter adapter at its proximal end. The catheter adapter includes a side port in fluid communication with the catheter and a septum located in the proximal end of the catheter adapter proximal of the side port. The introducer needle is connected at its proximal end to a needle hub and includes at least one notch in communication with the introducer needle lumen. The notch allows blood to flow into the open distal end of the needle and through the notch into the catheter lumen (specifically, the annular space between the outside of the introducer needle and the inside of the catheter and catheter adapter). Thereafter, the blood can flow through the annular space and then through the side port and extension tube that extends from the catheter adapter.

Abstract: A catheter and introducer needle assembly is provided including a catheter adapter at its proximal end. The catheter adapter includes a side port in fluid communication with the catheter and a septum located in the proximal end of the catheter adapter proximal of the side port. The introducer needle is connected at its proximal end to a needle hub and includes at least one notch in communication with the introducer needle lumen. The notch allows blood to flow into the open distal end of the needle and through the notch into the catheter lumen (specifically, the annular space between the outside of the introducer needle and the inside of the catheter and catheter adapter). Thereafter, the blood can flow through the annular space and then through the side port and extension tube that extends from the catheter adapter.

Abstract: A tumescent fluid infusion apparatus for use in treatment of a vascular disease includes a needle attached to a valve device. The valve device is designed to receive tumescent fluid from a fluid source. When the valve device is in an open position, it administers the tumescent fluid from the fluid source through the needle channel to allow a single hand of a user to control the needle insertion and the infusion of the tumescent fluid to free the other hand for operating a probe such as an ultrasound probe to eliminate the requirement of a second operator. The infusion apparatus also allows a user to control the amount of infused fluid without requiring syringe changes.

Abstract: Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

Abstract: A syringe cartridge includes a multi-mode device that defines at least two flow regimes having flow rates that differ in response to the same value of a variable. The multi-mode device defines three flow paths. The first flow path allows flow in only a first direction. The second flow path is configured to allow flow below a predetermined rate in a second direction opposite the first direction in response to a variable having a value below a threshold.

Abstract: Methods for injecting a local anesthetic into dental tissues, such as tough, dense ligamentary tissue adjacent to a patient's tooth. According to one embodiment, the method involves puncturing a patient's gingival tissue adjacent a selected tooth with an array of micro-needles having a length so that the micro-needles penetrate into ligamentary tissue adjacent to the tooth. A local anesthetic is then injected through the micro-needles so as to deliver the local anesthetic to the tissue surrounding the tooth. The micro-needles may be short to limit penetration through tissue and of narrow diameter to minimize pain and discomfort to the patient.

Abstract: Systems for injecting fluids and/or other materials into a targeted anatomical location, in particular, an intra-articular space, include a handpiece assembly having a proximal end and a distal end, a needle extending from the distal end of the handpiece assembly, a fluid delivery module comprising a cassette and a fluid transfer device. A conduit is generally configured to place the fluid delivery module in fluid communication with the handpiece assembly. Medications, formulations and/or other fluids or materials contained within vials that are secured to the fluid delivery module can be selectively delivered into an anatomy through a needle located at the distal end of the handpiece assembly. In some embodiments, ultrasound or other imaging technologies can be used to locate a joint or other targeted anatomical location.

Abstract: Systems for injecting fluids and/or other materials into a targeted anatomical location, in particular, an intra-articular space, include a handpiece assembly having a proximal end and a distal end, a needle extending from the distal end of the handpiece assembly, a fluid delivery module comprising a cassette and a fluid transfer device. A conduit is generally configured to place the fluid delivery module in fluid communication with the handpiece assembly. Medications, formulations and/or other fluids or materials contained within vials that are secured to the fluid delivery module can be selectively delivered into an anatomy through a needle located at the distal end of the handpiece assembly. In some embodiments, ultrasound or other imaging technologies can be used to locate a joint or other targeted anatomical location.

Abstract: The invention relates to improved equipment for the administrations of epidural anaesthetic and to novel methods of administration using the same. Improvements include a needle configured for reduced incidence of post dural puncture headaches, an improved sensitivity loss of resistance syringe and a novel cannula which in one form readily facilitates combined spinal epidural anaesthesia (CSE). Also includes is a catheter having a pre-assembled injection hub and connection means to optionally retain a cannula that is withdrawn over the catheter.

