Abstract: A closed ventilation and suction catheter system for aspirating or suctioning the bronchial tree or trachea of a patient including a dual lumen catheter, the proximal end of the catheter is connected to a dual valve assembly which is connected to separate irrigation fluid and suction pressure sources and the distal end of the catheter is adapted to be slidably positioned in communication with the bronchial tree of a patient. A transparent and flexible envelope surrounds the catheter to protect the catheter from direct exposure to the atmosphere. The catheter is slidable from the inside of the envelope through an adaptor and a tracheal tube to communicate with the bronchial tree or trachea of the patient. A ventilator is connected to the adaptor near the distal end of the catheter to provide for the artificial ventilation of the patient.

Abstract: A device and method of closing an incision or puncture in a patient by inserting a vessel plug into the incision or puncture until the distal end of the vessel plug is adjacent to the outer lumen of the blood vessel or target organ so that the vessel plug does not obstruct the flow of fluid through the blood vessel or target organ. The precise positioning of the vessel plug in the incision or puncture is accomplished through the use of a balloon catheter or a cylindrical insertion assembly having a proximal plunger member associated therewith.

Abstract: A double lumen gastric tube including a valve to prevent gastric reflux or leakage through the vent lumen thereof. The gastric tube also includes an adaptor which allows fluid injection through the tube without removing the valve. The valve allows the passage of air into the vent lumen when atmospheric pressure exceeds stomach pressure. When stomach pressure exceeds atmospheric pressure the valve prevents flow of fluid through the tube. The adaptor allows fluid to be injected into the vent lumen through the valve.

Abstract: A catheter is disclosed having an outer sheath made of a porous polymer material such as expanded polytetrafluoroethylene (ePTFE). The sheath has a porosity to allow anti-microbial or anti-bacterial medicament or other medicaments or liquids to pass through the sheath. A medicament lumen is provided passing through the elongated tube of the catheter from the catheter's proximal or out of patient end to openings along the catheter tube wall. Medicament is passed from the proximal end of the catheter through the medicament lumen and expelled through the openings into the area between the sheath and the catheter's main tube. There, the medicament or other liquid passes through the sheath into contact with the patient's body lumen. In the preferred embodiment, the catheter is a Foley urinary catheter.

Abstract: A linear phase high pass filter having a linear phase low pass filter in parallel with an electronic delay means is disclosed to remove baseline wander from an ECG signal. The linear phase low pass filter is preferably a digital Infinite Impulse Response (IIR) filter. An input ECG signal is simultaneously presented to an IIR low pass filter and an electronic delay. The low pass filter passes the low frequency baseline signal while blocking the ECG signal comprised of higher frequency components than the cutoff frequency of the low pass filter. Thereafter, the outputs from the IIR low pass filter and delay are passed to a summer that subtracts the output of the low pass filter from the output of the delay to produce the output of the filter. The combination of the output of a low pass filter being subtracted from a delayed input signal produces a high pass filter. The resulting high pass filter has a -0.3 dB cutoff frequency of about 0.

Abstract: A serum or plasma collection device including a gel material for partitioning and separating heavier and lighter phases of a fluid sample such as a blood sample. The device preferably includes a member such as a disc-shaped or ring-shaped member or a combination thereof to prevent the separated material from interfering with the sampling of the separated fluid sample. The member is preferably formed of hydrophobic and/or non-wetted material and has a specific gravity different than the specific gravity of the lighter phase. The member also physically separates the separated material from the fluid to be sampled to allow the user to obtain an uncontaminated fluid sample.

Abstract: A chart recorder (10) is disclosed having an automatic paper loading system, an automatic tensioning system and an "odometer" system for determining the amount of paper moved through the chart recorder. The chart recorder (10) includes a print roller (34) and a feed roller (22), both in frictional contact with the paper in the recorder and both connected to and rotated by a motor. The feed roller (22) is connected to the motor through a one way clutch that allows the feed roller (22) to "free wheel" when the feed roller (22) is rotated at a faster rate, due to frictional contact with the paper, than the roller would be rotated by the motor (56). Dissipative forces in the one way clutch (68) and bearings (24) of the feed roller (22) cause it to resist being rotated which imparts tension to the paper and draws it into contact with a paper guide (14).

Abstract: A filter system for removing small amplitude, high frequency signals such as muscle artifact signals from an ECG signal is provided. The filter system includes a low pass filter with variable cutoff frequencies, an electronic delay and a system for detecting the R wave in the ECG signal and determining the variable cutoff frequency in response to the detection of the R wave. A digitized input ECG signal is simultaneously presented to the electronic delay and the system for detecting the R wave. During the portion of the ECG signal exclusive of the QRS complex, the filter is operated at a low cutoff frequency to filter the muscle artifact signals for a maximum smoothing effect. At a time slightly prior to the on set of the QRS complex, the cutoff frequency is rapidly incrementally increased to a higher cutoff frequency to pass the QRS complex with a minimum reduction of amplitude of the QRS signal.

Abstract: A drop detector circuit and method are provided for a drop detector of the type including a drop chamber and an electro-optical sensor. A photodiode detects drops passing through its optical sensing path, and a capacitor is connected between the photodiode and an amplifier to block the DC component of the diode signal. After amplification, the signal is passed through a low pass filter to further block signals caused by undesirable factors. The cutoff frequency of the low pass filter is controlled by a microprocessor that controls the pump that pumps liquid from the drop chamber.

