Abstract: Disclosed are disinfecting covers for optical-fiber connectors. For example, a male disinfecting cover can include a plug, a bore of the plug, an absorbent disposed in the bore, and a disinfectant absorbed by the absorbent. The plug is configured to insert into a receptacle of a female optical-fiber connector. A female disinfecting cover can include a body, a receptacle in the body, an absorbent disposed in the receptacle, and a disinfectant absorbed by the absorbent. The receptacle is configured to accept a male optical-fiber connector. Whether the disinfecting cover is male or female, the absorbent is configured to contact the ferrule and the optical fiber disposed of the optical-fiber connector. Methods can include at least a method of using the male or female disinfecting cover.

Abstract: Devices and methods for an autovance intraosseous device. The autovance intraosseous device can include a trigger activated system or pressure activated system that causes a needle to advance distally for a predetermined distance. The predetermined distance ensures a needle tip extends through the bone cortex, to access the medullary cavity, without penetrating a far wall of the medullary cavity. The advancement can be driven by a spring based system or an electric motor.

Abstract: Apparatus and methods for a flexible obturator for use with an access assembly of an intraosseous device are disclosed. The flexible obturator can include elastic properties and relatively low columnar strength, relatively low shear strength, and/or relatively high compressive strength. When the obturator is supported in the needle, the obturator can prevent bone fragments and tissue from blocking the needle lumen. When removed from the needle, the obturator can deform under a force to prevent accidental needle stick injuries. The flexible obturator can define a radially symmetrical profile and can conform to the inner profile of the needle lumen. The flexible obturator can extend beyond a distal tip of the needle and be trimmed flush to a beveled surface of the needle. This simplifies the manufacturing process, allowing a single size obturator to be fitted to multiple sizes of needle.

Abstract: Rapidly insertable central catheters (“RICCs”) including catheter assemblies and methods thereof are disclosed. A RICC assembly can include a RICC, an introducer, and a coupling system configured to couple the RICC and the introducer together. A catheter tube of the RICC includes a side aperture in a distal-end portion of the catheter tube, which opens into an introducing lumen extending to a distal end of the RICC. The introducer includes an introducer needle extending through the distal end of the RICC when the RICC assembly is in at least a ready-to-deploy state thereof. The introducer is configured to be actuated with a single finger of a hand while holding a distal-end portion of the introducer between a thumb and another finger or fingers of the hand. The coupling system includes a distal coupler slidably attached to the catheter tube proximal of the side aperture.

Abstract: An ultrasound imaging system is disclosed that includes an ultrasound probe including a plurality of ultrasound transducers configured to acquire ultrasound images, a processor and non-transitory computer-readable medium having stored thereon logic that, when executed by the processor, is configured to perform operations including receiving ultrasound imaging data, detecting one or more blood vessels within the ultrasound imaging data, identifying at least one blood vessel of the one or more blood vessels as an artery or as a vein, and rendering a visualization of at least a subset of the one or more blood vessels on a display. The logic may, when executed by the processor, cause performances of further operations including identifying the at least one blood vessel as the artery at least one differentiating characteristic of a plurality of differentiating characteristics of blood vessel type.

Abstract: A medical analytic system features an ultrasound probe communicatively coupled to a console, which includes a processor and a memory. The memory includes an alternative reality (“AR”) anatomy representation logic, which can include representation logic with (i) visualization logic configured to capture information associated with multiple sub-images at different layers of an ultrasound image of an anatomical element, (ii) virtual slice positioning logic configured to position and orient each sub-image based on usage parameters during emission of the ultrasound signals from the ultrasound probe for capturing of the ultrasound image, (iii) virtual object assembly logic configured to assemble each of the sub-images to form a virtual representation of the anatomical element, and/or (iv) virtual object display logic configured to render the virtual representation of the anatomical element in an AR environment.

