Abstract: Systems and methods for treating a tissue region employ an expandable structure projecting beyond the distal end of a catheter tube. A distal tail projects beyond the far end of the basket assembly. The distal tail includes a guidewire lumen that accommodates passage of a guidewire without threading the guidewire through the catheter tube.

Abstract: A coated medical device adapted for introduction into a passage or vessel of a patient is provided. The medical device is preferably an implantable balloon with a bioactive deposited or within the balloon. The balloon can further include a hydrophilic material positioned between the balloon and a bioactive material posited on the balloon.

Abstract: An apparatus includes a label configured to be coupled to a medicament delivery device. The label includes a first surface and a second surface. The first surface is configured to be coupled to an outer surface of the medicament delivery device. The second surface includes a textual indicia. The label further includes an electronic circuit system configured to output an electronic signal.

Abstract: A catheter introducer assembly is disclosed whereby the safety spring clip moves into position to block the needle tip occurs as a direct consequence of the withdrawal of the needle from the catheter bore. The catheter introducer assembly according to the present invention comprises a needle and a needle hub, a catheter and a catheter hub, and a safety spring clip assembly. The safety spring clip assembly being designed to permit the needle to slide inside the spring clip assembly until the needle stop located on the needle meets the proximal wall to thereby prevent further movement of the safety spring clip. A method of using the catheter introducer assembly according to the present invention is also provided.

Abstract: The disclosed invention relates to a heating apparatus having a PCB-type heater capable of allowing the temperature of Ringer's solution or blood which is introduced into a blood vessel, when transfusing a blood thereto, to be equal to that of the human body to thereby provide an accurate resistance value. The present invention comprises 1.

Abstract: A medical fluid machine includes (i) a pump that pumps a medical fluid and (ii) a heater that heats the medical fluid, the heater including an electrically insulative housing, at least one flat sheet of electrically conductive material suitable for contacting the medical fluid, the sheet disposed within the insulative housing, the sheet defining a flow path for the medical fluid in which the medical fluid changes direction at least one time, a primary coil of a transformer located outside the insulative housing, the primary coil configured to induce a current into the at least one conductive sheet, creating heat that may be transferred to the medical fluid.

Abstract: An apparatus includes a housing, a medicament container, an actuator, and a biasing member. The actuator is configured to move the medicament container within the housing when the actuator is moved from a first configuration to a second configuration. The actuator includes a gas container and a puncturer. When the actuator is in the first configuration, a portion of the puncturer is disposed apart from the gas container. When the actuator is in the second configuration, the portion of the puncturer is disposed within the gas container. The gas container has a longitudinal axis offset from a longitudinal axis of the medicament container. The biasing member is configured to bias the actuator toward the second configuration.

Abstract: An infusion device including a site and a set for delivery of a substance to a patient. The site can include a cannula that is introduced into a subcutaneous layer of skin of the patient. The set can be coupled to the site by placing the set over the site and moving the set from an unlocked to a locked position. The set can be oriented at multiple rotational orientations with respect to the site, and can be coupled and uncoupled with the site multiple times. Also included is a device for inserting a subcutaneous infusion device into a subcutaneous layer of skin of a patient. Some devices automatically retract a needle used to introduce the cannula. Upon full introduction of the needle and associated cannula of the subcutaneous infusion device into a subcutaneous layer of skin of a patient, the device can move the needle into a retracted state.

Abstract: A safety device for shielding a sharp tip of a tubular needle includes a shaft sized and shaped for being received into the passage of the tubular needle through a first end of the passage and extending to a second end of the passage. A shield is associated with the shaft and is constructed for receiving and substantially shielding the sharp tip of the needle. A catch is associated with the shaft. The catch prevents the withdrawal of the shaft from the passage of the needle when the shield is shielding the sharp tip of the needle.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide includes a main body having a distal section. The distal section includes an outer wire disposed over a safety wire. A loop wire is connected to the safety wire at two axially spaced points. At least a portion of the loop wire is positioned outside of the outer wire to define a loop area sized to receive the previously introduced wire guide.

Abstract: A hemostasis seal configured for use in a splittable hemostasis valve, hub, or introducer sheath to permit passage of a medical device therethrough. The seal provides a substantially fluid-tight seal around the medical device without causing excessive frictional resistance that would otherwise unduly restrict movement of the medical device through the seal. In one embodiment, the seal includes first and second resilient seal portions each having a contoured mating surface to provide a first fluid seal with respect to the medical device. The seal also may include one or more projecting portions and one or more mating receiving portions which interact to provide a second fluid seal with respect to the medical device.