Abstract: The present invention relates to a sensed member and sensing member for use on a medical fluid infusion device and support device wherein the fluid infusion device is usable in a conventional manner such as on an IV pole and in an ambulatory manner such as in a support device for use in an ambulatory backpack. The sensing member of the present invention detects when the fluid infusion device is to be used in an ambulatory manner to adjust the operation of the infusion control member to account for the difference in fluid flow rates caused by the different fluid pressures within the fluid delivery set when the fluid infusion device is used in a conventional manner and an ambulatory manner.

Abstract: A relatively flexible, dual-lumen enteral feeding tube for delivery of fluid through a patient's esophagus to the patient's digestive system, the enteral feeding tube having proximal and distal ends. The tube comprises an enteral feeding lumen having a feeding lumen inlet opening adjacent the proximal end of the tube and a feeding lumen outlet opening adjacent the distal end of the tube. Additionally, a relatively small stylet lumen is provided separate from said enteral feeding lumen, the stylet lumen having a stylet lumen inlet opening adjacent the proximal end of the tube and being longitudinally co-extensive with a substantial length of the enteral feeding lumen. A relatively stiff stylet having a tapered annealed distal portion is removably positioned in the stylet lumen and extends from the stylet inlet lumen opening to adjacent to the feeding lumen outlet opening.

Abstract: The present invention relates to a support device for use with a fluid delivery system which includes a fluid delivery set and an infusion pump. The support device allows simple attachment of various types of fluid delivery sets and infusion pumps thereto and is adapted for use with bed ridden patients in a traditional manner, or for ambulatory patient use. The support device includes a compartment for securely holding an infusion pump and a separate compartment for securely holding a fluid container of the fluid delivery set. The device further includes an elongate channel into which the tubing of the fluid delivery set can be inserted and subsequently protected from kinking or inadvertent occlusion, and is adapted for use with rigid bottle, flexible bag, burette, spike sets, or other standard types of fluid delivery sets. The device may be used on an infusion pole in a standard manner, placed on a horizontal surface such as a table, or enclosed in a carrying case for ambulatory use.

Abstract: A serum or plasma collection device including a gel material for partitioning and separating heavier and lighter phases of a fluid sample such as a blood sample. The device preferably includes an affinity member such as a disc-shaped or ring-shaped member or a coating on the collection tube which has an affinity for the separated oil or degradation material from the gel material to prevent the separated material from interfering with the sampling of the separated fluid sample. The affinity member is preferably formed of hydrophobic and/or non-wetted material and has a specific gravity different than the specific gravity of the lighter phase.

Abstract: A ventilation cap for a flashback chamber is formed of a hollow elongate cylindrical body of polymeric material and includes a proximal opening which is blocked by a venting material such as a hydrophobic filter, and a distal opening which is sized to allow an extension of the flashback chamber to be inserted therein for airtight connection therewith. The elongate body of the ventilation cap has a tear strip formed therein by a pair of generally parallel score lines. The cap is affixed to the flashback chamber so as to allow air to pass from the flashback chamber through the vent as blood fills the flashback chamber, while preventing blood from passing through the vent. When it is desired to attach other apparatus to the extension of the flashback chamber, the tear strip, which may have a pull tab integrally formed therewith, is torn away from the elongate body to destroy the airtight seal between the flashback extension and the cap.

Abstract: A device having a rechargeable power source with an associated battery charger base having a quick charge current output and a trickle charge current output. A control circuit within the device is also provided that monitors if and for how long the device is attached to the base and determines the present capacity of the power source. Based on these signals, the control circuit selects an appropriate charge current output. The control circuit also includes timer circuits and circuits to measure the battery voltage during charging to allow for maximum but safe quick charging to protect the power source from long-term damage.

Abstract: A protective needle shield for use on a syringe type device wherein the shield is movable between a retracted position such that the needle is exposed and an extended or locked and extended position wherein the needle is protected and the shield is prevented from returning to the retracted position. A collar is operatively attached to the distal end of syringe device to selectively engage a key on the shield as the shield is moved between the retracted and extended positions. The shield slides longitudinally between the retracted and extended positions and may be rotated about the barrel of the syringe device to lock the shield in a locked and extended position. A locking mechanism is disclosed which preferably includes a series of ramps and slots adapted to engage portions of the keys on the shield to retain the shield in the locked and extended position.

Abstract: A medical fluid delivery set is provided with a magnetic field source in the region of its mounting to a fluid flow control apparatus. The flow control apparatus includes a magnetic field sensitive switching component which detects the proper placement of the delivery set on the flow control apparatus and prevents operation of the fluid delivery system unless a set is in proper position.

Abstract: A chest drainage apparatus (CDU) and method is disclosed for accurately measuring gas flow or leakage from a patient's chest cavity even at very low or near zero flow rates. The CDU has a collection chamber for receiving fluid and gas to be drained from a pleural cavity of a patient, a vacuum source for applying suction to the collection chamber and a valve for connecting the CDU to the vacuum source. A pressure transducer measures the gas pressure in the collection chamber. A microcomputer controller, responsive to the pressure measured by the pressure transducer, causes the valve to disconnect the vacuum source from the CDU when the gas pressure in the collection chamber is less than a first predetermined threshold and connects the CDU to the vacuum source when the gas pressure in the collection chamber exceeds a second predetermined threshold. The time period during which the vacuum source is disconnected from the CDU is measured as an indication of the rate of gas flow into the CDU.

Abstract: A device and method of closing an incision or puncture in a patient by inserting a vessel plug into the incision or puncture until the distal end of the vessel plug is adjacent to the outer lumen of the blood vessel or target organ so that the vessel plug does not obstruct the flow of fluid through the blood vessel or target organ. The precise positioning of the vessel plug in the incision or puncture is accomplished through the use of a balloon catheter or a cylindrical insertion assembly having a proximal plunger member associated therewith.