Abstract: A medical device handle assembly can include a modular extension that allows for the addition of any number of connector ports to an existing handle. In an embodiment, such an extension can comprise a main body portion configured to be coupled with an elongate medical device shaft comprising at least one of an electrical wire and a fluid lumen. The main body portion may comprise a handle port configured to provide access to one or more of a fluid connector fluidly coupled with the fluid lumen and an electromechanical connector electrically coupled with the electrical wire. The handle assembly can further comprise a handle extension portion coupled with the handle port.

Abstract: A device for inserting a catheter into a blood vessel that uses fluid flow to aid the insertion of the catheter into a patient is described herein. The device includes a catheter retention device that houses a catheter and is configured to attach to an angiocatheter or other blood vessel access device. The catheter retention device receives fluid and guides the catheter into the blood vessel using the flow of fluid to carry the catheter into the blood vessel.

Abstract: A catheter with a mechanism for omni-directional deflection of a catheter shaft includes a shaft assembly and a controller. The shaft assembly includes a first tubular component that has a preformed curvilinear distal section, a second, substantially straight tubular component with a main axis and an outer shaft. The first and second components are configured for slidable movement therebetween while preserving common rotation so that when the second component is axially moved in a distal direction, the second component deflects the preformed curvilinear section towards the main axis while orientation of the outer shaft is preserved. The controller is configured to effect relative axial movement between the first and second components as well as to effect rotation of the first and second components (and thus also of the preformed curvilinear distal section) without any rotation of the shaft relative to the handle.

Abstract: An endoscopic device for autonomous locomotion through a selected body cavity in a predetermined direction, the device comprising a hollowed, cylindrical body that extends between two, preferably, the front and rear, end portions, respectively. The body is made of a relatively elastic material and includes an anchor for temporarily and alternately attaching the end portions to a wall portion of the body cavity in synch with corresponding axial extensions and contractions of the body. The body incorporates a reinforcement structure distributed along its length that is substantially rigid in a radial direction and yields in an axial direction, the structure specifically comprising either a plurality of relatively rigid rings or at least one helical spring.

Abstract: A direct stream hydrodynamic catheter system is provided for the removal of thrombus, lesions and the like including provisions for the infusion of drugs, lysing fluids and the like into a blood vessel. Physician controlled high powered direct fluid jet streams emanate from a fluid jet emanator in the form of robust radially directed fluid jet streams to impinge upon and ablate difficult and strong thrombus or lesions within a blood vessel. Effluent aspiration is controlled by an exhaust regulator in the form of a roller pump, but effluent removal can be assistingly influenced by the fluid pressure associated with the radially directed fluid jet streams.

Abstract: Gastrointestinal apparatus (10) is provided, including a guiding element (16) and an inflatable mechanical device (96), adapted to pull the guiding element (16) through a colon of a patient. A gastrointestinal tool (12) is shaped to define a bore (14) therethrough, and the guiding element (16) is adapted to pass through the bore (14). Other embodiments are also described.

Abstract: An anti-hemorrhage medication pack for administering an anti-hemorrhage drug, in particular for the treatment of hemorrhage caused by trauma in emergency situations comprises an active ingredient selected from the group comprising the 1-24 amino acid sequence of the adrenocorticotropic hormone (ACTH 1-24) and all its fragments and analogues, and analogues of fragments, with agonist activity on the MC4 melanocortin receptors, and all the synthesis agonists, including those with a nonpeptidic structure, of the MC4 melanocortin receptors. An auto-injector (1; 11) includes the drug for automatically injecting a patient with the drug.

Abstract: A medical device and method for manipulating movement of a micro-catheter, the device comprising an elongated tubular member having at least one lumen therein, wherein the lumen is proximally coupled to a pressurized fluid control system configured to regulate fluid flow through the elongated tubular member. An aperture is disposed near a distal end of the elongated tubular member, the aperture being in fluid communication with the at least one lumen. In one aspect, the aperture is oriented at an angle which is non parallel to the longitudinal axis of the elongated tubular member. A nozzle is coupled to the aperture, wherein the nozzle is configured to regulate pressurized flow out of the catheter to manipulate movement of the distal end of the elongated tubular member.

