Abstract: Devices and method are provided for ultrasound transmission without the need for external couplants, such as gels, which are typically used in conventional ultrasound procedures. In particular, ultrashields are provided for use with ultrasound probes, wherein the ultrashields have specialized layers to provide an uninterrupted pathway of acoustic conductance from the probe to the surface of the body throughout the procedure while introducing minimal to no attenuation of ultrasound wave transmission. In addition, combinations of ultrashields and probe covers are provided to provide additional features such as a microbial barrier.

Abstract: A patient controlled liquid drug administration device providing either or both of a continuous flow of a liquid drug, as well as successive boluses thereof, to be self-administered by a patient while allowing delivery of only full bolus volumes. The device includes a reciprocating pump defining a closed internal reservoir having a fixed first wall, and a second, flexible wall that is axially movable in relation to the fixed wall between reservoir-full and reservoir-empty positions. A lock is connected to a push button that activates a plunger of the pump. The lock has a first position preventing the push button from being depressed when the push button is in an extended position and the plunger is in a reservoir-empty position and a second position permitting the push button to be depressed when the push button is in an extended position and the plunger is in a reservoir-full position.

Abstract: Devices and method are provided for ultrasound transmission without the need for external couplants, such as gels, which are typically used in conventional ultrasound procedures. In particular, ultrashields are provided for use with ultrasound probes, wherein the ultrashields have specialized layers to provide an uninterrupted pathway of acoustic conductance from the probe to the surface of the body throughout the procedure while introducing minimal to no attenuation of ultrasound wave transmission. In addition, combinations of ultrashields and probe covers are provided to provide additional features such as a microbial barrier.

Abstract: Various torque-limiting screwdrivers, systems, and methods are disclosed. The screwdriver can include a body supporting a motor configured to rotate a screw engaged with the screwdriver. The screwdriver can include a controller configured to implement torque-limiting functionality, such as by monitoring the amount of torque applied to the screw and reducing or stopping rotation of the screw when certain torque-limiting criteria are met. Some embodiments include a threshold point, after which the torque-limiting functionality can be engaged. Some embodiments include a slowdown point, after which the rotational speed of the screw is reduced.

Abstract: An apparatus for performing a nerve block procedure, the apparatus being composed of an echogenic needle or an echogenic soft tissue tunneling device and an echogenic catheter configured for controlled delivery of a medication. The apparatus may further include a sheath such that at least one of the needle or tunneling device and sheath is echogenic. The present invention also encompasses a system for performing a nerve block procedure, the system includes introducing an echogenic needle in the general area of a nerve bundle, positioning the echogenic needle adjacent the nerve bundle utilizing sonic imaging techniques, introducing an echogenic catheter configured for controlled delivery of a fluid through the echogenic needle, withdrawing the echogenic needle, positioning the echogenic catheter adjacent the nerve bundle utilizing sonic imaging techniques, and delivering fluid to the nerve bundle through the echogenic catheter.

Abstract: Various torque-limiting screwdrivers, systems, and methods are disclosed. The screwdriver can include a body supporting a motor configured to rotate a screw engaged with the screwdriver. The screwdriver can include a controller configured to implement torque-limiting functionality, such as by monitoring the amount of torque applied to the screw and reducing or stopping rotation of the screw when certain torque-limiting criteria are met. Some embodiments include a threshold point, after which the torque-limiting functionality can be engaged. Some embodiments include a slowdown point, after which the rotational speed of the screw is reduced.

Abstract: An apparatus for performing a nerve block procedure, the apparatus being composed of an echogenic needle or an echogenic soft tissue tunneling device and an echogenic catheter configured for controlled delivery of a medication. The apparatus may further include a sheath such that at least one of the needle or tunneling device and sheath is echogenic. The present invention also encompasses a system for performing a nerve block procedure, the system includes introducing an echogenic needle in the general area of a nerve bundle, positioning the echogenic needle adjacent the nerve bundle utilizing sonic imaging techniques, introducing an echogenic catheter configured for controlled delivery of a fluid through the echogenic needle, withdrawing the echogenic needle, positioning the echogenic catheter adjacent the nerve bundle utilizing sonic imaging techniques, and delivering fluid to the nerve bundle through the echogenic catheter.

