Abstract: A fused construct including a first end formed into a fused loop, a second end formed into a fused loop, and an intermediate part extending between the loops, wherein the loops and the intermediate part include at least one segment of elongated material. Each of the loops includes a joint region having overlapped portions of the elongated material, and a relatively thin layer of fused material from the overlapped portions. The fused material is characterized by a low degree of molecular orientation in the direction of a principal axis of the elongated material, and the overlapped portions are characterized by a high degree of molecular orientation in the direction of the principal axis.

Abstract: An implantable access device including a port for receiving and guiding a filament, such as a needle, into an entry region of the device. The port includes a plate for receiving a filament, and at least two walls extending upwardly from the plate. The walls are shaped and positioned to guide the filament moving between opposing first and second ends of the plate through an entry region defined between the walls at the second end of the plate. Preferably, a greatest distance between the walls is at least five times greater than a height of the walls, so that the port provides a large filament strike area, yet has a small overall height. In addition, a greatest distance between the ends of the plate is also preferably at least five times greater than the height of the walls, to further increase the filament strike area without increasing height.

Abstract: A fused loop of an elongated material, such as a surgical suture, and apparatus for making the loop. Portions of one or more segments to be joined together are fused in a welding process to form a welded joint. The shear area of the fused portion of the joint determines the strength of the joint and is thus preferably relatively large. Various configurations for the welding apparatus facilitate the creation of relatively large fused portions of the joint by maximizing contact between at least one of the welding members of the apparatus and at least one of the segments to be joined.

Abstract: A prosthetic cardiac valve assembly for sutureless implantation in a patient. The assembly includes a generally disk-shaped valve annulus element and one or more generally disk-shaped retainer elements. The elements are adapted for mutual engagement and for engagement with a host tissue region so as to fix a portion of the host tissue between them in a sutureless bond. Ultrasonic or thermal energy is applied to one or more of the elements to bond them together. Either the valve annulus element or the retainer element includes a plurality of projections, and the corresponding element includes a corresponding plurality of apertures for receiving the projections, thus providing for mutual physical engagement. The valve annulus element can include a plurality of valve leaflets which open and close in response to fluid pressure differentials across them. Various insertion devices for the assembly are designed to facilitate insertion of the elements in the heart through a relatively small incision.

Abstract: A soft tissue fixation assembly comprises an anchor element which is installed in a bone or other tissue, and a joiner element which mates with the anchor element to define a tissue capture region between them. A section of soft tissue is held within the tissue capture region, and energy is transmitted into the joiner element to cause relative vibratory motion between the respective components and localized melting of the contacting portions of the respective components to establish a welded joint. The soft tissue segment is thus fixed to the bone without sutures or other fasteners.

Abstract: A single-piece soft tissue fixation device includes an elongated element terminating in a tip at one end and a receptacle at the other end which bond with each other in a welded joint. The device is made of a heat-bondable, biocompatible material that can be ultrasonically or thermally welded. The tip and receptacle of the device can be textured or contoured or otherwise complementarily configured to promote mutual engagement prior to and during bonding. The tip can include a needle or needle-like extension for penetrating tissue. The device may be at least partially resorbable in living tissue.

Abstract: A fused loop of an elongated material, such as a surgical suture, and apparatus for making the loop. Portions of one or more segments to be joined together are fused in a welding process to form a welded joint. The shear area of the fused portion of the joint determines the strength of the joint and is thus preferably relatively large. Various configurations for the welding apparatus facilitate the creation of relatively large fused portions of the joint by maximizing contact between at least one of the welding members of the apparatus and at least one of the segments to be joined.

Abstract: A connector for detachably securing an end of a tube, such as a catheter, to a fluid port of a fluid transfer device, such as an implantable device, the connector having a body part which defines a coupler for coupling to a coupler receiver of the transfer device. The connector includes a sleeve which fits within the body part and defines an aperture for compressively receiving an end of the tube which has been fitted over a fluid port of the transfer device. The body part is rotatable about the sleeve to facilitate coupling of the coupler and coupler receiver. In one embodiment the sleeve has an inner diameter at one end large enough to slide freely over the tube when it is fitted over the fluid port, and the diameter decreases at an intermediate point along the length of the sleeve to provide for compressive axial movement of the tube to form an annular thickness portion of the tube where it abuts the face of the transfer device.

Abstract: A valved catheter is disclosed having an elongate, flexible tubular element defining a lumen extending along an axis substantially Parallel to the central axis of said tubular element, and a unidirectional valve assembly near its distal end which controls fluid flow in the tubular element. The valve is generally defined by a top flap portion and a base portion. The top flap portion includes a flap valve surface which is complementary to a base valve surface when there is substantially no pressure difference between the lumen and outside the catheter. When a pressure differential exists between the lumen and outside the catheter, the top valve surface and base valve surface separate to form an opening for fluid flow therethrough. The direction of fluid flow through the valve aperture is determined by the pressure differential. A multi-lumen catheter assembly is also disclosed.

Abstract: The system components include a peristaltic infusion pump device keyed for cooperation with a mutually keyed receiver which in turn is additionally keyed for receipt of a mutually keyed tube set having a selected fluid flow capacity for delivery of medical fluids at a selected fluid flow rate in a selected direction to or from a patient.