Abstract: An objective and reproducible system for, and method of, monitoring and/or controlling the pressure during nerve blockage injection, especially by less experienced personnel, is provided in order to decrease the possibility of intraneuronal injection. More specifically, the present invention employs a pressure sensing and/or limiting device located between an injection device (typically a syringe) and a nerve block needle whereby injection pressure during a nerve block injection can be easily and objectively monitored, thereby allowing the operator to monitor the injection pressure and/or injection speed during a nerve blockage injection procedure and to take appropriate corrective actions if abnormal pressure conditions are observed.

Abstract: A system includes components that allow the user to select how to perform disc diagnosis with the components of the system. The system components include a FAD catheter, a guidewire and stylet, in which both the guidewire and stylet are compatible with the catheter. The user may select to insert the catheter into the disc with a stylet included in the system. The user may also select to insert the catheter into the disc with the guidewire included in the system, for example after the guidewire has been placed with a rigid needle.

Abstract: Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

Abstract: Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into-the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

Abstract: An epidural needle has an elongate tube and a hub with a proximal end, a distal end, an open passageway having an inside diameter, and a cavity disposed between the proximal end and distal end. The hub is attached to the elongate tube so that a hollow bore of the elongate tube is in fluid communication and substantial axial alignment with the open passageway. A resilient member defining an opening therethrough is disposed in the cavity and is axially aligned and in fluid communication with the open passageway. The hub has a clamp with a releasable latch disposed about the resilient member. The clamp is selectively movable between an open position wherein the inner diameter of the resilient member is substantially unaffected and a clamp/latch position wherein the clamp causes a strain to the resilient member and thereby reduces the inner diameter of the opening through the resilient member.

Abstract: The present invention provides methods for reducing pain in a subject in need of such pain reduction by delivering, e.g., intrathecally or epidurally, a volatile anesthetic such as a halogenated ether compound in an amount effective to reduce pain. Chronic or acute pain may be treated, or the anesthetic may be delivered to the subject to anesthetize the subject prior to a surgery. In certain embodiments, isoflurane, halothane, enflurane, sevoflurane, desflurane, methoxyflurane, xenon, and mixtures thereof may be used. Dosing regimens including a one-time administration, continuous and/or periodic administration are contemplated.

Abstract: The invention relates to a method and apparatus for controlling drug administration. In order to achieve an easy-to-use and technically reliable control mechanism that can be implemented cost-effectively, input information including patient information and effect level information for at least one type of drug effect to be achieved in a patient is supplied to the control mechanism. Synergetic pharmacodynamic models are utilized to determine, based on the input information, effect-site concentration(s) for at least one drug to be administered. A pharmacokinetic model of each drug may then be utilized to define, based on the effect-site concentration of the drug, a delivery rate for the drug to be administered.

Abstract: A delivery system for dispensing sterile liquids into the oral cavity using a novel pre-angled needle hub assembly attached to a standard anesthetic syringe loaded with a novel cartridge ampule containing a certain liquid solution. This system substantially improves the efficiency of delivering small amounts of sterile fluid into the oral cavity by hypodermic means or by irrigation means using pre-angled needles or cannulas to reach otherwise impossible-to-reach locations within the oral cavity while also providing the ability to dispose of used needles without re-bending and thus complying with federal OSHA, state OSHA, and state regulatory disposal regulations.

Abstract: A catheter system and method is provided for overcoming various problems commonly associated with the application of regional anesthesia. Disclosed herein are several embodiments for providing continuous regional anesthesia. In general, the catheter system includes an epidural catheter, an epidural needle, tubing for optional fluid administration, an attached conductive wire (for connection to a nerve stimulator) and a catheter introducer, which is integrated within the proximal hub of the insulated needle. The embodiments may differ in several ways.

Abstract: Disclosed is a vapor wand for administering inhalation anesthesia to wild animals. The wand has a fibrous wick that absorbs liquid anesthetic inserted by a syringe through a distal end cap and/or a leur fitting. Holes are spaced around the distal end of the wand so that movement of the air pump handle causes vaporized anesthetic to be dispensed through the holes.

Abstract: An objective and reproducible system for, and method of, monitoring and/or controlling the pressure during nerve blockage injection, especially by less experienced personnel, is provided in order to decrease the possibility of intraneuronal injection. More specifically, the present invention employs a pressure sensing and/or limiting device located between an injection device (typically a syringe) and a nerve block needle whereby injection pressure during a nerve block injection can be easily and objectively monitored, thereby allowing the operator to monitor the injection pressure and/or injection speed during a nerve blockage injection procedure and to take appropriate corrective actions if abnormal pressure conditions are observed.