Abstract: A jet injector that includes a prefilled syringe. The syringe includes a fluid chamber that contains a medicament. The syringe also has an injection-assisting needle, and a plunger is movable within the fluid chamber. A housing is configured for allowing insertion of the needle to a penetration depth. An energy source is configured for biasing the plunger to produce an injecting pressure in the medicament in the fluid chamber of between about 80 and 1000 p.s.i. to jet inject the medicament from the fluid chamber through the needle to an injection site.

Abstract: The present invention contemplates a surgical device for both ablating a channel in a patient's tissue and also delivering a therapeutic agent. The device includes an elongated multi-lumen tube, an elongated tissue ablating assembly, and a therapeutic agent delivery assembly. The therapeutic agent is capable of being delivered into the channel and/or to the surrounding tissue. The device may further include a second multi-lumen tube also capable of delivering therapeutic agents. Although suitable for many operations, the device is particularly well suited for transmyocardial revascularization operations. The present invention also contemplates a procedure for using such a surgical device to ablate a channel in a patient's tissue and also deliver a therapeutic agent.

Abstract: A method of reducing infections associated with vascular access procedures. A powder containment device (PCD) is preferably adhesively attached to a skin area, the PCD having a hole formed centrally therethrough adapted to completely surround the catheter wound site. The open cavity formed by the PCD being attached to the skin is filled with a hemostatic agent of a salt ferrate and an insoluble cation exchange material. The salt ferrate combines with blood to form a trivalent Fe+++ ion promoting blood clotting and producing oxygen at the wound site for bacteria reduction. The cation exchange material also forms a protective cover over the wound site as the trivalent Fe+++ ion is formed. Semi-occlusive pressure is applied against the hemostatic agent for a time sufficient to arrest blood flow from the wound site right after inserting or removing the catheter. The PCD and hemostatic agent are then covered with an adhesive dressing.

Abstract: An improved pump, reservoir and reservoir piston are provided for controlled delivery of fluids. A motor is operably coupled to a drive member, such as a drive screw, which is adapted to advance a plunger slide in response to operation of the motor. The plunger slide is removably coupled to the piston. A method, system, and an article of manufacture for automatically detecting an occlusion in a medication infusion pump is provided. The electrical current to an infusion pump is measured. Based on measurements of one or more variables, the infusion pump detects whether there is an occlusion in the system. The methods of detecting occlusions may be dynamic.

Abstract: A device for removing material from a patient's body comprising a shaft and an adhesive carrying surface extending from the shaft. The adhesive carrying surface is movable with respect to the shaft and has an adhesive on at least a portion of its outer surface. The adhesive has sufficient stickiness to adhere to a body material to remove the material when the shaft is removed from the patient's body.

Abstract: A trocar system includes a cannula having a cannula housing and a cannula sleeve extending from the cannula housing, and an obturator at least partially positionable within the cannula. The obturator includes an obturator housing adapted for mating with the cannula housing, an obturator shaft connected to the obturator housing and receivable within the cannula sleeve, an obturator blade connected to the obturator shaft, a protective member including a protective guard coaxially mounted about the obturator blade and a latch member associated with the obturator housing and operatively connected to the protective guard. The obturator shaft and the obturator blade are adapted for relative rotational movement. The protective guard is adapted for longitudinal movement between a first position substantially enclosing the obturator blade and a second position to at least partially expose the obturator blade.

Abstract: A fluid injecting device (30) generally including a fluid delivery assembly (32) and a needle-free injecting assembly (34). The fluid delivery assembly (32) delivers or transfers the fluid medicine from a cartridge (40) into the needle-free injecting assembly (34) for injecting into a patient. A drive train (112) applies a force to a piston (64) inside the cartridge (40) during the delivery of the fluid to the needle-free injecting assembly (34) to prevent adhesion or static friction between the piston (64) and the cartridge (40). In addition, sensors can be used to help ensure the proper amount of dosage is transferred to the needle-free injecting assembly, conserve power, reduce leakage during disassembly, among other functions.

Abstract: A guidable, or steerable, or deflectable catheter is provided that includes a proximal portion and a distal portion for insertion into a body cavity. A selectively deflectable segment having an anisotropic bending stiffness for deflection in individual planes is incorporated into the distal portion of the catheter shaft. Upon actuation of pull wires, the distal deflectable segment may be deflected to move/sweep the distal catheter tip through a sweeping plane. The anisotropic bending stiffness of the distal deflectable segment permits in-plane movement of the distal catheter tip in the sweeping plane while resisting any out-of-plane movements. In one arrangement, stiffening elements are selectively disposed within the distal deflectable segment such that the out-of-plane bending stiffness is largely increased and greater than the in-plane bending stiffness for deflection in the sweeping plane.

Abstract: A haemostasis device (200) comprises a low pressure seal (206) and a high pressure seal (208). A tubular bayonet (201) is movable from a retracted configuration to an inserted configuration to move the low pressure seal (206) between a closed configuration and an open configuration. With the low pressure seal (206) in the open configuration, a guidewire (222) may be inserted through the low pressure seal (206), and with the low pressure seal (206) in the closed configuration, the guidewire (222) may be passed through the low pressure seal (206) while maintaining sealing around the guidewire (222). A collet (209) is movable in a radial direction to move the high pressure seal (208) between an open configuration and a sealing configuration. With the high pressure seal (208) in the sealing configuration, the guidewire (222) is locked in position.

