Abstract: A system, method, and apparatus for iontophoretically delivering medically-active ions beyond the tympanic membrane, into a middle ear portion of a patient, and to an area or structure of the middle or inner ear that is targeted for treatment. The system and apparatus can include a needle configured partially for insertion through a tympanic membrane and having a longitudinal bore, a flexible lumen coupled with the needle, and typically a fluid source coupled with the lumen such that a fluid in the fluid source can be delivered from the fluid source, through the lumen and the needle, and into the middle ear. A positioning tab can be coupled with the needle to assist determining a proper insertion extent of the needle through the membrane.

Abstract: A balloon catheter having a multi-layered balloon which has a first layer and at least a second layer, and which has noncompliant limited radial expansion beyond the nominal diameter of the balloon. By selecting the polymeric materials forming the balloon layers, and arranging and radially expanding the multiple layers of the balloon in accordance with the invention, a balloon is provided having an improved low compliance, preferably in combination with high flexibility and softness.

Abstract: A device for gripping a guide wire includes a body portion having an opening therethrough, and has an open position and a closed position. When the device is in the open position the guide wire may be passed through the opening. When the device is in the closed position the guide wire is gripped at more than one location thereby allowing force or torque to be applied to the guide wire. A device according to the invention may optionally, or instead, include (a) a snout to act as a guide wire director, (b) a structure, such as an opening, configured to receive an end of a guide wire package, (c) a structure for securing a body member to the device, and/or (d) a mechanism for advancing or retracting a guide wire. If the device includes one of these optional features, it need not be designed to grip a guide wire at two or more locations.

Abstract: A drainage catheter hub for use in connection with a drainage catheter to receive and secure a suture therein, wherein the hub includes: (i) a housing having a channel to accommodate the suture therein; (ii) a bistable locking mechanism positioned in the housing and being adapted to provide selective securement of the suture; and (iii) a resilient outer layer utilized in connection with the bistable locking mechanism and coupled to the housing. The bistable locking mechanism is configured to: (i) allow movement of the suture when the bistable locking mechanism is in a first position; and (ii) minimize axial movement of the suture when the bistable locking mechanism is in a second position. The resilient outer layer is adapted to allow a user to actuate the bistable locking mechanism between the first and second positions to selectively secure and release the suture.

Abstract: A deflectable catheter comprises a catheter body, a tip section, and a control handle for affecting deflection of the tip section. The tip section comprises a flexible tubing having proximal and distal ends and at least two lumens extending therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The flexible tubing comprises a plastic core, a metal braid over the core, a plastic skin over the braid, and at least two pieces of plastic tubing in longitudinal arrangement extruded over the plastic skin, wherein the at least two pieces of plastic tubing have different stiffnesses and are arranged with the stiffer plastic being proximal the less stiff plastic. The tip section is made by extruding a plastic core over at least one mandrel and braiding a metal over the plastic core.

Abstract: An apparatus and method for preventing free flow through an infusion set utilizes an occluder disposed within the infusion set to selectively prevent flow therethrough. The occluder may be responsive to a pressure differential within the infusion set or may respond to compression of the infusion set. The occluder may also be configured to allow flow when the infusion set adjacent the occluder is moved sideways relative to the occluder or maintained at an angle relative to the occluder. When a pair of occluders are used in sequence, an in-line pump may be formed.

Abstract: A catheter section comprising an elongate tubular member having a proximal end, a distal end, and a passageway defining a lumen extending between the proximal and distal ends. The elongate tubular member includes a knit tubular member and an inner tubular liner in coaxial relationship with the knit tubular member. The catheter section is for use as a distal section in a catheter having a relatively stiff proximal section.

Abstract: A device and method for the infusion of medicinal fluid at a controlled flow rate to a wound site or the blood stream of a patient is disclosed. A pump delivers fluid under pressure from a fluid source through a continuous and substantially constant flow path and through a supplemental bolus dose flow path. A large volume bolus dose reservoir accumulates a large quantity of fluid from the bolus dose flow path and holds the fluid under pressure. A flow regulator controls the fill rate of the large volume bolus reservoir. The large volume supplemental bolus dose is released from the bolus reservoir upon patient activation of a valve. The release rate of the bolus dose is controlled by the decompression of an elastomeric sphere or spring chamber, by the pressure gradient at the valve and/or by optional flow control tubing.

Abstract: A safety shield system for a needle cannula of a pen needle injector or similar device, wherein the safety shield may be retracted from a first position enclosing the needle to a second position exposing the needle for injection. The safety shield system permits retraction of the safety shield during use, but extends the shield enclosing the needle in a locked position following use. The shield system is utilized with a pen needle injector having a double ended needle cannula mounted in a hub received on the open end of the pen needle injector. The assembly is disposed of by removing the assembly and needle cannula hub and storing the assembly in the cup-shaped cap enclosing the exposed end of the needle cannula within the cap. The cap includes internal radial ribs preventing retraction of the shield prior to removing the cap preventing inadvertently piercing the cap during assembly.

