Abstract: A catheter assembly includes a catheter, a tubular structure affixed to an exterior surface of the catheter, and a stabilizing cuff affixed to, and at least partially embedded within, the tubular structure. The tubular structure may include a tapered surface extending from an end of the tubular structure to an exterior surface of the catheter. A method of manufacturing a catheter assembly may include positioning a tubular structure about a catheter, positioning a stabilizing cuff near the tubular structure, and partially embedding at least a portion of the stabilizing cuff within the tubular structure while shaping the tubular structure to form a tapered surface. A temporary sleeve may be positioned about the tubular structure prior to shaping the tubular structure. The tubular structure may also be preformed to include a tapered end prior to positioning the tubular structure about the catheter.

Abstract: A needle guide assembly for inserting a needle into the body of a patient in order to access a subcutaneous target, such as a vessel, is disclosed. In one embodiment, the needle guide assembly comprises a needle guide body that is configured to at least indirectly and removably attach to an image producing device, such as an ultrasound probe. The needle guide body defines at least first and second elongate guide channels. Each guide channel defines a unique insertion angle with respect to a longitudinal axis of the ultrasound probe. Further, each guide channel is configured to accept needles of differing gauges. In other embodiments other needle guide assemblies are disclosed that include multiple guide channels for inserting a needle at a variety of insertion angles into the patient's body. Related methods are also disclosed. In yet other embodiments, needle guide assemblies including needle stop features are disclosed.

Abstract: A catheter and internal bolster for securing the catheter or other medical device within a body of a patient. In one embodiment, the catheter comprises an elongate catheter tube that defines at least one lumen and an internal bolster disposed proximate a distal end of the catheter tube. The internal bolster includes a plurality of hinged arms and is capable of an undeployed position wherein each arm is longitudinally extended substantially parallel to the catheter tube, and a deployed position wherein each arm is folded about its hinge so as to radially extend from the catheter tube and provide a bolster configuration. The internal bolster further includes a resilient portion included with the catheter tube and disposed centrally with respect to the internal bolster. The resilient portion provides a force urging the internal bolster to the deployed position. In one possible implementation, the catheter is configured as a feeding tube.

Abstract: An insertion device for use in assisting with the placement of a medical device within the body of a patient is disclosed. For example, the insertion device can be employed to assist with the placement of an introducer, which provides a conduit for insertion of a catheter into the body. In one embodiment, the insertion device comprises a needle that is removably disposed within a bore defined by the medical device, and a needle retraction assembly. The needle retraction assembly can position the needle in any one of a first position wherein a distal tip of the needle is disposed a predetermined distance distal to a distal end of the medical device, a second position wherein the needle distal tip is disposed distal but proximate to the distal end of the medical device, and a third position wherein the needle distal tip is retracted within the medical device bore.

Abstract: A septum for use in sealably covering a fluid cavity of an implantable medical device, such as an access port, is disclosed. The septum is resilient and includes a reinforcement structure that bolsters septum placement over the fluid cavity so as to inhibit unintended separation of the septum from the medical device when the fluid cavity is under pressure, such as during power injection of fluid into the fluid cavity. In one embodiment the septum comprises a resilient septum body that includes a flange disposed about a perimeter thereof. A reinforcement component is disposed in the flange for reinforcing engagement of the flange with a corresponding groove defined about an opening to the fluid cavity of the medical device so as to inhibit unintended detachment of the septum from the medical device. The reinforcement component in one embodiment includes an annular cord disposed in the flange.

Abstract: An exemplary infusion system for accessing an implanted device is disclosed comprising an insertion assembly, a hub comprising a sealable path configured to receive at least a portion of the insertion assembly, a flexible catheter attached to the hub and configured to receive at least a portion of the insertion assembly, and an extension tube attached to the hub. The hub may comprise a manifold element configured to provide fluid communication between the flexible catheter and the extension tube. The hub may also comprise a septum configured to seal the sealable path upon removal of the insertion assembly from the flexible catheter. The extension tube may also be configured to receive at least a portion of the insertion assembly. Exemplary methods of providing a fluid communication path to an implanted device are also disclosed.

Abstract: A catheter assembly is disclosed comprising a catheter, a tubular structure affixed to an exterior surface of the catheter, and a stablizing cuff affixed to, and at least partially embedded within, the tubular structure. The tubular structure may include a tapered surface extending from an end of the tubular structure to an exterior surface of the catheter. A method of manufacturing a catheter assembly is also disclosed. For example, such a method may comprise positioning a tubular structure about a catheter, positioning a stabilizing cuff near the tubular structure, and partially embedding at least a portion of the stablizing cuff within the tubular structure while shaping the tubular structure to form a tapered surface. A temporary sleeve may be positioned about the tubular structure prior to shaping the tubular structure. The tubular may also be performed to include a tapered end prior to positioning the tubular structure about the catheter.

Abstract: A tissue tunneling device having a gripping mechanism for holding onto the body of the catheter. In one variation, the tissue tunneling device includes an elongate tunneler with a collet attached to the proximal end of the tunneler, and an oversleeve for providing compression to the collet to secure a distal or proximal portion of the catheter within the proximal end of the tunneling device. Internal ribs or surface profiles may be provided on an inner surface of the collet to prevent the catheter from moving when the collet is compressed onto the body of the catheter. The oversleeve may be configured such that over-sliding in the proximal direction is prevented. The collet may further be configured to receive the tips of a split-tip dialysis catheter.