Abstract: A peritoneal dialysis system includes a drain container; a drain line in fluid communication with the drain container and a patient's peritoneal cavity; a solenoid configured to permit a pneumatic force through a vacuum line and open a drain valve of the drain line; the vacuum source configured to apply and adjust the pneumatic force; the vacuum line; a weight sensor configured to output a weight of used dialysis fluid delivered to the drain container from the patient's peritoneal cavity; and the controller configured to: (i) determine an actual flow rate of used dialysis fluid removed from the patient's peritoneal cavity based on the output from the weight sensor; (ii) compare the actual flow rate to a desired flow rate; and (iii) adjust the pneumatic force applied by the vacuum source via the solenoid to attempt to match the actual flow rate to the optimal flow rate.

Abstract: Exemplary embodiments provide an approach to predicting meal and/or exercise events for an insulin delivery system that otherwise does not otherwise identify such events. The insulin delivery system may use a model of glucose insulin interactions that projects estimated future glucose values based on a history of glucose values and insulin deliveries for a user. The predictions of meal events and/or exercise events may be based on residuals between actual glucose values and predicted glucose values. The exemplary embodiments may calculate a rate of change of the residuals over a period of time and compare the rate of change to thresholds to determine whether there likely has been a meal event or an exercise event. The insulin delivery system may then take measures to account for the meal event or the exercise event by the user.

Abstract: A needle hub including a core mounting structure, a first panel and a second panel each connected to the core mounting structure with an opening formed between the first panel and the second panel, and an introducer needle fixedly attached to the core mounting structure; a first actuation lever disposed within the opening, cantilevered at a central portion thereof from the core mounting structure that has a first actuation button disposed at a proximal free end and a first needle hub latch disposed at a distal free end. A needle tip shield is rotatably connected to one of the first panel and the second panel and rotatable from a first position in which a distal end of the introducer needle is exposed to a second position shielding the distal end of the introducer needle.

Abstract: The invention relates generally to systems and devices for material delivery, energy delivery, and/or monitoring electrophysiological activity, and method of use thereof. In particular, the present invention provides devices and systems, and methods of use thereof, configured to deliver therapeutic compositions, to provide electroporation and/or sonoporation to increase therapeutic efficiency, and to monitor electrophysiological activity, for example, before and after treatment.

Abstract: Embodiments disclosed herein relate to an aspiration catheter comprising a catheter body that can have a first end and a second end and an aspiration lumen extending through the catheter body. The aspiration lumen can have an aspiration opening located in a distal portion of the aspiration catheter. The catheter can have an assistive jet element extending through a wall of the aspiration lumen. The assistive jet element can have an assistive jet channel. The assistive jet element can be adaptable to draw blood through the assistive jet element from a location outside of the catheter body adjacent to the assistive jet element and into the aspiration lumen when suction is applied to the aspiration lumen and can be configured to break apart a thrombus or obstruction in the aspiration lumen.

Abstract: Systems and method for improving fluid flow during medication delivery procedures, such as infusions or pooling, are provided. A spike is punctured though a seal in a container. A liquid substance is drained from said container through a pathway in the spike. In some embodiments, the spike includes a channel which permit sliding movement of a snorkel for elevation above a fluid line of the liquid substance to permit air to enter the container from outside without foaming the liquid substance. Alternatively, the snorkel is punctured through the seal adjacent to the spike. Alternatively, or in addition, an airflow control device is provided at the container at a location above an anticipated fluid line of the liquid substance when the container is positioned for delivery of the liquid substance.

Abstract: An insufflation system having a processor configured to calculate a first target gas feeding flow rate based on a difference between a body cavity internal pressure and an insufflation target pressure of a body cavity, determine whether the first target gas feeding flow rate is lower than a threshold gas feeding flow rate, and in response to determining that the first target gas feeding flow rate is lower than the threshold gas feeding flow rate, feed gas at a second target gas feeding flow rate by controlling a first valve provided at a gas feeding conduit and a second valve provided at a suction conduit, wherein the processor is configured to cause the suction conduit to suction at a first suction flow rate, and wherein the second target gas feeding flow rate is obtained by adding the first suction flow rate to the first target gas feeding flow rate.

Abstract: A catheter placement tool for placing a catheter within a vasculature of a patient includes a housing, a guidewire advancement assembly, a needle, and a catheter assembly. The housing can include a hermetically sealed guide portion and one or more translucent sides to enable blood entering an interior of the housing to be viewed. The guidewire advancement assembly is disposed in the housing and can include a guidewire, and a flexible track coupled to the guidewire. The flexible track can be positioned along the hermetically sealed guide portion, and be accessible via an opening in a distal portion of the housing. The needle can be fixed in the housing, and can include a proximal opening in fluid communication with the interior of the housing. The catheter assembly is positioned over the needle with the catheter hub disposed outside of the housing prior to insertion of the catheter.

Abstract: An insufflation and smoke evacuation system for use during laparoscopic surgical procedures is disclosed that includes a pump for circulating pressurized gas within the system, a tri-lumen cannula communicating with an insufflation source by way of an insufflation supply line and with the supply side of the pump by way of a pressurized gas supply line, and a single lumen cannula communicating with a suction side of the pump by way of a vacuum line, wherein a communication line extends between the tri-lumen cannula and the vacuum line.

Abstract: In one aspect, a medical balloon assembly includes a tip sleeve secured to the distal end portion of a balloon catheter that includes the distal neck of a balloon. The tip sleeve has at least an inner layer and an outer layer. The inner layer is formed from a bondable material that is directly bondable to the exterior of the distal neck portion of the balloon. The tip sleeve is bonded directly to the distal neck of the balloon. The outer layer is formed from a lubricious polymer. Such a medical balloon assembly is made by receiving the distal neck inside the proximal end portion of the tip sleeve and directly bonding the distal neck of the balloon to the inner layer of the tip sleeve.

Abstract: A fluid replacement method including: determining the amount of urine expelled by a patient; infusing via a pump fluid from a first fluid source into a patient; determining an amount of fluid infused into the patient from the first fluid source; adjusting the operating of the pump based on the determined amount of urine expelled and the amount of fluid infused into the patient; setting a desired fluid balance for the patient; setting an amount of at least one additional fluid delivered to the patient; calculating an actual fluid balance based on the determined urine output, the determined amount of fluid infused from the first fluid source, and the set amount of said at least one additional fluid delivered; and automatically controlling the pump based on the actual fluid balance and the set desired fluid balance so the actual fluid balance conforms to the desired fluid balance.

Abstract: A device for administering a fluid medicament by injection comprises a dosing portion (1) with a collapsible reservoir (10). The reservoir (10) has a maximum volume in an extended state and a minimum volume in a collapsed state. Prior to injection, the reservoir (10) is in the extended state and contains a liquid to be administered, and the reservoir (10) is biased towards the collapsed state. The device further comprises a needle (2), wherein a lumen (20) of the needle (2) is in fluid communication with the reservoir (10). The device further comprises a shield portion (3) with a plug (30). Prior to injection, the shield portion (3) is in a deployed position where the plug (30) blocks the lumen (20) of the needle (2). The shield portion (3) is adapted to move in response to an actuation force from the deployed position to a retracted position where the lumen (20) of the needle (2) is open, thereby causing the reservoir (10) to shift to the collapsed state to expel the liquid through the needle.

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.