Abstract: An adapter is provided with a base mountable on a bottle containing a liquid anesthetic agent. A spout extending upwardly from the base is received by an inlet port of an anesthetic vaporizer having a movable valve assembly and a stationary portion, such as a radial ledge. The spout includes a stationary contact member configured to contact and open the vaporizer valve assembly when the spout is inserted into the inlet port. The adapter also includes a movable valve assembly that is contacted and opened by the stationary portion of the inlet port when the spout is inserted into the inlet port. The contact member and adapter valve assembly are arranged such that, when the spout is inserted into the inlet port, the contact member opens the vaporizer valve assembly before the stationary portion of the inlet port opens the adapter valve assembly.

Abstract: The present invention is generally directed to various structures for applying a sealant to a work surface. In one aspect of the invention, a sealant applicator assembly is provided for use with an apparatus of the type having an elongated body defining an interior bore and having a piston movably positioned in the bore and a pusher member operatively associated with the piston. The assembly comprises a spray adaptor adapted to communicate with the bore of the body and defining a distal outlet. A first gas passageway is cooperatively associated with the distal outlet and configured to direct gas to create a spray discharge of the sealant. An actuating member is adapted to be cooperative associated with a pusher member to eject sealant through the distal outlet and is operative to simultaneously actuate a supply of gas to the first gas passageway for creating a spray discharge of sealant.

Abstract: A medicant reconstitution system is provided which has a generally flexible fluid bag with associated administration and reconstitution ports. The reconstitution port is adapted for receiving a medicant container and the administration port is for administering a medical fluid to a patient. According to one aspect of the present invention, the administration and reconstitution ports are integrated in a relatively rigid port structure. According to another aspect of the present invention, the reconstitution port receives a piercing member which is rotatable to a selected position to establish fluid flow. According to yet another aspect of the present invention, one of the reconstitution port and the piercing member includes a cutting edge, while the other includes a frangible member. Contact between the cutting edge and the frangible member opens the frangible member to establish fluid flow.

Abstract: A loading system is provided which has a first conveyor for transporting a support structure and a second conveyor for transporting an article. The second conveyor includes a substantially stationary inclined transfer member that directs the article to a loading zone of the first conveyor. The article is received in the loading zone by a support structure being moved through the loading zone by the first conveyor. The article may be moving at substantially the same speed and in substantially the same direction as the support structure when it is received by the same. Loading systems according to the present invention may be used in a method wherein a moving article is received on a moving support structure.

Abstract: An improved ambulatory infusion device for dispensing a fluid into a patient includes a flexible bladder enclosure including a sheath of flexible material having a first open end a closed second end. The first open end of the sheath is affixed to a rigid closure, and a bladder support is secured in fixed position relative to the closure. An elastic bladder is mounted on the bladder support and positioned inside the sheath for holding fluid to be dispensed. The closed second end of the sheath is free to conform to the body of the patient so that the device is comfortable when worn. In other aspects, a flow restrictor and a pressure regulator are provided.

Abstract: The present invention includes forming a coding symbology by disposing a plurality of light-reflecting segments separated by spaces on a substrate. The coding symbology represents fixed information and variable information.

Abstract: A filling device and method, particularly for two-component sealants such as fibrin sealants, which enables two fluids to be separately and directly filled to the reservoirs of a dual syringe fluid applicator from two storage containers, which can be standardized, sealed, sterilized bottles. The device has a connector which engages with the fluid applicator, is keyed to orient the applicator's fluid reservoirs in a predetermined manner and holds the containers in side-by-side alignment with the applicator. Two fluid conduits whose downward ends may be pointed to pierce seals on the bottles, extend between the applicator and the bottles and can each have a transverse reach to accommodate the girth of the bottles. The bottles may be tilted by the device to enable the conduits to draw maximal fluid from a lowermost point of the bottle. Tilting can be effected by a downward movement of the device supporting the applicator which movement can introduce the fluid conduits into the bottles.

Abstract: Containers and methods for storing medical solutions are provided. More specifically, containers and methods for storing components that are to be admixed, together to create a final solution, one of the components comprising a lipid. In an embodiment, a container including an interior defining at least two chambers. The first chamber includes a lipid containing liquid. The second chamber includes a liquid that does not include a lipid. The first and second chambers are separated by an openable seal.

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: This invention provides devices and methods for mixing and extruding compositions which are medically and non-medically useful. The devices are particularly useful for mixing substances which are relatively inert when alone but become reactive when mixed. A common feature of all of the devices is that they allow the user to mix and ultimately extrude a composition from a single device which includes a single container or multiple interconnected containers.

Abstract: A filling device for connecting a dispensing instrument having multiple fluid reservoirs to multiple containers is disclosed. More particularly, the present invention discloses a connecting device capable of coupling the individual reservoirs of a dispensing instrument to multiple fluid containers. The apparatus includes a body, a collar extending from the body, a plurality of tubes in fluid communication with a plurality of inlet ports formed in the body, and a hood adapted to simultaneously receive a plurality of containers therein. The containers are positioned within the hood to allow the plurality of tubes to simultaneously and separately draw fluid from the fluid containers and transferring the material into the individual reservoirs of the dispensing instrument.

Abstract: A medical fluid suctioning device for selectively applying varied levels of suction pressure at a device-tissue interface includes a direct “trumpet”-type control mechanism in conjunction with a “venturi”-type control. A valve manifold is adapted to couple a vent pathway and a suction pathway simultaneously to the vacuum conduit adapted for connection to a vacuum source. The amount of resistance to flow due to vacuum pressure is adjusted simultaneously in both the vent pathway and the suction pathway in order to achieve controlled, selected levels of suction. Similarly shaped valve apertures are provided in inverse and reciprocal orientation along an axis of motion of a valve manifold. The apertures translate across ports to the suction and venting pathways simultaneously to vary applied suction to those pathways inversely.

