Abstract: The present invention provides methods and devices for promoting tissue adhesion, which utilizes the healing process and scar tissue formation to bond two tissue surfaces together. A tissue injury is accomplished by destroying the mucosal layer of tissue. After the injury is initiated, the tissue is preferably held in close contact by a tissue apposition means such as a suture, staple or clip device placed adjacent to the treatment site. The tissue injury may be initiated by electrical/radiofrequency energy; chemical or mechanical means integrated with the tissue apposition device or delivered by a separate instrument such as an electrocautery catheter through an endoscope. As scar tissue created by the injury forms, the tissue surfaces become bonded together in a permanent union.

Abstract: A catheter connection system is disclosed. In one embodiment, a catheter connection system may include at least two components and a deformable sealing element positioned between the at least two components configured to allow, upon deformation, fluid flow through the at least two components. In another embodiment, the catheter connection system may include a sealing element positioned between at least two components, wherein the components are coupled to one another by a locking member.

Abstract: A catheter connector system that allows trimming of the proximal end of a catheter (single or multiple lumen) prior to the placement of a connector hub. In one variation, the catheter connector system comprises a catheter, a connector sheath including a soft collet, and a connector hub including a cannula for engaging the catheter and a connector hub interface for receiving the connector sheath.

Abstract: A catheter connector for a subcutaneously placed catheter. The catheter connector can be configured for a single lumen catheter or a multiple lumen catheter. The connector facilitates precise positioning of both distal and proximal ends of a catheter, providing enhanced functionability and patient comfort.

Abstract: A septum for use in access port for providing subcutaneous access to a patient is disclosed. More particularly, a septum including at least one topographical feature configured for identification of the septum is disclosed. An access port including such a septum is also disclosed. In addition, an access port comprising a septum and a means for identification of the septum is disclosed. Also, a method of identifying a subcutaneously implanted access port is disclosed. Specifically, an access port including a septum may be provided and at least one topographical feature of the septum of the access port may be perceived. The subcutaneously implanted access port may be identified in response to perceiving the at least one feature of the septum of the access port.

Abstract: A valved connector for controlling the flow of fluid having a valve assembly positioned within a connector housing having a first position wherein the valve assembly prevents fluid flow through the connector housing, and a second position wherein the valve assembly permits fluid flow through the connector housing. The valve assembly may be movable from the first position to the second position by a male luer fitting. The valve assembly is configured for multiple and repeated access and also for minimizing fluid flow restrictions. The valved connector may be designed for use with a catheter to provide for “over the guidewire” placement or replacement techniques with little or no bleed-back or air embolism.

Abstract: A catheter assembly includes a catheter, a tubular structure affixed to an exterior surface of the catheter, and a stabilizing cuff affixed to, and at least partially embedded within, the tubular structure. The tubular structure may include a tapered surface extending from an end of the tubular structure to an exterior surface of the catheter. A method of manufacturing a catheter assembly may include positioning a tubular structure about a catheter, positioning a stabilizing cuff near the tubular structure, and partially embedding at least a portion of the stabilizing cuff within the tubular structure while shaping the tubular structure to form a tapered surface. A temporary sleeve may be positioned about the tubular structure prior to shaping the tubular structure. The tubular structure may also be preformed to include a tapered end prior to positioning the tubular structure about the catheter.

Abstract: A system for supporting the urethra using an introducer needle, the ends of which are flattened and which have openings therethrough, a handle having a latch mechanism which engages the opening in the flattened portion of the first end of the introducer needle, an implant, and a connector joining the end of the implant to the flattened portion of one of the ends of the introducer needle. These components are used to draw the implant into position, either through vaginal or abdominal incisions, to form a U-shaped loop beneath the urethra. The ends of the implant are adjusted to provide proper support for the urethra. The implant can have slits that open under applied tensile force.

Abstract: A biopsy device for tissue collection having a housing and a removable element. A power source is contained within the housing and the removable unit includes a biopsy needle module and a pressure source that can be integrated into the housing such that the biopsy device is fully operational without the need for wires or cables extending from the housing to connect to external units. The biopsy needle module includes a biopsy needle and a cutting sleeve, the biopsy needle having a sharpened distal end and a distal opening for collection of tissue, the cutting sleeve having a cutting blade on its distal end and being coaxially positioned with respect to the biopsy needle.

Abstract: A tool for removing a discrete object from the body of a human or animal patient includes a single length of Nitinol tubing and a sheath. The tubing includes a tool head section at a distal end of the tubing and a shaft section extending from a proximal end of the tubing to the tool head section. The tool head section includes a slitted section and a non-slitted section. The non-slitted section is disposed at a distal most end of the tubing. The slitted section includes a plurality of longitudinal slits forming a plurality of strands.