Abstract: Disclosed is a flexible, reinforced, multiple lumen catheter. This catheter includes an elongated, flexible, tubular element extending about a central axis, and including embedded therein at least one filament extending in a helical path about the central axis. The inner surface of the tubular element defines an interior region. The catheter also includes an elongated divider element having elongated lateral edges. These edges are integral with, and extending from, portions of the inner surface of the tubular element. At least two lumens are defined in the interior region of the tubular element on opposing sides of the divider element. Also disclosed is a method for assembling the flexible, reinforced, multiple lumen catheter.

Abstract: A bayonet twist locking connector is disclosed for detachably securing an end of a catheter to a fluid transfer device including a flange defining a T-shaped opening for receiving the device and a fluid port extending outwardly along a central axis of the opening. The connector includes a split resilient body which defines an aperture for receiving an end of the catheter. The body being split allows the aperture to be enlarged to facilitate insertion of the catheter. The connector further includes a bayonet assembly for twist locking the connector in the opening of the fluid transfer device, and complementary wing elements radially projecting adjacent to the slit for clamping together and against a region of the fluid transfer device. So clamping the complementary wings prohibits the connector from being removed from the opening, and generates a compressive force to secure the catheter to the port of the fluid transfer device.

Abstract: A valved catheter is disclosed having an elongated, flexible tubular element defining a lumen extending along an axis substantially parallel to the central axis of the tubular element, and a bidirectional check valve assembly near its distal end which controls fluid flow in the tubular element. The valve assembly includes an aspiration valve offset from the tip of the distal end and an infusion valve formed at the tip of the distal end. The aspiration valve is generally defined by port(s) in the tubular element and a sleeve within the element underlying the ports, where the sleeve normally closes the ports. The aspiration valve permits fluid flow from the bloodstream into the element when the static fluid pressure inside the distal end is lower than the static fluid pressure outside the aspiration valve by an amount sufficient to displace the sleeve to allow fluid flow through the ports. The infusion valve includes a throat formed in the distal end which tapers down to a mouth formed by jaws at the tip.

Abstract: Disclosed are implantable, vascular access ports and vascular access systems including such ports. These ports include a biocompatible housing having at least one internal open-faced chamber extending along a reference axis, and defined by a concave sidewall and a bottom wall. The concave sidewall is concave in the direction of the axis and forms a lateral sidewall for the chamber. The port further includes a septum of biocompatible, self-resealing, penetrable material affixed to the housing and spanning the periphery of the open face of the chamber. A cannula is attached at a first end to the housing and extends laterally from that end. Its second end is adapted to receive a catheter. The cannula further includes internal walls defining a channel extending from the first end, along a channel axis from a point on the lateral boundary of, and in communication with, the chamber to the second end.

Abstract: The present invention is a catheter needle and support assembly. That assembly includes a hollow bore catheter needle and a needle support assembly. The needle has a proximal port and a distal port an extends along a central needle axis between these port. A distal portion of the needle includes the distal port and extends along a first portion of the needle axis. A support portion extends along a substantially linear second portion of the needle axis between the first portion and the proximal port. The needle axis at the distal port is angularly offset from the second portion of the needle axis. The needle support assembly includes a coupling member and a pair of support members. The coupling member couples the needle support assembly to the support portion of the needle. The pair of support members extend from the coupling member.

Abstract: An infusion device for a syringe having a tubular wall with a fluid dispensing opening at one end and an internal plunger. A device includes an element for driving the syringe plunger at a selected one of a set of predetermined spring-generated forces which are substantially constant over the range of motion of the plunger.

Abstract: An implantable treatment device has a housing portion defining a chamber and a self-resealable cover portion which closes off the chamber to provide a fluid receiving reservoir. An exit port extends from the reservoir to the external surface of the housing, and a locking member affixed to the device permits a twist-lockable catheter connection to be securely sealed to the exit port. In one embodiment the locking member is a base plate having a slot therein to capture the flange of a catheter connection. A protruding tab on the catheter connection may be sutured to hold the twist-locked connection in a fixed orientation. A multi-reservoir and multi-catheter embodiment is shown. A preferred implantable multi-reservoir device includes tactile features palpable through the skin for distinguishing the different reservoirs, or identifying the contents thereof.

Abstract: An infusion device for a syringe includes a ratcheted stepper motor driven intermittently under the control of a control circuit to advance a syringe plunger driver. Different speeds are determined by the detected size of the syringe in the device. A clutch assembly disengageably connects the plunger driver to a drive belt driven by the stepper motor.A connector for a tubing set has a syringe-connect portion located in a recess of the connector, and cooperates with a force sensor in the device to detect occlusions. The connector has annular projecting portions with parallel, spaced apart actuating surfaces for engagement of the force sensor in either of two positions of the connector in the device. The connector is adapted to indicate to a sensor in which position it is located.

Abstract: An infusion device for a syringe includes a ratcheted stepper motor driven intermittently under the control of a control circuit to advance a syringe plunger driver. Different speeds are determined by the detected size of the syringe in the device. A clutch assembly disengageably connects the plunger driver to a drive belt driven by the stepper motor.A connector for a tubing set has a syringe-connect portion located in a recess of the connector, and cooperates with a force sensor in the device to detect occlusions. The connector has annular projecting portions with parallel, spaced apart actuating surfaces for engagement of the force sensor in either of two positions of the connector in the device. The connector is adapted to indicate to a sensor in which position it is located.