Abstract: Implantable catheters are provided which comprise an antimicrobial agent incorporated in a coating or bulk distributed, in combination with a fibrinolytic agent incorporated in a top coating.

Abstract: A stimulating needle and catheter system is provided for delivery of an anaesthetic drug to a nerve having a fascia sheath. The position of the stimulating needle may be identified after insertion into the body of a patient by electrically stimulating and thus locating a specific nerve. When a specific nerve is located, the catheter is inserted through the needle such that the distal tip of the catheter is located at a point slightly beyond the distal tip of the needle. The distal tip of the catheter may then be manipulated and the optimum position within the nerve determined by applying an electrical impulse through a wire located within the catheter from the proximal end to the distal tip of the catheter. A tunneling device is inserted into the skin of the patient to form a subcutaneous tunnel through which the proximal end of the catheter is inserted.

Abstract: A modular bingo system (A) includes a separate primary console (10) and ball console (20). The ball console (20) includes: a bingo ball chamber (22) into which a plurality of numbered bingo balls are loaded and from which the bingo balls are dispensed in an unpredictable order; a ball tray (26) into which the operator places dispensed bingo balls; a first switch matrix (70) that identifies where bingo balls have been placed in the first ball tray (26); and, a ball console computer (40) that monitors the first switch matrix (70) and transmits data regarding its state.

Abstract: A method of evaluating a game face is provided. The face is defined by a matrix of first values, and the face is designated a winner when a combination of the first values forms a predetermined winning pattern in the matrix by matching second values selected during a game from a pool of values. The method includes: representing the combination of the face's first values corresponding to the winning pattern by a first array of data elements; monitoring the second values which are selected from the pool; representing the second values by a second array of data elements; combining the first array and the second array to generate a resulting third array of data elements; and, analyzing the third array to determine at least one of: (i) if the face is to be designated a winner; or, (ii) a rank of the face, wherein the rank is defined as a minimum number of second values that have to be selected from the pool for the face to be designated a winner.

Abstract: A method for playing a game of chance includes distributing game cards from a set of game cards to a plurality of players, each of the game cards in the set displaying at least one game face which includes a set of indicia selected from a pool of indicia. A game of chance is played in which the players match indicia randomly called from the pool of indicia with the indicia in the respective game face. A game face is identified in which a set of the called indicia form a first configuration on a game card from the plurality of distributed game cards. A jackpot level is determined from a plurality of possible jackpot levels based at least in part on a comparison of at least one of the indicia displayed on the identified game face with at least one jackpot number.

Abstract: A catheter insertion assembly for inserting a catheter into a body lumen of a patient is disclosed as well as a method of using the assembly. The assembly comprises a hub, a catheter stiffener and a valve. The hub has a proximal end, a distal end and a lumen connecting the proximal and distal ends. The valve is disposed in the lumen of the hub and prevents substantially all fluid flow through the lumen in at least one direction below a pressure threshold. The stiffener comprises a proximal end, a distal end and a central lumen. The proximal end of the stiffener is attached to the hub and the stiffener extends distally of the distal end of the hub, and the stiffener lumen is in fluid communication with the hub lumen. The stiffener occupies a lumen of the catheter and provides additional stiffness to the catheter such that a catheter introducer is not necessary for insertion of the catheter.

Abstract: A needle and catheter system, including components, is provided such that the position of an stimulating needle may be identified after insertion into the body of a patient by electrically stimulating and thus locating a specific nerve. Positioning of the stimulating needle while simultaneously controlling and monitoring the electrical impulses applied therethrough is made possible by a control device and monitor integral with the stimulating needle. When a specific nerve is located, the catheter is inserted through the needle to a point slightly beyond the distal tip of the needle. The catheter tip may then be manipulated and the optimum position for the catheter tip determined by applying an electrical impulse through the helical wire and/or the ribbon support wire to the proximal tip catheter, this electrical stimulation being utilized in determining the specific location of the catheter tip within the nerve.

Abstract: A method of inserting a multi-lumen catheter assembly. First, an incision is made near the area to be catheterized. The proximal portion of the multi-lumen catheter tube is then inserted into the area to be catheterized. A subcutaneous tunnel is created, and the first end of the tunnel is near the incision. The catheter tube is then routed through the subcutaneous tunnel and pulled tube through a second end of the subcutaneous tunnel. The hub body is then securely attached to the catheter tube by connecting the connection cover to the hub body by threaded engagement. In a preferred embodiment the hub body is attached to the catheter tube by backfitting the connection cover over the catheter tube. A compression sleeve is also backfit over the catheter tube. The cannulae of the hub body are inserted into the lumens of the catheter tube to create fluid communication therebetween.

