Abstract: A securement device for an intravenous, winged needle set, which comprises: an inverted U-shaped, self-supporting strap, the strap having vertical legs attached to a central portion of a base. The base has a bottom to rest on the skin of the patient. A portion of the base forward of the strap has an upper surface that slopes downwardly to a forward end at an angle to the skin and the bottom of the base. Improved retention and ease of application is provided with such a device.

Abstract: A mounting bracket is provided for holding a medical device adjacent a medical apparatus. The mounting bracket includes spring arms that allow the bracket to be spring loaded and inserted between a medical apparatus and a pole. The bracket includes fingers for flexibly receiving a medical device thereon, so that the device may be securely mounted adjacent the medical apparatus. The bracket includes a base having the first spring arm and second spring arm extending therefrom.

Abstract: A winged needle comprises a hollow medical needle which typically is no smaller than 18 gauge carried by a hub. The hub has wings projecting laterally outwardly, the wings having outer tips that are spaced from each other by essentially 20 to 30 mm. A guard for a winged needle tube set is also disclosed, in which the guard comprises a needle guard tube free of wing-receiving slots and defining a forward, open end to receive a winged needle having outwardly extending, substantially unbent wings as positioned within the guard. In some embodiments, the guard comprises a substantially fixed, open mouth having a width of at least 20 mm and a height of at least 5 mm. A novel anchor strip having two flex lines is also provided to the guard.

Abstract: A tubular medical fluid flow set comprises a pressure sensing chamber connected in flow-through relation to fluid flow tubing of the set. The pressure sensing chamber defines a movable, flexible, impermeable diaphragm dividing the chamber into two separate compartments. The fluid flow tubing communicates with one of the compartments and is isolated from the other of the compartments. A port is carried on the chamber, the port having a seal therein, and communicating with the other of the compartments. Thus, the other of the compartments is hermetically sealed until the port is opened for connection with a pressure measuring device, to keep the flexible diaphragm in a desired, initial position prior to opening of the seal.

Abstract: A flexible valve for a blood treatment set. A flexible fitting including a first chamber, a second chamber, and a slit barrier connecting the first chamber and second chamber and positioned therebetween. An actuating member is positioned in rotating engagement with the slit barrier that is moveable from a first rotational position, in which the slit is closed, to a second position, in which the slit is open. The flexible valve is attachable to a port of a blood treatment chamber. A user opens the valve by rotating the actuating member from a first position to a second position and closes the valve by rotating the valve from the second position to a first position.

Abstract: An extracorporeal blood set may be primed with physiological solution for use in a blood transporting process such as hemodialysis. The set comprises tubing having a patient connector on an end thereof, and a first branch tube in connection with a source of the solution. The branch tube connects with the set between the ends of the set. The branch tube also connects with further branch tubing, having a second connector which is capable of sealing connection with the patient connector. The method comprises the steps of connecting the patient connector and the second connector to form a closed loop of tubing. One then passes the solution from the source in flow through the first branch tube and further branch tubing to fill them and the set tubing with the solution. One then disconnects the patient connector for subsequent connection with the vascular system of a patient.

Abstract: A closure for a tubular access port in a medical fluid flow line or other container comprises a removable cap for enclosing and sealing the tubular access port. The cap has a closed end wall. The end wall carries an extending poker to facilitate the pushing of an antiseptic-carrying material into a lumen of the access port. The poker has an outer diameter that is less than the inner diameter of the access port. A method of using the poker is also described.

Abstract: A pad of elastomeric material having a softness of no more than about durometer 30 Shore 00. The pad may carry adhesive for adhering the pad to a surface, either directly or indirectly through an envelope which surrounds the pad and carries the adhesive. Such a pad exhibits hemostatic and leak prevention properties against needle puncture holes in the skin or the wall of a hollow medical device. Particularly, hemostasis may be prevented with low pressure application of the pad to the skin. The pad may be previously applied to the skin of the patient or a wall of a medical device such as tubing or a solution bag, and the needle may then penetrate both the pad and the skin or medical device wall, to make a resealable puncture with leakage reduction and hemostasis when the needle is withdrawn.

Abstract: A rotary valve for a fluid flow line comprises a valve tube having at least one lumen for unobstructed fluid flow of the fluid flow line therethrough. The valve tube has at least one side aperture communicating with the lumen. A housing is provided which is sealingly and rotatably mounted on the exterior of the valve tube. The housing defines at least one lateral port which registers with the side aperture in a first rotational position of the housing, while the lateral port is sealingly and rotationally spaced from the side aperture in a second rotational position of the housing. Preferably, the lumen is unobstructed and open in every rotational position of the housing.