Abstract: An alignment system for accurately setting the flow rate of a flow selector device, the system includes a flow selector device having a flow rate selection mechanism rotatable between a plurality of pre-selected positions; a knob providing a grip to rotate the flow rate selection mechanism, the knob having a distal portion, a proximal portion, and at least one registering element; and a cover movable between an open position providing access to the knob and a closed position restricting access to the knob, the cover further including at least one cover element that prevents closure when the registering element is misaligned with a pre-selected position.

Abstract: A patient controlled liquid drug administration device providing either or both of a continuous flow of a liquid drug, as well as successive boluses thereof, to be self-administered by a patient while allowing delivery of only full bolus volumes. The device includes a reciprocating pump defining a closed internal reservoir having a fixed first wall, and a second, flexible wall that is axially movable in relation to the fixed wall between reservoir-full and reservoir-empty positions. A lock is connected to a push button that activates a plunger of the pump. The lock has a first position preventing the push button from being depressed when the push button is in an extended position and the plunger is in a reservoir-empty position and a second position permitting the push button to be depressed when the push button is in an extended position and the plunger is in a reservoir-full position.

Abstract: The present invention provides a catheter site insertion plug composed of a body that includes an upper surface, a lower surface and a protruding portion extending from the lower surface. The protruding portion of the body forms a frustum having a terminus and defines a passageway extending from an opening at the upper surface to an exit orifice at the terminus of the frustum. The passageway is configured to receive a catheter therethrough. The lower surface may include a second protruding portion in the form of an annular ring around the first protruding portion. The first protruding portion may include an end section that extends radially outward to provide an inflection point generally adjacent the terminus of the frustum. The end section may extend outward to provide at least one radial edge. The present invention also provides a catheter system composed of a flexible catheter and catheter site insertion plug.

Abstract: A patient controlled liquid drug administration device providing either or both of a continuous flow of a liquid drug, as well as successive boluses thereof, to be self-administered by a patient while allowing delivery of only full bolus volumes. The device includes a reciprocating pump defining a closed internal reservoir having a fixed first wall, and a second, flexible wall that is axially movable in relation to the fixed wall between reservoir-full and reservoir-empty positions. A lock is connected to a push button that activates a plunger of the pump. The lock has a first position preventing the push button from being depressed when the push button is in an extended position and the plunger is in a reservoir-empty position and a second position permitting the push button to be depressed when the push button is in an extended position and the plunger is in a reservoir-full position.

Abstract: A patient controlled liquid drug administration device providing either or both of a continuous flow of a liquid drug, as well as successive boluses thereof, to be self-administered by a patient while allowing delivery of only full bolus volumes. The device includes a reciprocating pump defining a closed internal reservoir having a fixed first wall, and a second, flexible wall that is axially movable in relation to the fixed wall between reservoir-full and reservoir-empty positions. A lock is connected to a push button that activates a plunger of the pump. The lock has a first position preventing the push button from being depressed when the push button is in an extended position and the plunger is in a reservoir-empty position and a second position permitting the push button to be depressed when the push button is in an extended position and the plunger is in a reservoir-full position.

Abstract: The invention generally relates to a continuous anesthesia nerve conduction apparatus and method thereof, and more particularly to a method and system for use in administering a continuous flow or intermittent bolus of anesthetic agent to facilitate a continuous or prolonged nerve block. In one embodiment, the apparatus includes a sheath having a proximal end, a distal end and at least one lumen extending from the proximal end to the distal end. The sheath also includes an embedded conductive element for transmitting an electrical signal from a proximal portion of the sheath to a distal portion of the sheath. A cannula is arranged in the at least one lumen of the sheath and has a distal end protruding from a distal portion of the sheath. The cannula is electrically coupled to at least a portion of the embedded conductive element and is configured to provide nerve stimulation.