Abstract: A method and device for facilitating fluid communication between a sealed container having an access port and at least one fluid passageway. The device includes a connector provided with a body that defines a fluid passageway between first and second ends of the body. The first end of the body is configured for receiving the fluid source, and the second end is configured for receiving an access port of the container. A locking member is associated with the body and prevents movement of the body relative to the access port when the locking member is in a locked position. The device can be used for the transfer of cytotoxic or other drugs (i.e., fluids) to the container and may remain attached to the access port and used to administer a drug from the container to a patient by means of an administration set with a male luer connector.

Abstract: A method and apparatus for controlling the compounding of pharmaceutical parenteral admixtures is disclosed. The apparatus preferably comprises a computer that contains a memory for storing instructions for operating the apparatus and for controlling compounders that prepare a prescription admixture, with the memory including data relating to a plurality of the pharmaceutical components that may be transferred to prepare the prescription admixture, and data concerning the operating characteristics of the compounders that the apparatus is adapted to control. The apparatus determines the order of admixing by general rules of admixing and by categorized compatibility groups of components, so that the number of rinses that must be done are minimized.

Abstract: A sealant applicator suitable for dispensing a coagulable sealant, for example a two-component fibrin sealant mixed in the applicator, employs impulse clearing to remove residual coagulated or coagulating material from the dispensing pathway and mixing chamber, if present. Impulses may be generated by manual application of a clearing member such as a plunger which can enter into the dispensing pathway to engage, dislodge and discharge residuals or can generate a gas impulse to impact the residuals to similar effect. A clearing valve having a clearing port can be operated by movement of the clearing member to provide access to the dispensing pathway.

Abstract: A multi-component sealant applicator comprises a dual catheter for delivering sealant. Each catheter communicates with one of a pair of fluid sealant agent sources and comprises a mixing volume within the dual catheter for mixing multiple components of a multi-component sealant prior to discharge from a distal end of the catheter and a clearing system to clear undesired material from the mixing volume or the vicinity of the mixing volume, wherein one catheter is mounted for longitudinal movement within the other and the inner catheter is usable as a plunger to remove clogs. The catheter may comprise a reciprocal drive mechanism proximally coupled with the dual catheter to move one catheter longitudinally with respect to the other. The drive mechanism may comprise a ratchet and pawl.

Abstract: An improved ambulatory infusion device for dispensing a fluid into a patient includes a flexible bladder enclosure having a first open end a closed second end. The closed second end of the sheath is free to conform to the body of the patient so that the device is comfortable when worn. In other aspects, a pressure regulator of the device is adapted to maintain the outlet pressure within a predetermined range of pressures so that the fluid flow rate is substantially constant during fluid flow. A flow restrictor of the device is formed of flexible tubing. An ambulatory infusion device for dispensing a fluid at a predetermined fluid flow rate includes an elastic bladder having an interior volume for storing the fluid under pressure and an opening for dispensing the fluid. A pressure regulator is in fluid communication with the opening of the bladder and includes an inlet for receiving fluid from the bladder at an inlet pressure and an outlet for discharging the fluid at a predetermined outlet pressure.

Abstract: A laparoscopic spray device for selectively applying a multiple component material dispensed from a multiple component material applicator to a surgical site in vivo is disclosed. The device comprises an interface member capable of engaging a multiple component applicator, a body having at least two lumens therein, and a detachable spray tip in fluid communication with the body. The detachable spray tip includes a mixing chamber having at least one flexible mixing member positioned therein which is capable of creating a turbulent flow within a mixing chamber. In addition, the at least one mixing member prevents a back flow of material from the mixing chamber to the at least two lumens. The present invention is particularly useful in remotely applying multiple component tissue adhesives to an internal incision.

Abstract: The invention provides a handheld, manually operable fluid applicator, particularly suited to the needs of surgeons, for dispensing a multi-component fluid applicator, for example fibrin and thrombin components of a tissue adhesive. A preferred applicator has a body containing reservoirs for the sealants and a detachable dispensing head which can be removed to refill the reservoirs. In the mixing head, the sealant components undergo turbulent mixing, for mixing efficacy, in a mixing chamber provided in a one-piece flexible and resilient manifold have “self-sealing” inlet and outlet ports. To enhance mixing, the mixing chamber has an increased cross-sectional area over the combined areas of the component supply passages and the fluid flows are directly opposed to impinge on each other in the mixing chamber. The applicator body and mixing head each have a housing with an ergonomic, streamlined or otherwise smoothly contoured shape and esthetic appearance.

Abstract: A system and method for controllably applying the fluids to a body surface or cavity is disclosed. These fluids can include tissue adhesives, hemostats, sealants, anti-adhesives, or any other fluid capable of being applied to a body surface or cavity. In one embodiment, the system and method is used to apply components of a tissue adhesive with the aid of pressurized gas. This system comprises a tube having a proximal end and a distal end, at least one component lumen and a gas lumen which open at the distal end of the tube, a component source connected to the component lumen, a source of pressurized gas connected to the gas lumen, a sensor capable of delivering a sensor signal, a switch connected to the source of pressurized gas, and a control system programmed to switch off the pressurized gas supply when the sensor signal corresponds to a predetermined limit value.