Abstract: An injection device for administering a substance, including a housing, a plunger rod which can be moved relative to the housing, at least one retaining element associated with the rod to hold the rod relative to the housing, and a displaceable locking sleeve which can be displaced relative to the housing from one position in which the sleeve holds the at least one retaining element in a retaining position to a second position in which the at least one retaining element is released.

Abstract: In various embodiments, a drug pump includes a housing and, within the housing, an expandable drug reservoir at least part of which is exposed to a pressurized propellant. The propellant exerts a substantially constant pressure on the drug reservoir. A flow restrictor significantly limits outflow from the pump, and preferably has both a small diameter and a long path length, which acts to control the outflow from the drug reservoir. As a result, the pump produces a substantially constant outflow.

Abstract: A transseptal puncture system that includes a needle member that includes a distal end, a proximal end and defines a first lumen therethrough, a dilator that includes a distal end, a proximal end and defines a second lumen therethrough, a sheath that includes a distal end, a proximal end and defines a third lumen therethrough, a needle control device that is configured to move the needle member a predetermined distance from a stowed position to a deployed position and a guidewire that includes a distal end and a proximal end and is movable within the first lumen. The needle member is movable within the second lumen and the distal end of the needle member is configured to puncture the septum. The dilator is movable within the third lumen.

Abstract: Processes and devices provide parenteral delivery of therapeutic fluids, in particular high-viscosity therapeutic fluids (e.g., protein therapeutics), by a chemical reaction that generates a gas. A device may include a first actuation chamber containing a first reagent, a second reaction chamber containing a second reagent, and a third therapeutic fluid chamber containing the therapeutic fluid. In a loaded configuration, a plunger separates the first chamber from the second chamber. In a delivery configuration, the plunger allows the first reagent from the first chamber to communicate and react with the second reagent from the second chamber. The generated gas acts upon a plunger to deliver the therapeutic fluid from the third chamber.

Abstract: A medical braided tube assembly includes a braided tube including a hollow cylindrical inner resin layer, a braided wire including braided strands and being provided over a periphery of the inner resin layer, and an outer resin layer provided to cover peripheries of the inner resin layer and the braided wire, and a connector provided at an end portion of the braided tube. The connector includes a tube housing section for accommodating the end portion of the braided tube. The braided tube accommodated in the tube housing section are adhesively fixed by an adhesive. The adhesive is provided to seal an entire periphery of the braided wire at an end face of the braided tube.

Abstract: A hydrogen-delivering system for topical application of molecular hydrogen is provided. The system includes a housing that comprises at least one dry chemical and a liquid composition sealed therein, and that is configured to be attached to a target area of a subject's skin. The dry chemical and the aqueous composition are separated within the housing until the system is activated and the dry chemical and the aqueous composition are mixed to generate molecular hydrogen. The molecular hydrogen passes through a skin-facing surface of the housing, which is permeable to hydrogen and not permeable to the dry chemical and the aqueous composition, and is delivered to the subject's body.

Abstract: A flexible guide tube having a deflectable distal end is disclosed with at least first and second tensioning lines coupled to a deflectable distal end of the flexible guide tube. The first tensioning line is configured to deflect the distal end of the flexible guide tube in a first direction and the second tensioning line is configured to deflect the distal end of the flexible guide tube in a second direction that is opposite the first direction. A handle is coupled to flexible tube, the handle having a medial portion with a longitudinal axis substantially parallel with at least a portion of the flexible guide tube, a first actuator disposed proximal the medial section, and a second actuator disposed distal the medial section.

Abstract: Some embodiments of a medical device anchor system include an anchor device, a tether, and an adapter for securing a medical instrument (such as a catheter or the like) in place relative to a skin penetration point using subcutaneous anchors.

Abstract: A catheter system may include a catheter adapter, which may include a distal end, a proximal end, and a lumen extending through the distal end of the catheter adapter and the proximal end of the catheter adapter. The catheter system may include a concertinaed tube, which may include a distal end coupled to the proximal end of the catheter adapter. The concertinaed tube may be disposed in a collapsed position and movable between the collapsed position and an expanded position. The catheter system may include a luer connector, which may be coupled to a proximal end of the concertinaed tube. The catheter system may include a needle assembly, which may include a needle hub and an introducer needle extending distally from the needle hub. The concertinaed tube and the luer connector may be disposed within the needle hub.

Abstract: A balloon catheter for use with a guidewire includes an elongated, tubular shaft extending in a longitudinal direction, said shaft having a proximal end and a distal end. An inflatable balloon is connected to the distal end of the shaft, the balloon including a working surface. A radiopaque identifier is provided for identifying the working surface. A receiver adjacent the proximal end of the shaft is adapted for allowing the shaft to move relative to the receiver in at least the longitudinal direction.