Abstract: Various torque-limiting screwdrivers, systems, and methods are disclosed. The screwdriver can include a body supporting a motor configured to rotate a screw engaged with the screwdriver. The screwdriver can include a controller configured to implement torque-limiting functionality, such as by monitoring the amount of torque applied to the screw and reducing or stopping rotation of the screw when certain torque-limiting criteria are met. Some embodiments include a threshold point, after which the torque-limiting functionality can be engaged. Some embodiments include a slowdown point, after which the rotational speed of the screw is reduced.

Abstract: An alignment system for accurately setting the flow rate of a flow selector device, the system includes a flow selector device having a flow rate selection mechanism rotatable between a plurality of pre-selected positions; a knob providing a grip to rotate the flow rate selection mechanism, the knob having a distal portion, a proximal portion, and at least one registering element; and a cover movable between an open position providing access to the knob and a closed position restricting access to the knob, the cover further including at least one cover element that prevents closure when the registering element is misaligned with a pre-selected position.

Abstract: The invention generally relates to a continuous anesthesia nerve conduction apparatus and method thereof, and more particularly to a method and system for use in administering a continuous flow or intermittent bolus of anesthetic agent to facilitate a continuous or prolonged nerve block. In one embodiment, the apparatus includes a sheath having a proximal end, a distal end and at least one lumen extending from the proximal end to the distal end. The sheath also includes an embedded conductive element for transmitting an electrical signal from a proximal portion of the sheath to a distal portion of the sheath. A cannula is arranged in the at least one lumen of the sheath and has a distal end protruding from a distal portion of the sheath. The cannula is electrically coupled to at least a portion of the embedded conductive element and is configured to provide nerve stimulation.

Abstract: The invention generally relates to a continuous anesthesia nerve conduction apparatus and method thereof, and more particularly to a method and system for use in administering a continuous flow or intermittent bolus of anesthetic agent to facilitate a continuous or prolonged nerve block. In one embodiment, the apparatus includes a sheath having a proximal end, a distal end and at least one lumen extending from the proximal end to the distal end. The sheath also includes an embedded conductive element for transmitting an electrical signal from a proximal portion of the sheath to a distal portion of the sheath. A cannula is arranged in the at least one lumen of the sheath and has a distal end protruding from a distal portion of the sheath. The cannula is electrically coupled to at least a portion of the embedded conductive element and is configured to provide nerve stimulation.

Abstract: The invention generally relates to a continuous anesthesia nerve conduction apparatus and method thereof, and more particularly to a method and system for use in administering a continuous flow or intermittent bolus of anesthetic agent to facilitate a continuous or prolonged nerve block. In one embodiment, the apparatus includes a sheath having a proximal end, a distal end and at least one lumen extending from the proximal end to the distal end. The sheath also includes an embedded conductive element for transmitting an electrical signal from a proximal portion of the sheath to a distal portion of the sheath. A cannula is arranged in the at least one lumen of the sheath and has a distal end protruding from a distal portion of the sheath. The cannula is electrically coupled to at least a portion of the embedded conductive element and is configured to provide nerve stimulation.

Abstract: A device for dispensing fluid to a patient and indicating a fluid flow condition. The device includes a reservoir configured to provide a source of fluid under pressure. A continuous flow path in fluid communication with the source of fluid provides a continuous and substantially constant flow rate of fluid from the source to a patient. The device further includes at least one composition pulse flow sensor in fluid communication with the continuous flow path. The composition pulse flow sensor is configured to provide a signal that the flow rate of the fluid in the continuous flow path is different from a predetermined flow rate, thereby indicating a fluid flow condition.