Abstract: A medical device-placing system including a medical-device tip-location sensor (“TLS”) configured for placement on a chest of a patient, an ultrasound probe, a console, and an alternative-reality headset. The ultrasound probe can be configured to emit ultrasound signals into the patient and receive echoed ultrasound signals from the patient. The console can be configured to transform the echoed ultrasound signals to produce ultrasound-image segments corresponding to anatomical structures of the patient, as well as transform TLS signals from the TLS into location information for a medical device within the patient. The alternative-reality headset can include a display screen through which a wearer of the alternative-reality headset can see the patient. The display screen can be configured to display over the patient a virtual medical per the location information for the medical device within objects of virtual anatomy corresponding to the ultrasound-image segments.

Abstract: Preloaded catheters are manufactured with a stylet, guidewire, or similar medical device disposed within the catheter, extending through a valve of the connector at a proximal end. During storage and transport, the stylet can remain in place for a prolonged period of time, which can cause stretching, indentations, and damage to the valve faces. These indentations can cause the valve leak, resulting in failure of the device as a whole. Embodiments disclosed herein are directed to devices and methods for preventing contact between the medical device and the valve faces, mitigating damage thereto.

Abstract: Systems and methods for extending a guidewire from an insertion tool are disclosed. A guidewire assembly includes a slider configured to engage a guidewire carrier. The guidewire carrier defines a lumen configured to receive a guidewire therein. The guidewire carrier is biased to a non-linear, coiled resting state and can elastically transition to a linear extended state. As the guidewire assembly and slider are urged distally, the slider transitions the guidewire carrier from the non-linear state to the linear extended state. A distance travelled by the slider is less than a distance travelled by a tip of the guidewire as the guidewire carrier transitions from the coiled state to the linear state.

Abstract: Disclosed herein are ultrasound systems and methods for sustained spatial attention. For example, an ultrasound system can include a console and an ultrasound probe. A display of the console can be configured to display ultrasound images and one or more still or moving images of a procedural field. The ultrasound probe can include a camera integrated into the ultrasound probe for recording the one-or-more still or moving images of the procedural field with a depth of field including a distal end of a probe head and a field of view including a spatial region about the probe head. With the one-or-more still or moving images displayed along with the ultrasound images, a clinician need not switch his or her spatial attention between spatial regions such as the procedural field and the display quite as frequently as with existing ultrasound systems, thereby sustaining spatial attention in one or more spatial regions.

Abstract: Disclosed is an ultrasound probe including an array of ultrasonic transducers and an orientation system, wherein the orientation system obtains orientation information of the ultrasound probe.

Abstract: Disclosed herein are rapidly insertable central catheters (“RICCs”), RICC assemblies, and methods thereof. For example, a RICC can include a catheter tube, a suture wing disposed over a medial portion of the catheter tube, a hub coupled to a proximal portion of the catheter tube, and a number of extension legs extending from the hub. The catheter tube can include a first section in a distal portion of the catheter tube and a second section proximal of the first section. The suture wing can include a projection opposite a patient-facing side of the suture wing and a needle through hole through the projection. The needle through hole can be configured to accept a needle therethrough for insertion of the needle into a primary lumen of the catheter tube, which passes through a catheter-tube through hole through the suture wing. A method of the RICC can include using the RICC.

Abstract: A placement system for tracking, placing, and monitoring a catheter assembly or other medical device inserted into a body of a patient is disclosed. The placement system utilizes optical fiber-based strain sensors to assist with catheter placement. In one embodiment, the placement system comprises a console including a processor and a plurality of optical fiber-based strain sensors included with the catheter. A light source is also included and configured to operably connect with the strain sensors and produce outgoing optical signals incident on the strain sensors. A photodetector is included and configured to operably connect with the strain sensors and receive return optical signals from the strain sensors. A processor is configured to process data from the return optical signals. The data relates to an aspect of the catheter. A user interface such as a display is configured to communicate information relating to the aspect of the catheter.