Abstract: An apparatus is for use in connection with an implement for being inserted into a vascular space. The apparatus includes a body having a passage adapted for receiving the implement. A counter is provided for counting the amount the implement moves through the passage of the body. A kit may include a first counter adapted for use with a first device having a first diameter for being inserted into the vasculature, and a second counter adapted for use with a second device having a second diameter for being inserted into the vasculature. Related methods are also described.

Abstract: A medical device may include an introducer sheath, having a distal and a proximal end and a lumen extending from the distal end to the proximal end. The introducer sheath may also include a tab formed at the distal end and extending distal to the lumen, and a frangible portion extending between the distal end and the proximal end.

Abstract: The present application relates to a balloon catheter, which is a rapid exchange structure and has a balloon catheter body and a hub, wherein the balloon catheter body has a push member, a transition member, a balloon loading member, a balloon, a imaging mark and a tip head, the balloon loading member comprises an outer tube and an inner tube, a distal end of the handle is connected with a proximal end of the push member, a proximal end of the transition member extends from a distal end of the push member, a distal end of the transition member is nested inside a proximal end of the outer tube of the balloon loading member, the balloon loading member loads the balloon, the tip head is provided on a distal end of the balloon, the imaging mark is provided on the balloon loading member, characterized in that the balloon has a wall thickness of 10-15 microns, the balloon has a nominal dilation pressure of 3-4 atm, and the balloon catheter has a rated burst pressure of is 10-12 atm.

Abstract: A manifold assembly for a surgical gas delivery system is disclosed, which includes a manifold body including an inlet port for receiving a gas from an outlet side of a compressor and an outlet port for recirculating the gas to an inlet side of the compressor, a bypass valve communicating with the inlet port and the outlet port of the manifold body, an air ventilation valve for dynamically controlling an ingress of air from an atmosphere, a smoke evacuation valve for dynamically controlling an egress of the gas from the manifold assembly when the surgical gas delivery system is operating in a smoke evacuation mode, and a gas fill valve for dynamically controlling the a receipt of the gas from a source of surgical gas.

Abstract: The present invention provides compositions comprising energy (e.g., light) absorbing submicron particles (e.g., nanoparticles comprising a silica core and a gold shell) and methods for delivering such particles via topical application. This delivery is facilitated by application of mechanical agitation (e.g. massage), acoustic vibration in the range of 10 Hz-20 kHz, ultrasound, alternating suction and pressure, and microjets. The method of treatment is performed and then, depending upon the desired clinical outcome, repeated after a treatment response interval has elapsed.

Abstract: A cassette for use with a pumping apparatus having a pumping system for engaging a pump set includes a cassette body configured for releasable attachment to the pumping apparatus to mount the cassette on the pumping apparatus. The cassette body has at least one mounting formation. At least one identification member is mounted on the cassette body by the mounting formation of the cassette body. The identification member and mounting formation are formed to mount the identification member in any one of a plurality of predetermined orientations. Each predetermined orientation indicates a different functional configuration of the pump set.

Abstract: A safety device for injection devices is described. The safety device includes a sleeve extending along a longitudinal axis of the injection device's body, at least partially enclosing the injection device's needle and body, and including a guide slot; a collar attached to a distal end region of the body and locking the safety device in an axial direction; and a cap that can be arranged at least in part over the sleeve to prevent the body from moving relative to the sleeve. The cap includes a receptacle for the needle. The collar includes a guide pin that engages the guide slot. The collar can be arranged to rotate relative to the sleeve, and the receptacle of the cap can engage the collar and prevent the collar from rotating. The sleeve and the collar can each include a lock.

Abstract: Deflectable catheters, hemostasis valves, and materials for the same are disclosed. The deflectable catheters and hemostasis valves can be made at least partially, if not entirely, from a fluoroelastomer and ePTFE combination. A deflectable region of the catheters can be articulated to form simple and/or complex curves.

Abstract: A flow controller having an internal tubing is provided. The flow controller may include an upper housing having a plurality of graduations, a lower housing engaged with and slidably coupled to the lower housing, and a cavity defined between the upper and lower housings for accommodating at least a portion of internal tubing. The flow controller may further include a flexible clamp having an upper section mounted in the upper housing and a lower section slidably disposed in the lower housing. The upper and lower housings may be slidably coupled relative to each other to transition the internal tubing from (i) an open position where a lumen of the internal tubing is uncompressed by the flexible clamp to (ii) a closed position where the lumen of the tubing is at least partially constricted by the flexible clamp.

Abstract: A catheter configured to provide a delivery system for standard interventional devices and for rapid localized deep cooling to organs at risk of ischemia-reperfusion injury during procedures such as intracranial thrombectomy or emergency thrombectomy. The catheter is comprised of an insulative shaft with a multi-component braided outer lumen and an internal floating inner lumen with a plurality of structures configured to minimize contact and resulting heat transfer between the two lumens.