Abstract: An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

Abstract: A medical puncturing device and a system comprising medical apparatuses configured to be assembled into the medical puncturing device. The device or system comprises: a syringe barrel (1) comprising a distal closed end and a proximal open end; an elastic movement unit comprising an actuation member (2) and a floating seal (3) inside the syringe barrel (1), where the actuation member (2) and a floating seal (3) are capable of forming an elastic connection such that the actuation member (2) and floating seal (3) are capable of moving forward and backward relative to one another; a hollow puncture needle (6) fixedly connected to the actuation member (2) and proximal to the floating seal (3), where the hollow puncture needle (6) comprises a needle distal opening (6a) and a needle body opening (6b); and a flowable composition lumen (7) enclosed by the syringe barrel distal closed end, an inner wall of the syringe barrel, and the floating seal (3).

Abstract: A medicament delivery device comprising a body, a needle, and an actuation member movable proximally from an initial position to a protruded position, and distally from the protruded position to an actuation position. The device has a transfer member which is movable proximally between an extended and a retracted position. In the extended position the distal end of the transfer member protrudes from the body. One of the actuation member and the transfer member has a drive slot and the other of the actuation member and the transfer member comprises a protrusion located in the drive slot. The drive slot has a circumferentially-extending portion having an abutment surface. The protrusion engages the abutment surface to move the actuation member from the initial position to the protruded position.

Abstract: A fluid displacement and pressurization device which provides both a substantial amount of thread engagement as well as provides for single hand control for all operational manipulations including maintaining a set fill volume, rapid filling and displacement, and pressurization and retention of evacuation positioning during balloon depressurization. The device allows for the use of one hand to not only transition the device from micro-movement control to macro-movement control, but also regarding rotating, pushing or pulling the handle of the plunger.

Abstract: Methods, systems, and devices are disclosed for administering a medicament to a patient. In one aspect, a system includes an injection pen device in wireless communication with a mobile communication device. The injection pen device includes a housing including a chamber to encase a cartridge containing medicine, a dose setting and dispensing mechanism to set the mechanism to dispense a particular dose of the medicine from the loaded cartridge, a sensor unit to detect a dispensed dose based on positions and/or movements of the dose setting and dispensing mechanism, and an electronics unit in communication with the sensor unit to process the detected dispensed dose and time data associated with a dispensing event and to wirelessly transmit the dose data to a user's device. The mobile communication device provides a software application to provide the user with health information using the processed dose data.

Abstract: Removable devices wearable on a user's skin and methods for using such devices are provided. An exemplary removable device includes a skin adhesive configured to adhere to the skin, a durable component, and an interface component interconnecting the durable component and the skin adhesive. The device separates at the interface component to remove the durable component from the skin adhesive upon application of a removal force to the device.

Abstract: A user-wearable patch pump system for delivery of insulin or other medicament can include a patch pump having a reusable drive unit and a replaceable and refillable cartridge. The cartridge can selectively attach to and be detached from the drive unit. The cartridge can initially be inserted onto the drive unit in a first orientation at an angle to the drive unit and then be rotated to align the cartridge with the drive unit and lock the cartridge in place on the drive unit to form the patch pump.

Abstract: An apparatus for injectate delivery includes a cartridge, a linear actuator, a rotary motor mechanically coupled the actuator, and a controller coupled to the motor. The controller controls a linear motion of the actuator by controlling an electrical input supplied to the motor in a first interval during which the motor is stationary with the linear actuator engaged with the cartridge to displace an injectate in the cartridge, a second interval following the first interval during which the controller accelerates the motor from stationary to a first speed selected to create a jet of the injectate from the cartridge with a velocity sufficient to pierce human tissue to a subcutaneous depth, a third interval during which the controller maintains the motor at or above the first speed, and a fourth interval during which the controller decelerates the motor to a second speed to deliver the injectate at the subcutaneous depth.

Abstract: A cap for connection to a medical connector comprises: a housing, a protrusion, a disinfection sponge, and a pressure seal. The protrusion includes an inner thread on an inner surface, the inner thread being sufficient to interlock with a mating feature of a female medical connector. The inner surface of the protrusion defines a second cavity. The protrusion includes an outer thread on an outer surface, the outer thread being sufficient to interlock with a mating feature of a male medical connector. The disinfection sponge is disposed on the second cavity. The pressure seal is attached to the housing and disposed adjacent to a surface of the disinfection sponge. The pressure seal can comprise a flexible insert attached to an interior surface of the top wall of the housing. The pressure seal can comprise a combination of: an elongate member and an insert that is slidably engaged with the elongate member.

Abstract: A catheter lock system includes a clamshell housing comprising a body and a cover; one or more interlocking tabs of the body having a hook feature; compatible interlocking tabs of the cover configured to releasably engage with the interlocking tabs of the body; a key with one or more protrusions arranged at two different angles; one or more lock disc cams including a cam feature; wherein a rotation of the key is operable to cause the interlocking tabs of the body to release from the compatible interlocking tabs of the cover using each of the one or more protrusions of the key.

Abstract: The disclosure relates to a drug delivery device comprising: a case adapted to hold a medicament container, a plunger disposed within the case and slidable from a proximal position into a distal position for delivering a medicament from the medicament container, at least one feedback mechanism that is in operative connection with the plunger, the feedback mechanism comprising a collar, a control spring biasing the collar in a distal direction, a needle shroud, operatively axially abutting the collar in a first coupled state and prevented from axially decoupling the collar by the plunger in its proximal position, wherein the plunger, when approaching the distal position during movement from the proximal position towards the distal position, is adapted to allow axial decoupling of the needle shroud from the collar, thus allowing for a limited axial movement of the collar relative to the needle shroud until the collar axially abuts the needle shroud in a second coupled state.