Abstract: A system and method for guiding a catheter or other medical device to a desired target destination within the vasculature of a patient via bioimpedance measurements is disclosed. The target destination in one embodiment includes placement of the catheter such that a distal tip thereof is disposed proximate the heart, e.g., the junction of the right atrium and superior vena cava. In one embodiment the method for guiding the catheter comprises introducing the catheter into a vessel of the patient, the catheter defining a lumen through which fluids can be infused into the vasculature of the patient. The catheter is advanced toward a target destination within the vasculature. A first impedance value based on intravascular detection of at least one electrical property related to a first tissue surface of the vessel is calculated to enable determination of the proximity of a distal end of the catheter to the target destination.

Abstract: The present disclosure is generally directed to surgical articles useful for implanting support members in patients. The articles disclosed herein include a support member, such as a sling for urinary incontinence, tissue anchors, filamentary elements for associating the support member with the anchors, and introducer needles for placing the anchors in a patient. The support members can also be configured for use in pelvic floor repair, such as for treating cystoceles, rectoceles, and enteroceles.

Abstract: A medical article 100 is used to repair prolapses of various pelvic organs including vaginal vault prolapse. The medical article 100 can include a first flap 105 comprising a dual density mesh formed of a first and second filament, a second flap 101 comprising a single density mesh formed of the first filament, and a third flap 103 comprising a single density mesh formed of the second filament. The first 105, second 101, and third flap 103 can share a common intersection 107 that can form an arc. The medical article 100 can be formed by knitting a uniform piece of mesh and the arc 107 can be configured to conform to a surface of a pelvic organ. Methods of manufacturing and methods of using the medical article are also disclosed.

Abstract: A biopsy needle system includes a cylinder with an open end and a cylinder wall. A piston is inserted in the open end such that a cylinder interior volume is defined between the piston and the cylinder, the piston being movable in the cylinder. A biopsy needle is connected to the cylinder. A ventilation groove is established in the cylinder wall only to a depth of a portion of a thickness of the cylinder wall. The ventilation groove is positioned such that the cylinder interior volume of the cylinder communicates with the ambient atmosphere when the piston is displaced to a position in the cylinder so as to establish an airflow through the ventilation groove past the piston.

Abstract: A catheter assembly for providing precise placement of a catheter distal end at a desired location within the patient vasculature is disclosed. In one embodiment, the catheter assembly comprises a catheter including an elongate body that defines a proximal end, a distal end, and a lumen extending therebetween. A guidewire is also included and is configured for being received within the lumen of the catheter and for guiding the catheter through the patient vasculature. The guidewire includes a plurality of depth markings along at least a portion of a length of the guidewire. The depth markings indicate a distance between a distal end of the guidewire and an insertion site through which the guidewire passes into the patient vasculature. The guidewire further includes a modified tip configured for assisting in guidewire advancement through the vasculature, and a proximal end orientation feature that indicates the orientation of the modified tip.

Abstract: An electrophysiology catheter and method of use for mapping and ablation procedures. The catheter includes a braided conductive member at its distal end that can be radially expanded. The catheter can be used in endocardial and epicardial mapping and ablation procedures.

Abstract: A catheter assembly for use in accessing a vasculature of a patient during renal replacement or other therapies is disclosed. In one embodiment, the catheter assembly includes a catheter body that defines first and second lumens. The catheter body defines a distal tip region that includes a venous lateral opening that is in fluid communication with the first lumen and an arterial lateral opening that is in fluid communication with the second lumen.

Abstract: A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.

Abstract: A catheter tip designed to reduce the outflow velocity and/or directional momentum of fluid being infused by a catheter having such a tip. In one variation, a plurality of channels is provided at the distal portion of the catheter to increase the outflow cross-sectional area. In another variation, the diameter of the catheter at its distal portion where the fluid exits is increased. In yet another variation, a bullet-shaped nose is implemented which may decrease turbulence at the distal end of catheter tip. The low velocity outflow catheter tip may also be implemented on a dual lumen catheter, such as a hemodialysis catheter, to reduce recirculation rate. Various device configurations and methods for such implementations are also disclosed.

Abstract: The present invention relates to an improved endoscopic tissue apposition device having multiple suction ports. The invention permits multiple folds of tissue to be captured in the suction ports with a single positioning of the device and attached together by a tissue securement mechanism such as a suture, staple or other form of tissue bonding. The improvement reduces the number of intubations required during an endoscopic procedure to suture tissue or join areas of tissue together. The suction ports may be arranged in a variety of configurations on the apposition device to best suit the desired resulting tissue orientation. The inventive tissue apposition device may also incorporate tissue abrasion means to activate the healing process on surfaces of tissue areas that are to be joined by operation of the device to promote a more secure attachment by permanent tissue bonding.