Abstract: A pad of elastomeric material having a softness of typically no more than about durometer 50 Shore 00. The pad may carry adhesive and/or a housing for adhering the pad to a surface, either manually, or by adhesive tape, or another strap. Such a pad exhibits hemostatic and leak prevention properties against needle puncture holes in the skin or the wall of a hollow medical device. Particularly, hemostasis may be prevented with low pressure application of the pad to the skin. The pad may be previously applied to the skin of the patient or a wall of a medical device such as tubing or a solution bag, and the needle may then penetrate both the pad and the skin or medical device wall, to make a resealable puncture with leakage reduction and hemostasis when the needle is withdrawn.

Abstract: A method for monitoring for leaks or disconnections in an extracorporeal blood circuit, comprising the steps of operating a blood pump to circulate blood through an extracorporeal blood circuit; opening a shunt connection between the arterial and venous blood flow portions; sensing the presence of air from any leaks or disconnections within the venous blood flow portion, and taking corrective action if the presence of air is noted. The shunt connection is typically periodically but only briefly opened, to check for leaks in the typically positive pressure portion of the venous set.

Abstract: A one-piece elastomeric cap is proportioned to fit over an outer end of a female luer-lock connector. The cap comprises an outer cap member defining a generally cylindrical, bore-defining portion and an end wall to close off the bore. A generally cylindrical projection extends inwardly into the bore from the end wall. The projection is proportioned to sealingly fill at least an outer portion of the lumen of the female luer or luer-lock connector occupying said bore; the outer cap member preferably further defines at least one radially outwardly extending space adjacent to the end wall and extending radially outwardly from the bore, to receive outwardly-extending threads or lugs of the female luer-lock connector inserted within said cap.

Abstract: A combined arterial and venous blood tubing set is provided for transport of blood between a patient and a blood processing unit. The set comprises an arterial set component comprising arterial tubing having an arterial patient connector at one end and an arterial unit connector at the other. A venous set component has venous tubing with a venous patient connector at one end and a venous unit connector at the other end. The arterial and venous patient connectors, and the arterial and venous unit connectors, are respectively, substantially, and releasably directly connected to each other. As a result of this, the arterial, and venous set components cooperate to form a loop. Other features of improved sets are also disclosed.

Abstract: A flow reversal valve for a tubular fluid flow set comprises at least four tubular branches and a tubular loop. The tubular loop separately connects with each of the tubular branches at ends thereof, the tubular loop having collapsible, clampable tube sections between connections with the branches. At least some of the tubular branches connect at a transverse, third dimensional angle to the tubular loop, either directly, or through a substantially rigid, angular bend in the blood flow tubing adjacent to the tubular loop.

Abstract: A pad of elastomeric material having a softness of no more than about durometer 50 Shore 00. The pad may carry adhesive and/or a housing for adhering the pad to a surface, either directly or indirectly through an envelope which surrounds the pad and carries the adhesive. Such a pad exhibits hemostatic and leak prevention properties against needle puncture holes in the skin or the wall of a hollow medical device. Particularly, hemostasis may be prevented with low pressure application of the pad to the skin. The pad may be previously applied to the skin of the patient or a wall of a medical device such as tubing or a solution bag, and the needle may then penetrate both the pad and the skin or medical device wall, to make a resealable puncture with leakage reduction and hemostasis when the needle is withdrawn.

Abstract: An antibacterial fluid may be applied to a tubular medical cannula for access to a patient. The fluid comprises a typically metabolizable antibacterial formulation having a viscosity preferably greater than 150,000 cp. The cannula may then be inserted into the patient with an increased lubricity for a reduction of pain, while at the same time, unlike silicones, preferred materials do not readily accumulate in the patient. The fluid may be placed on the skin. The tubular medical cannula may be a rigid, hollow needle, sharp or blunt, a spike, or a flexible catheter. Also, the viscous antibacterial fluid may be used to lock a catheter or other cannula while implanted in the patient, for storage purposes. The formulation is typically an alcohol plus a viscosity increasing agent and optionally a surfactant, a clotting agent, and/or EDTA.

Abstract: A medical device such as a female luer lock connector has an interior for containment of fluids. An access site on the medical device has an opening into the access site interior, which opening defines an annular, outer end surface surrounding the opening. An elastomeric wall is sealingly bonded to the annular, outer end surface at an inner face of the elastomeric wall. Typically, the elastomeric wall has a radially outwardly facing peripheral surface which is essentially spaced from the access site. Also, portions of the elastomeric wall, if desired, can project laterally outwardly beyond the annular, outer end surface, to frictionally engage a second medical device that is attached to the access site.

Abstract: An antibacterial fluid may be applied to a tubular medical cannula for access to a patient. The fluid comprises a typically metabolizable antibacterial formulation having a viscosity of at least about 5,000 cp. The cannula may then be inserted into the patient with an increased lubricity for a reduction of pain, while at the same time, unlike silicones, preferred materials do not readily accumulate in the patient. The tubular medical cannula may be a rigid, hollow needle, sharp or blunt, a spike, or a flexible catheter. Also, the viscous antibacterial fluid may be used to lock a catheter or other cannula while implanted in the patient, for storage purposes. The formulation is typically an alcohol plus a viscosity increasing agent.