Abstract: A method of inserting a multi-lumen catheter assembly. First, an incision is made near the area to be catheterized. The proximal portion of the multi-lumen catheter tube is then inserted into the area to be catheterized. A subcutaneous tunnel is created, and the first end of the tunnel is near the incision. The catheter tube is then routed through the subcutaneous tunnel and pulled tube through a second end of the subcutaneous tunnel. The hub body is then securely attached to the catheter tube by connecting the connection cover to the hub body by threaded engagement. In a preferred embodiment the hub body is attached to the catheter tube by backfitting the connection cover over the catheter tube. A compression sleeve is also backfit over the catheter tube. The cannulae of the hub body are inserted into the lumens of the catheter tube to create fluid communication therebetween.

Abstract: The present invention is a multi-lumen catheter assembly having a selectively attachable hub including a multi-lumen catheter tube that has a proximal portion and a distal portion and a hub assembly that has a proximal portion and a distal portion, whereby the distal portion of the catheter tube is selectively attachable to the proximal portion of the hub assembly after subcutaneous insertion of the proximal portion of the catheter tube into a patient.

Abstract: An apparatus for a heart assist device, comprising a processing unit for computing the blood flow rate from the arterial pressure curve and for predicting at every heartbeat the closing time of the heart valve from the curve of the blood flow rate. The processing unit is adapted to deliver a signal for controlling a heart assist device at a point in time, a period ahead in time of the closing time of the heart valve, wherein the mechanical properties of the said heart assist device are taken into account in determining the period. The apparatus adapts itself to changes in a patient's heart frequency and aortic pressure.

Abstract: An apparatus and method for tunneling a distal portion of a multilumen catheter tube in a patient is disclosed. The apparatus includes a connector having a distal end and a proximal end. The proximal end includes a first coupling portion for selective connection to a distal end of the multilumen catheter tube, and the distal end of the connector includes a second coupling portion. A trocar is provided having a first end and a second end. The second end of the trocar is configured for selective connection to the coupling portion of the connector. The connector and the second end of trocar are configured such that they are substantially coaxially aligned with the multilumen catheter tube when the first coupling portion of the connector is selectively joined with the distal end of the multilumen catheter tube and the second end of the trocar is selectively engaged with the second coupling portion of the connector. A method of reverse tunneling a multilumen catheter tube using such an apparatus is also disclosed.

Abstract: A catheter connector for coupling to a catheter, the connector having a body part, a tubular shaped compressible plug situated in a bore in part, with the proximal end of the catheter insertable into the bore of the plug, and a lever pivotably mounted to the housing part. Pivoting of the lever applies an axial force on one end of the plug causing the plug to deform radially inward and tightly engage the proximal end of the catheter.

Abstract: A needle and catheter system, including components, is provided such that the position of an epidural needle may be identified after insertion into the body of a patient by electrically stimulating and thus locating a specific nerve.When a specific nerve is located, the catheter is inserted through the needle to a point slightly beyond the distal tip of the needle. The catheter tip may then be manipulated and the optimum position for the catheter tip determined by applying an electrical voltage through the helical wire to the proximal tip of the helical wire, this electrical stimulation being utilized in locating the specific location of the catheter tip within the nerve. Once optimum placement is achieved, the catheter is utilized for continuous administration of anaesthetic. A catheter adapter is utilized to allow easy access to the catheter and introduction of fluid into the nerve of the patient through the catheter tip.

Abstract: A system for use in playing a game of chance includes a plurality of playing cards (10, 10?, 10?, 10??). Optionally, at least some of the plurality of playing cards display a free ticket symbol (40) which entitles a holder of the playing card to receive at least one free ticket (12). A plurality of the free tickets is also included. Each of the free tickets displays at least one game symbol (30). At least some of the playing cards and at least some of the free tickets include at least one eligible game symbol displayed thereon (82, 110), selected from said game symbols. A master game card (14, 214, 216, 314, 414) is also included for use in conjunction with the playing cards and free tickets. The master game card includes means for identifying at least one of said eligible game symbols as a winning game symbol (112, 230).

Abstract: A multi-lumen catheter and method for inserting same into a patient is disclosed. The catheter includes a multi-lumen catheter tube having a distal end, a proximal end, and a plurality of lumens therethrough. The catheter may include a single-lumen flush tube portion, the flush tube portion having a proximal end and a distal end, the proximal end of the flush tube portion being connected to the distal end of the catheter tube such that the single lumen of the flush tube portion is in fluid communication with each of the lumens in the catheter tube. A connector is provided having a proximal end, a distal end, and a longitudinal cavity extending therethrough.

Abstract: A catheter includes a tube formed of plastic, a helical spring coil formed of metal and a ribbon which is longitudinally substantially non-extendable. The coil is coaxially disposed within the tube and substantially coextensive longitudinally with the tube. The ribbon is disposed within the coil, proximal ends of the ribbon and the coil being secured together, and the ribbon distal end being secured to the coil body at a predetermined point of the coil body adjacent but substantially proximally spaced from the coil distal end. The ribbon precludes substantial longitudinal extension of the coil body intermediate the coil proximal end and the predetermined point, thereby to limit longitudinal extension and increase the pull strength of the catheter.