Abstract: Disclosed herein is an ultrasound system for accessing a vasculature of a patient. The ultrasound system is configured to depict an enhanced ultrasound image of a subcutaneous portion of the patient including an icon surrounding a target vessel depicted on the display. The icon indicates to a clinician the target vessel is within range of a percentage vessel occupancy or vessel purchase length depending on a size of cannula or angle of insertion. The icon can also indicate blood flow strength, vessel type, or vessel deformation. The enhanced image can further include cannula trajectory guidelines and visual alerts for the clinician if the cannula tip can potentially backwall the vessel. Additional icons can indicate obstructions disposed on the cannula trajectory.

Abstract: Shape-sensing systems and methods for medical devices. The shape-sensing system can include a medical device, an optical interrogator, a console, and a display screen. The medical device can include an integrated optical-fiber stylet having fiber Bragg grating (“FBG”) sensors along at least a distal-end portion thereof. The optical interrogator can be configured to send input optical signals into the optical-fiber stylet and receive FBG sensor-reflected optical signals therefrom. The console can be configured to convert the reflected optical signals with the aid of filtering algorithms of some optical signal-converter algorithms into plottable data for displaying plots thereof on the display screen. The plots can include a plot of curvature vs. time for each FBG sensor of a selection of the FBG sensors for identifying a distinctive change in strain of the optical-fiber stylet as a tip of the medical device is advanced into a superior vena cava of a patient.

Abstract: A medical system includes a vascular device operatively coupled with a system module. The vascular device includes a pressure measurement capability as the distal end thereof. Logic of the system module acquires and pressure measurements during downstream advancement of the vascular device along a venous vasculature. The logic determines that the distal end of the vascular device is advanced to a defined location, such as the cavoatrial junction, for example, based on a minimum average pressure and/or maximum pressure variation. The vascular device may include a pressure sensor located at the distal end. The pressure sensor may include fiber optic Bragg grating of an optical fiber extending along the vascular device. The vascular device may be central catheter.

Abstract: An apparatus device features a housing; an input/output (I/O) interface, and one or more control logic units deployed to operate within the housing and communicatively coupled to the I/O interface. Each of the one or more control logic units can be configured to (i) control operations of at least one medical device controlled by a control logic unit of the one or more control logic units when the medical device is communicatively coupled to the I/O interface, and (ii) collect a subset of data acquired at least during placement of a vascular access device within a vasculature of a patient.

Abstract: A medical ultrasound system that includes an ultrasound probe and one of number of optional accessories attached to the ultrasound probe. The accessory exchanges data with the probe and receives power from the probe. The accessory includes processors and logic that governs it operation thereby adding functionality to the probe. The accessory receives input and provides output via any of a number of communication mechanisms, i.e., wireless, electrical, optical, RFID, IR, and the like. The accessory adds functionality to the probe, such as fiber optic shape sensing, obtaining electrical signals, obtaining bio-impedance measurements, tracking a needle, and determining the orientation of the probe. The accessory may include a needle guide, a triphalangeal support structure, or an acoustically transparent cap.

Abstract: Disclosed herein are medical systems and devices that include an elongate probe configured for insertion into a patient, where the elongate probe includes an atraumatic tip and where the atraumatic tip includes one or more of a loop, a curl, coil, a flexible distal tip section, a steerable distal tip section, a distal tip section configured to transition away from a first shape toward a second shape upon insertion of the elongate probe within the patient. The optical fiber includes sensing core fibers configured to facilitate a determination of a physical state of the elongate probe. The elongate probe is also configured to project illuminating light away from a distal end and receive imaging light at the distal end.

Abstract: Embodiments disclosed herein are directed to apparatus and methods for a stepped needle for an intraosseous device that uses the outer surface of the bone cortex as a reference point. Since the thickness of the bone cortex does not vary significantly between patients, the accuracy of needle placement can be improved. The device includes a needle with a stepped increase in outer diameter disposed along the needle shaft. The abrupt change in outer diameter provides a substantial increase in insertion force. In embodiments, the stepped increase prevents any further insertion into the bone cortex. Embodiments include a tapered needle lumen for medullary access confirmation and an overtube that is rotatably and slidably engaged to protect surrounding tissues and prevent needle stick injuries. Further, a needle hub can be rotatable or slidable, and can transition an overtube to an extended position to prevent accidental needle stick injuries.