Abstract: An injection device (110) comprises a housing (112) adapted to receive a syringe (116) having a discharge nozzle (118) and dispensing piston (114) movable in the syringe to expel the contents of the syringe through the discharge nozzle. There is also a drive (130) adapted to act on the syringe to advance it from a retracted position in which the discharge nozzle is contained within the housing to an extended position in which the discharge nozzle extends from housing. A drive coupling (134) extends from the drive to the dispensing piston of the syringe so as to transfer movement of the drive to the piston. The drive coupling comprises a fixed-length drive-coupling and an interchangeable drive coupling. There is also a method of manufacturing an injection device by assembling a first sub-assembly (210) and second sub-assembly (220).

Abstract: Medical devices and methods of making the devices are described. In some embodiments, a method of making a medical device includes addressing a member including a polymer with energy above an ablation threshold of the polymer, and using the member to make the medical device.

Abstract: The present invention is directed to a needle control handle which allows a needle extension distance to be adjusted, set and locked. In one embodiment, the control handle has an outer body and a piston adapted for relative longitudinal movement to extend the needle. A first control knob is movable on the piston for adjusting and setting the distance of the needle extension. A second knob is provided for releasably locking the first control knob on the piston once the needle extension distance has been set. Each of the knobs has a contact surface that enables the knobs to mutually lock with and release from each other.

Abstract: A multichamber ampoule with a locking and dispensing mechanism to store several substances and to dispense a mixture consisting of several substances, possessing a multiple-plug closure with several plugs to selectively close and open several outlet openings in the multichamber ampoule, and an adapter for mixing the substances and dispensing the mixture, wherein the multiple-plug closure and the adapter are connected to each other in an assembly designed to be removed from the multichamber ampoule.

Abstract: An introducer sheath includes a elongated sheath configured to be inserted into a blood vessel. The elongated sheath includes a central lumen configured to allow a surgical implement or medical device to pass therethrough. The introducer sheath also includes a hemostatic valve operatively connected to the sheath. The hemostatic valve is configured to prevent blood in the blood vessel from exiting the introducer sheath assembly when the elongated sheath is located in the blood vessel. The hemostatic valve includes a plurality of seals supported by a housing, including a front seal configured to provide a hemostatic seal with a guide wire, and a rear seal configured to provide a hemostatic seal with a range of sizes of implements and devices. The housing is configured to provide strain recovery for strain induced by displacement forces generated during movement of the implement or medical device through the plurality of seals.

Abstract: Disclosed herein are elongate flexible medical devices which are capable of axial elongation through the mechanism of eversion or toposcopic expansion. In general, this may be accomplished by providing a flexible tubular device having a proximal end and a distal end. Retraction of the distal end in a proximal direction through the tubular body inverts the tube upon itself, causing an axial shortening of the overall length of the device. The original length of the device can be restored by coupling a pressurized media to the proximal end of the sleeve. If the distal end of the sleeve is temporarily restricted or closed, the pressurized media causes the distal end of the sleeve to travel distally until the full length of the sleeve has been restored.

Abstract: A catheter for diagnosing or treating the vessels found within a body or body space includes a center strut that is bonded, preferably thermally, along its longitudinal axis with the thermoplastic tubular member within which it is housed. The tubular member preferably has three layers: an inner layer, a braided layer and an outer layer. The composite catheter is made using a process in which two half-cylinder shaped mandrels are placed on each side of the center strut while the strut is heated in order to cause the thermal bonding. The bonded center strut provides in-plane deflection and improved transfer of torque to the tip of the catheter.

Abstract: A catheter including a tube having at least one lumen, at least one elongate element, the at least one elongate element having a bendable portion at a predetermined bendable portion location therealong forward of a distal end of the tube and at least one selectably inflatable balloon communicating with at least one of the at least one lumen, the at least one selectably inflatable balloon having a forward end and a rearward end, the rearward end of the balloon being located rearwardly of the predetermined bendable portion location.

Abstract: A wearable liquid medicament delivery assembly comprises a band arranged to at least partially encircle and be secured to a body extremity of a wearer and a liquid medicament delivery device carried by the band. The device includes a reservoir arranged to hold the liquid medicament, a piercing member arranged to penetrate the skin of the wearer to deliver the liquid medicament, and a pump that pumps the liquid medicament from the reservoir to the piercing member to thereby cause the liquid medicament to be delivered to the wearer.

Abstract: In accordance with non-limiting examples, a nebulizer includes a main body comprising an air channel section and further comprising a mixing chamber and a venturi positioned to be placed within the patient's oral cavity and configured to receive medicine and air and mix the medicine and air within the mixing chamber and receive the air flow through the venturi and cause the medicine entering the mixing chamber to be atomized by the action of air flowing through the venturi. An air flow sensor is associated with the main body and configured to measure the air flow created by the patient's one of at least inhaling and exhaling air.

