Abstract: An ergonomically effective breast pump includes a pump body including a breast engaging portion, a breast milk receiving container on the pump body, a one-way valve between the pump body and the container and a piston and cylinder assembly for applying vacuum to the interior of the pump body. The breast engaging portion is receivable in engagement with a breast of a user, and the piston and cylinder assembly includes a piston which is moveable in a cylinder in a direction outwardly and away from the user for applying vacuum to the breast of the user through the pump body. The breast pump further includes a thumb receiving element for moving the piston in the cylinder in a direction outwardly and away from the user with a thumb on a hand of the user, a handle element receivable in the same hand for assisting the user to draw the piston in an outward direction in the cylinder and a spring element for returning the piston in a direction toward the user.

Abstract: An intravascular catheter having an expandable region formed of hypotubes mounted on the distal end of a tubular member that is capable of delivering a drug to the artery and radial expansion and contraction by means of a control wire. Each of the hypotubes has at least one surface aperture and the lumen of each of the hypotubes is in fluid communication with a drug delivery lumen. A therapeutic drug is injected into the patient's vasculature through the apertures in the hypotubes. The catheter is particularly adapted to hold open an artery after a vascular procedure therein such as a balloon angioplasty or other types of vascular procedures, and if desired to introduce a drug to the site of the vascular procedure.

Abstract: A method and system for the infusion of a drug into a patient involving: (i) calculating a multiplicity of infusion rate profiles for a selected drug by monitoring drug efflux from the body of a group of patients for a corresponding multiplicity of target concentrations of the selected drug; (ii) determining the body size of the patient, such as their Lean Body Mass; (iii) selecting a target concentration of the drug to, in turn, cause selection from the multiplicity of infusion rate profiles of an infusion rate profile substantially corresponding to the infusion rate profile for the selected target concentration; (iv) scaling the selected infusion rate profile by the determined body size or Lean Body Mass of the patient; and (v) administering the drug to the patient in accordance with the scaled profile by means of an infusion device which is controlled to deliver said drug at said scaled infusion rate profile.

Abstract: A medical connector and method of using the connector to connect separate sections of medical tubing, especially tubing which is to be implanted in the human body. The connector includes generally cylindrical first and second end portions, the diameter of which are smaller than an enlarged middle portion. The end portions are sized to fit within the lumens of the tubing sections. The connection is made by grasping the enlarged middle portion and slipping each end portion into a respective tubing section until the tubing sections abut tubing stop surfaces located at each end of the enlarged middle portion. The enlarged middle portion makes the connector easy to handle and the tubing stop sections provide for accurate alignment of the connector between the tubing sections.

Abstract: A portable, lightweight bowel evacuation system is made up of a water bag which is elevated above the patient with a check valve in the delivery line from the water bag into a rectal insertion tube or speculum, a drain line leading from the speculum includes a disposable valve member for selectively opening and closing the drain line, and one or more pressurizing members in the form of manual squeeze bulbs are provided to simultaneously open the check valve for delivery of water from the water bag through the speculum and close the drain valve while the check valve is open and further is open to simultaneously close the check valve when the drain is opened. In a modified form, a flow control valve in communication with a source of air under pressure takes the place of the manual squeeze bulb to control opening and closing of the valve members.

Abstract: A safety dental syringe of the type adapted to receive a medication cartridge therein but having a protective needle shield thereon which is movable between a retracted position wherein the needle is exposed and a locked and extended position wherein the needle is protected and the needle shield is prevented from returning to the retracted position. A collar is attached to the distal end of the dental syringe to selectively engage a key on the needle shield as the needle shield is moved between the retracted and extended positions. The needle shield slides longitudinally between the retracted and extended positions and may be rotated about the barrel of the dental syringe to lock the needle shield in the locked and extended position. A locking mechanism is disclosed which preferably includes a series of ramps and slots adapted to engage portions of the keys on the needle shield to retain the needle shield in the locked and extended position.