Abstract: The present embodiments provide systems and methods suitable for delivering a therapeutic agent to a target site. A container holds the therapeutic agent and a pressure source has pressurized fluid in selective fluid communication with at least a portion of the container. A catheter, in fluid communication with the container, has a lumen sized for delivery of the therapeutic agent to a target site. In one embodiment, a diameter of particles of the therapeutic agent is in a range of between about 1 micron to about 925 microns, a mass of the particles of the therapeutic agent is in a range of between about 0.0001 mg to about 0.5 mg, a ratio of an inner diameter of the catheter to the diameter of particles is at least 4:1, and a regulated pressure of the pressurized fluid is between about 0.01 psi to about 100 psi.

Abstract: A safety syringe for medical use having an injection molded plastic body with a tubular barrel, a transverse finger flange surrounding the barrel and two upwardly projecting wings with substantially flat, outwardly facing surfaces disposed forwardly of the finger flange, a plunger assembly slidably engaging an inside wall of the barrel, a needle with a tip projecting forwardly from the barrel, and a needle safety shield slidably engaging the body between the wings, wherein the transverse finger flange has a window that allows core pin insertion through the window during injection molding of the body, the plunger assembly has a proximal end cap that is integral with the plunger handle and abuts a rearwardly facing surface of the transverse finger flange, and the needle safety shield has a distal end with a cylindrical needle guard that is forwardly movable following use of the syringe to guard the needle tip.

Abstract: An infusion pump includes upstream and downstream valves, a pressing surface disposed between the valves which presses on an infusion tube, a pressure sensor which measures pressure within the infusion tube, and a controller. In response to the pressure, the controller determines that there is an occlusion in the infusion tube downstream of the downstream valve, and in response thereto, toggles the upstream valve and the downstream valve. The toggling includes sequentially, (a) while the upstream valve remains closed, isolating a segment of the infusion tube between the valves by closing the downstream valve, (b) while the downstream valve remains closed, reducing pressure in the isolated segment by opening the upstream valve, (c) while the downstream valve remains closed, closing the upstream valve, and (d) while the upstream valve remains closed, reducing pressure downstream of the downstream valve by opening the downstream valve. Other applications are also described.

Abstract: A femoral artery cannula for providing lower limb blood perfusion includes an outer tube and an inner tube. The inner tube is fixedly nested inside the outer tube, a lower surface of the outer tube is provided with a plurality of through holes, upper surfaces of outer sides of the outer tube and the inner tube are each provided with a through slot, two ends of lower sides of the two through slots are each fixedly provided with a sliding rod, a sliding plate is connected between the two sliding rods in a movably adjustable manner, a liquid injection tube is fixedly nested in an inner side of the sliding plate, lower sides of the two sliding plates are each provided with a transmission mechanism for pushing the liquid injection tubes to move, and outer sides of the through slots are each provided with a blocking mechanism.

Abstract: An endoluminal device comprises a tubular member and a reinforcement member that is separable from, or together with, a wall of the tubular member, and removable in-situ.

Abstract: A delivery device for delivering substance to bone includes a luer portion configured to be detachably coupled to a bit driver, the luer portion having a luer thread. A bit portion is rigidly coupled the luer portion, and the bit portion is configured to accommodate the bit driver. A fluted portion is rigidly coupled to the bit portion, the fluted portion comprising a flute, the flute configured to create a hole in the bone. A conduit extends through the luer portion and the bit portion, at least partially through the fluted portion. The flute defines an aperture extending from the conduit entirely through the flute, and the aperture is configured to allow a substance to pass therethrough.

Abstract: Some embodiments of an infusion pump system can be used to determine a user's total insulin load (TIL) that provides an accurate indication of the insulin previously delivered to the user's body which has not yet acted. In particular embodiments, the TIL can account for both the bolus deliveries and the basal deliveries that have occurred over a period of time. Such information may be useful, for example, when the infusion pump is operated in conjunction with a continuous glucose monitoring device.

Abstract: A pen needle (30) for a delivery device includes a hub (32) supporting a needle (54) and a distal needle shield (70) that can retract to expose the needle during injection and return to the extended position after use and lock in the extended position to cover the needle. A proximal needle shield (0.102) moves from a retracted position to an extended position with respect to the hub to shield or cover a proximal end of the needle when the needle hub is separated from the delivery device. A spring (130) extends between the distal needle shield and the proximal needle shield to bias each needle shield to the respective extended position. The distal needle shield (70) is coupled to the proximal needle shield (102) in an initial position to retain the spring (130) in a compressed state. The distal needle shield (70) is depressed to disengage the distal needle shield from the proximal needle shield (102) so that the spring expands to an extended state and moves the shields to the extended positions.

Abstract: A medicament delivery device includes a needle disposed at a distal end of the medicament delivery device. The medicament delivery device includes a body for a syringe and a needle cover axially movable relative to the body between an extended position in which the needle cover covers the needle and a retracted position in which the needle protrudes from the distal end of the needle cover. The medicament delivery device includes a plunger axially movable relative to the body to dispense medicament from the medicament delivery device. The medicament delivery device includes a needle cover biasing mechanism configured to bias the needle cover distally from the retracted position to the extended position. The medicament delivery device includes a locking mechanism configured to be moved by the plunger from an initial configuration to an engaged configuration to prevent a distal movement of the needle cover biasing mechanism.