Abstract: Some embodiments of a portable medical device, such as an infusion pump, can receive an external reference signal (e.g., a radio, cellular and/or satellite signal) to provide an automatic time-setting and maintenance operation. In these circumstances, the medical device can maintain accurate time and date information even in the event of a power interruption, a time-zone change and/or an internal clock error, for example. In this manner, the portable medical device provides safe operation and added convenience to the user.

Abstract: A device for storing and administering active substances, including a plurality of reservoirs for respectively accommodating at least one active substance. The reservoirs are disposed in a radial manner with an end face facing the direction of the center of the device. A mechanism is mounted in the device to open and close the reservoirs. A needle-free injection device delivers at least one active substance to a user.

Abstract: An apparatus for injecting a material comprising an injector barrel in communication with a delivery needle and a plunger, wherein at least a portion of the plunger is slidably disposed within a proximal portion of the injector barrel, and a proximal end of the delivery needle is in communication with a distal end of the injector barrel, and a thermal jacket surrounding at least a portion of the length of the injector barrel is disclosed. The thermal jacket may be used to regulate the temperature of the material to be delivered.

Abstract: A Quincke tipped introducer needle contains two shafts with lumens, one recessed, both connected by a slit for housing a U- or V-shaped disc shunt. The recessed shaft minimizes the penetration size of the introducer needle for insertion into a narrow and nerve laden space adjacent to a degenerated intervertebral disc. The longitudinal slit connecting the two lumens allows passage of the distal portion of the U-shaped disc shunt through the introducer needle, to be delivered into the intervertebral disc. Pain emitting from the avascular disc is extremely difficult to treat due to lack of penetration or permeability of drug. The lumens of the introducer needle are also used to retain a peri-shunt injectable into the disc shunt for delivery into the painful disc. The peri-shunt injectable can be an analgesic, narcotic, anti-inflammatory drug, antibiotic, anticonvulsant, antidepressant, buffer agent or alkaline agent to alleviate pain.

Abstract: A flat-hose assembly has a proximal end and a distal end adapted for use with a negative pressure wound drainage system. The flat-hose assembly comprises a top layer, a bottom layer, and a filter layer. The bottom layer forms an opening at the distal end of the flat-hose assembly to allow exudates of a wound to flow into the flat-hose assembly. The filter layer is disposed between the top layer and the bottom layer. The top and bottom layer form a seal area along a periphery of the top layer and the bottom layer to seal the filter layer therebetween.

Abstract: The present invention provides a balloon catheter system comprising one or more conduits to which are attached a compliant balloon having a non-helical shape in its deflated state, wherein said balloon is constructed such that is capable of adopting a spiral or helical conformation upon inflation. In addition, the present invention also provides methods for using said balloon catheter system.

Abstract: The fluid infusion system is disclosed that includes a pump housing that has a reservoir cavity and is designed to be pocketable. The reservoir cavity has a rim and helical coupling features formed on an interior face of the reservoir cavity. The fluid infusion system further has a reservoir that is removable from the reservoir cavity and the reservoir also has an open end. A removable cap coupled to the pump housing is also included in the fluid infusion system. The cap has corresponding coupling features, an exterior surface and a tab. The corresponding coupling features are defined to couple the cap to the pump housing while the tab is defined as a ridge that extends away from the exterior surface. The tab further has a port to accommodate fluid flow from the reservoir where the port defines an axis of rotation such that torque applied to the tab about the axis of rotation disengages the coupling between the cap and the pump housing.

Abstract: Systems and methods for treating a vessel include devices having a main elongated element with a balloon at its distal end, an auxiliary elongated element wherein a distal end of the auxiliary elongated element is proximal to the balloon, and a core wire having a internal core wire portion and an external core wire portion, wherein the external core wire portion is external to the balloon. In some embodiments, a distal connecting element is attached to the distal end of the balloon. In some embodiments, the distal connecting element is positioned at a rotational distance from the auxiliary elongated element. In some embodiments, the balloon is a fixed wire balloon. Inflation of the balloon causes guidewires positioned within the device and external core wires to be pushed up against the lesion, providing a focused force for cracking the lesion.

Abstract: An apparatus (1) for extracting milk from a breast, comprising means (2,3) for receiving at least a portion of a breast and its nipple; a container (5) for collecting the milk operatively connected to said means (2,3) for receiving at least partially a breast and its nipple; a pump unit (100) operatively connected to said means (2,3) for receiving at least partially a breast and its nipple, said pump unit (100) being operated manually to generate at least an aspiration able to cause a suction on the breast by imposing a predetermined degree of vacuum within said means for receiving the breast and the nipple. The manually operated pump unit (100) comprises means for regulating the degree of vacuum that is generated. Pump unit (100) operated manually and connectable to a kit for collecting milk from a breast.

Abstract: A catheter capable of articulating in two and three directions is provided. Articulation at the distal tip of the catheter is facilitated by applying selective tension on a steering wire disposed in a lumen that resides peripheral to a central working lumen. Tension on the steering wire through the peripheral lumen causes the catheter tip to bend while the central working lumen resists compression.