Abstract: A perfusion catheter for insertion into a body conduit, especially an artery. The catheter comprises a shaft (5) having at least one lumen (7) for delivery of a fluid inflation media and an array (1) formed of a plurality of radially disposed inflatable balloons (3) disposed in a cylindrical array around the shaft (5), each of the balloons (3) sharing a common wall (3a) with adjacent balloons (3). The balloons (3) are inflated by an array of channels (11) and separated from each other by a web (19). There is at least one opening (17) between two adjacent channels (11) to allow the flow of fluids into the array (1).

Abstract: A hand-held apparatus and method for insufflating an abdominal cavity includes a compact gas supply unit comprised of a gas cartridge which has a pair of tandem piercable seals positioned inside the cartridge neck and which contains a predetermined mass of compressed gas. A cap having a puncture stem is engaged with the gas supply unit, causing the puncture stem to penetrate the piercable seals and release gas through the puncture tube and into a hollow needle positioned inside the abdomen. The tandem piercable seals are arranged such that as the gas supply unit is engaged with the cap, the puncture stem punctures the first piercable seal and the first piercable seal seals around it before the puncture stem punctures the second piercable seal, thereby preventing accidental loss of gas and preserving the entire mass of gas for insufflation.

Abstract: The catheter of the present invention comprises a body portion, a distal portion and an internal lumen and at least the above body portion includes a super-elastic metallic tube. This catheter has a high efficiency of transmitting the pushing force given at its proximal end (pushability) and a high torque transmission efficiency. Furthermore, since the body portion of the catheter includes a super-elastic metallic tube, the wall thickness of the body portion can be made sufficiently thin and a catheter with a smaller diameter can be formed.

Abstract: Apparatus for the reliable filling of at least two containers below the skin surface, particularly of an infusion pump, with two septa made from a soft material, so that easy perforation by needles is possible and further seals which are positioned after the septa, at least one space being in each case provided between the seals and the septa connected to the catheters or containers to be filled, in the case of different septa said spaces being at different distances from a needle stop, a corresponding number of needles with lateral openings for filling purposes are provided and the openings for different needles are at different distances (A, B) from the needle tip.

Abstract: The present invention relates to a method of joining portions of an inflation/expansion catheter. In particular, the present invention relates to an improved method of joining coaxial lumen portions to multi-lumen portions of an inflation/expansion catheter. More particularly, the present invention relates to a method of joining a multi-lumen shaft to a coaxial balloon shaft of a dilatation catheter.

Abstract: Proposed is a needle (12) with a sharpened point (14) at the tip and a needle holder (16) at the rear end holding the needle, a mandrel (24) which can be displaced inside the needle, and optionally a protective cap (18) enclosing the needle point and detachably attached to the needle holder, with which objects (10) such as longterm preparations, identification tags, or the like are to be inserted in the body of a living being. To ensure that the object is unequivocally fixed in position inside the needle, the object is arranged between a closure toward the tip of the needle and, for example, a constriction (20) toward the handling end. The closure is preferably a stopper which is carried along with the object when the latter is inserted.

Abstract: A steerable catheter comprising a flexible elongate tubular member having proximal and distal extremities, a handle secured to the proximal extremity, said tubular member having a lumen extending therethrough, a mandrel slidably mounted in the lumen and extending into the distal extremity and means extending through the tubular member for causing a bending of the distal extremity with respect to the mandrel disposed therein.

Abstract: An improved gastrostomy tube is a flexible tube having on one inner end thereof an improved energy absorbent internal retaining member which provides for less patient trauma during emplacement and subsequent percutaneous removal, while almost entirely avoiding either separation of the internal retaining member, i.e., the bumper, or its acute displacement. The energy absorbing internal retaining member has a hollow body portion with two resiliently reversible physical forms or shapes, toroidal-like, and, goblet-like connected to a foreshortened hollow axial stem portion that is attached to or integrally made with the inward end of the flexible tube. The internal retaining member is made in the toroidal-like form. During intentional removal, when under pressure against the stomach mucosa, the internal retaining member snaps into the unrolled, goblet-like shape and pulls smoothly out through the stoma tract.