Abstract: A seal assembly establishes sealing engagement with a plurality of differently dimensioned instruments passing through a trocar. The seal assembly is a caged seal assembly movably disposed within the trocar and includes at least two seal segments disposable into and out of a sealing orientation relative to the instrument. A cage structure of the seal assembly includes at least two cage segments each connected to a seal segment, a biasing assembly connected to the cage structure and disposed and structured to normally bias the seal segments into sealing orientation.

Abstract: An anticontamination cover prevents the biotic contamination of a gastrostomy catheter when the gastrostomy catheter is inserted through the mouth into the stomach for percutaneous, endoscopic gastrostomy. The anticontamination cover includes an elongate covering tube having a closed distal end and an open base end, and a loop attached to and projecting from the outside surface of the distal end of the covering tube. An opening is formed in a part of the distal end of the covering tube opposite a part of the distal end to which the loop is attached. A loop of the gastrostomy catheter inserted in the covering tube is passed through the opening of the distal end of the covering tube.

Abstract: A medical apparatus and method of use for implanting a catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve comprising a wall surrounding an interior passageway extending from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin to place the sleeve distal end subcutaneously. The sleeve distal end outer surface carries porous material intended to contact the patient's dermis to promote tissue ingrowth. The sleeve passageway is dimensioned to snugly accommodate the outer surface of the catheter while permitting the catheter to slide relative to the sleeve. A split ring locking member is selectively operable in an unlocked state for permitting axial and rotational movement of said catheter relative to said sleeve and operable in a locked state for preventing such relative movement.

Abstract: A device for administering an injectable product in doses including a casing having a receptacle for a container which contains the product and accommodates a piston such that the piston can advance towards an outlet for delivering a selected product dosage, a dosing member, with which a dosing movement can be performed relative to the casing for selecting the product dosage, a drive unit, which can be coupled to the casing and the dosing member such that the drive unit can be adjusted relative to the casing from a dosing starting position to a dosing end position by the dosing movement of the dosing member, an operating mechanism which causes the drive unit to perform a delivering movement by which the piston is advanced towards the outlet, and a restoring spring, which is secured in a tensioned state and is coupled to the drive unit by a release for causing a restoring movement of the drive unit towards its dosing starting position.

Abstract: The present invention relates to a turbulence minimization apparatus comprising a float and seat assembly adapted to control turbulence and formation of microbubbles in a quantity of contrast media in the burette of a contrast media delivery system. The float includes an upper convex surface providing an impact surface for droplets of contrast media which fall from the inlet of the burette, a lower convex surface for sealing a drainage bore when the volume of contrast media has been substantially drained from the burette, and a predetermined amount of buoyancy. The seat assembly includes a plurality of fluid passageways that allow contrast media to contact the lower convex surface of the float allowing the buoyancy of the float to separate the float from the drainage bore when there is more than a predetermined amount of fluid in the drip chamber.

Abstract: A subdermal injection port may include a housing, a first chamber within the housing, and a second chamber within the housing. The subdermal injection port may also include a needle stop between the first chamber and the second chamber. The subdermal injection port may further include an outlet in the housing, with the outlet being in fluid communication with the first chamber and the second chamber.

Abstract: The invention relates to a packaged article comprising: an article having an outer surface and an inner surface, wherein said inner surface defines a cavity for receiving an appendage of a user, a package surrounding said article; a seam which closes both said package and said cavity of said article, wherein opening of said seam opens both said package and said cavity of said article.

Abstract: A portable closed wound drainage system that uses a pouch shaped dressing which is inserted into a wound. At least a portion of the outer surface of the pouch is porous to allow exudates to enter. Exudates are removed from the pouch by flexible tubing which is secured inside the pouch at one end and secured at the other end to a portable drain/suction unit. The pouch contains porous material. The tubing can have a single or multi-lumen structure. The pouch and the tube are sealed by a flexible sealing material which is applied to the outer surface of the skin. A cosmetic cover sheet is attached to the patient's skin over the closed wound drainage system.

Abstract: A medical bag formed of a flexible material includes a front bag part and a rear bag part joined together to form a bag body. A closable liquid inlet port is provided in an upper part of the bag body. The medical bag further includes a deformable elongated member provided in the vicinity of the liquid inlet port on at least one of the front and rear bag parts. The elongated member is deformable so as to retain the liquid inlet port in an open configuration when the elongated member is in a deformed state.

Abstract: A method and apparatus for treating gas for delivery into a body cavity, body space or body surface of an animal. The apparatus comprises a housing defining a chamber having an entry port and an exit port. One or more agents are released into the gas stream that flows through the chamber so that the gas stream carries the agent to the animal. Also shown, for use with, or without, the chamber, is an agent chamber adapted to be coupled to at least one structure defining at least one fluid flow path extending at least a portion of the distance between an insufflation device and the body cavity, body space or body surface.