Abstract: An antibiotic delivery system including an intramedullary stem that is adapted to be removably mounted into a medullary canal of a bone. The stem includes a body having an inlet adapted to be in fluid communication with a source of liquid-borne antibiotic and a plurality of outlets disposed along the stem. A channel extends between the inlet and the plurality of outlets for delivering a fluid-borne antibiotic from the inlet to the plurality of outlets so as to distribute the antibiotic along the medullary canal in a controlled fashion. A method of treating an infected joint during a two-stage re-implantation of an orthopedic implant is also disclosed.

Abstract: Systems, devices, and methods towards improved diagnosis and therapy in connection with central venous catheters (including PICC lines). Included among the many improvements broadly contemplated herein are: arrangements via which a venous catheter can move passively into position in central venous circulation; arrangements via which a catheter can be actively guided without the use of a needle or guide wire; arrangements via which a catheter can be packaged to facilitate easy, rapid, and positionally accurate deployment by medical personnel while maintaining device sterility; and arrangements via which a catheter tip can be imaged during and after insertion.

Abstract: A device (1) which includes an elongate body (2) with a movable mass (3) arranged for sliding movement within the body (2), the element (4) being arranged to decelerate toward an end of the body (2) in order to impart forward movement thereto, via momentum transfer, and being arranged to accelerate away from said end in order to further drive the body (2) forward, again using momentum transfer.

Abstract: A forwardly directable fluid jet crossing catheter having a positionable jet body which can be longitudinally and rotationally positioned in order to direct a fluid jet stream to impinge, break through, and cross a chronic total occlusion. The distal end of the catheter includes a tip of super-elastic material having a flexible bend aligned within the distal portion of a sheath which tip is directable in response to the longitudinal and rotational orientation of a positionable jet body, whereby a fluid jet stream can be controlled in angular and rotational directions.

Abstract: A brake assembly for a steerable catheter that allows both dynamic locking and swapping between a locked mode of operation and an unlocked mode of operation is described. Dynamic locking enables fine adjustment of the catheter shaft position, while swapping between modes results in a more multipurpose catheter. Generally, the brake assembly includes a brake shoe positioned for slidable movement between a locked position contacting the steering dial and an unlocked position not contacting the steering dial. At least one spring biases the brake shoe toward the locked position. A catheter including a brake assembly is also described.

Abstract: An endovascular aneurysm occlusion device comprising a detachable balloon assembly. The balloon assembly is comprised of an outer balloon and an inner balloon. The outer balloon is formed from a porous material. The occlusion device is expanded within an aneurysm and adhesive material is injected into and perfused through the outer balloon. The adhesive material forms a bond between the aneurysm, the outer balloon, and the inner balloon. The inner balloon is then deflated, which acts to reduce the size of the aneurysm.

Abstract: Catheter for use in biliary procedures, including a shaft having a proximal end and a distal end. A guidewire lumen is carried by the shaft extending from a location proximal the distal end of the shaft to a location proximate the distal end of the shaft. An opening is included for accessing the guidewire lumen from a location exterior the catheter shaft located distal the proximal end of the shaft. The guidewire lumen may be formed integral the catheter shaft. The catheter may be used in rapid exchange catheter procedures. The catheter may further include a port and channel design including a first opening into the guidewire lumen located proximal the distal end of the shaft, a second opening located proximal the first opening, and a channel extending longitudinally between the first opening and the second opening.

Abstract: A cannula for providing an external connection with an implanted artificial port for communicating with the body lumen of a patient. The artificial port has an entrance conduit with an inwardly tapering section. The tapered cannula is sized and proportioned to substantially match and seal with the inwardly tapering section of the entrance conduit. Thus the cannula can form a readily removable seal with the inwardly tapering section. A typical angle of taper is one to two degrees.