Abstract: The present invention provides a coupling device for attaching a sleeve (40) to a surgical aspirator tip (10) that allows airflow between the external environment and the interior of the sleeve (40). The coupling device includes a male member (26) attached to the tip (10) and a female member (42) formed in the proximal end of the sleeve (40). The male member (26) includes at least one longitudinal groove (100). When the male member (26) is received into the female member (42), at least one venting channel (80) is defined between at least one longitudinal groove of the male member (26) and the inner surface of the female member (42). Venting channel (80) permits airflow between the external environment and the interior of the sleeve (40).

Abstract: Injection devices are known for the self administration of medicament by patients in which the medicaments is typically contained within a cartridge located within the injection device. It is a problem that injection devices should be small enough to fit into a jacket pocket or a hand bag without difficulty. Also, the injection device must be of a size that enables a piston or similar used to drive a cartridge bung within the cartridge to be moved both to a maximum dispense position within the cartridge and to be fully withdrawn from the cartridge to allow for replacement of the cartridge.

Abstract: A seal assembly for use in conjunction with a trocar assembly includes a seal body adapted for sealing about an instrument inserted through the trocar assembly. The seal assembly also includes a protector adjacent the seal body for protecting the seal body from instruments passing through the seal body. The protector comprises a plurality of protector segments woven together in a non-planar arrangement.

Abstract: A surgical aspirator tip and sleeve combination includes a hollow aspirator tip adapted to be placed into communication with a suction source, a grip portion, a coupling portion extending distally from the grip portion, and a neck portion extending distally from the coupling portion. The surgical aspirator sleeve is receivable on the tip to define an internal channel between the sleeve and the neck portion. The internal channel is in fluid communication with the interior of the tip. A plurality of spaced orifices on the sleeve provide communication between the external environment and the internal channel. At least one longitudinal groove is formed at least partially within the grip portion and the coupling portion. The longitudinal groove defines a venting channel in communication with the internal channel and the external environment. The longitudinal groove is adapted to be at least partially covered to adjust the suction within the internal channel.

Abstract: An auto purge for an intravenous contrast injector of the type having a motor which advances a plunger drive ram and configured for use with a pre-filled or user-filled syringe containing an approximate known amount of air including a processor which causes the motor to move and a memory storing a predetermined purge stop point representative of the approximate known amount of air in the syringe, the injector configured to automatically advance the plunger drive ram an amount substantially equal to the predetermined purge stop point representative of the approximate known amount of air contained in the syringe.

Abstract: The present invention provides a delivery device comprising a fluid cartridge holder, housing and a piston drive mechanism that comprises a hollow piston rod and a drive-shaft. The hollow piston rod has an internal thread that mates with the external thread of the drive-shaft, forming a thread connection and being axially restrained in the proximal direction relative to the housing. The drive mechanism is in turn connected to the housing via a one way ratchet such that the piston rod is prevented from moving in the proximal direction.

Abstract: A microfluidic device is provided for delivering a drug to an individual. The microfluidic device includes a body that defines a reservoir for receiving the drug therein. A valve interconnects the reservoir to an output needle that is insertable into the skin of an individual. A pressure source urges the drug from the reservoir toward the needle. The valve is movable between a closed position preventing the flow of the drug from the reservoir to the output needle and an open position allowing for the flow of the drug from the reservoir to the output needle in response to a predetermined condition in the physiological fluids of the individual.

Abstract: A set of parts for providing a medical device, including a lumen element adapted for mounting at a location on the skin of the patient, and a valve member. The lumen element and the valve member have releasable connection members such that, when the connection members are engaged, an assembled medical device is provided which is adapted for accessing an internal organ of a patient.

Abstract: A robotic medical system and method of performing a medical procedure are provided. The robotic medical system comprises a user interface configured for receiving commands, an electromechanical driver configured for being coupled to outer and inner catheters having proximal and distal balloons, a balloon controller configured for being coupled to the proximal and distal balloons, and an electric controller configured for directing the electromechanical driver to linearly translate the outer and inner catheters relative to each other and for directing the balloon controller to inflate and deflate the proximal and distal balloons in response to the command(s). The method may comprise inflating and deflating the proximal and distal balloons, and linearly translating the inner and outer catheters relative to each other in a specified sequence to move the inner and outer catheters along the anatomical vessel.

Abstract: A port, which may be used with a gastric banding assembly, having a septum therein that is subjected to multi-directional compression forces to aid in sealing imperfections caused by multiple needle sticks. Multi-directional compression forces, including axial compression and radial compression, may be created by providing a tapered septum. Such multi-directional compression forces may also be created by providing a tapered lead-in for inserting a septum into a port body.

Abstract: A limiting mechanism which prevents the setting of a dose, which exceeds the amount of liquid left in a cartridge of an injection device, is disclosed. The injection device is the type where a dose is set by rotating a dose setting member relative to a driver and away from a fixed stop in the injection device. The dose setting member interfaces the driver such that the dose setting member can be rotated in one direction without rotating the driver. The dose is injected by rotating back the dose setting member which during the backward rotation carries the driver with it. Rotating the driver causes the piston rod to move forward inside the cartridge and expel some of the liquid contained in the cartridge. The driver is provided with a track having a length which is related to the total amount of liquid in the cartridge and which track is engaged by a track follower coupled to the dose setting member to follow rotation of this dose setting member.