Abstract: Embodiments are directed to eluting coils having a relaxed coiled state and a straightened state that may be deployed at a fixed location within a patient's body and may accurately dispense and distribute fluids and or dissolvable substances at site specific locations of the body. Some embodiments of eluting elements are configured to be subsequently retrieved from a delivery site.

Abstract: The invention relates to a steerable catheter having a distal section with reduced variation in deflection path during deflection. The distal section of the catheter includes stripes of different material hardness along the length of the distal section affecting the directionality of catheter deflection upon the application of a deflection force like that applied by pull wires. The stripes result in preferential bending in a desired path with greater reproducibility.

Abstract: A device in the form of a conversion adapter for reducing an internal lumen of a catheter so as to accommodate a guidewire having a diameter substantially smaller than the internal lumen of the catheter as well as a catheter system including such a conversion adapter is provided. The adapter is positionable within the internal lumen of the catheter. The adapter has an external diameter which is substantially equal to the internal lumen of the catheter and further includes a smaller internal lumen which is substantially equal in diameter to the guidewire and is therefore capable of accommodating the smaller diameter guidewire therethrough. Preferably, the adapter extends within the internal lumen of the catheter along the entire length thereof, and preferably extends beyond the length of the catheter, including a flexible tapered tip at the end portion.

Abstract: A hemodialysis catheter assembly adapted for use in a subcutaneous tunneling procedure incorporates a mechanism for securing the catheter hub member to the elongated catheter, and to provide the requisite fluid communication between fluid passages within the hub and the catheter lumens within the catheter. The catheter hub member may be connected to the elongated catheter after implantation of the catheter via a subcutaneous tunneling procedure.

Abstract: A leveling device for determining the zero pressure point of an external draining system with respect to a patient is provided. The leveling device generally includes a body having a viewing element defining a field of vision, and a reference point indicator spaced apart from the viewing element and disposed within the line of vision. The viewing element and the reference point indicator define a line of sight. The device further includes a horizontal level indicator mated to the body and oriented parallel to the line of sight established by the viewing element and the reference point indicator. The horizontal level indicator is effective to indicate the horizontal alignment of the body with respect to a particular reference point viewed through the viewing element and indicated by the reference point indicator.

Abstract: A high-efficiency, wide-angle illumination surgical system is disclosed, one embodiment comprising: a light source for providing a light beam; an optical cable, optically coupled to the light source for receiving and transmitting the light beam; a handpiece, operably coupled to the optical cable; an optical fiber, operably coupled to the handpiece, wherein the optical fiber is optically coupled to the optical cable to receive and transmit the light beam; an optical element, optically coupled to a distal end of the optical fiber, for receiving the light beam and scattering the light beam to illuminate an area, wherein the optical element comprises a compound parabolic concentrator (“CPC”) cone; and a cannula, operably coupled to the handpiece, for housing and directing the optical fiber and the optical element. The optical element can be a small-gauge, diffusive optical element comprising a sculpted distal end of the optical fiber or a machined or injection-molded plastic CPC-cone.

Abstract: The invention proposes a cryosurgical instrument and its accessory system operating on the base of a refrigerant evaporation. The invention comprises combination of some technical solutions. Flow in a central lumen of the cryosurgical instrument has oscillating character; the refrigerant is provided on the internal surface of the distal cryotip in the form of separated portions. 2. The internal surface of the distal cryotip of the cryosurgical instrument is covered by a porous coating, which soaks completely one portion of the refrigerant. 3. Vapors obtained as a result of the refrigerant boiling on the porous coating of the cryotip are removed through the central lumen into the atmosphere. Combination of these technical solutions allows to construct a safely cryosurgical instrument with high freezing power and small outer diameter. The proposed cryosurgical instrument may be designed as a flexible cryocatheter or as a rigid cryoprobe.

Abstract: A medical device and procedure is described for occluding a fallopian tube. A tubal occlusion device is inserted into a uterine cavity. The device includes an RF applicator head including an electrode carrier with one or more bipolar electrodes thereon. During insertion, the RF applicator head can be in a closed position. The RF applicator head is positioned at a tubal ostium of a fallopian tube, such that a distal tip of the RF applicator head advances into the tubal ostium. The RF applicator head is deployed into an open position such that the RF applicator head approximates the shape of the uterine cavity in a region of the tubal ostium. Current is passed through the one or more bipolar electrodes to the tubal ostium to destroy tissue to a known depth, which precipitates a healing response in surrounding tissue that over time scars and occludes the fallopian tube.