Abstract: A body insertion tube can be configured as a nasogastric (NG) tube or endotracheal (ET) tube. When the tube is an NG tube, the tube has a distal segment positionable in the esophagus and a stomach segment connected to the distal segment and positionable in the stomach for aspirating fluids therefrom. An inflatable perforated jacket is positioned around a substantial portion of the distal segment such that anesthetic can be directed into the jacket and out of the perforations to anesthetize substantially all of the nasal passages and throat during intubation. When the tube is an ET tube, the tube has a distal segment positionable in the trachea, and an inflatable cuff is positioned around the distal segment of the tube. An inflatable perforated jacket surrounds a substantial segment of the tube such that anesthetic can be directed through the jacket to anesthetize substantially all of the throat and vocal cords during intubation.

Abstract: A surgical instrument tip protector includes a flexible sheath having an open end into which the tip of a surgical instrument may be inserted. The interior surfaces of the sheath include longitudinal channels and ribs to permit the flow of steam or gases over the tip portion of the instrument, for sterilization, while the tip protector is in place. The inner surfaces of the tip protector are in frictional contact with the instrument tip portion, to prevent the tip protector from inadvertently coming off of the instrument tip. The tip protector has a substantially closed cap end including a small aperture.

Abstract: A syringe has a needle mounted in the lower end of a tubular mount. A protective cover, in the form of a sleeve, fits over this lower end of the tubular mount, and extends to fully cover the sharp end of the needle. The tubular mount has a pair of elongated, axial slots for the entry and exit of a cog or lug on the inside of the sleeve. Pressure on the sleeve slides the lug up the entry slot and exposes the needle. A cross over slot carries the lug to the exit slot, where it slides down to the lower end of the mount, and over a locking ridge to automatically and securely recover the needle. A spring, coupled between the mount and the sleeve has an axial force urging the sleeve down in either slot, and a rotary force urging the cog towards the exit slot. The lug must be in the entry slot to depress and use the needle, but the lug is then rotated to the exit slot and returned by the spring, automatically, to lock the lug in the safe, covering position of the sleeve.

Abstract: An improved angiographic control syringe for use in high-pressure medical procedures. An oblong locking ring disposed on a plunger stem. The oblong locking ring has two circular end segments at the far opposing ends of the ring, and comprises two flat segments at the narrow diameter opposing sides of the ring. A plurality of grooves are vertically spaced on the upper part of the plunger stem. Notches extend inwardly from the flat segments of the locking ring. The exertion of a pinching force on the circular end segments of the locking ring causes convex radial expansion of the flat segments, thereby permitting detachable engagement of the notches with any groove. The plunger head has a highly angular frustoconical head. The syringe barrel has a less angular frustoconical seat that receives the plunger head when the plunger head is fully depressed within the syringe barrel.

Abstract: A reducer for trocar cannulae includes a covering cap which can be secured on the handle of a cannula and which has a socket engaging with a distal end to the handle provided for the shaft of operating instruments. The proximal end face of the socket is sealed off via a wall provided with at least two openings. Seals for shafts of operating instruments of smaller diameter are allocated to the openings.

Abstract: In the inhaler for the repeated inhalation of powdered pharmaceuticals there is arranged, in a housing (13) which has a rotatable cap (4), a dosing wheel with dosing chambers (22) between the intermediate floor (21) and a frame (20), which is supported on the baseplate (14). The rotatable cap (4), which is supported on the lid (17) by means of a spring (12), has an axially arranged cylinder (7) which projects through the lid (17), the intermediate floor (21) and the frame (20) into the housing (13) and is the drive shaft for the dosing wheel (1). The housing (13) is provided with a supply chamber (2) whose bottom part (intermediate floor (21)) has an opening (23) whose cross-section corresponds to that of the dosing chambers (22).