Abstract: A feeding tube and method for introducing a feeding tube within the gastrointestinal tract of a patient, whereby the feeding tube is introduced by using a variation of the Ponsky “pull” method of feeding tube placement. The feeding tube comprises an elongate shaft having a distal end and proximal end. The feeding tube also comprises a coupling structure for coupling the feeding tube to a pull wire, the coupling structure be proximal of the distal end of the feeding tube shaft. The feeding tube further comprises a guiding structure for aligning the pull wire with the distal end of the shaft. The feeding tube is introduced within the patient by attaching the previously placed pull wire to the coupling and guiding structures of the feeding tube, and then pulling the pull wire so as to pull the feeding tube into and through the gastrointestinal tract of the patient.

Abstract: A medical device, such as a respiratory treatment device, includes a passive acoustic noise reduction system in the form of a vibration reducing blower assembly isolation mount. The device includes a housing, a blower assembly mounted therein, a patient circuit coupled to the blower assembly, and a noise reducing blower assembly isolation mount. The mount includes a first vibration damping member adjacent one side of the blower assembly spacing the blower assembly from a mounting surface upon which the blower assembly is supported. A securing member positions and holds the blower assembly onto the mounting surface, and a second vibration damping member adjacent an opposite side of the blower assembly spaces the blower assembly from the securing member. The vibration damping members are injection molded thermoplastic elastomeric members.

Abstract: The invention refers to a method for control of a volume flow in an osmotic micropump and an osmotic micropump. According to the invention, the osmotically driven volume flow of the solvent through the sempipermeable diaphragm of an osmotic micropump is controlled by the transfer of a solute, which is not freely permeable through the diaphragm, from a source chamber to the pump's delivery chamber. According to the invention, the delivery chamber is formed as a dilution chamber, wherein the solution is flow out along a convective dilution path close to the semipermeable diaphragm. Due to the entrance of the solvent, a stationary osmotic gradient can be achieved along the convective flow path in the dilution chamber. The invention allows the maintenance and control of the flow rate. It is able to move a volume which is large in comparison to the combined volume of the source chamber and the dilution chamber.

Abstract: A radiopaque marker configured for being securing to a tubular member adapted for introduction into a patient and having relief sections to provide localized accommodation of diametrical-circumferential dimensional reduction.

Abstract: Methods and devices for accessing a body cavity are disclosed. In general, a surgical access device is provided that can include a cannula that defines a working channel that is sized and configured to receive a surgical instrument. A seal can be disposed in the cannula of the surgical access device. In one exemplary embodiment, the seal can be positioned at a point in the cannula that is effective to maintain contact between the seal and an instrument inserted therethrough as the instrument is rotated about that point.

Abstract: Medical balloons are described that have modified regions that enhance folding of the balloon.

Abstract: An improved steerable catheter with in-plane deflection comprises a catheter body having proximal and distal ends and a lumen extending therethrough and a tip section at the distal end of the catheter body. The tip section comprises a flexible plastic tubing having a pair of diametrically-opposed lumens extending therethrough. The catheter also provides two puller wires manipulated through a control handle at the proximal end of the catheter body. Each puller wire extends through one of the pair of lumens in the tip section and through the lumen of the catheter body and is anchored to the control handle at its proximal end and anchored to the tip section at its distal end. The deflection mechanism is configured to generally define a plane along which deflection most readily occurs and an edge along which deflection is most readily avoided.

Abstract: An aspiration catheter includes an elastically deformable distal tip transformable between an orthogonal configuration and an oblique configuration to selectively and controllably appose the tip with thrombus or other matter to be aspirated. A core wire is slidably disposed in a core wire lumen within the catheter and is operably connected to the catheter distal tip. The core wire is controlled from the catheter proximal end to transform the distal tip between orthogonal and oblique configurations.

Abstract: Some embodiments of a portable infusion pump system can be configured to can be configured to adjust the sensitivity of particular detectors or alert systems based (at least in part) on information received from a monitoring device. For example, a glucose monitoring device can communication with an infusion pump assembly used to supply insulin or another medication to a user. In such circumstances, the data received from the monitoring device can be used to adjust the sensitivity of an occlusion detection system.

Abstract: The invention provides devices that can be used to deliver a therapeutic agent to a treatment site within the vessel of a patient at increased pressure, while limiting the contact with and pressure placed on the vessel walls. Devices according to the invention include an expandable structure arranged around and on a tube having a lumen. The expandable structure may include a sealing ring that makes contact with the interior surface of a vessel to prevent or decrease fluid flow during delivery of a therapeutic agent. This allows delivery of a therapeutic agent with decreased risk of injury to the treatment site. The invention also provides for large lumen diameters, preventing shearing stress on therapeutic agents such as cell slurries.

Abstract: A surgical marker/connector in the form of a ring made of a shape memory alloy such as NITINOL is suitable for laparoscopic installation in a patient's body. The ring preferably includes a plurality of small suture attachments in the form of loops that are disposed on the periphery of the ring and which lie in a plane that includes the ring itself. The loops are large enough to receive sutures which, in turn, can be used to connect the ring to a portion of a patient's body, or to connect separate portions of a patient's body to each other using the marker/connector as an intermediate connector. Prior to installation, the ring can be wrapped tightly about an elongate member such as a mandrel, which than can be inserted into the patient's body through a trochar or cannula. After insertion, the ring will change temperature and resume its original configuration where it can be sutured in place as desired.