Abstract: A versatile irrigation system dissector for laparoscopic surgery comprises an elongated lumen having an elongated slim tip electrode slidably mounted therein and having a cutting tip extendable therefrom at one end. The lumen is connected at the other end to a manifold mounted on a handle, which includes a pair of switches to regulate the inlet and outlet flow through the lumen for irrigation and suction purposes. A control panel on the handle regulates the current to the tip for either cutting or coagulating. Thus, several operations may be performed with a single handheld instrument in a highly efficient and rapid action.

Abstract: An instrument for an endoscope including a flexible insulative insertion section inserted in an endoscope channel, a tubular first electrode section arranged at a distal end of the insertion section with an insertion hole formed along the axis of the insertion section, a conductive electric wire inserted in the insertion section and movable forward/backward, a control section arranged on the proximal end side of the insertion section and controlling forward/backward movement of the electric wire along the axis, a rod-shaped second electrode section connected to a distal end of the electric wire and inserted so as to be movable forward/backward in the insertion hole, and an external connecting section electrically connected to a proximal end side of the electric wire and applying external currents with predetermined frequencies to the electric wire and the second electrode section.

Abstract: Ablation instruments and techniques are disclosed for accessing portions of the heart wall via the coronary sinus. While shielding the major portion of the sinus and/or the circumflex coronary artery from ablative energy, the present invention provides access to the heart wall to treat atrial fibrillation. In particular, the present invention provides instruments and methods for forming transmural lesions in the left atrium, such as the so-called “left isthmus block,” from within the coronary sinus.

Abstract: An adaptor for an irrigation set which includes an elongated cannula having an enlarged portion opposite the operative end thereof and a downwardly extending channel removably coupled to the manifold of a standard or label suction irrigation set for suction and irrigation fluids. The manifold is connected to suction and irrigation lines through respective valves. A bracket extends downwardly from the enlarged cannula portion and a hand control panel is mounted thereon with switches to activate cutting and electrocoagulation with an electrode, which is retractable within the cannula.

Abstract: An electrosurgical system for sealing tissue is disclosed which includes an electrosurgical forceps having a shaft member and a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members including a sealing plate which communicates electrosurgical energy through tissue held therebetween. The jaw members are adapted to connect to an electrosurgical generator. The system also includes one or more sensors which determine a gap distance between the sealing plates of the jaw members and a microprocessor which is adapted to communicate with the sensor and measure an initial gap distance between the sealing plates as well as to generate a desired gap distance trajectory based on the initial gap distance.

Abstract: The invention relates to an implant for the treatment of bone fractures, in particular of proximal humerus fractures, having a main plate which can be fixed to the bone and at least one outrigger which can be connected to the main plate via at least one flexible connection element such that the outrigger can be fixed to the bone spatially offset with respect to the main plate.

Abstract: A cutting instrument for use in the complete removal of the annulus fibrosus of an intervertebral disc contains a curvature in the shaft. The curvature forms a guide that rests upon an intervertebral disc and guides the cutting head around the circumference of the intervertebral disc. The curvature of the shaft of the instrument conforms to the circumference of the intervertebral disc and prevents vessels and extra spinal tissue surrounding the intervertebral disc from being damaged particularly when cutting the posterior portion of the intervertebral disc where visibility is minimal. The cutting instruments contain blunt blade guards further minimizing any potential damage to tissue surrounding the intervertebral disc.

Abstract: Systems and methods provide greater control over the placement of cement and other flowable liquids into bone.

Abstract: A bone fixation system including a bone plate and surgical drill guide is provided. The drill guide assembly includes one or more alignment drill tubes that are remotely aligned with corresponding fastener holes in the bone plate, and a plate holder to engage a hole in the bone plate. The surgical drill guide is releasably lockable to the plate holder.

Abstract: A retrieval device for use in renal, biliary, vascular or other systems of a body includes a collapsible basket in a narrow sheath. A surgeon advances the device beyond an object to be removed from a body, such as a kidneystone, a gallstone, or a thrombus. The surgeon then retracts the sheath or advances the basket from the sheath. The basket deploys only to one side of the sheath. In some embodiments, the periphery of the basket has a flex point to enable the basket to easily collapse into the sheath. If the sheath is adjacent a body vessel, such as a blood vessel or a ureter, the sheath remains adjacent the wall, while the device deploys in such a manner as to seal against the walls of the vessel and block the flow of fragments, emboli, thrombi, or other undesirable objects.

