Abstract: Embodiments disclosed herein are directed to access devices configured to access a subcutaneous medical device. The access device can include a needle supported by a needle hub and in some embodiments a housing slidably engaged therewith and configured to align the needle axis at a predetermined angle. The access device can include an indicator system configured to detect when the needle is correctly aligned with a target window of a port. This can allow for smaller, lower profile ports with smaller target windows while mitigating mis sticks. The indicator system can be contained within the access device little or no increase to the overall size of the access device. The indicator system can employ various modalities including capacitance, induction, magnetic, thermal, acoustic, or radio frequency (RF).

Abstract: Embodiments disclosed herein are directed to connections systems including a port, a catheter, a cathlock and an adapter. The adapter can be coupled with a proximal end of the catheter and a cathlock can co-operate with the adapter to secure the catheter to the port in a fluid tight engagement. One of the cathlock or the adapter can threadably engage the port and employ mechanical advantage to radially compress the catheter and ensure a fluid-tight seal. The system can further include an insertion tool configured to facilitate securing the adapter to the catheter or securing the adapter or cathlock to the port. The adapter can be provided as a separate structure or coupled to the cathlock. Engagement of the adapter with the catheter can be signaled with an audible click. Optionally the adapter can include a skirt configured to compress the catheter onto the adapter stem.

Abstract: A coupling system is configured to couple a catheter to a port. The coupling system can include a toothed grip connector system configured to retain a portion of an end portion of a catheter. The toothed grip connector system can include a recess extending longitudinally from a first end of the coupling system and including an internal stem with a gripping member extending radially about the internal stem. The gripping member can include a plurality of teeth extending radially inward, the plurality of teeth configured to engage an outer surface of the end portion of the catheter to prevent longitudinal movement in at least a first direction following insertion of the end portion of the catheter into the recess. A sealing member can be included to provide a seal between the end portion of the catheter and the internal stem.

Abstract: A cannulator (100) can include a compound needle (104) and a compound cannula (102). The compound needle can include a needle (110), a dilator (108), and a needle hub (106). The dilator can be disposed over the needle with at least a tip of the needle extending beyond a distal end of the dilator. The needle hub can be around a proximal-end portion of the dilator. The compound cannula can include a cannula (140) and a cannula hub (142) around a proximal- end portion of the cannula. The cannulator can have a mated state of the compound needle and the compound cannula for at least cannulation with the cannulator. The mated state of the cannulator can include the dilator disposed in the cannula with a proximal-end portion of the cannula hub coupled to a distal-end portion of the needle hub.

Abstract: A low-profile access port for subcutaneous implantation within a patient. The access port can include a set of receiving cups which can be placed in fluid communication with a catheter. The set of receiving cups can provide a greater skin surface with which to access the port to avoid repeated penetrations at a single locus, such as during consecutive dialysis treatments. The access port can alternatively include needle penetrable arms or elongate chambers that also have a slim, low profile. The access port can include a needle guide to direct subsequent needle access to different insertion points to permit healing at the previous insertion points. The access port can be formed of a modular construction with a first conduit, a second conduit, and an outer shell. The outer shell can include a proximal portion and a distal portion. The access port can include a stem assembly and a locking member.

Abstract: A low-profile access port for subcutaneous implantation within a patient is disclosed. The access port includes a receiving cup that provides a relatively large subcutaneous target to enable catheter-bearing needle access to the port without difficulty. In one embodiment, a low-profile access port comprises a body including a conduit with an inlet port at a proximal end, and a receiving cup. The receiving cup is funnel shaped to direct a catheter-bearing needle into the conduit via the inlet port. The conduit is defined by the body and extends from the inlet port to an outlet defined by a stem. A bend in the conduit enables catheter advancement past the bend while preventing needle advancement. A valve/seal assembly is also disposed in the conduit and enables passage of the catheter therethrough while preventing fluid backflow. The body includes radiopaque indicia configured to enable identification of the access port via x-ray imaging.

Abstract: A hearing aid microphone assembly is configured for implantation into a subject and includes a microphone housing, the housing having a generally conical sound gathering portion with a proximal end and a distal end and a microphone support portion with one or more ports configured to receive a microphone and acoustically coupled to the distal end. A diaphragm is disposed over the proximal end of the housing to hermetically seal the sound gathering portion of the housing and create a first chamber. The microphone assembly is configured with either: (1) at least a first and a second port each coupled to a microphone; or (2) at least a first port coupled to a microphone and an accelerometer coupled to the housing. Each of the ports is configured to communicate acoustically with the first chamber. Any unused ports are sealed.

Abstract: A hearing aid microphone assembly is configured for implantation into a subject and includes a microphone housing, the housing having a generally conical sound gathering portion with a proximal end and a distal end and a microphone support portion with one or more ports configured to receive a microphone and acoustically coupled to the distal end. A diaphragm is disposed over the proximal end of the housing to hermetically seal the sound gathering portion of the housing and create a first chamber. The microphone assembly is configured with either: (1) at least a first and a second port each coupled to a microphone; or (2) at least a first port coupled to a microphone and an accelerometer coupled to the housing. Each of the ports is configured to communicate acoustically with the first chamber. Any unused ports are sealed.

Abstract: A hearing aid microphone assembly is configured for implantation into a subject and includes a microphone housing, the housing having a generally conical sound gathering portion with a proximal end and a distal end and a microphone support portion with one or more ports configured to receive a microphone and acoustically coupled to the distal end. A diaphragm is disposed over the proximal end of the housing to hermetically seal the sound gathering portion of the housing and create a first chamber. The microphone assembly is configured with either: (1) at least a first and a second port each coupled to a microphone; or (2) at least a first port coupled to a microphone and an accelerometer coupled to the housing. Each of the ports is configured to communicate acoustically with the first chamber. Any unused ports are sealed.