Abstract: A medical retrieval device has a multi-prong retrieval assembly. The multi-prong retrieval assembly has a first position, in which the retrieval assembly extends from the distal end of the sheath to form an open ended grasping device, and a second position, in which the retrieval assembly extends from the distal end of the sheath to form a substantially close ended basket-type retrieval device. When the retrieval assembly is used as a basket-type retrieval device, the distal ends of the prongs of the retrieval assembly that form the basket are not connected to each other. Thus, captured objects may be released by the operator, or by applying sufficient force to separate one or more of the prongs.

Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.

Abstract: A modular clip applier includes a cartridge containing multiple surgical clips, and a handle assembly for operating the cartridge to crimp one of the clips onto body tissue of a patient. The handle assembly has a scissors configuration with a bayonet coupling, and flange pairs widely separated to provide a high degree of stability. The bayonet coupling enables the handles of the assembly to be fully separated for cleaning. Snap fittings between the cartridge and handle assembly are provided at the fulcrum and also at a spaced location where an operating pin of the cartridge engages intersecting slots in the flanges. Overdrive protection of three different types is contemplated along with a structure facilitating operation of the handle assembly by palming a pair of handle bars.

Abstract: A pre-tied knot is used in conjunction with a vascular closure device to approximate tissue surrounding an opening in a corporeal vessel. The pre-tied knot is positioned on a proximal end of the suture such that a distal end of the suture can be inserted through the pre-tied knot to complete the knot. A typical medical procedure as contemplated by the present invention is performed through a sheath inserted through an opening in the vessel wall to access the inside of the vessel. The device used to perform the medical procedure is then removed from the sheath and a vascular closure device is inserted through the sheath to position a suture across the vessel opening. The pre-tied knot assists in approximating tissue surrounding the vessel opening.

Abstract: A therapeutic instrument for the ergonomic, effective and safe opening and closing of targeted remote tissue sites; includes a pistol grip style handle with a hand activated lever for needle deployment and, optionally, with features to control tissue cutting and guide wire installation; also incorporates a specialized elongated rigid or flexible instrument shaft, which enables vacuum assisted holding of tissue at a uniquely contoured distal tip, where placement of a suture in a purse string configures occurs along with, if desired, tissue cutting and guide wire passage.

Abstract: A medical device for removing a thin membrane from the inner surface of an eye. The device comprises a rake that includes a handle having a hollow body from which a slide member telescopes. A plurality of tines are provided on a free end of the slide member, wherein each tine includes a tissue engaging feature provided on a free end of each tine. The tines are extended and retracted from an end of the handle, such that, when completely retracted, only the tissue engaging features protrude from the handle or all tissue engaging features can be retracted into the handle. In operation, the rake is manipulated along an upper surface of the membrane until the tissue engaging features engage the membrane. Once the tines engage the membrane, the rake is moved upward and tangentially away relative to an upper surface of the retina until the membrane is removed therefrom.

Abstract: A tissue penetrating system includes a plurality of penetrating members each having a tip. A penetrating member driver is coupled to the plurality of penetrating members. Each tip of a penetrating member is uncovered during launch of the penetrating member by the penetrating member driver. A support is provided with a plurality of openings. Each opening receives a penetrating member.

Abstract: A trocar assembly including a low-profile retractable shield deployable adjacent to a cutting element with a cross-sectional area which is small relative to the total cross-section of the assembly.

Abstract: In accordance with an embodiment of the present invention, a system for widening passages in the body of a patient includes a member extendable into a patient with a proximal end and a distal end with a tip and a hollow interior extending therebetween; bristles adjacent the distal end of the member such that rotation of the proximal end of the member causes rotation of the bristles to remove material from walls of pre-existing passages in the patient and, all of the bristles are inclined away from the tip of the distal end as they extend out from the distal end; a guide wire having a proximal end and a distal end disposed within the hollow interior and extendable into the patient; and a non-rotating capture member coaxially aligned with and fixed near the guide wire distal end to be disposed within the hollow interior and extendable into the patient.

Abstract: A closure device for closing a puncture wound has a distal section that can be placed against the interior wall of a vessel and a proximal section that bunches in the tissue tract to close the wound. One variation of the device provides for removing the distal section from the vessel so that it resides also in the tissue tract after the proximal section has been securely bunched and lodged within the tissue tract in order to provide unobstructed fluid flow in the vessel.

Abstract: An orthopedic pacifier defining a shield adapted to remain outside of the mouth, a bulb adapted to be located in the mouth and on which the child sucks. The bulb is adapted to expand or move upward and outward as the child sucks on it, to counteract inward pressure of the cheeks and the lateral portion of the lips caused by the suction or sucking action.